Document:

EXHIBIT 10.1 

 

Note
No. ________________

 

THIS
INSTRUMENT AND THE SECURITIES ISSUABLE UPON THE CONVERSION HEREOF HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED
(THE “ACT”). THEY MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED, HYPOTHECATED OR OTHERWISE TRANSFERRED EXCEPT PURSUANT TO AN
EFFECTIVE REGISTRATION STATEMENT UNDER THE ACT OR UPON RECEIPT BY THE COMPANY OF AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT
REGISTRATION IS NOT REQUIRED UNDER THE ACT.

 

THE
PRINCIPAL AMOUNT REPRESENTED BY THIS NOTE AND, ACCORDINGLY, THE SECURITIES ISSUABLE UPON CONVERSION HEREOF MAY BE LESS THAN THE AMOUNTS
SET FORTH ON THE FACE HEREOF. THIS NOTE IS ISSUED WITH ORIGINAL ISSUE DISCOUNT FOR PURPOSES OF SECTION 1271 ET SEQ. OF THE INTERNAL REVENUE
CODE. 

 

SECURED
CONVERTIBLE PROMISSORY NOTE

	Principal Amount: US $____________	Date of Issuance: August , 2022

 

1.1       FOR
VALUE RECEIVED, Odyssey Semiconductor Technologies, Inc., a Delaware Corporation with offices at 9 Brown Road, Ithaca, NY 14850 (the
“Company”), hereby promises to pay to the order of _________________________ (the “Holder”), the
principal sum of US $___________ (the “Principal Amount”) (this “Note”) together with interest
thereon, at a rate of ten percent (10%) per annum, on a non-compounding basis, on the “Maturity Date”, which unless
earlier converted pursuant to the terms set forth herein, shall be the earlier of (i) the date upon which this Note is converted into
equity securities as set forth herein, (ii) or twelve months from the Date of Issuance. The “Conversion Price” of
the Notes will be as defined under Section 3.1(b).

 

This
Note is one of secured convertible promissory notes (collectively, if multiple Notes are issued, the “Series Notes”)
issued by the Company to investors, in connection with that certain Subscription Agreement, dated as of even date herewith, with identical
terms and on the same form as set forth herein (except that the holder, principal amount and date of issuance may differ in each Note).
Capitalized terms not otherwise defined in this Note will have the meanings set forth in Section 3.1.

 

Each
of the Company and the Holder may be referred to as a party hereunder, and collectively the parties.

 

Payment
of Interest in kind at Maturity. Notwithstanding any provision hereof to the contrary, interest accrued under this Note shall be
paid in shares of the Company’s common stock, which shall be valued at the Conversion Price.

 

     

     

    

 

1.       Security.
This Note is a secured obligation of the Company to the extent that it is secured by all of the assets of the Company.

 

2.       Priority.
This Note shall rank senior to all indebtedness of the Company.

 

3.       Conversion.
This Note may be convertible into shares of Common Stock pursuant to the following terms.

 

3.1       Definitions.

 

(a)       “Common
Stock” means the Company’s common stock, par value US$0.001 per share.

 

(b)       “Conversion
Price” means a price per share equal to 85% of the price per share paid by the purchasers of securities in a Financing Event
as defined under Section 3.1(f), or if there is a Voluntary Conversion or no Financing Event during
the term of this Note, then at a price equal to the average of the last 20 trading days’ closing price of the Company’s common
stock, commencing on the date immediately preceding the date of conversion.

 

(c)       “Note
Shares” means the shares of Common Stock issuable upon conversion of a Note, including any outstanding principal and accrued
interest. 

 

(d)       “Corporate
Transaction” means: 

 

(i)       the
closing of the sale, transfer or other disposition, in a single transaction or series of related transactions, of all or substantially
all of the material assets of the Company’s;

 

(ii)       the
consummation of a merger or consolidation of the Company with or into another entity (except a merger or consolidation in which the holders
of capital stock of the Company immediately prior to such merger or consolidation continue to hold a majority of the outstanding voting
securities of the capital stock of the Company or the surviving or acquiring entity immediately following the consummation of such transaction);
or

 

(iii)       the
closing of the transfer (whether by merger, consolidation or otherwise), in a single transaction or series of related transactions, to
a “person” or “group” (within the meaning of Section 13(d) and Section 14(d) of the Exchange Act), of the Company’s
capital stock if, after such closing, such person or group would become the “beneficial owner” (as defined in Rule 13d-3
under the Exchange Act) of more than 50% of the outstanding voting securities of the Company (or the surviving or acquiring entity).

 

For
the avoidance of doubt, a transaction will not constitute a “Corporate Transaction” if its sole purpose is to change the
state of the Company’s incorporation or to create a holding company that will be owned in substantially the same proportions by
the persons who held the Company’s securities immediately prior to such transaction. Notwithstanding the foregoing, the sale of
Equity Securities in a bona fide financing transaction will not be deemed a “Corporate Transaction.”

 

    2 

     

    

 

 

“Equity
Securities” means (i) Common Stock; (ii) any securities conferring the right to purchase Common Stock; or (iii) any securities
directly or indirectly convertible into, or exchangeable for (with or without additional consideration) Common Stock. Notwithstanding
the foregoing, the following will not be considered “Equity Securities”: (A) any security granted, issued or sold by the
Company to any director, officer, employee, consultant or adviser of the Company for the primary purpose of soliciting or retaining their
services; and (B) any convertible promissory notes (including this Note) issued by the Company.

 

(e)       “Exchange
Act” means the Securities Exchange Act of 1934, as amended.

 

(f)       “Financing
Event” means a public offering by the Company of its common stock with aggregate gross proceeds of at least $5 million.

 

(g)       “Fully
Diluted Capitalization” means the number of issued and outstanding shares of the Company’s capital stock, assuming the
conversion or exercise of all of the Company’s outstanding convertible or exercisable securities.

 

(h)       “Securities
Act” means the Securities Act of 1933, as amended.

 

3.2       Voluntary
Conversion. The outstanding principal balance and accrued interest on this Note is convertible at the option of the Holder into shares
of the Company’s Common Stock at the Conversion Price prior to the Maturity Date. The Company shall represent to Holder just prior
to Maturity Date that no imminent Corporate Transaction has been contemplated or considered in the 60 days prior to the Maturity date,
otherwise the Note shall continue to remain outstanding and accrue interest until the status of such Corporate Transaction is finally
resolved. 

 

3.3       Mandatary
Conversion. Principal due and interested accrued on this Note will automatically convert into shares of Common Stock, at the Conversion
Price, if at any time during the Term the Company completes a Financing Event. 

 

3.4       Corporate
Transaction Liquidation. In the event a Corporate Transaction occurs (i) prior to the conversion of this Note pursuant to Section
3.2 or Section 3.3 or (ii) the repayment of this Note, at the closing of such Corporate Transaction, in lieu of conversion the Company
shall redeem this Note at a price equal to 200% of the principal amount due hereunder as part of the closing consideration of such acquisition
transaction, which payment shall be in full satisfaction of principal and interest due on this Note.

 

3.5       Certificates.
As promptly as practicable after the conversion of this Note and the issuance of the shares of Common Stock, the Company (at its expense)
will issue shares of Common Stock to the Holder. The Company will not be required to issue or deliver the shares of Common Stock until
the Holder has surrendered this Note to the Company (or provided an instrument of cancellation or affidavit of loss).

 

    3 

     

    

 

4.       Future
Borrowing. The Company shall not borrow any funds after the completion of the transaction to which this Note relates without the
consent of the majority of Note Holders.

 

5.       Representations
and Warranties of the Company. In connection with the transactions contemplated by this Note, the Company hereby represents and warrants
to the Holder as follows:

 

5.1       Due
Organization; Qualification and Good Standing. The Company is a corporation duly organized, validly existing and in good standing
under the laws of the State of Delaware and has all requisite corporate power and authority to carry on its business as now conducted.

 

5.2       Authorization
and Enforceability. Except for the authorization and issuance of the shares of Common Stock upon conversion of this Note, all corporate
action has been taken on the part of the Company and its officers, directors and stockholders necessary for the authorization, execution
and delivery of this Note. Except as may be limited by applicable bankruptcy, insolvency, reorganization or similar laws relating to
or affecting the enforcement of creditors’ rights, the Company has taken all corporate action required to make all of the obligations
of the Company reflected in the provisions of this Note valid and enforceable in accordance with its terms. 

 

6.       Restrictions.

 

7.1
        Restricted Securities. None of this Note and the shares of Common Stock issuable upon
exercise of this Note (collectively, the “Securities”) have been or will be registered under the Securities Act or state
securities laws, by reason of specific exemptions from the registration provisions thereof. The Securities are “restricted securities”
under U.S. federal and applicable state securities laws and that, pursuant to these laws, the Holder must hold the Securities indefinitely
unless they are registered with the Securities and Exchange Commission (“SEC”) and registered or qualified by state
authorities, or an exemption from such registration and qualification requirements is available. The Company has no obligation to register
or qualify the Securities for resale and, if an exemption from registration or qualification is available, it may be conditioned on various
requirements including, but not limited to, the time and manner of sale, the holding period for the Securities, and on requirements relating
to the Company which are outside of the Holder’s control, and which the Company is under no obligation, and may not be able, to
satisfy.

 

7.2       
Legends. The Securities may bear the following legend:

 

THIS
INSTRUMENT AND THE SECURITIES ISSUABLE UPON THE CONVERSION HEREOF HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED
(THE “ACT”). THEY MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED, HYPOTHECATED OR OTHERWISE TRANSFERRED EXCEPT PURSUANT TO AN
EFFECTIVE REGISTRATION STATEMENT UNDER THE ACT OR UPON RECEIPT BY THE COMPANY OF AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT
REGISTRATION IS NOT REQUIRED UNDER THE ACT OR UNLESS SOLD PURSUANT TO RULE 144 UNDER THE ACT.

 

    4 

     

    

 

7.       Miscellaneous.

 

7.1       Successors
and Assigns. Except as otherwise provided herein, the terms and conditions of this Note will inure to the benefit of, and be binding
upon, the respective successors and assigns of the parties; provided, however, that the Company may not assign its obligations under
this Note without the written consent of the Holder. This Note is for the sole benefit of the parties hereto and their respective successors
and permitted assigns, and nothing herein, express or implied, is intended to or will confer upon any other person or entity any legal
or equitable right, benefit or remedy of any nature whatsoever under or by reason of this Note.

 

7.2       Governing
Law. This Note will be governed by and construed in accordance with the internal laws of the State of Delaware without giving effect
to any choice or conflict of law provision or rule.

 

7.3       Titles
and Subtitles. The titles and subtitles used in this Note are included for convenience only and are not to be considered in construing
or interpreting this Note.

 

7.4       Notices.
All notices and other communications given or made pursuant hereto will be in writing and will be deemed effectively given: (a) upon
personal delivery to the party to be notified; (b) when sent by email or confirmed facsimile; (c) five (5) days after having been sent
by registered or certified mail, return receipt requested, postage prepaid; or (d) one (1) day after deposit with a nationally recognized
overnight courier, specifying next day delivery, with written verification of receipt.

 

7.5       Expenses.
Each party will pay all costs and expenses that it incurs with respect to the negotiation, execution, delivery and performance of this
Note.

 

7.6       Entire
Agreement; Amendments and Waivers. This Note constitutes the full and entire understanding and agreement between the parties with
regard to the subject hereof. Any term of this Note may be amended and the observance of any term may be waived (either generally or
in a particular instance and either retroactively or prospectively) with the written consent of the Company and the holders of the majority
of the Series Notes. Any waiver or amendment effected in accordance with this Section 7.6 will be binding upon each future holder of
this Note and the Company.

 

7.7       Severability.
If one or more provisions of this Note are held to be unenforceable under applicable law, such provisions will be excluded from this
Note and the balance of the Note will be interpreted as if such provisions were so excluded and this Note will be enforceable in accordance
with its terms.

 

7.8       Acknowledgment.
For the avoidance of doubt, it is acknowledged that the Holder will be entitled to the benefit of all adjustments in the number of shares
of the Company’s capital stock as a result of any splits, recapitalizations, combinations or other similar transactions affecting
the Company’s capital stock that occur prior to the conversion of this Note.

 

    5 

     

    

 

7.9       Limitation
on Interest. In no event will any interest charged, collected or reserved under this Note exceed the maximum rate then permitted
by applicable law, and if any payment made by the Company under this Note exceeds such maximum rate, then such excess sum will be credited
by the Holder as a payment of principal.

 

7.10       Officers
and Directors not Liable. In no event will any officer or director of the Company be liable for any amounts due and payable pursuant
to this Note.

 

7.11       Most
Favored Nation. While
this Note or any principal amount or interest due hereunder remain outstanding and unpaid, the Company shall not enter into any private
offering of its securities (including securities convertible into shares of common stock) with any individual or entity (an “Other
Investor”) that has the effect of establishing rights or otherwise benefiting such Other Investor in a manner more favorable in
any material respect to such Other Investor than the rights and benefits established in favor of the Holder by this Note unless, in any
such case, the Holder has been provided with the option to have the terms and conditions of this Note amended and modified in an economically
and legally equivalent manner such that the Holder shall receive the benefit of the more favorable terms and/or conditions (as the case
may be) offered to the Other Investor.

 

7.12       Reorganization,
Reclassification, Consolidation, Merger or Sale. If any recapitalization (including but not limited to a forward or reverse split),
reclassification or reorganization of the capital stock of the Company, or any consolidation or merger of the Company with another corporation,
or the sale of all or substantially all of its assets or other transaction shall be effected in such a way that holders of Common Stock
shall be entitled to receive stock, securities, or other assets or property (an “Organic Change”), then, as a condition
of such Organic Change, lawful and adequate provisions shall be made by the Company whereby the Holder hereof shall thereafter have the
right to purchase and receive on conversion (in lieu of the shares of the Common Stock of the Company immediately theretofore purchasable
and receivable upon conversion of this Note) such shares of stock, securities or other assets or property as shall be equivalent in value
to the securities issuable to the Holder upon conversion immediately prior to the Organic Change. 

 

7.13       Waiver
of Jury Trial. EACH PARTY HEREBY WAIVES ITS RIGHTS TO A JURY TRIAL OF ANY CLAIM OR CAUSE OF ACTION BASED UPON OR ARISING OUT OF THIS
NOTE, THE SECURITIES OR THE SUBJECT MATTER HEREOF OR THEREOF. THE SCOPE OF THIS WAIVER IS INTENDED TO BE ALL-ENCOMPASSING OF ANY AND
ALL DISPUTES THAT MAY BE FILED IN ANY COURT AND THAT RELATE TO THE SUBJECT MATTER OF THIS TRANSACTION, INCLUDING, WITHOUT LIMITATION,
CONTRACT CLAIMS, TORT CLAIMS (INCLUDING NEGLIGENCE), BREACH OF DUTY CLAIMS, AND ALL OTHER COMMON LAW AND STATUTORY CLAIMS. THIS SECTION
HAS BEEN FULLY DISCUSSED BY EACH OF THE PARTIES HERETO AND THESE PROVISIONS WILL NOT BE SUBJECT TO ANY EXCEPTIONS. EACH PARTY HERETO
HEREBY FURTHER REPRESENTS AND WARRANTS THAT SUCH PARTY HAS REVIEWED THIS WAIVER WITH ITS LEGAL COUNSEL, AND THAT SUCH PARTY KNOWINGLY
AND VOLUNTARILY WAIVES ITS JURY TRIAL RIGHTS FOLLOWING CONSULTATION WITH LEGAL COUNSEL.

 

    6 

     

    

 

IN
WITNESS WHEREOF, the Company has caused Note to be signed in its name by an authorized officer as of the date first set forth above.

 

 

	 	Odyssey Semiconductor
	 	Technologies, Inc.
	 	 
	 	 
	 	By:	 
	 	Name: 	Mark Davidson
	 	Title: 	Chief Executive Officer

 

7EXHIBIT 10.2

 

SUBSCRIPTION
AGREEMENT

 

This
SUBSCRIPTION AGREEMENT (“Subscription Agreement”) made as of this _____ day of August, 2022, by and between
Odyssey Semiconductor Technologies, Inc., a Delaware Corporation (the “Company”), and ______________ (the “Subscriber”).
Company and Subscriber may be collectively referred to for purposes of this Subscription Agreement as the “Parties”.

 

RECITALS

 

WHEREAS,
the Company intends to offer (the “Offering”) for sale up to $3,750,000 (the “Offering Amount”)
of its 10% secured convertible promissory Bridge Notes (each, a “Note”). The Bridge Notes are substantially in the
form attached hereto as Exhibit A and are being offered in reliance upon the exemption from registration provided for under
Section 4(a)(2) of the Securities Act of 1933, as amended (the “Securities Act”) and Rule 506(b) of Regulation
D promulgated thereunder (“Regulation D”), the terms and conditions hereinafter set forth.

 

WHEREAS,
the Subscriber desires to acquire certain principal amount of Bridge Notes.

 

NOW,
THEREFORE, for and in consideration of the promises and the mutual covenants hereinafter set forth, the parties hereto do hereby
agree as follows:

 

AGREEMENT

 

1.         Subscription
Procedure

 

1.1       Subscription
for the Bridge Notes. Subject to the terms and conditions hereinafter set forth, the Subscriber hereby subscribes for and
agrees to purchase from the Company the principal amount of Bridge Notes substantially in the form attached hereto as Exhibit
A, as is set forth upon the signature page hereof. The Bridge Notes shall bear interest at a rate of ten percent (10%) per annum,
on a non-compounding basis, and are due and payable on the earlier of (i) the date upon which the Bridge Notes are converted into
equity securities as set forth herein, or (ii) or twelve months from the closing of this Offering (the “Maturity Date”).
All interest due shall be paid in shares of the Company’s common stock, which shall be valued at a price equal to the average
of the last 20 trading days’ closing price of the Company’s common stock, commencing on the date immediately preceding
the date of conversion for purposes of the interest computation. The Bridge Notes will be offered and sold by the Company solely
to “accredited investors” (as defined under Rule 501 of Regulation D of the Securities Act of 1933, as amended).

 

1.2       Subscription
Period. The subscription period will begin as of the date of the Offering Memorandum and will terminate at 5:00 PM Eastern
Standard Time on August 15, 2022, unless extended at the option of the Company in its sole discretion for a period of thirty (30)
business days (the “Termination Date”). The Bridge Notes will be offered on a “best efforts $3,750,000
maximum” basis. The minimum investment per subscription of the Offering is $25,000, subject to the Company’s right
to accept a lesser amount.

 

1.3       Automatic
Conversion of the Bridge Notes. The outstanding
principal balance of the
Bridge Notes and all
accrued interest shall automatically convert into common stock of the Company
(the “Note Shares”) upon the closing of a public offering by the Company of its common stock with aggregate
gross proceeds of at least $5 million (the “Financing Event”). The
“Conversion Price” of
the Bridge Notes will be
at a price
per share equal
to 85% of the price per share paid by
the purchasers of securities in such Financing Event.

 

1.4       Voluntary
Conversion of Bridge Notes into Common Shares. The Subscriber may elect at any time prior to the Maturity Date to convert
the outstanding accrued amount on the Bridge Notes issued hereunder into the number of shares of the Company’s common stock
at a price equal to the average of the last 20 trading days’ closing price of the Company’s common stock, commencing
on the date immediately preceding the date of conversion (the “Elective Conversion”). Upon an Elective Conversion,
the Bridge Notes shall be treated by the Company as surrendered for cancellation and exchanged into shares of common stock and
will be deemed, for all purposes, to be cancelled on the books of the Company and the obligations represented by the Notes so
terminated and contributed to the capital of the Company.

 

    	 

    	 

    

 

1.5       Registration
Rights. The Company shall at the closing of this Offering enter into a registration rights agreement with the Subscriber substantially
in the form of the attached Exhibit C to this Subscription Agreement.

 

1.6       Rejection
of Orders. The Subscriber understands and agrees that the Company may in its sole discretion, reject any subscription, in
whole or in part. The Company may, in its sole discretion, terminate or withdraw the Offering in its entirety at any time prior
to a closing in relation thereto. If this subscription is rejected in whole or the Offering is terminated, all funds received
from the Subscriber will be returned without interest or offset, and this Subscription Agreement shall thereafter be of no further
force or effect. If this subscription is rejected in part, the funds for the rejected portion of this subscription will be returned
without interest or offset, and this Subscription Agreement will continue in full force and effect to the extent this subscription
was accepted. The Company shall not be required to allocate among investors on a pro rata basis in the event of an over-subscription.

 

2.       Representations
and Covenants of Subscriber

 

The
Subscriber represents and warrants to the Company that:

 

2.1       The
Subscriber recognizes that the purchase of the Notes involves a high degree of risk in that (i) the Company may need additional
capital to operate its business but has no assurance of additional necessary capital; (ii) an investment in the Company is highly
speculative and only investors who can afford the loss of their entire investment should consider investing in the Notes; (iii)
an investor may not be able to liquidate his, her or its investment in the Notes; (iv) transferability of the Notes is extremely
limited; (v) an investor could sustain the loss of his, her or its entire investment; and (vi) the Company is and will be subject
to numerous other risks and uncertainties, including without limitation, significant and material risks relating to the Company’s
business and operations, and the industries, markets and geographic regions in which the Company competes, as well as risks associated
with the Offering, all as more fully set forth herein and in the Risk Factors annexed hereto as Exhibit B, the terms of
which have been reviewed and accepted by the Subscriber.

 

2.2        The
Subscriber represents that he, she or it is an “accredited investor” as such term is defined in Rule 501 of Regulation
D promulgated under the Securities Act, as indicated by his, her or its Investor Questionnaire, and that he, she or it is able
to bear the economic risk of an investment in the Notes. The Subscriber has adequate means of providing for such Subscriber’s
current financial needs and foreseeable contingencies and has no need for liquidity of its investment in the Notes for an indefinite
period of time. The Subscriber must complete the applicable Investor Questionnaire, a form of which is attached hereto as Appendix
I, to enable the Company to assess the Subscriber’s eligibility for the Offering.

 

2.3        The
Subscriber represents that all information which the Subscriber has provided to the Company concerning the Subscriber or the Subscriber’s
investor status, financial position, knowledge and experience in financial and business matters, or, in the case of a corporation,
trust, partnership, limited liability company, or other entity, the knowledge and experience in financial and business matters
of the person making the investment decision on behalf of such entity, including all information contained herein, is correct
and complete as of the date of this Agreement, and if there should be any adverse change in such information prior to this subscription
being accepted, the Subscriber will immediately provide the Company with such information.

 

2.4        The
Subscriber acknowledges that he, she or it has such knowledge and prior investment experience, including without limitation, investment
in private, non-listed and non-registered securities and development-stage companies with limited operating histories, or he,
she or it has employed the services of an investment advisor, attorney or accountant to read all of the documents furnished or
made available by the Company both to him, her or it and to all other prospective investors in the Offering and to evaluate the
merits and risks of such an investment on his, her or its behalf, and that he, she or it recognizes the highly speculative nature
of this investment.

 

    	 

    	 

    

 

2.5        The
Subscriber acknowledges receipt and careful review of the risk factors annexed hereto as Exhibit B, and the attachments (Exhibits
A, B and C) hereto (collectively, the “Offering Documents”) and hereby represents that he, she or it has been
furnished or given access by the Company during the course of the Offering with or to all information regarding the Company and
its financial conditions and results of operations which he, she or it had requested or desired to know; that all documents which
could be reasonably provided have been made available for his, her or its inspection and review; that he, she or it has been afforded
the opportunity to ask questions of and receive answers from duly authorized representatives of the Company concerning the terms
and conditions of the Offering, and any additional information which he, she or it had requested. The Subscriber further represents
and acknowledges that the Subscriber has not seen or received any advertisement or general solicitation with respect to the sale
of any of the securities of the Company, including, without limitation, the Bridge Notes.

 

2.6        The
Subscriber acknowledges that the Offering of the Bridge Notes may involve tax consequences, and that the contents of the Offering
Documents do not contain tax advice or information. The Subscriber acknowledges that he, she or it must retain his, her or its
own professional advisors to evaluate the tax and other consequences of an investment in the Bridge Notes.

 

2.7        The
Subscriber acknowledges that the Offering of the Bridge Notes has not been reviewed or approved by the United States Securities
and Exchange Commission (“SEC”) because the Offering is intended to be a nonpublic offering pursuant to Section
4(a)(2) of the Securities Act and/or Rule 506(b) of Regulation D promulgated thereunder. The Subscriber represents that the Bridge
Notes are being purchased for his, her or its own account, for investment and not for distribution or resale to others. The Subscriber
agrees that he, she or it will not sell or otherwise transfer any of the Bridge Notes or common stock issuable upon conversion
of the Bridge Notes unless they are registered under the Securities Act or unless an exemption from such registration is available
and, upon the Company’s request, the Company receives an opinion of counsel reasonably satisfactory to the Company confirming
that an exemption from such registration is available for such sale or transfer.

 

2.8        The
Subscriber understands that the Bridge Notes have not been registered under the Securities Act by reason of a claimed exemption
under the provisions of the Securities Act which depends, in part, upon his, her or its investment intention. The Subscriber realizes
that, in the view of the SEC, a purchase now with the intention to distribute would represent a purchase with an intention inconsistent
with his, her or its representation to the Company, and the SEC might regard such a distribution as a deferred sale to which such
exemption is not available. The Subscriber understands that there is no assurance that the Company will effect a Financing Event
or any public listing of its securities.

 

2.9        The
Subscriber understands that Rule 144 (the “Rule”) promulgated under the Securities Act requires, among other
conditions, a one (1) year holding period prior to the resale of securities acquired in a non-public offering, such as the Offering,
without having to satisfy the registration requirements under the Securities Act. The Subscriber understands that the Company
makes no representation or warranty regarding its fulfillment in the future of any reporting requirements under the Securities
Exchange Act of 1934, as amended (the Exchange Act”), or its dissemination to the public of any current financial
or other information concerning the Company, as is required by Rule 144 as one of the conditions of its availability. The Subscriber
consents that the Company may, if it desires, permit the transfer of the Bridge Notes out of his, her or its name only when his,
her or its request for transfer is accompanied by an opinion of counsel reasonably satisfactory to the Company that neither the
sale nor the proposed transfer results in a violation of the Securities Act, any applicable state “blue sky” laws
or any applicable securities laws of any other country, province or jurisdiction (collectively, “Securities Laws”).
The Subscriber agrees to hold the Company and its directors, officers and controlling persons and their respective heirs, representatives,
successors and assigns harmless and to indemnify them against all liabilities, costs and expenses incurred by them as a result
of any misrepresentation made by him/her/it contained herein or in the Investor Questionnaire or any sale or distribution by the
undersigned Subscriber in violation of any Securities Laws.

 

    	 

    	 

    

 

2.10      The
Subscriber acknowledges and consents to the placement of one or more legends on any certificate or other document evidencing his,
her or its Bridge Notes or shares of common stock issuable upon conversion of the Bridge Notes, stating that they have not been
registered under the Securities Act, substantially in the form as set forth below and setting forth or referring to the restrictions
on the transferability and sale thereof:

 

THESE
SECURITIES REPRESENTED HEREBY OR THE SECURITIES ISSUABLE UPON THE CONVERSION HEREOF HAVE NOT BEEN REGISTERED WITH THE SECURITIES
AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES
ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND, ACCORDINGLY, MAY NOT BE OFFERED OR SOLD EXCEPT PURSUANT TO AN
EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OR PURSUANT TO AN AVAILABLE EXEMPTION FROM, OR IN A TRANSACTION NOT
SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS AS EVIDENCED
BY A LEGAL OPINION OF COUNSEL TO THE TRANSFEROR TO SUCH EFFECT, THE SUBSTANCE OF WHICH SHALL BE REASONABLY ACCEPTABLE TO THE COMPANY.

 

2.11      The
Subscriber understands that the Company will review this Subscription Agreement and the Investor Questionnaire and agrees that
the Company reserves the unrestricted right to reject or limit any subscription and to close the Offering pursuant to the terms
of the Offering Documents.

 

2.12      The
Subscriber hereby represents that the address of Subscriber furnished by him, her or it at the signature page of this Subscription
Agreement and in the Investor Questionnaire is the Subscriber’s principal residence if the Subscriber is an individual or
its principal business address if the Subscriber is a corporation or other entity.

 

2.13      The
Subscriber acknowledges that if the Subscriber is a Registered Representative of a Financial Industry Regulatory Authority (“FINRA”)
member firm, the Subscriber must give such firm the notice required by the FINRA Conduct Rules, or any applicable successor rules
of the FINRA, receipt of which must be acknowledged by such firm on the signature page hereof. The Subscriber shall also notify
the Company if the Subscriber or any affiliate of Subscriber is a registered broker-dealer with the SEC, in which case the Subscriber
represents that the Subscriber is purchasing the Bridge Notes in the ordinary course of business and, at the time of purchase
of the Bridge Notes, has no agreements or understandings, directly or indirectly, with any person to distribute the Bridge Notes
or any portion thereof.

 

2.14      The
Subscriber hereby represents that, except as set forth in the Offering Documents, no representations or warranties have been made
to the Subscriber by either the Company or its agents, employees or affiliates and in entering into this transaction, the Subscriber
is not relying on any information, other than that contained in the Offering Documents and the results of independent investigation
by the Subscriber.

 

2.15      The
Subscriber agrees that he, she or it will purchase the Bridge Notes in the Offering only if his, her or its intent at such time
is to make such purchase for investment purposes and not with a view toward resale.

 

2.16      If
the Subscriber is a partnership, corporation, trust or other entity, such partnership, corporation, trust or other entity further
represents and warrants that: (i) it was not formed for the purpose of investing in the Company; (ii) it is authorized and otherwise
duly qualified to purchase and hold the Bridge Notes; and (iii) that this Subscription Agreement has been duly and validly authorized,
executed and delivered and constitutes the legal, binding and enforceable obligation of the Subscriber.

 

2.17      If
the Subscriber is not a United States person, such Subscriber hereby represents that he, she or it has satisfied himself/herself/itself
as to the full observance of the laws of its jurisdiction in connection with any invitation to subscribe for the Bridge Notes
or any use of this Subscription Agreement, including (i) the legal requirements within his/her/its jurisdiction for the purchase
of the Bridge Notes, (ii) any foreign exchange restrictions applicable to such purchase, (iii) any governmental or other consents
that may need to be obtained, and (iv) the income tax and other tax consequences, if any, that may be relevant to the purchase,
holding, redemption, sale or transfer of the Bridge Notes. Such Subscriber’s subscription and payment for, and his, her
or its continued beneficial ownership of the Bridge Notes, will not violate any applicable securities or other laws of the Subscriber’s
jurisdiction.

 

    	 

    	 

    

 

2.18      The
Subscriber acknowledges that (i) the Offering Documents contain material, non-public information concerning the Company, and (ii)
the Subscriber is obtaining such material, non-public information solely for the purpose of considering whether to purchase the
Bridge Notes pursuant to a private placement that is exempt from registration under the Act. The Subscriber agrees to keep such
information confidential and not to disclose it to any other person or entity except the Subscriber’s legal counsel, advisors
and other representatives who have agreed (i) to keep such information confidential, (ii) to use such information only for the
purpose set forth above, and (iii) to comply with applicable securities laws with respect to such information.

 

2.19      The
Subscriber agrees to indemnify and hold harmless the Company and its officers, directors, employees and affiliates and each other
person, if any, who controls any of the foregoing, against any loss, liability, claim, damage and expense whatsoever (including,
but not limited to, any and all expenses whatsoever reasonably incurred in investigating, preparing or defending against any litigation
commenced or threatened or any claim whatsoever) arising out of or based upon any false representation or warranty by the Subscriber,
or the Subscriber’s breach of, or failure to comply with, any covenant or agreement made by the Subscriber herein or in
any other document furnished by the Subscriber to the Company or its respective officers, directors, employees or affiliates or
each other person, if any, who controls any of the foregoing in connection with this transaction.

 

2.20      The
Subscriber understands and acknowledges that (i) the Bridge Notes are being offered and sold to Subscriber without registration
under the Securities Act in a private placement that is exempt pursuant to Section 4(a)(2) of the Securities Act and/or Rule 506(b)
of Regulation D promulgated thereunder; and (ii) the availability of such exemption depends in part on, and that the Company
will rely upon the accuracy and truthfulness of, the foregoing representations made by the Subscriber, and such Subscriber hereby
consents to such reliance.

 

2.21      The
Subscriber understands and acknowledges that he, she or it will at all times be in compliance with any and all state and federal
securities and other laws, statutes and regulations regarding his, her or its ownership and/or any sale, transfer or hypothecation
of the Bridge Notes including but not limited to those rules and regulations promulgated by the SEC, FINRA and any exchange on
which the Company’s securities are listed, if applicable, and those of federal and state governments and other agencies
such as improper short selling of the Company’s securities and failure to properly file all documents required by the SEC
or otherwise, to the extent such rules and regulations are applicable to the Company’s common stock and/or the Bridge Notes.

 

2.22      The
Subscriber understands and agrees that an investment in the Bridge Notes involves special risks, and the undersigned understands
those risks (including without limitation the risks set forth in the Offering Documents), and the Subscriber is expressly assuming
such risks. The Subscriber acknowledges and is aware that the Bridge Notes are speculative investments which involve a high degree
of risk of loss by Subscriber of his, her or its entire investment in the Company. The Subscriber agrees and acknowledges that
it is the Subscriber’s sole responsibility to conduct a “due diligence” investigation of the Company and the
financial prospects of the Company. The Subscriber has not relied on the Company for due diligence or suitability or investment
recommendations.

 

2.23      The
Subscriber agrees to “lock-up” and not sell any Note Shares for a minimum of 3 months from the date of issuance of
such Note Shares.

 

2.24      The
Subscriber should check the Office of Foreign Assets Control (“OFAC”) website at http://www.treas.gov/ofac
before making the following representations.

 

    	 

    	 

    

 

(a)
The Subscriber represents that the amounts invested by him, her or it in the Company in the Offering were not and are not directly or
indirectly derived from activities that contravene federal, state or international laws and regulations, including anti-money laundering
laws and regulations. Federal regulations and Executive Orders administered by OFAC prohibit, among other things, the engagement in transactions
with, and the provision of services to, certain foreign countries, territories, entities and individuals. The lists of OFAC prohibited
countries, territories, persons and entities can be found on the OFAC website at http://www.treas.gov/ofac. In addition, the programs
administered by OFAC (the “OFAC
Programs”) prohibit dealing with individuals1 or
entities in certain countries regardless of whether such individuals or entities appear on the OFAC lists. 

 

(b)
To the best of the Subscriber’s knowledge, none of: (1) the Subscriber; (2) any person controlling or controlled by the
Subscriber; (3) if the Subscriber is a privately-held entity, any person having a beneficial interest in the Subscriber; or (4)
any person for whom the Subscriber is acting as agent or nominee in connection with this investment is a country, territory, individual
or entity named on an OFAC list, or a person or entity prohibited under the OFAC Programs. The Subscriber understands that Company
may not accept any amounts from a prospective investor if such prospective investor cannot make the representation set forth in
the preceding paragraph. The Subscriber agrees to promptly notify the Company should the Subscriber become aware of any change
in the information set forth in these representations. The Subscriber understands and acknowledges that, by law, the Company may
be obligated to “freeze the account” of the Subscriber, either by prohibiting additional subscriptions from the Subscriber,
declining any redemption requests and/or segregating the assets in the account in compliance with governmental regulations, and
may also be required to report such action and to disclose the Subscriber’s identity to OFAC. The Subscriber further acknowledges
that the Company may, by written notice to the Subscriber, suspend the redemption rights, if any, of the Subscriber if the Company
reasonably deems it necessary to do so to comply with anti-money laundering regulations applicable to the Company or any of the
Company’s other service providers. These individuals include specially designated nationals, specially designated narcotics
traffickers and other parties subject to OFAC sanctions and embargo programs.

 

(c)
To the best of the Subscriber’s knowledge, none of: (1) the Subscriber; (2) any person controlling or controlled by the Subscriber;
(3) if the Subscriber is a privately-held entity, any person having a beneficial interest in the Subscriber; or (4) any person for whom
the Subscriber is acting as agent or nominee in connection with this investment is a senior foreign political figure,2
or any immediate family3 member
or close associate4 of a senior foreign political figure, as such terms
are defined in the footnotes below.

 

3.          Representations
and Covenants by the Company

 

The
Company represents and warrants to the Subscriber that:

 

3.1        Organization
and Authority. The Company has all requisite corporate power and authority to execute, deliver and perform its obligations
under this Subscription Agreement and the Offering Documents being executed and delivered by it in connection herewith, and to
consummate the transactions contemplated hereby and thereby.

 

3.2        Authorization.
The Offering Documents have been duly and validly authorized by the Company. This Subscription Agreement, assuming due execution
and delivery by the Subscriber, when the Subscription Agreement is executed and delivered by the Company, will be, valid and binding
obligations of the Company, enforceable in accordance with their respective terms, except as the enforceability hereof and thereof
may be limited by bankruptcy, insolvency, reorganization, moratorium or other similar laws now or hereafter in effect relating
to or affecting creditors’ rights generally and general principles of equity, regardless of whether enforcement is considered
in a proceeding in equity or at law.

 

 

 

1 These
individuals include specially designated nationals, specially designated narcotics traffickers and other parties subject to OFAC sanctions
and embargo programs.

2
A “senior foreign political figure” is defined as a senior official in the executive, legislative, administrative,
military or judicial branches of a foreign government (whether elected or not), a senior official of a major foreign political party,
or a senior executive of a foreign government-owned corporation. In addition, a “senior foreign political figure” includes
any corporation, business or other entity that has been formed by, or for the benefit of, a senior foreign political figure.

3
“Immediate family” of a senior foreign political figure typically includes the figure’s parents, siblings, spouse,
children and in-laws.

4
A “close associate” of a senior foreign political figure is a person who is widely and publicly known to maintain an
unusually close relationship with the senior foreign political figure, and includes a person who is in a position to conduct substantial
domestic and international financial transactions on behalf of the senior foreign political figure.

 

    	 

    	 

    

 

3.3        Non-Contravention.
The execution and delivery of the Offering Documents by the Company and the issuance of the Bridge Notes as contemplated by the
Offering Documents do not and will not, with or without the giving of notice or the lapse of time, or both, (i) result in any
violation of any provision of the articles of incorporation or by-laws or similar instruments of the Company or its subsidiaries,
(ii) violate or contravene any applicable law, rule or regulation or any applicable decree, judgment or order of any court, United
States federal or state regulatory body, administrative agency or other governmental body having jurisdiction over the Company
or any of its subsidiaries or any of its respective properties or assets that would have a material adverse effect on the business,
properties, operations, condition (financial or other), results of operations or prospects of the Company and its subsidiaries,
taken as a whole, or the validity or enforceability of, or the ability of the Company to perform its obligations under, the Offering
Documents, or (iii) have any material adverse effect on any permit, certification, registration, approval, consent, license or
franchise necessary for the Company or its subsidiaries to own or lease and operate any of its properties and to conduct any of
its business or the ability of the Company or its subsidiaries to make use thereof.

 

3.4        Absence
of Certain Proceedings. The Company is not aware of any action, suit, proceeding, inquiry or investigation before or by any
court, public board or body, or governmental agency pending or threatened against or affecting the Company or any of its subsidiaries,
in any such case wherein an unfavorable decision, ruling or finding could adversely affect the validity or enforceability of,
or the authority or ability of the Company to perform its obligations under, the Offering Documents.

 

3.5        No
Equity Lines or Derivative Securities. Odyssey will not enter into equity lines of credit or issue instruments convertible
into Common Stock on a floating price basis while the Bridge Notes are outstanding.

 

3.6        Seniority
of Bridge Notes. The Bridge Notes will be senior to all other unsubordinated indebtedness. The Company will not create new
indebtedness that ranks senior to, or pari passu with, the Bridge Notes, without the written consent of holders of a majority
of the outstanding Bridge Notes. The Company shall take such steps as may be necessary to ensure that the Bridge Notes will be
secured by a first priority security interest on all of the assets of Odyssey.

 

3.7        Net
Proceeds from Bridge Notes. The net proceeds of the Bridge Notes will be used by the Company for working capital, funding
operations and the acquisition of certain equipment or leasehold improvements in the ordinary course of business.

 

3.8        Change
of Control. In the event that the Company enters into a Corporate Transaction (as defined in the Bridge Note), then in lieu
of conversion, the Company shall redeem the Bridge Notes at a price equal to 200% of the principal amount due on the Bridge Notes
irrespective of any transaction expenses, liabilities or taxes (other than any capital gains taxes that may be due from Subscriber
for gains on the purchase of the Bridge Notes) and as a priority or preference to any payments to any other shareholders of Odyssey,
as part of the closing consideration of such acquisition transaction.

 

3.9        No
Placement Agent. The Company is placing the Bridge Notes through its officers and directors and has not engaged any placement
agent to assist with the offer and sale of the Bridge Notes. No officer or director will receive any compensation for offers and
sales of the Bridge Notes. The Company reserves the right to engage FINRA member broker/dealers to assist in this Offering, and
may pay them a commission for any such sales. 

 

    	 

    	 

    

 

4.           Miscellaneous

 

Any
notice or other communication given hereunder shall be deemed sufficient if in writing and sent by registered or certified mail,
return receipt requested, addressed to the Company, at Mark Davidson, Chief Executive
Officer, Odyssey Semiconductor Technologies, Inc., 9 Brown Road, Ithaca, NY 14850, Telephone: (607) 351-9768, and to the Subscriber
at his, her or its address indicated on the signature page of this Subscription Agreement. Notices shall be deemed to have been
given three (3) business days after the date of mailing, except notices of change of address, which shall be deemed to have been
given when received.

 

4.1        This
Subscription Agreement may be amended through a written instrument signed by both the Subscriber and the Company; provided, however,
that the terms of this Subscription Agreement may be amended without the consent or approval of the Subscriber so long as such
amendment applies in the same fashion to the subscription agreements of all of the other subscribers for the Bridge Notes in the
Offering and at least holders of a majority of the Bridge Notes sold in the Offering have given their approval of such amendment,
which approval shall be binding on all holders of the Bridge Notes.

 

4.2        This
Subscription Agreement shall be binding upon and inure to the benefit of the parties hereto and to their respective heirs, legal
representatives, successors and assigns. This Subscription Agreement sets forth the entire agreement and understanding between
the parties as to the subject matter hereof and merges and supersedes all prior discussions, agreements and understandings of
any and every nature among them.

 

4.3        This
Subscription Agreement shall be construed in accordance with the laws of the State of New York, without regard to principles of
conflicts of law. The parties hereunder agree that any dispute arising out of or
relating to an investment pursuant to this Subscription Agreement or concerning this Subscription Agreement, including
but not limited to disputes as to arbitrability and all disputes with the Company, or any employee, agent, representative, officer,
director or attorney of the Company, shall be resolved through final, binding, non-appealable arbitration, before a single, neutral
arbitrator, at JAMS, in New York County, New York in accordance with the rules and regulations
of the American Arbitration Association. Venue of all arbitration shall be JAMS Dispute Resolution Center, New York County,
New York. The Parties agree that each side will pay fifty percent (50%) of the cost of any arbitration proceedings. Judgment on
any arbitration award may be entered in any court having jurisdiction. Any arbitration award shall be in United States Dollars
and may be enforced in any jurisdiction in which the party against whom enforcement is sought maintains assets. The Parties agree
to limit their respective testimony at any arbitration hearing to three hours per side. SUBSCRIBER
HEREBY WAIVES ANY RIGHT TO SEEK ANY TYPE OF DAMAGES OTHER THAN COMPENSATORY DAMAGES, INCLUDING BUT NOT LIMITED TO CONSEQUENTIAL
DAMAGES AND PUNITIVE DAMAGES. SUBSCRIBER HEREBY FURTHER WAIVES THE RIGHT TO A TRIAL BY JURY, THE RIGHT TO BRING A CLASS ACTION
SUIT, AND OTHER POTENTIAL REMEDIES THAT OTHERWISE MAY BE AFFORDED BY LAW. THIS IS A CLASS ACTION WAIVER THAT APPLIES TO ALL DISPUTES
ARISING OUT OF THIS INVESTMENT, INCLUDING BUT NOT LIMITED TO ANY DISPUTES WITH THE COMPANY AND ALL OF ITS EMPLOYEES, AGENTS, REPRESENTATIVES,
OFFICERS, DIRECTORS, OR ATTORNEYS.

 

4.4        This
Subscription Agreement may be executed in counterparts. It shall not be binding upon the Company unless and until it is accepted
by the Company. Upon the execution and delivery of this Subscription Agreement by the Subscriber, this Subscription Agreement
shall become a binding obligation of the Subscriber with respect to the purchase of Bridge Notes as herein provided; subject,
however, to the right hereby reserved to the Company to enter into the same agreements with other subscribers and to add and/or
to delete other persons as subscribers. This Subscription Agreement may be executed and delivered by facsimile or by email with
scanned copy.

 

4.5        The
holding of any provision of this Subscription Agreement to be invalid or unenforceable by a court of competent jurisdiction shall
not affect any other provision of this Subscription Agreement, which shall remain in full force and effect.

 

4.6        It
is agreed that a waiver by either party of a breach of any provision of this Subscription Agreement shall not operate, or be construed,
as a waiver of any subsequent breach by that same party.

 

    	 

    	 

    

 

4.7        The
parties agree to execute and deliver all such further documents, agreements and instruments and take such other and further action
as may be necessary or appropriate to carry out the purposes and intent of this Subscription Agreement.

 

4.8        The
Company agrees not to disclose the names, addresses or any other information about the Subscriber, except as required by law.

 

4.9        The
obligation of the Subscriber hereunder is several and not joint with the obligations of any other subscribers for the purchase
of Bridge Notes in the Offering (the “Other Subscribers”), and the Subscriber shall not be responsible in any
way for the performance of the obligations of any Other Subscribers of the Offering. Nothing contained herein or in any other
agreement or document delivered at the Closing, and no action taken by the Subscriber pursuant hereto, shall be deemed to constitute
the Subscriber and the Other Subscribers of the Offering as a partnership, an association, a joint venture or any other kind of
entity, or create a presumption that the Subscriber and the Other Subscribers of the Offering are in any way acting in concert
with respect to such obligations or the transactions contemplated by this Subscription Agreement. The Subscriber shall be entitled
to protect and enforce the Subscriber’s rights, including without limitation the rights arising out of this Subscription
Agreement, and it shall not be necessary for any other subscriber(s) of the Offering to be joined as an additional party in any
proceeding for such purpose. The Subscriber is not acting as part of a “group” (as that term is used in Section 13(d)
of the Exchange Act) in negotiating and entering into this Subscription Agreement or purchasing, disposing of or voting any of
the Note Shares. The Company hereby confirms that it understands and agrees that the Subscriber is not acting as part of any such
group.

 

4.10      The
language used in this Subscription Agreement will be deemed to be the language chosen by the Parties to express their mutual intent,
and no rules of strict construction will be applied against any party.

 

4.11      Most
Favored Nation. While
the Bridge Note or any principal amount or interest due thereunder remain outstanding and unpaid, the Company shall not enter
into any private offering of its securities (including securities convertible into shares of common stock) with any individual
or entity (an “Other Investor”) that has the effect of establishing rights or otherwise benefiting such Other Investor
in a manner more favorable in any material respect to such Other Investor than the rights and benefits established in favor of
the Subscriber unless, in any such case, the Subscriber has been provided with the option to have the terms and conditions of
the Bridge Note amended and modified in an economically and legally equivalent manner such that the Subscriber shall receive the
benefit of the more favorable terms and/or conditions (as the case may be) offered to the Other Investor.

 

4.12      Reorganization,
Reclassification, Consolidation, Merger or Sale. If any recapitalization (including but not limited to a forward or reverse
split), reclassification or reorganization of the capital stock of the Company, or any consolidation or merger of the Company
with another corporation, or the sale of all or substantially all of its assets or other transaction shall be effected in such
a way that holders of Common Stock shall be entitled to receive stock, securities, or other assets or property (an “Organic
Change”), then, as a condition of such Organic Change, lawful and adequate provisions shall be made by the Company whereby
the Subscriber shall thereafter have the right to purchase and receive on conversion (in lieu of the shares of the Common Stock
of the Company immediately theretofore purchasable and receivable upon conversion of this Note) cash or, if acceptable to Subscriber,
such shares of registered stock in a public company registered on a national exchange (NYSE or Nasdaq), as shall be equivalent
in value to the securities issuable to the Subscriber upon conversion immediately prior to the Organic Change.

 

[INVESTOR
QUESTIONNAIRE AND SIGNATURE PAGE FOLLOWS]

 

    	 

    	 

    

 

Appendix
I

 

Investor
Questionnaire

 

Unless
instructed otherwise, the Investor should answer each question on the Questionnaire. If the answer to a particular question is
“None” or “Not Applicable,” please so state. If the Questionnaire does not provide sufficient space to
answer a question, please attach a separate schedule to your executed Questionnaire that indicates which question is being answered
thereon. Persons having questions concerning any of the information requested in this Questionnaire should consult with their
purchaser representative or representatives, lawyer, accountant or broker.

 

PART
I — FOR INDIVIDUALS

 

1.
Personal Data

 

Name: ______________________________________________________________

Residence
Address: _____________________________________________________

Business
Address: ______________________________________________________

State of
residence, if different: ____________

Telephone:
Residence ____________ Business ____________

Age: ____________
Citizenship: ____________

Send all
correspondence to: Residence ____________ Business ____________

 

2.
Investor Status

 

To
be qualified to invest in the Bridge Notes, the Investor must either (i) be an Accredited Investor, or (ii) have, either alone
or with your purchaser representative or representatives, such knowledge and experience in financial and business matters that
you are capable of evaluating the merits and risks of such investment.

 

Please
check the appropriate representation that applies to you.

 

Accredited
Investors:

 

_______
I am an Accredited Investor (as defined in Rule 501 of Regulation D promulgated under the Securities Act) because I certify that
(check all appropriate descriptions that apply):

 

		a.	___________
                                                                                                                              I
                                                                                                                              have
                                                                                                                              a
                                                                                                                              net
                                                                                                                              worth,
                                                                                                                              or
                                                                                                                              joint
                                                                                                                              net
                                                                                                                              worth
                                                                                                                              with
                                                                                                                              my
                                                                                                                              spouse
                                                                                                                              or
                                                                                                                              spousal
                                                                                                                              equivalent,
                                                                                                                              of
                                                                                                                              more
                                                                                                                              than
                                                                                                                              US$1,000,000.
                                                                                                                              (“Net
                                                                                                                              worth”
                                                                                                                              means
                                                                                                                              the
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              total
                                                                                                                              assets
                                                                                                                              at
                                                                                                                              fair
                                                                                                                              market
                                                                                                                              value
                                                                                                                              (including
                                                                                                                              personal
                                                                                                                              and
                                                                                                                              real
                                                                                                                              property,
                                                                                                                              but
                                                                                                                              excluding
                                                                                                                              the
                                                                                                                              estimated
                                                                                                                              fair
                                                                                                                              market
                                                                                                                              value
                                                                                                                              of
                                                                                                                              your
                                                                                                                              primary
                                                                                                                              home)
                                                                                                                              over
                                                                                                                              total
                                                                                                                              liabilities.
                                                                                                                              “Total
                                                                                                                              liabilities”
                                                                                                                              excludes
                                                                                                                              any
                                                                                                                              mortgage
                                                                                                                              on
                                                                                                                              the
                                                                                                                              primary
                                                                                                                              home
                                                                                                                              in
                                                                                                                              an
                                                                                                                              amount
                                                                                                                              of
                                                                                                                              up
                                                                                                                              to
                                                                                                                              the
                                                                                                                              home’s
                                                                                                                              estimated
                                                                                                                              fair
                                                                                                                              market
                                                                                                                              value
                                                                                                                              as
                                                                                                                              long
                                                                                                                              as
                                                                                                                              the
                                                                                                                              mortgage
                                                                                                                              was
                                                                                                                              incurred
                                                                                                                              more
                                                                                                                              than
                                                                                                                              60
                                                                                                                              days
                                                                                                                              before
                                                                                                                              the
                                                                                                                              Shares
                                                                                                                              are
                                                                                                                              purchased,
                                                                                                                              but
                                                                                                                              includes
                                                                                                                              (i)
                                                                                                                              any
                                                                                                                              mortgage
                                                                                                                              amount
                                                                                                                              in
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              the
                                                                                                                              home’s
                                                                                                                              fair
                                                                                                                              market
                                                                                                                              value
                                                                                                                              and
                                                                                                                              (ii)
                                                                                                                              any
                                                                                                                              mortgage
                                                                                                                              amount
                                                                                                                              that
                                                                                                                              was
                                                                                                                              borrowed
                                                                                                                              during
                                                                                                                              the
                                                                                                                              60-day
                                                                                                                              period
                                                                                                                              before
                                                                                                                              the
                                                                                                                              closing
                                                                                                                              date
                                                                                                                              for
                                                                                                                              the
                                                                                                                              sale
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Shares
                                                                                                                              for
                                                                                                                              the
                                                                                                                              purpose
                                                                                                                              of
                                                                                                                              investing
                                                                                                                              in
                                                                                                                              the
                                                                                                                              Shares.
                                                                                                                              “Spousal
                                                                                                                              equivalent”
                                                                                                                              means
                                                                                                                              a
                                                                                                                              cohabitant
                                                                                                                              occupying
                                                                                                                              a
                                                                                                                              relationship
                                                                                                                              generally
                                                                                                                              equivalent
                                                                                                                              to
                                                                                                                              that
                                                                                                                              of
                                                                                                                              a
                                                                                                                              spouse.
                                                                                                                              “Joint
                                                                                                                              net
                                                                                                                              worth”
                                                                                                                              is
                                                                                                                              the
                                                                                                                              aggregate
                                                                                                                              net
                                                                                                                              worth
                                                                                                                              of
                                                                                                                              a
                                                                                                                              person
                                                                                                                              and
                                                                                                                              spouse
                                                                                                                              or
                                                                                                                              spousal
                                                                                                                              equivalent;
                                                                                                                              assets
                                                                                                                              do
                                                                                                                              not
                                                                                                                              need
                                                                                                                              to
                                                                                                                              be
                                                                                                                              held
                                                                                                                              jointly
                                                                                                                              to
                                                                                                                              be
                                                                                                                              included
                                                                                                                              in
                                                                                                                              the
                                                                                                                              calculation.)

 

		b.	___________
                                                                                                                              I
                                                                                                                              have
                                                                                                                              had
                                                                                                                              an
                                                                                                                              individual
                                                                                                                              income
                                                                                                                              in
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              US$200,000
                                                                                                                              in
                                                                                                                              each
                                                                                                                              of
                                                                                                                              the
                                                                                                                              two
                                                                                                                              most
                                                                                                                              recent
                                                                                                                              calendar
                                                                                                                              years,
                                                                                                                              or
                                                                                                                              joint
                                                                                                                              income
                                                                                                                              with
                                                                                                                              my
                                                                                                                              spouse
                                                                                                                              or
                                                                                                                              spousal
                                                                                                                              equivalent
                                                                                                                              in
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              US$300,000
                                                                                                                              in
                                                                                                                              each
                                                                                                                              of
                                                                                                                              those
                                                                                                                              years,
                                                                                                                              and
                                                                                                                              have
                                                                                                                              a
                                                                                                                              reasonable
                                                                                                                              expectation
                                                                                                                              of
                                                                                                                              reaching
                                                                                                                              the
                                                                                                                              same
                                                                                                                              income
                                                                                                                              level
                                                                                                                              in
                                                                                                                              the
                                                                                                                              current
                                                                                                                              calendar
                                                                                                                              year.
                                                                                                                              (“Income”
                                                                                                                              means
                                                                                                                              annual
                                                                                                                              adjusted
                                                                                                                              gross
                                                                                                                              income,
                                                                                                                              as
                                                                                                                              reported
                                                                                                                              for
                                                                                                                              federal
                                                                                                                              income
                                                                                                                              tax
                                                                                                                              purposes,
                                                                                                                              plus
                                                                                                                              (i)
                                                                                                                              the
                                                                                                                              amount
                                                                                                                              of
                                                                                                                              any
                                                                                                                              tax-exempt
                                                                                                                              interest
                                                                                                                              income
                                                                                                                              received;
                                                                                                                              (ii)
                                                                                                                              the
                                                                                                                              amount
                                                                                                                              of
                                                                                                                              losses
                                                                                                                              claimed
                                                                                                                              as
                                                                                                                              a
                                                                                                                              limited
                                                                                                                              partner
                                                                                                                              in
                                                                                                                              a
                                                                                                                              limited
                                                                                                                              partnership;
                                                                                                                              (iii)
                                                                                                                              any
                                                                                                                              deduction
                                                                                                                              claimed
                                                                                                                              for
                                                                                                                              depletion;
                                                                                                                              (iv)
                                                                                                                              amounts
                                                                                                                              contributed
                                                                                                                              to
                                                                                                                              an
                                                                                                                              IRA
                                                                                                                              or
                                                                                                                              Keogh
                                                                                                                              retirement
                                                                                                                              plan;
                                                                                                                              (v)
                                                                                                                              alimony
                                                                                                                              paid;
                                                                                                                              and
                                                                                                                              (vi)
                                                                                                                              any
                                                                                                                              gains
                                                                                                                              excluded
                                                                                                                              from
                                                                                                                              the
                                                                                                                              calculation
                                                                                                                              of
                                                                                                                              adjusted
                                                                                                                              gross
                                                                                                                              income
                                                                                                                              pursuant
                                                                                                                              to
                                                                                                                              the
                                                                                                                              provisions
                                                                                                                              of
                                                                                                                              Section
                                                                                                                              1202
                                                                                                                              of
                                                                                                                              the
                                                                                                                              U.S.
                                                                                                                              Internal
                                                                                                                              Revenue
                                                                                                                              Code
                                                                                                                              of
                                                                                                                              1986,
                                                                                                                              as
                                                                                                                              amended.)

 

    	 

    	 

    

 

		c.	____________
                                                                                                                              I
                                                                                                                              hold
                                                                                                                              in
                                                                                                                              good
                                                                                                                              standing
                                                                                                                              one
                                                                                                                              of
                                                                                                                              the
                                                                                                                              following
                                                                                                                              professional
                                                                                                                              licenses:
                                                                                                                              the
                                                                                                                              General
                                                                                                                              Securities
                                                                                                                              Representative
                                                                                                                              license
                                                                                                                              (Series
                                                                                                                              7),
                                                                                                                              the
                                                                                                                              Private
                                                                                                                              Securities
                                                                                                                              Offerings
                                                                                                                              Representative
                                                                                                                              license
                                                                                                                              (Series
                                                                                                                              82),
                                                                                                                              or
                                                                                                                              the
                                                                                                                              Investment
                                                                                                                              Adviser
                                                                                                                              Representative
                                                                                                                              license
                                                                                                                              (Series
                                                                                                                              65).

 

		d.	____________
                                                                                                                              I
                                                                                                                              am
                                                                                                                              a
                                                                                                                              director,
                                                                                                                              executive
                                                                                                                              officer
                                                                                                                              or
                                                                                                                              general
                                                                                                                              partner
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Issuer,
                                                                                                                              or
                                                                                                                              a
                                                                                                                              director,
                                                                                                                              executive
                                                                                                                              officer
                                                                                                                              or
                                                                                                                              general
                                                                                                                              partner
                                                                                                                              of
                                                                                                                              a
                                                                                                                              general
                                                                                                                              partner
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Issuer.
                                                                                                                              (For
                                                                                                                              purposes
                                                                                                                              of
                                                                                                                              this
                                                                                                                              item
                                                                                                                              2,
                                                                                                                              “executive
                                                                                                                              officer”
                                                                                                                              means
                                                                                                                              the
                                                                                                                              president;
                                                                                                                              any
                                                                                                                              vice
                                                                                                                              president
                                                                                                                              in
                                                                                                                              charge
                                                                                                                              of
                                                                                                                              a
                                                                                                                              principal
                                                                                                                              business
                                                                                                                              unit,
                                                                                                                              division
                                                                                                                              or
                                                                                                                              function,
                                                                                                                              such
                                                                                                                              as
                                                                                                                              sales,
                                                                                                                              administration
                                                                                                                              or
                                                                                                                              finance;
                                                                                                                              or
                                                                                                                              any
                                                                                                                              other
                                                                                                                              person
                                                                                                                              or
                                                                                                                              persons
                                                                                                                              who
                                                                                                                              perform(s)
                                                                                                                              similar
                                                                                                                              policymaking
                                                                                                                              functions
                                                                                                                              for
                                                                                                                              the
                                                                                                                              Issuer.)

 

PART
II—PURCHASERS WHO ARE NOT INDIVIDUALS

 

1.
General Information

 

Name of
Entity: __________________________________

Address
of Principal Office: _______________________________________________ ____________________________________________________________________
____________________________________________________________________

Type of
Organization: _______________________________

Date and
State of Organization: _________________________________

 

2.
Accredited Investor Status

 

To
be qualified to invest in the Bridge Notes, the Investor must either (i) be an Accredited Investor, or (ii) have, and if applicable,
its officers, employees, directors or equity owners have, either alone or with its purchaser representative or representatives,
such knowledge and experience in financial and business matters that it is capable of evaluating the merits and risks of such
investment.

 

Please
check the appropriate description which applies to you.

 

		a.	____________
                                                                                                                              A
                                                                                                                              bank,
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Section
                                                                                                                              3(a)(2)
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Securities
                                                                                                                              Act
                                                                                                                              or
                                                                                                                              any
                                                                                                                              savings
                                                                                                                              and
                                                                                                                              loan
                                                                                                                              association
                                                                                                                              or
                                                                                                                              other
                                                                                                                              institution
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Section
                                                                                                                              3(a)(5)(A)
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Securities
                                                                                                                              Act,
                                                                                                                              whether
                                                                                                                              acting
                                                                                                                              in
                                                                                                                              an
                                                                                                                              individual
                                                                                                                              or
                                                                                                                              a
                                                                                                                              fiduciary
                                                                                                                              capacity.

 

		b.	____________
                                                                                                                              A
                                                                                                                              broker
                                                                                                                              or
                                                                                                                              dealer
                                                                                                                              registered
                                                                                                                              under
                                                                                                                              Section
                                                                                                                              15
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Securities
                                                                                                                              Exchange
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1934,
                                                                                                                              as
                                                                                                                              amended.

 

		c.	____________
                                                                                                                              An
                                                                                                                              investment
                                                                                                                              adviser
                                                                                                                              registered
                                                                                                                              pursuant
                                                                                                                              to
                                                                                                                              Section
                                                                                                                              203
                                                                                                                              of
                                                                                                                              the
                                                                                                                              U.S.
                                                                                                                              Investment
                                                                                                                              Advisers
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1940
                                                                                                                              or
                                                                                                                              registered
                                                                                                                              pursuant
                                                                                                                              to
                                                                                                                              the
                                                                                                                              laws
                                                                                                                              of
                                                                                                                              a
                                                                                                                              state.

 

		d.	____________
                                                                                                                              An
                                                                                                                              investment
                                                                                                                              adviser
                                                                                                                              relying
                                                                                                                              on
                                                                                                                              the
                                                                                                                              exemption
                                                                                                                              from
                                                                                                                              registering
                                                                                                                              with
                                                                                                                              the
                                                                                                                              SEC
                                                                                                                              under
                                                                                                                              Section
                                                                                                                              203(l)
                                                                                                                              or
                                                                                                                              (m)
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Investment
                                                                                                                              Advisers
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1940.

 

    	 

    	 

    

 

		e.	____________
                                                                                                                              An
                                                                                                                              insurance
                                                                                                                              company,
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Section
                                                                                                                              2(a)(13)
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Securities
                                                                                                                              Act.

 

		f.	____________
                                                                                                                              An
                                                                                                                              investment
                                                                                                                              company
                                                                                                                              registered
                                                                                                                              under
                                                                                                                              the
                                                                                                                              Investment
                                                                                                                              Company
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1940
                                                                                                                              or
                                                                                                                              a
                                                                                                                              business
                                                                                                                              development
                                                                                                                              company,
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Section
                                                                                                                              2(a)(48)
                                                                                                                              of
                                                                                                                              that
                                                                                                                              act.

 

		g.	____________
                                                                                                                              A
                                                                                                                              Small
                                                                                                                              Business
                                                                                                                              Investment
                                                                                                                              Company
                                                                                                                              licensed
                                                                                                                              by
                                                                                                                              the
                                                                                                                              U.S.
                                                                                                                              Small
                                                                                                                              Business
                                                                                                                              Administration
                                                                                                                              under
                                                                                                                              Section
                                                                                                                              301(c)
                                                                                                                              or
                                                                                                                              (d)
                                                                                                                              of
                                                                                                                              the
                                                                                                                              U.S.
                                                                                                                              Small
                                                                                                                              Business
                                                                                                                              Investment
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1958.

 

		h.	____________
                                                                                                                              A
                                                                                                                              Rural
                                                                                                                              Business
                                                                                                                              Investment
                                                                                                                              Company
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Section
                                                                                                                              384A
                                                                                                                              of
                                                                                                                              the
                                                                                                                              U.S.
                                                                                                                              Consolidated
                                                                                                                              Farm
                                                                                                                              and
                                                                                                                              Rural
                                                                                                                              Act.

 

		i.	____________
                                                                                                                              A
                                                                                                                              plan
                                                                                                                              established
                                                                                                                              and
                                                                                                                              maintained
                                                                                                                              by
                                                                                                                              a
                                                                                                                              state,
                                                                                                                              its
                                                                                                                              political
                                                                                                                              subdivisions
                                                                                                                              or
                                                                                                                              any
                                                                                                                              agency
                                                                                                                              or
                                                                                                                              instrumentality
                                                                                                                              of
                                                                                                                              a
                                                                                                                              state
                                                                                                                              or
                                                                                                                              its
                                                                                                                              political
                                                                                                                              subdivisions
                                                                                                                              for
                                                                                                                              the
                                                                                                                              benefit
                                                                                                                              of
                                                                                                                              its
                                                                                                                              employees,
                                                                                                                              if
                                                                                                                              the
                                                                                                                              plan
                                                                                                                              has
                                                                                                                              total
                                                                                                                              assets
                                                                                                                              in
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              US$5
                                                                                                                              million.

 

		j.	_____________
                                                                                                                              An
                                                                                                                              employee
                                                                                                                              benefit
                                                                                                                              plan
                                                                                                                              within
                                                                                                                              the
                                                                                                                              meaning
                                                                                                                              of
                                                                                                                              Title
                                                                                                                              I
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Employee
                                                                                                                              Retirement
                                                                                                                              Income
                                                                                                                              Security
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1974,
                                                                                                                              if
                                                                                                                              the
                                                                                                                              investment
                                                                                                                              decision
                                                                                                                              is
                                                                                                                              being
                                                                                                                              made
                                                                                                                              by
                                                                                                                              a
                                                                                                                              plan
                                                                                                                              fiduciary,
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Section
                                                                                                                              3(21)
                                                                                                                              of
                                                                                                                              such
                                                                                                                              act,
                                                                                                                              and
                                                                                                                              the
                                                                                                                              plan
                                                                                                                              fiduciary
                                                                                                                              is
                                                                                                                              either
                                                                                                                              a
                                                                                                                              bank,
                                                                                                                              a
                                                                                                                              savings
                                                                                                                              and
                                                                                                                              loan
                                                                                                                              association,
                                                                                                                              an
                                                                                                                              insurance
                                                                                                                              company,
                                                                                                                              or
                                                                                                                              a
                                                                                                                              registered
                                                                                                                              investment
                                                                                                                              adviser,
                                                                                                                              or
                                                                                                                              if
                                                                                                                              the
                                                                                                                              employee
                                                                                                                              benefit
                                                                                                                              plan
                                                                                                                              has
                                                                                                                              total
                                                                                                                              assets
                                                                                                                              in
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              US$5
                                                                                                                              million,
                                                                                                                              or
                                                                                                                              if
                                                                                                                              the
                                                                                                                              employee
                                                                                                                              benefit
                                                                                                                              plan
                                                                                                                              is
                                                                                                                              a
                                                                                                                              self-directed
                                                                                                                              plan
                                                                                                                              in
                                                                                                                              which
                                                                                                                              investment
                                                                                                                              decisions
                                                                                                                              are
                                                                                                                              made
                                                                                                                              solely
                                                                                                                              by
                                                                                                                              persons
                                                                                                                              that
                                                                                                                              are
                                                                                                                              accredited
                                                                                                                              investors.

 

		k.	_____________
                                                                                                                              A
                                                                                                                              private
                                                                                                                              business
                                                                                                                              development
                                                                                                                              company,
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Section
                                                                                                                              202(a)(22)
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Investment
                                                                                                                              Advisers
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1940.

 

		l.	______________A
                                                                                                                              corporation,
                                                                                                                              Massachusetts
                                                                                                                              or
                                                                                                                              similar
                                                                                                                              business
                                                                                                                              trust,
                                                                                                                              partnership,
                                                                                                                              or
                                                                                                                              limited
                                                                                                                              liability
                                                                                                                              company
                                                                                                                              or
                                                                                                                              an
                                                                                                                              organization
                                                                                                                              described
                                                                                                                              in
                                                                                                                              Section
                                                                                                                              501(c)(3)
                                                                                                                              of
                                                                                                                              the
                                                                                                                              Internal
                                                                                                                              Revenue
                                                                                                                              Code
                                                                                                                              of
                                                                                                                              1986,
                                                                                                                              as
                                                                                                                              amended,
                                                                                                                              that
                                                                                                                              was
                                                                                                                              not
                                                                                                                              formed
                                                                                                                              for
                                                                                                                              the
                                                                                                                              specific
                                                                                                                              purpose
                                                                                                                              of
                                                                                                                              acquiring
                                                                                                                              the
                                                                                                                              Securities,
                                                                                                                              and
                                                                                                                              that
                                                                                                                              has
                                                                                                                              total
                                                                                                                              assets
                                                                                                                              in
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              US$5
                                                                                                                              million.

 

		m.	______________
                                                                                                                              A
                                                                                                                              trust
                                                                                                                              with
                                                                                                                              total
                                                                                                                              assets
                                                                                                                              in
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              US$5
                                                                                                                              million
                                                                                                                              not
                                                                                                                              formed
                                                                                                                              for
                                                                                                                              the
                                                                                                                              specific
                                                                                                                              purpose
                                                                                                                              of
                                                                                                                              acquiring
                                                                                                                              the
                                                                                                                              Securities,
                                                                                                                              whose
                                                                                                                              purchase
                                                                                                                              is
                                                                                                                              directed
                                                                                                                              by
                                                                                                                              a
                                                                                                                              sophisticated
                                                                                                                              person
                                                                                                                              as
                                                                                                                              described
                                                                                                                              in
                                                                                                                              Rule
                                                                                                                              506(b)(2)(ii)
                                                                                                                              under
                                                                                                                              the
                                                                                                                              Securities
                                                                                                                              Act.

 

		n.	______________
                                                                                                                              An
                                                                                                                              entity
                                                                                                                              in
                                                                                                                              which
                                                                                                                              all
                                                                                                                              of
                                                                                                                              the
                                                                                                                              equity
                                                                                                                              owners
                                                                                                                              (whether
                                                                                                                              entities
                                                                                                                              themselves
                                                                                                                              or
                                                                                                                              natural
                                                                                                                              persons)
                                                                                                                              are
                                                                                                                              accredited
                                                                                                                              investors
                                                                                                                              and
                                                                                                                              meet
                                                                                                                              the
                                                                                                                              criteria
                                                                                                                              listed
                                                                                                                              under
                                                                                                                              the
                                                                                                                              section
                                                                                                                              of
                                                                                                                              “For
                                                                                                                              Individual
                                                                                                                              Investors
                                                                                                                              Only”
                                                                                                                              of
                                                                                                                              this
                                                                                                                              Certification.
                                                                                                                              

 

		o.	______________
                                                                                                                              An
                                                                                                                              entity
                                                                                                                              of
                                                                                                                              a
                                                                                                                              type
                                                                                                                              not
                                                                                                                              listed
                                                                                                                              above,
                                                                                                                              that
                                                                                                                              is
                                                                                                                              not
                                                                                                                              formed
                                                                                                                              for
                                                                                                                              the
                                                                                                                              specific
                                                                                                                              purpose
                                                                                                                              of
                                                                                                                              acquiring
                                                                                                                              the
                                                                                                                              Shares
                                                                                                                              and
                                                                                                                              owns
                                                                                                                              investments
                                                                                                                              in
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              US$5
                                                                                                                              million.
                                                                                                                              For
                                                                                                                              purposes
                                                                                                                              of
                                                                                                                              this
                                                                                                                              clause,
                                                                                                                              “investments”
                                                                                                                              means
                                                                                                                              investments
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Rule
                                                                                                                              2a51-1(b)
                                                                                                                              under
                                                                                                                              the
                                                                                                                              Investment
                                                                                                                              Company
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1940.

 

		p.	______________
                                                                                                                              A
                                                                                                                              family
                                                                                                                              office,
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Rule
                                                                                                                              202(a)(11)(G)-1
                                                                                                                              under
                                                                                                                              the
                                                                                                                              Investment
                                                                                                                              Advisers
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1940,
                                                                                                                              that
                                                                                                                              (i)
                                                                                                                              has
                                                                                                                              assets
                                                                                                                              under
                                                                                                                              management
                                                                                                                              in
                                                                                                                              excess
                                                                                                                              of
                                                                                                                              US$5
                                                                                                                              million;
                                                                                                                              (ii)
                                                                                                                              is
                                                                                                                              not
                                                                                                                              formed
                                                                                                                              for
                                                                                                                              the
                                                                                                                              specific
                                                                                                                              purpose
                                                                                                                              of
                                                                                                                              acquiring
                                                                                                                              the
                                                                                                                              Securities
                                                                                                                              and
                                                                                                                              (iii)
                                                                                                                              has
                                                                                                                              a
                                                                                                                              person
                                                                                                                              directing
                                                                                                                              the
                                                                                                                              prospective
                                                                                                                              investment
                                                                                                                              who
                                                                                                                              has
                                                                                                                              such
                                                                                                                              knowledge
                                                                                                                              and
                                                                                                                              experience
                                                                                                                              in
                                                                                                                              financial
                                                                                                                              and
                                                                                                                              business
                                                                                                                              matters
                                                                                                                              so
                                                                                                                              that
                                                                                                                              the
                                                                                                                              family
                                                                                                                              office
                                                                                                                              is
                                                                                                                              capable
                                                                                                                              of
                                                                                                                              evaluating
                                                                                                                              the
                                                                                                                              merits
                                                                                                                              and
                                                                                                                              risks
                                                                                                                              of
                                                                                                                              the
                                                                                                                              prospective
                                                                                                                              investment.

 

		q.	_____________
                                                                                                                              A
                                                                                                                              family
                                                                                                                              client,
                                                                                                                              as
                                                                                                                              defined
                                                                                                                              in
                                                                                                                              Rule
                                                                                                                              202(a)(11)(G)-1
                                                                                                                              under
                                                                                                                              the
                                                                                                                              Investment
                                                                                                                              Advisers
                                                                                                                              Act
                                                                                                                              of
                                                                                                                              1940,
                                                                                                                              of
                                                                                                                              a
                                                                                                                              family
                                                                                                                              office
                                                                                                                              meeting
                                                                                                                              the
                                                                                                                              requirements
                                                                                                                              of
                                                                                                                              the
                                                                                                                              immediately
                                                                                                                              preceding
                                                                                                                              clause
                                                                                                                              and
                                                                                                                              whose
                                                                                                                              prospective
                                                                                                                              investment
                                                                                                                              in
                                                                                                                              the
                                                                                                                              Issuer
                                                                                                                              is
                                                                                                                              directed
                                                                                                                              by
                                                                                                                              that
                                                                                                                              family
                                                                                                                              office
                                                                                                                              pursuant
                                                                                                                              to
                                                                                                                              subclause
                                                                                                                              (iii)
                                                                                                                              of
                                                                                                                              the
                                                                                                                              immediately
                                                                                                                              preceding
                                                                                                                              clause.

 

[signature
page follows]

 

    	 

    	 

    

 

This
page constitutes the signature page for the Subscription Agreement, the Investor Questionnaire and execution of this signature
page constitutes execution of each.

 

IN
WITNESS WHEREOF, the Subscriber has executed this Subscription Agreement and Investor Questionnaire this _____ day of ______________,
2022.

 

	 	$	 
	 	 	Total Purchase
    Price

 

	 	For
Individuals:
	 	 
	 	 
	 	Name of Prospective
Investor (print or type)
	 	 
	 	 
	 	(Signature)
	 	 
	 	 
	 	Name of Joint
Prospective Investor (print or type)
	 	(if applicable)
	 	 
	 	 
	 	(Joint Signature,
if applicable)

 

 

	 	For
Entities:
	 	 
	 	Name
of Prospective Investor (print or type)
	 	 
	 	By:	 
	 	 	(Signature)
	 	 
	 	Name:	 
	 	Title:	 
	 	 
	 	(Name
and Initials of IRA custodian, if applicable)

 

	$	 	 	 
	Total Purchase Price Accepted	 	 
	 	 	 
	Accepted and Agreed, as of_________________________	, 2022:	 

 

	Odyssey
Semiconductor Technologies, Inc.	 
	 	 
	 	 
	By:	 	 
	Name:
Mark Davidson, CEO

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00347-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00347-of-00352.parquet"}]]