Document:

MASSROOTS, INC.

SUBSCRIPTION AGREEMENT
FOR THE PURCHASE OF SECURITIES

MASSROOTS, INC.,
a Delaware corporation (the “Company”), is offering (this “Offering”) for sale to “accredited
investors” as the term is defined under Regulation D promulgated under the Securities Act of 1933, as amended (the “Act”),
shares of its Common Stock (“Common Stock”) and warrants to purchase Common Stock (“Warrants”,
together with the Common Stock and the shares of Common Stock issuable upon exercise of the Warrants, the “Securities”)
for the purchase price noted below. There is no minimum investment by any one investor.

Subscription Procedures

(a)       The
undersigned hereby subscribes to purchase _____________ shares of Common Stock and a Warrant to purchase _____________ shares
of Common Stock. The undersigned agrees to pay an aggregate of $____________ as the subscription amount for the Securities being
purchased hereunder (the “Subscription Amount”).

(b)       To
subscribe, the undersigned must:

(i)complete
and sign this Subscription Agreement; and

		(ii)	complete
                                         and sign the accompanying Confidential Prospective Purchaser Questionnare (Subscription
                                         Agreement, together with the Confidential Prospective Purchaser Questionnare collectively
                                         referred to as the “Subscription Documents”);

		(iii)	return
                                         the completed and signed Subscription Documents on behalf of the Company at the following
                                         address:

Thompson
Hine, LLP

335
Madison Avenue, 12th Floor

New
York, NY 10017

Attn:
Peter J. Gennuso, Esq.

		(iv)	Deliver
                                         a check payable to “MassRoots, Inc.” for an amount equal to the aggregate
                                         amount of Common Stock subscribed for in this offering.

Or wire the funds to:

[ ]

 

(c)       Unless terminated earlier,
by the Company, in its sole discretion, the Offering is scheduled to terminate on July 21, 2017, 5:00 p.m., New York time and
in the Company’s sole discretion without notice may be extended (the “Offering Period”).

    	 

    	 

    

(d)       The
Company will hold a closing on and issue the Securities upon the receipt and acceptance of the Subscription Documents and the
Subcription Amount (each a “Closing”). The date of each such Closing is referred to herein as the Closing Date.

(e)       All
subscription proceeds will be deposited into the Company’s bank account as provided herein. Upon each Closing, the funds,
subject to the payment of the expenses and fees incurred in connection with this Offering, will be immediately available to the
Company. In the event that an investor’s subscription is rejected by the Company, or this Offering is terminated for any
reason without a closing, subscription proceeds will be promptly refunded without interest thereon or deduction therefrom.

Prospective
Investors should retain their own professional advisors to review and evaluate the economic, tax, and other consequences of an
investment in the Company.

THE SECURITIES OFFERED HEREBY,
HAVE NOT BEEN FILED OR REGISTERED WITH OR APPROVED BY THE SECURITIES AND EXCHANGE COMMISSION (THE “COMMISSION”), NOR
HAS THE COMMISSION PASSED UPON THE ACCURACY OR ADEQUACY OF THE OFFERING MATERIALS. NO STATE SECURITIES LAW ADMINISTRATOR HAS PASSED
ON OR ENDORSED THE MERITS OF THIS OFFERING OR THE ACCURACY OR THE ADEQUACY OF THE OFFERING MATERIALS. ANY REPRESENTATION TO THE
CONTRARY IS UNLAWFUL.

IT IS INTENDED THAT THE SECURITIES
OFFERED HEREBY WILL BE MADE AVAILABLE TO ACCREDITED INVESTORS, AS DEFINED IN REGULATION D AND RULE 501 PROMULGATED UNDER THE SECURITIES
ACT OF 1933, AS AMENDED (THE “1933 ACT”) AND UP TO THIRTY-FIVE NON-ACCREDITED INVESTORS. THE SECURITIES OFFERED HEREBY
ARE BEING OFFERED PURSUANT TO AN EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE 1933 ACT AND APPLICABLE STATE SECURITIES
LAWS FOR NONPUBLIC OFFERINGS. SUCH EXEMPTIONS LIMIT THE NUMBER AND TYPES OF INVESTORS TO WHICH THE OFFERING WILL BE MADE AND RESTRICT
SUBSEQUENT TRANSFERS OF THE INTERESTS.

THE SECURITIES OFFERED HEREBY
SHOULD BE CONSIDERED ONLY BY PERSONS WHO CAN AFFORD TO SUSTAIN A LOSS OF THEIR ENTIRE INVESTMENT. INVESTORS WILL BE REQUIRED TO
REPRESENT THAT THEY ARE FAMILIAR WITH AND UNDERSTAND THE TERMS OF THIS OFFERING.

NO SECURITIES MAY BE RESOLD
OR OTHERWISE DISPOSED OF BY AN INVESTOR UNLESS, IN THE OPINION OF COUNSEL SATISFACTORY TO THE COMPANY, REGISTRATION UNDER THE
APPLICABLE FEDERAL OR STATE SECURITIES LAWS IS NOT REQUIRED OR COMPLIANCE IS MADE WITH SUCH REGISTRATION REQUIREMENTS.

THE OFFEREE, BY ACCEPTING
DELIVERY OF THE OFFERING MATERIALS, AGREES TO RETURN THE OFFERING MATERIALS AND ALL ACCOMPANYING OR RELATED DOCUMENTS TO THE COMPANY
UPON REQUEST IF THE OFFEREE DOES NOT AGREE TO PURCHASE ANY OF THE SECURITIES OFFERED HEREBY.

ANY OFFERING MATERIALS SUBMITTED
IN CONNECTION WITH THE PRIVATE PLACEMENT OF THE SECURITIES DO NOT CONSTITUTE AN OFFER OR SOLICITATION BY ANYONE IN ANY JURISDICTION
IN WHICH SUCH AN OFFER OR SOLICITATION IS NOT AUTHORIZED. ANY REPRODUCTION OR DISTRIBUTION OF ANY OFFERING MATERIALS IN WHOLE
OR IN PART, OR THE DIVULGENCE OF ANY OF THEIR CONTENTS, WITHOUT THE PRIOR WRITTEN CONSENT OF THE COMPANY, IS PROHIBITED. ANY PERSON
ACTING CONTRARY TO THE FOREGOING RESTRICTIONS MAY PLACE HIM/HERSELF AND THE COMPANY IN VIOLATION OF FEDERAL OR STATE SECURITIES
LAWS.

    	 

    	 

    

NASAA UNIFORM LEGEND

IN MAKING AN INVESTMENT DECISION
INVESTORS MUST RELY ON THEIR OWN EXAMINATION OF THE COMPANY AND THE TERMS OF THE OFFERING, INCLUDING THE MERITS AND RISKS INVOLVED.
THESE SECURITIES HAVE NOT BEEN RECOMMENDED BY ANY FEDERAL OR STATE SECURITIES COMMISSION OR REGULATORY AUTHORITY. FURTHERMORE,
THE FOREGOING AUTHORITIES HAVE NOT CONFIRMED THE ACCURACY OR DETERMINED THE ADEQUACY OF THIS DOCUMENT. ANY REPRESENTATION TO THE
CONTRARY IS A CRIMINAL OFFENSE. THESE SECURITIES ARE SUBJECT TO RESTRICTIONS ON TRANSFERABILITY AND RESALE AND MAY NOT BE TRANSFERRED
OR RESOLD EXCEPT AS PERMITTED UNDER THE 1933 ACT, AND THE APPLICABLE STATE SECURITIES LAWS, PURSUANT TO REGISTRATION OR EXEMPTION
THEREFROM. INVESTORS SHOULD BE AWARE THAT THEY WILL BE REQUIRED TO BEAR THE FINANCIAL RISKS OF THIS INVESTMENT FOR AN INDEFINITE
PERIOD OF TIME.

The undersigned
acknowledges that the Securities will not be registered under the 1933 Act, or the securities laws of any State, that absent an
exemption from registration contained in those laws, the issuance and sale of such Securities would require registration, and
that the Company's reliance upon such exemption is based upon the undersigned's representations, warranties, and agreements contained
in the Offering Materials (as defined below).

1.       The
undersigned represents, warrants, and agrees as follows:

(a)       The
undersigned agrees that this Subscription Agreement is and shall be irrevocable.

(b)       The
undersigned has carefully read this Subscription Agreement, the Warrant and the Confidential Prospective Purchaser Questionnaire
(collectively the “Offering Materials”), all of which the undersigned acknowledges have been provided to the
undersigned. The undersigned has been given the opportunity to ask questions of, and receive answers from the Company concerning
the terms and conditions of this Offering and the Offering Materials and to obtain such additional written information, to the
extent the Company possesses such information or can acquire it without unreasonable effort or expense, necessary to verify the
accuracy of the same as the undersigned desires in order to evaluate the investment. The undersigned further acknowledges that
the undersigned fully understands the Offering Materials, and the undersigned has had the opportunity to discuss any questions
regarding any of the Offering Materials with the undersigned’s counsel or other advisor. Notwithstanding the foregoing,
the only information upon which the undersigned has relied is that set forth in the Offering Materials and the undersigned’s
own independent investigation. The undersigned acknowledges that the undersigned has received no representations or warranties
from the Company or its employees, director, or agents in making this investment decision other than as set forth in the Offering
Materials.

(c)       The
undersigned is aware that the purchase of the Securities is a speculative investment involving a high degree of risk and that
there is no guarantee that the undersigned will realize any gain from this investment, and that the undersigned could lose the
total amount of the undersigned's investment.

(d)       The
undersigned understands that no federal or state agency has made any finding or determination regarding the fairness of this Offering
of the Securities for investment, or any recommendation or endorsement of this Offering of the Securities.

(e)        The
Undersigned is an “accredited investor” as that term is defined in Rule 501(a) of Regulation D under the 1933 Act.
The Undersigned has such knowledge and experience in financial and business matters that it is capable of evaluating the merits
and risks of the purchase of the Securities. The Undersigned is not registered as a broker or dealer under Section 15(a) of the
1934 Act, affiliated with any broker or dealer registered under Section 15(a) of the Securities Exchange Act of 1934, as amended,
or a member of the Financial Industry Regulatory Authority.

    	 

    	 

    

(f)       Each
of this Agreement and the Offering Materials have been duly and validly authorized, executed and delivered on behalf of the Undersigned
and is a valid and binding agreement of the Undersigned enforceable against the Undersigned in accordance with their terms, subject
as to enforceability to general principles of equity and to applicable bankruptcy, insolvency, reorganization, moratorium, liquidation
and other similar laws relating to, or affecting generally, the enforcement of applicable creditors’ rights and remedies.
The Undersigned has the requisite corporate power and authority to enter into and perform its obligations under this Agreement
and the Offering Materials and each other agreement entered into by the parties hereto in connection with the transactions contemplated
by this Agreement.

(g)       The
execution, delivery and performance of this Agreement and the Offering Materials by the Undersigned and the consummation by the
Undersigned of the transactions contemplated hereby and thereby will not (i) result in a violation of the certificate of incorporation,
by-laws or other documents of organization of the Undersigned, (ii) conflict with, or constitute a default (or an event which
with notice or lapse of time or both would become a default) under, or give others any rights of termination, amendment, acceleration
or cancellation of, any agreement, indenture or instrument to which the Undersigned is bound, or (iii) result in a violation of
any law, rule, regulation or decree applicable to the Undersigned.

(h)       The
Undersigned understands that there is no public trading market for the Securities, and the Securities must be held indefinitely
unless and until such Securities is registered under the 1933 Act or an exemption from registration is available. The Undersigned
has been advised or is aware of the provisions of Rule 144 promulgated under the 1933 Act.

 

(i)       The
Undersigned understands that the Securities is being offered and sold in reliance on a transactional exemption from the registration
requirements of Federal and state securities laws and that the Company is relying upon the truth and accuracy of the representations,
warranties, agreements, acknowledgments and understandings of the Undersigned set forth herein in order to determine the applicability
of such exemptions and the suitability of the Undersigned to acquire the Securities.

(j)        The
undersigned is purchasing the Securities for the undersigned's own account, with the intention of holding the Securities, with
no present intention of dividing or allowing others to participate in this investment or of reselling or otherwise participating,
directly or indirectly, in a distribution of the Securities, and shall not make any sale, transfer, or pledge thereof without
registration under the Act and any applicable securities laws of any state or unless an exemption from registration is available
under those laws.

(k)       The
undersigned represents that the undersigned, if an individual, has adequate means of providing for his or her current needs and
personal and family contingencies and has no need for liquidity in this investment in the Securities. The undersigned has no reason
to anticipate any material change in his or her personal financial condition for the foreseeable future.

(l)       The
undersigned is financially able to bear the economic risk of this investment, including the ability to hold the Securities indefinitely
or to afford a complete loss of the undersigned’s investment in the Securities.

(m)       The
undersigned represents that the undersigned's overall commitment to this investment is not disproportionate to the undersigned's
net worth, and the undersigned's investment in the Securities will not cause such overall commitment to become excessive. The
undersigned understands that the statutory basis on which the Securities are being sold to the undersigned and others would not
be available if the undersigned's present intention were to hold the Securities for a fixed period or until the occurrence of
a certain event. The undersigned realizes that in the view of the Commission, a purchase now with a present intent to resell by
reason of a foreseeable specific contingency or any anticipated change in the market value, or in the condition of the Company,
or that of the industry in which the business of the Company is engaged or in connection with a contemplated liquidation, or settlement
of any loan obtained by the undersigned for the acquisition of the Securities, and for which such Securities may be pledged as
security or as donations to religious or charitable institutions for the purpose of securing a deduction on an income tax return,
would, in fact, represent a purchase with an intent inconsistent with the undersigned's representations to the Company and the
Commission would then regard such sale as a sale for which the exemption from registration is not available. The undersigned will
not pledge, transfer, or assign this Subscription Agreement.

    	 

    	 

    

(m)       The
undersigned represents that the funds provided for this investment are either separate property of the undersigned, community
property over which the undersigned has the right of control, or are otherwise funds as to which the undersigned has the sole
right of management.

(n)       FOR
PARTNERSHIPS, CORPORATIONS, TRUSTS, OR OTHER ENTITIES ONLY: If the undersigned is a partnership, corporation, trust, or other
entity, (i) the undersigned has enclosed with this Subscription Agreement appropriate evidence of the authority of the individual
executing this Subscription Agreement to act on its behalf (e.g., if a trust, a certified copy of the trust agreement; if a corporation,
a certified corporate resolution authorizing the signature and a certified copy of the articles of incorporation; or if a partnership,
a certified copy of the partnership agreement), (ii) the undersigned represents and warrants that it was not organized or reorganized
for the specific purpose of acquiring the Securities, (iii) the undersigned has the full power and authority to execute this Subscription
Agreement on behalf of such entity and to make the representations and warranties made herein on its behalf, and (iv) this investment
in the Company has been affirmatively authorized, if required, by the governing board of such entity and is not prohibited by
the governing documents of the entity.

(o)       The
address shown under the undersigned's signature at the end of this Subscription Agreement is the undersigned's principal residence
if he or she is an individual, or its principal business address if a corporation or other entity.

(p)       The
undersigned has such knowledge and experience in financial and business matters as to be capable of evaluating the merits and
risks of an investment in the Securities.

(q)       The
undersigned acknowledges that the certificates for the Securities which the undersigned will receive will contain a legend substantially
as follows:

“THE SECURITIES
WHICH ARE REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND MAY NOT BE SOLD, TRANSFERRED,
HYPOTHECATED OR OTHERWISE DISPOSED OF UNTIL A REGISTRATION STATEMENT WITH RESPECT THERETO IS DECLARED EFFECTIVE UNDER SUCH ACT,
OR THE COMPANY RECEIVES AN OPINION OF COUNSEL FOR THE COMPANY THAT AN EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF SUCH ACT
IS AVAILABLE.”

2.       The
undersigned expressly acknowledges and agrees that the Company is relying upon the undersigned's representations contained in
the Offering Materials.

3.       The
undersigned subscriber acknowledges that the undersigned understands the meaning and legal consequences of the representations
and warranties which are contained herein and hereby agrees to indemnify, save and hold harmless the Company and its officers,
directors and counsel, from and against any and all claims or actions arising out of a breach of any representation, warranty
or acknowledgment of the undersigned contained in any of the Offering Materials. Such indemnification shall be deemed to include
not only the specific liabilities or obligations with respect to which such indemnity is provided, but also all reasonable costs,
expenses, counsel fees and expenses of settlement relating thereto, whether or not any such liability or obligation shall have
been reduced to judgment. In addition, the undersigned's representations, warranties, and indemnification contained herein shall
survive the undersigned's purchase of the Securities hereunder. The undersigned specifically acknowledges that he has reviewed
the risks set forth in the Offering Materials, as well as the financial statements included therein.

    	 

    	 

    

4.       The
Company represents that it has been duly and validly incorporated and is validly existing and in good standing as a corporation
under the laws of the State of Delaware. The Company represents that it has all requisite power and authority, and all necessary
authorizations, approvals and orders required as of the date hereof to own its properties and conduct its business and to enter
into this Subscription Agreement and the other Offering Materials and to be bound by the provisions and conditions hereof or therein.
The Company further represents that the securities offered hereby are being offered pursuant to an exemption from the registration
requirements of the 1933 Act and applicable state securities laws for nonpublic offerings.

5.       The
undersigned agrees and acknowledges that the Company has the right to utilize the services of a placement agent and if utilized,
may receive a cash commission, at a rate that is compatible with industry standards, from the Securities sold by such placement
agent.

6.       Except
as otherwise specifically provided for hereunder, no party shall be deemed to have waived any of his, her, or its rights hereunder
or under any other agreement, instrument, or papers signed by any of them with respect to the subject matter hereof unless such
waiver is in writing and signed by the party waiving said right. Except as otherwise specifically provided for hereunder, no delay
or omission by any party in exercising any right with respect to the subject matter hereof shall operate as a waiver of such right
or of any such other right. A waiver on any one occasion with respect to the subject matter hereof shall not be construed as a
bar to, or waiver of, any right or remedy on any future occasion. All rights and remedies with respect to the subject matter hereof,
whether evidenced hereby or by any other agreement, instrument, or paper, will be cumulative, and may be exercised separately
or concurrently.

7.       The
parties have not made any representations or warranties with respect to the subject matter hereof not set forth herein, and this
Subscription Agreement, together with any instruments executed simultaneously herewith, constitutes the entire agreement between
them with respect to the subject matter hereof. All understandings and agreements heretofore existing between the parties with
respect to the subject matter hereof are merged in this Subscription Agreement and any such instrument, which alone fully and
completely express their agreement.

8.       In
the event that the Company conducts one or more offerings pursuant to a registration statement declared effective by the SEC within
one year from the date of Closing of this Offering (“Subsequent Offering”), then the Purchaser shall have a right
of participation in such Subsequent Offering to purchase an amount of securities equal to the proportional amount of Securities
subscribed for in this Offering to the total Securities sold in this Offering (“RoFR Right”). In the event of a Subsequent
Offering, the Company shall provide to the Purchaser written notice thereof and allow the Purchaser to exercise the RoFR Right
and participate in the Subsequent Offering upon the same terms and conditions as provided in the Subsequent Offering, at any time
within a period of twenty four (24) hours from the date that the written notice is received by the Purchaser.

9.       The
shares of Common Stock sold in the Offering, including the Shares of Common Stock underlying the Warrants, will be included in
a registration statement on Form S-1 to be filed with the U.S. Securities and Exchange Commission (the “SEC”) within
thirty (30) days after the final Closing of the Offering, and the Company will use its commercially reasonable efforts to have
the registration statement declared effective by the SEC within ninety (90) days after the filing of such registration statement.

    	 

    	 

    

10.       This
Subscription Agreement may not be changed, modified, extended, terminated, or discharged orally, but only by an agreement in writing,
which is signed by all of the parties to this Subscription Agreement.

11.       The
parties agree to execute any and all such other and further instruments and documents, and to take any and all such further actions
reasonably required to effectuate this Subscription Agreement and the intent and purposes hereof.

12.       If
any provision or any portion of any provision of this Subscription Agreement or the application of any such provision or any portion
thereof to any person or circumstance, shall be held invalid or unenforceable, the remaining portion of such provision and the
remaining portion of such provision as is held invalid or unenforceable to persons or circumstances other than those as to which
it is held invalid or unenforceable, shall not be affected thereby.

13.       This Subscription Agreement
shall be governed by and construed in accordance with the laws of the State of Delaware and the undersigned hereby consents to
the jurisdiction of the courts of the State of Colorado and/or the United States District Court for Colorado.

    	 

    	 

    

 

ALL SUBSCRIBERS MUST COMPLETE A COPY OF THIS PAGE

__________________________

(Print
Name of Subscriber)

IN WITNESS
WHEREOF, the undersigned has executed this Subscription Agreement on this ____ day of ________, 2017.

Securities
Subscription Amount $______

1.|__|Individual

2.|__|Joint Tenants
with Right of Survivorship

3.|__|Community Property

4.|__|Tenants in
Common

5.|__|Corporation/Partnership

6.|__|IRA of________________

7.|__|Trust

Date Opened
___________

8.|__|As A Custodian For________________

Under the
Uniform Transfer to Minors Act of the

State of ___________

9.|__|Married with
Separate

Property

10.|__|Keogh of ____________

    	 

    	 

    

EXECUTION BY SUBSCRIBER WHO
IS A NATURAL PERSON

________________
___________________

Exact
Name in Which Title is to be Held

 

Signature

 

____________
 ______

Name
(Please Print)

______________________
 __________

Title
of Person Executing Agreement

___________________________________________

Address:
Number and Street

_____________
_____________________________________________

CityStateZip
Code

_________________
 

Social
Security Number

Accepted
this ___ day of _______, 2017, on behalf of MASSROOTS, INC.

 

 

By:
_____________________________

Name:

Title:

 

    	 

    	 

    

EXECUTION
BY SUBSCRIBER WHICH IS A CORPORATION,

PARTNER,
TRUST, ETC.

___
__________________________

Exact
Name in Which Title is to be Held

______________
 __________

Signature)

___
__________________________

Name
(Please Print)

___
__________________________

Title
of Person Executing Agreement

___
__________________________

Address:
Number and Street

___
__________________________

CityStateZip
Code

___
__________________________

Tax
Identification Number

 

Accepted
this ___ day of _______, 2017, on behalf of MASSROOTS, INC.

 

By:
________________________

Name:

Title:WARRANT

 

THESE SECURITIES AND THE SECURITIES ISSUABLE
UPON THEIR EXERCISE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”),
AND MAY NOT BE TRANSFERRED UNLESS PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT, A "NO-ACTION"
LETTER FROM THE UNITED STATES SECURITIES AND EXCHANGE COMMISSION (THE “COMMISSION” OR THE “SEC”)
WITH RESPECT TO SUCH TRANSFER, A TRANSFER MEETING THE REQUIREMENTS OF RULE 144 OF THE COMMISSION, OR AN OPINION OF COUNSEL SATISFACTORY
TO THE ISSUER TO THE EFFECT THAT ANY SUCH TRANSFER IS EXEMPT FROM SUCH REGISTRATION.

 

 

MassRoots, Inc.

 

WARRANT NO. JULY 2017 1-__

 

Dated: July __, 2017

 

 

MassRoots, Inc., a corporation organized
under the laws of the State of Delaware (the “Company”), hereby certifies that, for value received from ____________,
a ________________ resident (the “Holder”), is entitled, subject to the terms set forth below, to purchase
from the Company up to a total of ________ shares of the common stock , $0.001 par value per share (the “Common Stock”),
of the Company (the “Warrant Shares”), at an exercise price equal to sixty five cents ($0.65) per share (the
“Exercise Price”). This Warrant may be exercised any time after issuance through and including the fifth (5th)
anniversary of its original issuance as noted above (the “Expiration Date”), subject to the following terms
and conditions:

 

1.       Registration
of Warrant. The Company shall, from time to time and whenever requested by the Holder, register this Warrant in conformity
with records to be maintained by the Company for such purpose (the “Warrant Register”) in the name of the Holder.
The Company shall treat the registered Holder of this Warrant as the absolute owner hereof for any and all purposes, including
the exercise hereof or any distribution to the Holder, and the Company shall not be affected by notice to the contrary.

 

2.       Registration
of Transfers and Exchanges.

 

 (a)The Company
or the transfer agent shall enter or record the transfer of all or any portion of this Warrant in the Warrant Register, upon surrender
of this Warrant to the Company at the office specified herein or pursuant to Section 11 hereof. Upon any such registration
or transfer, a new warrant to purchase Common Stock, in substantially the form of this Warrant (any such new warrant hereinafter
referred to as a “New Warrant”), evidencing the portion of this Warrant so transferred shall be issued to the
transferee and a New Warrant evidencing the remaining portion of this Warrant not so transferred, if any, shall be issued to the
Holder. The acceptance of the New Warrant by the transferee thereof shall be deemed the acceptance of such transferee of all of
the rights and obligations of a holder of a Warrant.

 

(b)       This
Warrant is exchangeable, upon the surrender hereof by the Holder to the office of the Company specified herein or pursuant to
Section 3(b) hereof for one or more New Warrants, evidencing in the aggregate the right to purchase the number of Warrant
Shares which may then be purchased hereunder. Any such New Warrant shall be dated as of the date of such exchange.

 

    	 

    	 

    

3.       Duration
and Exercise of Warrants.

 

(a)       This
Warrant shall be exercisable by the registered Holder on any business day before 5:00 P.M., Eastern time, at any time and from
time to time on or after the date hereof to and including the Expiration Date. At 5:00 P.M., Eastern time on the Expiration Date,
the portion of this Warrant not exercised prior thereto shall be and become void and of no value. Prior to the Expiration Date,
the Company may not call or otherwise redeem this Warrant without the prior written consent of the Holder, which consent shall
be given or withheld at the sole and absolute discretion of the Holder.

 

(b)       Subject
to Section 2(b), Section 6 and Section 10 hereof, upon: (x) surrender of this Warrant, together with the
Form of Election to Purchase attached hereto duly completed and signed, to the Company at its address for notice set forth in
Section 11 hereof; and (y) payment of the Exercise Price multiplied by the number of Warrant Shares that the Holder intends
to purchase hereunder, in the manner provided hereunder, all as specified by the Holder in the Form of Election to Purchase, the
Company shall promptly (but in no event later than five (5) business days after the Date of Exercise (as defined below)) issue
or cause to be issued and cause to be delivered to the Holder in such name(s) as the Holder may designate, a certificate for the
Warrant Shares issuable upon such exercise and free of restrictive legends unless (i) a registration statement covering the resale
of the Warrant Shares and naming the Holder as a selling stockholder thereunder is not then effective or the Warrant Shares are
not freely transferable without volume restrictions pursuant to Rule 144(k) promulgated under the Securities Act then the Warrant
Shares will bear a Securities Act restrictive legend, or (ii) this Warrant shall have been issued pursuant to a written agreement
between the original Holder and the Company, as required by such agreement. Any person so designated by the Holder to receive
Warrant Shares shall be deemed to have become holder of record of such Warrant Shares as of the Date of Exercise of this Warrant.
A “Date of Exercise” means the date on which the Company shall have received (I) this Warrant (or any New Warrant,
as applicable), together with the Form of Election to Purchase attached hereto (or attached to such New Warrant) appropriately
completed and duly signed; and (II) payment of the Exercise Price for the number of Warrant Shares so indicated by the holder
hereof to be purchased.

 

(c)       This
Warrant shall be exercisable in its entirety or, from time to time, for a portion of the number of Warrant Shares. If less than
all of the Warrant Shares which may be purchased under this Warrant are exercised at any time, the Company shall issue or cause
to be issued, at its expense, a New Warrant evidencing the right to purchase the remaining number of Warrant Shares for which
no exercise has been evidenced by this Warrant. In the event the Common Stock representing the Warrant Shares is not delivered
per the written instructions of the Holder within ten (10) business days after the Notice of Election and Warrant is received
by the Company (the “Delivery Date”), then the Company shall pay to Holder in cash two percent (2.0%) of the
dollar value of the Warrant Shares to be issued for the first day after the Delivery Date that the Warrant Shares are not delivered,
and an additional two percent (2.0%) of the dollar value of the Warrant Shares to be issued after the Delivery Date for every
thirty (30) days thereafter that the Warrant Shares are not delivered. The Company acknowledges that its failure to deliver the
Warrant Shares by the Delivery Date will cause the Holder to suffer damages in an amount that will be difficult to ascertain.
Accordingly, the parties hereto agree that it is appropriate to include in this Warrant this provision for liquidated damages.
The parties hereto acknowledge and agree that the liquidated damages provision set forth in this section represents the parties’
good faith effort to quantify such damages and therefore agree that the form and amount of such liquidated damages are reasonable
and will not constitute a penalty. Notwithstanding the foregoing, the payment of liquidated damages shall not relieve the Company
from its obligations to deliver the Common Stock pursuant to the terms of this Warrant. The Company shall make any payments incurred
under this Section 3 in immediately available funds within ten (10) business days from the date of issuance of the applicable
Warrant Shares. Nothing herein shall limit Holder’s right to pursue actual damages or cancel the Notice of Election for
the Company’s failure to issue and deliver Common Stock to the Holder within ten (10) business days following the Delivery
Date.

 

    	 

    	 

    

5. Payment of Taxes.
Upon the exercise of this Warrant, the Company will pay all documentary stamp taxes attributable to the issuance of Warrant Shares;
provided, however, that the Company shall not be required to pay any tax that may be payable in respect of any transfer involved
in the registration of any certificates for Warrant Shares or Warrants in a name other than that of the Holder. The Holder shall
be responsible for all other tax liability that may arise as a result of holding or transferring this Warrant or receiving Warrant
Shares upon exercise hereof.

 

6.       Replacement
of Warrant. If this Warrant is mutilated, lost, stolen or destroyed, the Company shall issue or cause to be issued in exchange
and substitution for and upon cancellation hereof, or in lieu of and substitution for this Warrant, a New Warrant, but only upon
receipt of evidence reasonably satisfactory to the Company of such loss, theft or destruction and indemnity, if requested, satisfactory
to it. Applicants for a New Warrant under such circumstances shall comply with such other reasonable regulations and procedures
and pay such other reasonable charges as the Company may prescribe.

 

7.       Reservation
of Warrant Shares. The Company covenants that it will at all times reserve and keep available out of the aggregate of its
authorized but unissued Common Stock, solely for the purpose of enabling it to issue Warrant Shares upon exercise of this Warrant
as herein provided, the number of Warrant Shares which are then issuable and deliverable upon the exercise of this entire Warrant,
free from preemptive rights or any other actual contingent purchase rights of persons other than the Holder (taking into account
the adjustments and restrictions of Section 8 hereof). The Company covenants that all Warrant Shares that shall be so issuable
and deliverable shall, upon issuance and the payment of the applicable Exercise Price in accordance with the terms hereof, be
duly and validly authorized, issued and fully paid and nonassessable. If the Company does not have a sufficient amount of Common
Stock authorized to reserve for the Warrant Shares, it shall, as soon as reasonably practicable, use its best efforts to increase
the number of its authorized shares such that the Company will have a sufficient amount of Common Stock authorized to reserve
for the Warrant Shares.

 

8.       Certain
Adjustments. The Exercise Price and number of Warrant Shares issuable upon exercise of this Warrant are subject to adjustment
from time to time as set forth in this Section 8. Upon each such adjustment of the Exercise Price pursuant to this Section
8, the Holder shall thereafter but prior to the Expiration Date be entitled to purchase, at the Exercise Price resulting from
such adjustment, the number of Warrant Shares obtained by multiplying the Exercise Price in effect immediately prior to such adjustment
by the number of Warrant Shares issuable upon exercise of this Warrant immediately prior to such adjustment and dividing the product
thereof by the Exercise Price resulting from such adjustment.

 

(a)       An
adjustment shall be made, if the Company, at any time while this Warrant is outstanding (i) pays a stock dividend (except scheduled
dividends paid on outstanding preferred stock as of the date hereof which contain a stated dividend rate) or otherwise make distribution(s)
on shares of its Common Stock or on any other class of capital stock and not the Common Stock payable in shares of Common Stock;
(ii) subdivides outstanding shares of Common Stock into a larger number of shares; or (iii) combines outstanding shares of Common
Stock into a smaller number of shares. If either (i), (ii) or (iii) above occurs, the Exercise Price shall be multiplied by a
fraction of which the numerator shall be the number of shares of Common Stock (excluding treasury shares, if any) outstanding
before such event and of which the denominator shall be the number of shares of Common Stock (excluding treasury shares, if any)
outstanding after such event. Any adjustment made pursuant to this Section shall become effective immediately after the record
date for the determination of stockholders entitled to receive such dividend or distribution and shall become effective immediately
after the effective date in the case of a subdivision or combination, and shall apply to successive subdivisions and combinations.

 

    	 

    	 

    

(b)       In
case of any reclassification of the Common Stock, any consolidation or merger of the Company with or into another entity, the
sale or transfer of all or substantially all of the assets of the Company, or any compulsory share exchange pursuant to which
the Common Stock is converted into other securities, cash or property, then the Holder shall have the right thereafter to exercise
this Warrant only into the shares of stock and other securities and property receivable upon or deemed to be held by holders of
Common Stock following such reclassification, consolidation, merger, sale, transfer or share exchange, and the Holder shall be
entitled upon such event to receive such amount of securities or property equal to the amount of Warrant Shares such Holder would
have been entitled to had such Holder exercised this Warrant immediately prior to such reclassification, consolidation, merger,
sale, transfer or share exchange. The terms of any such consolidation, merger, sale, transfer or share exchange shall include
such terms so as to continue to give to the Holder the right to receive the securities or property set forth in this Section
8(b) upon any exercise following any such reclassification, consolidation, merger, sale, transfer or share exchange.

 

(c)       For
the purposes of this Section 8, the following clauses shall also be applicable:

 

(i) Record Date.
In case the Company shall take a record of the holders of its Common Stock for the purpose of entitling them (A) to receive a
dividend or other distribution payable in Common Stock or in securities convertible or exchangeable into shares of Common Stock,
or (B) to subscribe for or purchase Common Stock or securities convertible or exchangeable into shares of Common Stock, then such
record date shall be deemed to be the date of the issue or sale of the shares of Common Stock deemed to have been issued or sold
upon the declaration of such dividend or the making of such other distribution or the date of the granting of such right of subscription
or purchase, as the case may be.

 

(ii) Treasury Shares.
The number of shares of Common Stock outstanding at any given time shall not include shares owned or held by or for the account
of the Company, and the disposition of any such shares shall be considered an issue or sale of Common Stock.

 

(d)       All
calculations under this Section 8 shall be made to the nearest cent or the nearest 1/100th of a share, as the case may
be.

 

(e)       Whenever
the Exercise Price is adjusted pursuant to Section 8(c) hereof, the Holder, after receipt of the determination by the Appraiser,
shall have the right to select an additional appraiser (which shall be a nationally recognized accounting firm), in which case
the adjustment shall be equal to the average of the adjustments recommended by each of the Appraiser and such additional appraiser
appointed under this Section 8(g). The Holder shall promptly mail or cause to be mailed to the Company, a notice setting
forth the Exercise Price after such adjustment and setting forth a brief statement of the facts requiring such adjustment. Such
adjustment shall become effective immediately after the record date mentioned above, if:

 

(i)       the
Company shall declare a dividend (or any other distribution) on its Common Stock;

 

(ii)       the
Company shall declare a special nonrecurring cash dividend on or a redemption of its Common Stock;

 

(iii)       the
Company shall authorize the granting to all holders of the Common Stock rights or warrants to subscribe for or purchase any shares
of capital stock of any class or of any rights;

 

(iv)       the
approval of any stockholders of the Company shall be required in connection with any reclassification of the Common Stock of the
Company, any consolidation or merger to which the Company is a party, any sale or transfer of all or substantially all of the
assets of the Company, or any compulsory share exchange whereby the Common Stock is converted into other securities, cash or property;
or

 

    	 

    	 

    

(v)       the
Company shall authorize the voluntary dissolution, liquidation or winding up of the affairs of the Company, then the Company shall
cause to be mailed to the Holder at their last addresses as they shall appear upon the Warrant Register, at least thirty (30)
calendar days prior to the applicable record or effective date hereinafter specified, a notice stating (x) the date on which a
record is to be taken for the purpose of such dividend, distribution, redemption, rights or warrants, or if a record is not to
be taken, the date as of which the holders of Common Stock of record to be entitled to such dividend, distributions, redemption,
rights or warrants are to be determined, or (y) the date on which such reclassification, consolidation, merger, sale, transfer
or share exchange is expected to become effective or close, and the date as of which it is expected that holders of Common Stock
of record shall be entitled to exchange their shares of Common Stock for securities, cash or other property deliverable upon such
reclassification, consolidation, merger, sale, transfer, share exchange, dissolution, liquidation or winding up; provided, however,
that the failure to mail such notice or any defect therein or in the mailing thereof shall not affect the validity of the corporate
action required to be specified in such notice.

 

(f)       Subsequent Equity
Sales. In the event that: (i) a Registration Statement on Form S-1 covering the shares underlying this Warrant (the “Applicable
S-1) is not been declared effective by the SEC (the “S-1 Requirement”); and (ii) subsequent to effectiveness of the
Applicable S-1, the market for Company's common stock does not maintain a volume weighted average price of at least seventy-five
($0.75) per share for five consecutive trading days (“VWAP Requirement”, with the S-1 Requirement, the “Subsequent
Equity Sales Requirements”), then, if the Company shall sell or grant any option to purchase, or sell or grant any right
to reprice, or otherwise dispose of or issue (or announce any offer, sale, grant or any option to purchase or other disposition)
any Common Stock or Common Stock Equivalents, at an effective price per share less than the Exercise Price then in effect (such
lower price, the “Base Share Price” and such issuances collectively, a “Dilutive Issuance”) (it being
understood and agreed that if the holder of the Common Stock or Common Stock Equivalents so issued shall at any time, whether
by operation of purchase price adjustments, reset provisions, floating conversion, exercise or exchange prices or otherwise, or
due to warrants, options or rights per share which are issued in connection with such issuance, be entitled to receive shares
of Common Stock at an effective price per share that is less than the Exercise Price, such issuance shall be deemed to have occurred
for less than the Exercise Price on such date of the Dilutive Issuance at such effective price), then simultaneously with the
consummation of each Dilutive Issuance the Exercise Price shall be reduced and only reduced to equal the Base Share Price. Such
adjustment shall be made whenever such Common Stock or Common Stock Equivalents are issued. Notwithstanding the foregoing, no
adjustments shall be made, paid or issued under this provision in respect of an Exempt Issuance, which is defined as the exercise
of any outstanding options into shares of common stock under the Company's Employee Stock Option Programs, stock grants under
the Company's Employee Stock Option Programs, and the issuance of common stock for the exercise of the Company's current outstanding
warrants. The Company shall notify the Holder, in writing, no later than the Trading Day following the issuance or deemed issuance
of any Common Stock or Common Stock Equivalents subject to this provision, indicating therein the applicable issuance price, or
applicable reset price, exchange price, conversion price and other pricing terms (such notice, the “Dilutive Issuance Notice”).
For purposes of clarification, whether or not the Company provides a Dilutive Issuance Notice pursuant to this provision, upon
the occurrence of any Dilutive Issuance, the Holder is entitled to receive a number of Warrant Shares based upon the Base Share
Price regardless of whether the Holder accurately refers to the Base Share Price in the Notice of Exercise. For purposes
of further clarification, the Holder shall not be entitled to any adjustments pursuant to this Section 8(f) upon the Company attaining
the Subsequent Equity Sales Requirements.

 

9.       Payment
of Exercise Price. The Holder, at its sole election, may pay the Exercise Price in one of the following manners:

 

(a)       Cash
Exercise. The Holder shall deliver immediately available funds; or

 

    	 

    	 

    

(b)       Cashless
Exercise. This Warrant may be exercised by means of a cashless exercise under Rule 144 until such time that a Registration
Statement covering the shares underlying the warrant is declared effective. In such event, the Holder shall surrender this Warrant
to the Company, together with a notice of cashless exercise, and the Company shall issue to the Holder the number of Warrant Shares
determined as follows:

 

X = Y (A-B)/A

 

where:

X = the number of Warrant
Shares to be issued to the Holder.

 

Y = the number of Warrant Shares with
respect to which this Warrant is being exercised.

 

A = the average closing bid price
of the Common Stock for the five (5) trading days immediately prior to the Date of Exercise.

 

B = the Exercise Price.

 

For purposes of Rule 144 of the Securities
Act, it is intended, understood and acknowledged that the Warrant Shares issued in a cashless exercise transaction shall be deemed
to have been acquired by the Holder, and the holding period for the Warrant Shares shall be deemed to have been commenced, on
the issue date.

 

(c)       Notwithstanding
anything in this Warrant to the contrary, the Holder is limited in the amount of this Warrant it may exercise. In no event shall
the Holder be entitled to exercise any amount of this Warrant in excess of that amount upon exercise of which the sum of (1) the
number of shares of Common Stock beneficially owned (as such term is defined under Section 13(d) and Rule 13d-3 of the Securities
Exchange Act of 1934, as amended (the “Exchange Act”)) by the Holder, and (2) the number of Warrant Shares
issuable upon the exercise of any Warrants then owned by Holder, would result in beneficial ownership by the Holder of more than
four and ninety-nine one hundredths percent (4.99%) of the outstanding shares of Common Stock of the Company, as determined in
accordance with Rule13d-1(j) of the Exchange Act. Furthermore, the Company shall not process any exercise that would result in
beneficial ownership by the Holder of more than four and ninety-nine one hundredths percent (4.99%) of the outstanding shares
of Common Stock of the Company.

 

10.       Fractional
Shares. The Company shall not be required to issue or cause to be issued fractional Warrant Shares on the exercise of this
Warrant. The number of full Warrant Shares which shall be issuable upon the exercise of this Warrant shall be computed on the
basis of the aggregate number of Warrant Shares purchasable on exercise of this Warrant so presented. If any fraction of a Warrant
Share would, except for the provisions of this Section 10, be issuable on the exercise of this Warrant, the Company shall
pay an amount in cash equal to the Exercise Price multiplied by such fraction.

 

11.       Notices.
Any and all notices or other communications or deliveries hereunder shall be in writing and shall be deemed given and effective
on the earliest of (i) the date of transmission, if such notice or communication is delivered via facsimile at the facsimile telephone
number specified in this Section prior to 5:00 p.m. Boston time on a business day, (ii) the business day after the date of transmission,
if such notice or communication is delivered via facsimile at the facsimile telephone number specified in this Section later than
5:00 p.m. Boston time on any date and earlier than 11:59 p.m. Boston time on such date, (iii) the business day following the date
of mailing, if sent by nationally recognized overnight courier service, or (iv) upon actual receipt by the party to whom such
notice is required to be given. The addresses for such communications shall be:

 

    	 

    	 

    

If to the Company:

 

MassRoots, Inc.

1624 Market St, Ste 201

Denver, CO 80202

 

If to the Holder:

__________________________

 

__________________________

 

__________________________

 

12.       Warrant
Agent. The Company shall serve as warrant agent under this Warrant. Upon thirty (30) days notice to the Holder, the Company
may appoint a new warrant agent. Any corporation into which the Company or any new warrant agent may be merged or any corporation
resulting from any consolidation to which the Company or any new warrant agent shall be a party or any corporation to which the
Company or any new warrant agent transfers substantially all of its corporate trust or shareholders services business shall be
a successor warrant agent under this Warrant without any further action. Any such successor warrant agent shall promptly cause
notice of its succession as warrant agent to be mailed (by first class mail, postage prepaid) to the Holder at the Holder's last
address as shown on the Warrant Register.

 

13.       Miscellaneous.

 

(a)       This
Warrant shall be binding on and inure to the benefit of the parties hereto. This Warrant may be amended only in writing signed
by the Company and the Holder.

 

(b)       Nothing
in this Warrant shall be construed to give to any person or corporation other than the Company and the Holder any legal or equitable
right, remedy or cause under this Warrant. This Warrant shall inure to the sole and exclusive benefit of the Company and the Holder.

 

(c)       This
Warrant shall be governed by and construed and enforced in accordance with the laws of the Commonwealth of Massachusetts without
regard to the principles of conflicts of law thereof.

 

(d)       The
headings herein are for convenience only, do not constitute a part of this Warrant and shall not be deemed to limit or affect
any of the provisions hereof.

 

(e)       In
case any one or more of the provisions of this Warrant shall be invalid or unenforceable in any respect, the validity and enforceability
of the remaining terms and provisions of this Warrant shall not in any way be affected or impaired thereby and the parties will
attempt in good faith to agree upon a valid and enforceable provision which shall be a commercially reasonable substitute therefor,
and upon so agreeing, shall incorporate such substitute provision in this Warrant.

 

(f)       The
Company hereby represent and warrants to the Holder that: (i) it is voluntarily issuing this Warrant of its own freewill, (ii)
it is not issuing this Warrant under economic duress, (iii) the terms of this Warrant are reasonable and fair to the Company,
and (iv) the Company has had independent legal counsel of its own choosing review this Warrant, advise the Company with respect
to this Warrant, and represent the Company in connection with its issuance of this Warrant.

 

(g)       Any
capitalized term used but not defined in this Warrant shall have the meaning ascribed to it in the Subscription Agreement, of
even date herewith, by and between the Company and the Holder.

 

    	 

    	 

    

(h)       This
Warrant may be executed in any number of counterparts, each of which when so executed shall be deemed to be an original and, all
of which taken together shall constitute one and the same Warrant. In the event that any signature is delivered by facsimile transmission,
such signature shall create a valid binding obligation of the party executing (or on whose behalf such signature is executed)
the same with the same force and effect as if such facsimile signature were the original thereof.

 

(i)       This
Warrant and the obligations of the Company hereunder shall not be assignable by the Company.

 

(j)Notwithstanding
anything in this Warrant to the contrary, the parties hereto hereby acknowledge and agree to the following: (i) the Holder makes
no representations or covenants that it will not engage in trading in the securities of the Company; (ii) the Company shall, by
8:30 a.m. Boston Time on the trading day following the date hereof, file a current report on Form 8-K disclosing the material
terms of the transactions contemplated hereby and in the other Transaction Documents; (iii) the Company has not and shall not
provide material non-public information to the Holder unless prior thereto the Holder Party shall have executed a written agreement
regarding the confidentiality and use of such information; and (iv) the Company understands and confirms that the Holder will
be relying on the acknowledgements set forth in clauses (i) through (iii) above if the Holder effects any transactions in the
securities of the Company.

 

14. Disputes Under This Agreement.

 

All disputes arising under
this Warrant shall be governed by and interpreted in accordance with the laws of the State of Delaware, without regard to principles
of conflict of laws. The parties hereto will submit all disputes arising under this Agreement to arbitration in Denver, Colorado
before a single arbitrator of the American Arbitration Association (the “AAA”). The arbitrator shall be selected
by application of the rules of the AAA, or by mutual agreement of the parties, except that such arbitrator shall be an attorney
admitted to practice law in the State of Colorado. No party hereto will challenge the jurisdiction or venue provisions provided
in this Section 14. Nothing in this Section 14 shall limit the Holder's right to obtain an injunction for a breach
of this Agreement from a court of law. Any injunction obtained shall remain in full force and effect until the arbitrator, as
set forth in this Section 14 fully adjudicates the dispute.

 

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

 

[Signature on Following
Page]

    	 

    	 

    

 

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

 

 

MassRoots,
Inc. 

 

By:_________________

Name:Isaac Dietrich

Title: CEO

 

    	 

    	 

    

 

EXHIBIT A

 

FORM OF ELECTION TO PURCHASE

 

MassRoots, Inc.

 

Re: Intention to Exercise Right to
Purchase Shares of Common Stock Under the Warrant

 

Gentlemen:

 

In accordance with
the Warrant enclosed with this Form of Election to Purchase, the undersigned hereby irrevocably elects to purchase _________________shares
of Common Stock, $0.001 par value per share, of MassRoots, Inc.. and, if such Holder is not utilizing the cashless exercise provisions
set forth in the Warrant, encloses herewith $________ in cash, certified or official bank check(s), which sum represents
the aggregate Exercise Price for the number of shares of Common Stock to which this Form of Election to Purchase relates, together
with any applicable taxes payable by the undersigned pursuant to the Warrant. Any capitalized terms used but not defined in this
Form of Election to Purchase shall have the meaning ascribed to them in the accompanying Warrant.

 

The undersigned requests
that certificates for the shares of Common Stock issuable upon this exercise be issued in the name of:

 

______________________________________________________________________________________

(Please insert SS# or FEIN #)

______________________________________________________________________________________

(Please print name and address)

 

If the number of shares
of Common Stock issuable upon this exercise shall not be all of the shares of Common Stock which the undersigned is entitled to
purchase in accordance with the enclosed Warrant, the undersigned requests that a New Warrant evidencing the right to purchase
the shares of Common Stock not issuable pursuant to the exercise evidenced hereby be issued in the name of and delivered to:

 

 

________________________________________________________________________________________

(Please
print name and address)

________________________________________________________________________________________

Dated:
_____________, _____Name of Holder:

 

Signed:
________________________

Print
Name:_____________________

Title:__________________________

 

(Signature
must conform in all respects to name of Holder as specified on the face of the Warrant)

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