Document:

Form of Securities Purchase Agreement, dated June 29, 2006

 Exhibit 10.76 
  
 SECURITIES PURCHASE AGREEMENT 
  
  
  
 Quantum Fuel Systems Technologies Worldwide, Inc. 
 17872 Cartwright Road 
 Irvine, CA 92614 
  
  
  
  
 The
undersigned investor (the “Investor”) hereby confirms Investor’s agreement with Quantum Fuel Systems Technologies Worldwide, Inc. (“Quantum” or the “Company”) as follows: 
  
 1.    This Securities Purchase Agreement is made as of the date
set forth below between the Company and the Investor. 
  
 2.    The Company has authorized the sale and issuance of up to [            ] shares (the “Shares”) of the common stock of the
Company, $0.001 par value per share (the “Common Stock”), to certain investors in a private placement and has authorized that each investor shall receive warrants to purchase that number of shares of the Company’s Common Stock
as specified herein at an exercise price of $             per share, exercisable at any time or from time to time on or prior to June 30, 2011 (the “Common Stock
Warrants” (the “Offering”). As used herein, “Warrants” shall mean the Common Stock Purchase Warrants, in the form attached as Exhibit             
hereto, and “Warrant Shares” shall mean the shares of the Common Stock issuable upon the exercise of the Warrants. The Shares, Warrants and Warrant Shares are sometimes referred to collectively as the “Securities.” 
  
 3.    The Company and the Investor agree that the Investor will
purchase from the Company and the Company will issue and sell to the Investor [            ] Shares at a purchase price of
[$            ] per Share, for an aggregate purchase price of
[$                    ] (the “Purchase Price”), subject to the Terms and Conditions for Purchase of Shares attached hereto as
Annex I and incorporated herein by reference as if fully set forth herein. Unless otherwise requested by the Investor in Exhibit “A”, certificates representing the Shares purchased by the Investor will be registered in the Investor’s
name and address as set forth below. In addition, Investor shall receive Warrants to purchase [            ] shares of the Company’s Common Stock. 
  
 4.    The Investor represents that, except as set forth below,
(a) it has had no position, office or other material relationship within the past three (3) years with the Company or its affiliates, (b) neither it, nor any group of which it is a member or to which it is related, beneficially owns
(including the right to acquire or vote) any securities of the Company, and (c) it has no direct or indirect affiliation or association with any National Association of Securities Dealers, Inc. (“NASD”) member. Exceptions:

  

  
  

  
  

  
  

 (If no exceptions, write
“none.” If left blank, response will be deemed to be “none.”) 
  

			
	 Securities Purchase Agreement
	 	Page 1 of 14

 Please confirm that the foregoing correctly sets forth the agreement between us by signing in the space provided below
for that purpose. 
  

			
	 Dated as of: June     , 2006

	
	 
	 	 	[Investor Name]

  
  

			
	 
		
	By:	 	 
	 	 	     Name:
     Title:

  

			
	 
		
	Address:	 	 
	
	 
	
	 

  
  
 AGREED AND ACCEPTED: 
  

			
	Quantum Fuel Systems Technologies Worldwide, Inc.
		
	By:	 	 
	 	 	     Name:
     Title:

  
  
  
 [SECURITIES PURCHASE AGREEMENT SIGNATURE PAGE] 
  

			
	 Securities Purchase Agreement – Subscription Letter
	 	Page 2 of 14

 ANNEX I 
  
 TERMS AND CONDITIONS FOR PURCHASE
OF SHARES 
  
 1.    Agreement to Sell and Purchase the Shares; Subscription Date. 
  
 1.1    Purchase and Sale. At the Closing (as defined in Section 2), the Company will sell to the Investor,
and the Investor will purchase from the Company, upon the terms and subject to the conditions set forth herein, and at the Purchase Price, the number of Shares described in paragraph 3 of the Securities Purchase Agreement attached hereto
(collectively with this Annex I and the other exhibits attached hereto, this “Agreement”). 
  
 1.2    Other Investors. As part of the Offering, the Company proposes to enter into Securities Purchase
Agreements in the same form as this Agreement with certain other investors (the “Other Investors”), and the Company expects to complete sales of Shares to them. The Investor and the Other Investors are sometimes collectively
referred to herein as the “Investors,” and this Agreement, the Registration Rights Agreement and the Securities Purchase Agreements executed by the Other Investors are sometimes collectively referred to herein as the
“Agreements.” The Company may accept executed Agreements from Investors for the purchase of Shares commencing upon the date on which the Company provides the Investors with the proposed purchase price per Share and concluding upon
the date (the “Subscription Date”) on which the Company has notified Canaccord Adams, Inc. (in its capacity as placement agent for the Shares, the “Placement Agent”) in writing that it will no longer accept
Agreements for the purchase of Shares in the Offering, but in no event shall the Subscription Date be later than July 7, 2006. Each Investor must execute and deliver a Securities Purchase Agreement and a Registration Rights Agreement and must
complete a Stock Certificate Questionnaire (in the form attached as Exhibit “A” hereto) and an Investor Questionnaire (in the form attached as Exhibit “B” hereto) in order to purchase Shares in the Offering. 
  
 1.3    Placement Agent Fee. The
Investor acknowledges that the Company intends to pay to the Placement Agent a fee in respect of the sale of Shares to the Investor from the proceeds of the Offering. 
  
 2.    Delivery of the Shares at Closing. The completion of the purchase and sale of the Shares
(the “Closing”) shall occur on a date specified by the Company and the Placement Agent that is anticipated to be June 30, 2006 (the “Closing Date”), but which date shall not be later than July 7, 2006 (the
“Outside Date”), and of which the Investors will be notified in advance by the Placement Agent. At the Closing, the Company shall deliver to the Investor one or more stock certificates representing the number of Shares set forth in
paragraph 3 of the Stock Purchase Agreement, each such certificate to be registered in the name of the Investor or, if so indicated on the Stock Certificate Questionnaire, in the name of a nominee designated by the Investor, together with the
Warrant. In exchange for the delivery of the subscription agreements, the Investor shall deliver the Purchase Price directly to the Company by wire transfer of immediately available funds pursuant to written instructions. On the Closing Date, the
Company shall cause counsel to the Company to deliver to the Investors a legal opinion, dated the Closing Date, in form and content reasonably acceptable the Investors (the “Legal Opinion”). 
  
 The Company’s obligation to issue and sell the Shares to the Investor
and to deliver to the Investor the Warrant shall be subject to the following conditions, any one or more of which may be waived by the Company: (a) prior receipt by the Company of an executed copy of this Securities Purchase Agreement;
(b) completion of purchases and sales of Shares under the Agreements with the Other Investors; (c) the accuracy of the representations and warranties made by the Investor in this Agreement 

  

			
	 Securities Purchase Agreement – Annex I – Terms and Conditions
	  	Page 3 of 14

 
and the fulfillment of the obligations of the Investor to be fulfilled by it under this Agreement on or prior to the Closing; and (d) the absence of any
order, writ, injunction, judgment or decree that questions the validity of the Agreements or the right of the Company or the Investor to enter into such Agreements or to consummate the transactions contemplated hereby and thereby. 
  
 The Investor’s obligation to purchase the Shares shall be subject to the
following conditions, any one or more of which may be waived by the Investor: (a) the completion of purchases and sales under the Agreements with the investors for an aggregate purchase price of not less than $10 million dollars ($10,000,000
and No/100); (b) the delivery of the Legal Opinion to the Investor by counsel to the Company; (c) the accuracy of the representations and warranties made by the Company in this Agreement on the Closing Date; (c) the execution and
delivery by the Company of the Registration Rights Agreement; and (d) the absence of any order, writ, injunction, judgment or decree that questions the validity of the Agreements or the right of the Company or the Investor to enter into such
Agreements or to consummate the transactions contemplated hereby and thereby. 
  
 In the event that the Closing does not occur on or before the Outside Date as a result of the Company’s failure to satisfy any of the conditions set forth above (and such condition has not been waived by the
Investor), the Company shall return any and all funds paid hereunder to the Investor no later than one Business Day following the Outside Date and the Investors shall have no further obligations hereunder. For purposes of this Agreement,
“Business Day” shall mean any day other than a Saturday, Sunday or other day on which the New York Stock Exchange is permitted or required by law to close. 
  
 3.    Representations, Warranties and Covenants of the Company. Except as otherwise described in
the Company’s Annual Report on Form 10-K/A for the year ended April 30, 2005 (and any amendments thereto filed at least two (2) Business Days prior to the Closing Date), Company’s most recent Quarterly Report on Form 10-Q (or
Form 10-Q/A, as applicable) for the quarters ended January 31, 2006, October 31, 2005 and July 31, 2005 (and any amendments thereto filed at least two (2) Business Days prior to the Closing Date), the Company’s Proxy
Statement for its 2005 Annual Meeting of Shareholders, and any of the Company’s Current Reports on Form 8-K filed since January 31, 2006 (and any amendments thereto filed at least two (2) Business Days prior to the Closing Date) (all
collectively, the “SEC Reports”), the Company hereby represents and warrants to, and covenants with, the Investor as of the date hereof and the Closing Date, as follows: 
  
 3.1    Organization. The Company is duly incorporated and validly existing in
good standing under the laws of the State of Delaware. The Company has full power and authority to own, operate and occupy its properties and to conduct its business as presently conducted and is registered or qualified to do business and in good
standing in each jurisdiction in which it owns property or transacts business and where the failure to be so qualified would have a material adverse effect upon the Company and its subsidiaries as a whole or the business, financial condition,
properties, operations or assets of the Company and its subsidiaries as a whole or the Company’s ability to perform its obligations under the Agreements in all material respects (“Material Adverse Effect”), and no proceeding
has been instituted in any such jurisdiction revoking, limiting or curtailing, or seeking to revoke, limit or curtail, such power and authority or qualification. 
  
 3.2    Due Authorization. The Company has all requisite power and authority to
execute, deliver and perform its obligations under the Agreements. The execution and delivery of the Agreements, and the consummation by the Company of the transactions contemplated hereby, have been duly authorized by all necessary corporate action
and no further action on the part of the Company or its Board of Directors or stockholders is required. The Agreements have been validly executed and delivered by the Company and constitute legal, valid and binding agreements of the Company
enforceable against 

  

			
	 Securities Purchase Agreement
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the Company in accordance with their terms, except to the extent (i) rights to indemnity and contribution may be limited by state or federal securities
laws or the public policy underlying such laws, (ii) such enforceability may be limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar laws affecting creditors’ and contracting parties’ rights generally
and (iii) such enforceability may be subject to general principles of equity (regardless of whether such enforceability is considered in a proceeding in equity or at law). 
  
 3.3    No Conflict or Default. The execution and delivery of the Agreements, the
issuance and sale of the Shares to be sold by the Company under the Agreements, the fulfillment of the terms of the Agreements and the consummation of the transactions contemplated thereby will not: (A) result in a conflict with or constitute a
material violation of, or material default (with the passage of time or otherwise) under, (i) any bond, debenture, note, loan agreement or other evidence of indebtedness, or any material lease, or contract to which the Company is a party or by
which the Company or their respective properties are bound, (ii) the Certificate of Incorporation, by-laws or other organizational documents of the Company, as amended, or (iii) any law, administrative regulation, or existing order of any
court or governmental agency, or other authority binding upon the Company or the Company’s respective properties; or, (B) result in the creation or imposition of any lien, encumbrance, claim, or security interest upon any of the material
assets of the Company or an acceleration of indebtedness pursuant to any obligation, agreement or condition contained in any material bond, debenture, note or any other evidence of indebtedness or any material indenture, mortgage, deed of trust or
any other agreement or instrument to which the Company is a party or by which it is bound or to which any of the property or assets of the Company is subject, that would have a Material Adverse Effect. No consent, approval, authorization or other
order of, or registration, qualification or filing with, any regulatory body, administrative agency, or other governmental body is required for the execution and delivery of the Agreements by the Company and the valid issuance or sale of the Shares
by the Company pursuant to the Agreements, other than such as have been made or obtained, and except for any filings required to be made under federal or state securities laws. 
  
 3.4    Capitalization. The outstanding capital stock of the Company is as
described in the Company’s Quarterly Report on Form 10-Q/A for the three month period ending January 31, 2006 and the private placement memorandum dated June 21, 2006 (the “Memorandum”) provided to Investor. Except as
described in the SEC Reports or the Memorandum, the Company has not issued any capital stock, other than pursuant to the purchase of shares under the Company’s employee stock option plan and the exercise of outstanding warrants or stock
options, in each case as disclosed in the Memorandum or the SEC Reports. The Shares and Warrant Shares to be sold pursuant to the Agreements and the Common Stock Purchase Warrants have been duly authorized, and when issued and paid for in accordance
with the terms of the Agreements and the Common Stock Purchase Warrants, will be duly and validly issued, fully paid and nonassessable, subject to no lien, claim or encumbrance (except for any such lien, claim or encumbrance created, directly or
indirectly, by the Investor). The outstanding shares of capital stock of the Company have been duly and validly issued and are fully paid and nonassessable, have been issued in compliance with the registration requirements of federal and state
securities laws, and were not issued in violation of any preemptive rights or similar rights to subscribe for or purchase securities. The Company owns one hundred percent of all of the outstanding capital stock of each of its subsidiaries, free and
clear of all liens, claims and encumbrances. There are not (i) any outstanding preemptive rights, or (ii) any rights, warrants or options to acquire, or instruments convertible into or exchangeable for, any unissued shares of capital stock
or other equity interest in the Company not disclosed in the SEC Reports or Memorandum, or (iii) any contract, commitment, agreement, understanding or arrangement of any kind to which the Company is a party that would provide for the issuance
or sale of any capital stock of the Company, any such convertible or exchangeable securities or any such rights, warrants or options not disclosed in the SEC Reports or the Memorandum. There are no shareholders agreements, voting 

  

			
	 Securities Purchase Agreement
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agreements or other similar agreements with respect to the Common Stock to which the Company is a party, other than as described in SEC Reports or the
Memorandum. 
  
 3.5    Legal Proceedings. There is no material legal or governmental proceeding pending, or to the actual knowledge of the Company, threatened, to which the Company is a party or of which the business or property
of the Company is subject that is required to be disclosed and that is not so disclosed in the SEC Reports. Other than the information disclosed in the SEC Reports, the Company is not subject to any injunction, judgment, decree or order of any
court, regulatory body, administrative agency or other government body. 
  
 3.6    No Violations. The Company is not in violation of its Certificate of Incorporation, bylaws or other organizational documents, as amended, that is reasonably likely to have a Material
Adverse Effect. The Company is not in violation of any law, administrative regulation, ordinance or order of any court or governmental agency, arbitration panel or authority applicable to the Company, which violation, individually or in the
aggregate, is reasonably likely to have a Material Adverse Effect. The Company is not in default (and there exists no condition which, with the passage of time or otherwise, would constitute a default) in the performance of any bond, debenture, note
or any other evidence of indebtedness or any indenture, mortgage, deed of trust or any other material agreement or instrument to which the Company is a party or by which the Company is bound, which such default is reasonably likely to have a
Material Adverse Effect upon the Company. 
  
 3.7    Governmental Permits, Etc. The Company has all necessary franchises, licenses, certificates and other authorizations from any foreign, federal, state or local government or governmental agency, department
or body that are currently necessary for the operation of the business of the Company as currently conducted, except where the failure to currently possess such franchises, licenses, certificates and other authorizations is not reasonably likely to
have a Material Adverse Effect. 
  
 3.8    Intellectual Property. 
  
 (a)    Except for matters which are not reasonably likely to have a Material Adverse Effect, (i) each of the Company has ownership of, or a license or other legal right to use, all patents,
copyrights, trade secrets, trademarks, customer lists, designs, manufacturing or other processes, computer software, systems, data compilation, research results or other proprietary rights used in the business of the Company (collectively,
“Intellectual Property”) and (ii) all of the Intellectual Property owned by the Company consisting of patents, registered trademarks and registered copyrights have been duly registered in, filed in or issued by the United
States Patent and Trademark Office, the United States Register of Copyrights or the corresponding offices of other jurisdictions and have been maintained and renewed in accordance with all applicable provisions of law and administrative regulations
in the United States and/or such other jurisdictions. 
  
 (b)    Except for matters which are not reasonably likely to have a Material Adverse Effect, all material licenses or other material agreements under which (i) the Company employs rights in Intellectual Property, or
(ii) the Company has granted rights to others in Intellectual Property owned or licensed by the Company are in full force and effect, and there is no default by the Company with respect thereto. 
  
 (c)    The Company believes that it has
taken all steps reasonably required in accordance with sound business practice and business judgment to establish and preserve the ownership of the Company’s material Intellectual Property. 
  

			
	 Securities Purchase Agreement
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 (d)    Except for matters which are not reasonably likely to have a
Material Adverse Effect, to the actual knowledge of the Company, (i) the present business, activities and products of the Company do not infringe any intellectual property of any other person; (ii) neither the Company is making
unauthorized use of any confidential information or trade secrets of any person; and (iii) the activities of any of the employees of the Company, acting on behalf of the Company, do not materially violate any agreements or arrangements related
to confidential information or trade secrets of third parties. 
  
 (e)    Except for matters which are not reasonably likely to have a Material Adverse Effect, and except as disclosed in the SEC Reports, no proceedings are pending, or to the knowledge of the
Company, threatened, which challenge the rights of the Company to the use the Company’s Intellectual Property. 
  
 3.9    Financial Statements. The financial statements of the Company and the related notes contained in the SEC
Reports present fairly and accurately in all material respects the financial position of the Company as of the dates therein indicated, and the results of its operations, cash flows and the changes in shareholders’ equity for the periods
therein specified, subject, in the case of unaudited financial statements for interim periods, to normal year-end audit adjustments. Such financial statements (including the related notes) have been prepared in accordance with generally accepted
accounting principles applied on a consistent basis at the times and throughout the periods therein specified, except that unaudited financial statements may not contain all footnotes required by generally accepted accounting principles. 

 
 3.10    No Material Adverse
Change. Except as disclosed in the SEC Reports or in any press releases issued by the Company at least two (2) Business Days prior to the Closing Date, there has not been (i) an event, circumstance or change that has had or is
reasonably likely to have a Material Adverse Effect upon the Company, (ii) any obligation incurred by the Company that is material to the Company, (iii) any dividend or distribution of any kind declared, paid or made on the capital stock
of the Company, or (iv) any loss or damage (whether or not insured) to the physical property of the Company which has had a Material Adverse Effect. 
  
 3.11    Nasdaq Compliance. The Company’s Common Stock is registered pursuant to Section 12(b) of the
Securities Exchange Act of 1934, as amended (the “Exchange Act”), and is listed on the Nasdaq National Market (“Nasdaq”), and the Company has taken no action intended to, or which to its actual knowledge could have
the effect of, terminating the registration of the Common Stock under the Exchange Act or delisting the Common Stock from Nasdaq. The Company’s Series B Common Stock is not publicly traded. 
  
 3.12    Reporting Status. The
Company has timely made all filings required under the Exchange Act during the twelve (12) months preceding the date of this Agreement, and all of those documents complied in all material respects with the SEC’s requirements as of their
respective filing dates, and the information contained therein as of the respective dates thereof did not contain an untrue statement of a material fact or omit to state a material fact required to be stated therein or necessary to make the
statements therein in light of the circumstances under which they were made not misleading. The Company is currently eligible to register the resale of Common Stock by the Investors pursuant to a registration statement on Form S-3 under the
Securities Act or on such other form as may be available to the Company (the “Registration Statement”). 
  
 3.13    No Manipulation; Disclosure of Information. The Company has not taken and will not take any action
designed to or that might reasonably be expected to cause or result in an unlawful 

  

			
	 Securities Purchase Agreement
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manipulation of the price of the Common Stock to facilitate the sale or resale of the Shares. The Company has not disclosed any material non-public
information to the Investors. 
  
 3.14    Accountants. Ernst & Young LLP, who expressed their opinion with respect to the consolidated financial statements to be incorporated by reference from the Company’s Annual Report on Form 10-K
for the year ended April 30, 2005 into the Registration Statement and the prospectus which forms a part thereof (the “Prospectus”), have advised the Company that they are independent accountants as required by the Securities
Act and the rules and regulations promulgated thereunder. 
  
 3.15    Contracts. Except for matters which are not reasonably likely to have a Material Adverse Effect and those contracts that are substantially or fully performed or expired by their
terms, the contracts listed as exhibits to or described in the SEC Reports that are material to the Company and all amendments thereto, are in full force and effect on the date hereof, and neither the Company nor, to the Company’s actual
knowledge, any other party to such contracts is in material breach of or default under any of such contracts. 
  
 3.16    Taxes. Except for tax matters which are not reasonably likely to have a Material Adverse Effect, each
of the Company and each of its Subsidiaries has filed all necessary federal, state and foreign income and franchise tax returns and has paid or accrued all taxes shown as due thereon. 
  
 3.17    Transfer Taxes. On the Closing Date, all stock transfer or other taxes
(other than income taxes) which are required to be paid in connection with the sale and transfer of the Shares hereunder will be, or will have been, fully paid or provided for by the Company and the Company will have complied with all laws imposing
such taxes. 
  
 3.18    Investment Company. The Company is not an “investment company” or an “affiliated person” of, or “promoter” or “principal underwriter” for an investment company,
within the meaning of the Investment Company Act of 1940, as amended, and will not be deemed an “investment company” as a result of the transactions contemplated by this Agreement. 
  
 3.19    Insurance. The Company
maintains insurance of the types and in the amounts that the Company reasonably believes is adequate for its businesses, including, but not limited to, insurance covering real and personal property owned or leased by the Company against theft,
damage, destruction, acts of vandalism and all other risks customarily insured against by similarly situated companies, all of which insurance is in full force and effect. 
  
 3.20    Offering Prohibitions. Neither the Company nor to its actual knowledge
any person acting on its behalf or at its direction has in the past or will in the future take any action to sell, offer for sale or solicit offers to buy any securities of the Company which would bring the offer or sale of the Shares as
contemplated by this Agreement within the provisions of Section 5 of the Securities Act. 
  
 3.21    Listing. The Company shall comply with all requirements with respect to the issuance of the Shares and
the listing thereof on Nasdaq. 
  
 3.22    Related Party Transactions. Other than described in the SEC Reports, to the knowledge of the Company, no transaction has occurred between or among the Company or any of its affiliates, officers or
directors or any affiliate or affiliates of any such officer or director that with the passage of time are reasonably likely be required to be disclosed pursuant to Section 13, 14 or 15(d) of the Exchange Act. 
  

			
	 Securities Purchase Agreement
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 3.23    Books and Records. The books, records and accounts of
the Company accurately and fairly reflect, in reasonable detail, the transactions in, and dispositions of, the assets of, and the operations of, the Company. The Company maintains a system of internal accounting controls sufficient to provide
reasonable assurances that (i) transactions are executed in accordance with management’s general or specific authorizations, (ii) transactions are recorded as necessary to permit preparation of financial statements in accordance with
generally accepted accounting principles and to maintain asset accountability, (iii) access to assets is permitted only in accordance with management’s general or specific authorization, and (iv) the recorded accountability for assets
is compared with the existing assets at reasonable intervals and appropriate action is taken with respect to any differences. 
  
 3.24    Securities Law Representation Private Placement. Assuming the accuracy of the representations of each
of the Investors, no consent, authorization, approval, permit or order of or filing with any governmental or regulatory authority is required under current laws and regulations in connection with the execution and delivery of this Agreement or the
offer, issuance, sale or delivery of the Shares or the Warrant Shares, other than the qualification thereof, if required, under applicable state securities law, which qualification has been or will be effected as a condition of these sales and the
filing of a Form D with the Securities and Exchange Commission (the “SEC”) in connection with the transactions contemplated by this Agreement. Under the circumstances contemplated by this Agreement, the offer, issuance, sale
and delivery of the Shares will not, under current laws and regulations, require compliance with the registration requirements of the Securities Act of 1933, as amended (the “Securities Act”). 
  
 4.    Representations, Warranties and Covenants of the
Investor. 
  
 4.1    Investor Knowledge and Status. The Investor represents and warrants to, and covenants with, the Company that: (i) the Investor is an “accredited investor” as defined in Regulation D under the
Securities Act, is knowledgeable, sophisticated and experienced in making, and is qualified to make decisions with respect to, investments in securities presenting an investment decision similar to that involved in the purchase of the Securities,
and has requested, received, reviewed and considered all information it deemed relevant in making an informed decision to purchase the Securities; (ii) the Investor understands that the Securities are “restricted securities” and have
not been registered under the Securities Act and is acquiring the number of Securities set forth in paragraph 3 of the Securities Purchase Agreement in the ordinary course of its business and for its own account for investment only, has no present
intention of distributing any of such Securities and has no arrangement or understanding with any other persons regarding the distribution of such Securities (this representation and warranty not limiting the Investor’s right to sell Securities
pursuant to a Registration Statement filed under the Registration Rights Agreement or otherwise, or other than with respect to any claim arising out of a breach of this representation and warranty, the Investor’s right to indemnification under
Section 3 of the Registration Rights Agreement); (iii) the Investor will not, directly or indirectly, offer, sell, pledge, transfer or otherwise dispose of (or solicit any offers to buy, purchase or otherwise acquire or take a pledge of)
any of the Securities except in compliance with the Securities Act, applicable state securities laws and the respective rules and regulations promulgated thereunder; (iv) the Investor has answered all questions in paragraph 4 of the Securities
Purchase Agreement and the Investor Questionnaire attached hereto as Exhibit B for use in preparation of the Registration Statement and the answers thereto are true and correct as of the date hereof and will be true and correct as of the Closing
Date; (v) the Investor will notify the Company promptly of any change in any of such information until such time as the Investor has sold all of its Securities or until the Company is no longer required to keep the Registration Statement
effective; and (vi) the Investor has, in connection with its decision to purchase the number of Securities set forth in 

  

			
	 Securities Purchase Agreement
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paragraph 3 of the Securities Purchase Agreement, relied upon the representations and warranties of the Company contained herein and the information
contained in the SEC Reports. The Investor understands that the issuance of the Securities to the Investor has not been registered under the Securities Act, or registered or qualified under any state securities law, in reliance on specific
exemptions therefrom, which exemptions may depend upon, among other things, the representations made by the Investor in this Agreement. No person (including without limitation the Placement Agent) is authorized by the Company to provide any
representation that is inconsistent with or in addition to those contained herein or in the SEC Reports, and the Investor acknowledges that it has not received or relied on any such representations. 
  
 4.2    Transfer of Securities.
The Investor agrees that it will not make any sale, transfer or other disposition of the Securities (a “Disposition”) other than Dispositions that are made pursuant to the Registration Statement in compliance with any applicable
prospectus delivery requirements or that are exempt from registration under the Securities Act. Investor has not taken and will not take any action designed to or that might reasonably be expected to cause or result in manipulation of the price of
the Common Stock to facilitate the subscription to, or the sale or resale of the Securities. Investor represents and warrants that the Company has not disclosed any material non-public information to the Investor. 
  
 4.3    Power and Authority. The
Investor represents and warrants to the Company that (i) the Investor has full right, power, authority and capacity to enter into this Agreement and to consummate the transactions contemplated hereby and has taken all necessary action to
authorize the execution, delivery and performance of this Agreement, and (ii) this Agreement constitutes a valid and binding obligation of the Investor enforceable against the Investor in accordance with its terms, except to the extent
(i) rights to indemnity and contribution may be limited by state or federal securities laws or the public policy underlying such laws, (ii) such enforceability may be limited by applicable bankruptcy, insolvency, reorganization, moratorium
or similar laws affecting creditors’ and contracting parties’ rights generally and (iii) such enforceability may be subject to general principles of equity (regardless of whether such enforceability is considered in a proceeding in
equity or at law). 
  
 4.4    No Short Position. During the last thirty (30) days prior to the date hereof, Investor nor any affiliate of Investor, foreign or domestic, has, directly or indirectly, effected or agreed to effect any
“short sale” (as defined in Rule 200 under Regulation SHO), whether or not against the box, established any “put equivalent position” (as defined in Rule 16a-1(h) under the 1934 Act) with respect to the Company’s common
stock, borrowed or pre-borrowed any shares of the Company’s common stock, or granted any other right (including, without limitation, any put or call option) with respect to the Company’s common stock or with respect to any security that
includes, relates to or derived any significant part of its value from the Company’s common stock or otherwise sought to hedge its position in the Shares, Warrants and Warrant Shares (each, a “Prohibited Transaction”). Prior to the
earliest to occur of (i) the termination of the Offering, (ii) the date the Registration Statement (defined below) is declared effective by the Securities and Exchange Commission (the “SEC”) or (iii) the Required Effective
Date (as defined below), Investor shall not, and shall cause its affiliates not to, engage, directly or indirectly, in (a) a Prohibited Transaction nor (b) any sale, assignment, pledge, hypothecation, put, call, or other transfer of any of
the Shares, or Warrants or other securities of the Company acquired hereunder. 
  
 4.5    No Investment, Tax or Legal Advice. The Investor understands that nothing in the SEC Reports, this
Agreement, or any other materials presented to the Investor in connection with the purchase and sale of the Securities constitutes legal, tax or investment advice. The Investor has consulted such legal, tax and investment advisors as it, in its sole
discretion, has deemed necessary or appropriate in connection with its purchase of Securities. 
  

			
	 Securities Purchase Agreement
	 	Page 10 of 14

 4.6    Confidential Information. The Investor covenants that
from the date hereof it will maintain in confidence all material non-public information regarding the Company received by the Investor from the Company, including the receipt and content of any Suspension Notice (as defined in the Registration
Rights Agreement)) until such information (a) becomes generally publicly available other than through a violation of this provision by the Investor or its agents or (b) is required to be disclosed in legal proceedings (such as by
deposition, interrogatory, request for documents, subpoena, civil investigation demand, filing with any governmental authority or similar process); provided, however, that before making any disclosure in reliance on this Section 4.6, the
Investor will give the Company at least fifteen (15) days prior written notice (or such shorter period as required by law) specifying the circumstances giving rise thereto and will furnish only that portion of the non-public information which
is legally required and will exercise its commercially reasonable efforts to ensure that confidential treatment will be accorded any non-public information so furnished. The parties acknowledge and agree that as of the date hereof and as of the
Closing Date, the Company has not disclosed any material non-public information to the Investor. 
  
 4.7    Acknowledgments Regarding Placement Agent. The Investor acknowledges that the Placement Agent has
acted solely as placement agent for the Company in connection with the Offering of the Securities by the Company, and that the Placement Agent has made no representation or warranty whatsoever with respect to the accuracy or completeness of
information, data or other related disclosure material that has been provided to the Investor. The Investor further acknowledges that in making its decision to enter into this Agreement and purchase the Securities, it has relied on its own
examination of the Company and the terms of, and consequences of holding, the Securities. The Investor further acknowledges that the provisions of this Section 4.7 are for the benefit of, and may be enforced by, the Placement Agent. Investor
has not received any general solicitation or advertising regarding the Offering and Investor has not been furnished with any oral or written representation or information in connection with the Offering which is not contained in the SEC Reports or
set forth in the Memorandum. 
  
 4.8    Additional Acknowledgement. Investor has thoroughly reviewed and the SEC Reports and the Memorandum (the “Disclosure Documents”) prior to making this investment. Investor has been
granted a reasonable time prior to the date hereof during which we have had the opportunity to obtain such additional information as Investor deems necessary to permit Investor to make an informed decision with respect to the purchase of the Common
Stock. After examination of the SEC Reports and other information available, Investor is fully aware of the business prospects, financial condition, risks associated with investment and the operating history relating to the Company, and therefore in
subscribing for the purchase of the Securities, Investor is not relying upon any information other than information contained in the Disclosure Documents. The Investor acknowledges that it has independently evaluated the merits of the transactions
contemplated by this Agreement, that it has independently determined to enter into the transactions contemplated hereby, that it is not relying on any advice from or evaluation by any Other Investor, and that it is not acting in concert with any
Other Investor in making its purchase of the Securities hereunder. The Investor, together with other purchasers of the Companies Securities in the Offering, have not taken any actions that would deem the Investors to be members of a
“group” for purposes of Section 13(d) of the Exchange Act. 
  
 4.9    No General Solicitation. Investor is not purchasing the Securities as a result of any advertisement, article, notice or other communication regarding the Securities published
in any newspaper, magazine or similar media or broadcast over television or radio or presented at any seminar or any other general solicitation or general advertisement. 
  

			
	 Securities Purchase Agreement
	 	Page 11 of 14

 4.10    Reliance on Exemptions. Investor acknowledges that the
Securities are being offered and sold to it by the Company in reliance on specific exemptions from the registration requirements of the Securities Act of 1933, as amended, and applicable state securities laws and that the Company is relying on the
truth and accuracy of, and Investor’s compliance with, the representations, covenants, warranties, agreements, acknowledgments and understandings of Investor set forth herein in order to determine the availability of such exemptions and the
eligibility of Investor to acquire the Securities. 
  
 4.11    Other. Purchaser agrees to the imprinting, so long as is required under applicable federal and state securities laws, of a legend on each certificate evidencing the Securities in substantially the
following form: 
  
 THE SHARES OF STOCK
REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. THE SHARES HAVE BEEN ACQUIRED FOR INVESTMENT AND MAY NOT BE SOLD, TRANSFERRED OR ASSIGNED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT
FOR THESE SHARES UNDER THE SECURITIES ACT OF 1933 OR AN OPINION OF COUNSEL THAT REGISTRATION IS NOT REQUIRED UNDER THE ACT. 
  
 The legend set forth above shall be removed and the Company shall issue a certificate without such legend to the holder of the Shares upon which it is
stamped or issue to such holder by electronic delivery at the applicable balance account at DTC, if (i) such Shares are registered for resale under the Securities Act, (ii) such Shares are sold or transferred pursuant to Rule 144 (assuming
the transferor is not an Affiliate of the Company), (iii) such Shares are eligible for sale under Rule 144(k), or (iv) if such legend is not required under applicable requirements of the Securities Act (including controlling judicial
interpretations and pronouncements issued by the Commission). The Company shall cause its counsel to issue the legal opinion referred to in the Irrevocable Transfer Agent Instructions to the Company’s transfer agent on the Effective Date. Any
fees (with respect to the Transfer Agent, counsel to the Company or otherwise) associated with the issuance of such opinion or the removal of such legend shall be borne by the Company. Following the Effective Date or at such earlier time as a legend
is no longer required for certain Shares, the Company will no later than three (3) Trading Days following the delivery by a Purchaser to the Company or the Transfer Agent (with notice to the Company) of a legended certificate representing such
Shares (endorsed or with stock powers attached, signatures guaranteed, and otherwise in form necessary to affect the reissuance and/or transfer and an opinion of counsel to the extent required by Section 4.1(a)), deliver or cause to be
delivered to such Purchaser a certificate representing such Shares that is free from all restrictive and other legends. The Company may not make any notation on its records or give instructions to the Transfer Agent that enlarge the restrictions on
transfer set forth in this Section. 
  
 5.    Survival of Representations, Warranties and Agreements. Notwithstanding any investigation made by any party to this Agreement or by the Placement Agent, all covenants, agreements, representations and
warranties made by the Company and the Investor herein shall survive the execution of this Agreement, the delivery to the Investor of the Securities being purchased and the payment therefor, and a party’s reliance on such representations and
warranties shall not be affected by any investigation made by such party or any information developed thereby. 
  

			
	 Securities Purchase Agreement
	 	Page 12 of 14

 6.    Registration of Shares; Public Statements. 
  
 6.1    In connection with the
purchase and sale of the Shares by the Investors contemplated hereby, the Company has entered into a Registration Rights Agreement with each Investor providing for the filing by the Company of a Registration Statement on Form S-3 to enable the
resale of the Shares, the Warrants and the Warrant Shares by the Investors from time to time. 
  
 6.2    The Company agrees to disclose on a Current Report on Form 8-K the existence of the Offering and the
material terms, thereof, including pricing, within three (3) Business Day after the Closing. The Company will not issue any public statement, press release or any other public disclosure listing the Investor as one of the purchasers of the
Securities without the Investor’s prior review of the statement and prior consent thereto, except as may be required by applicable law or rules of any exchange on which the Company’s securities are listed. 
  
 7.    Notices. All notices, requests,
consents and other communications hereunder shall be in writing, shall be delivered (A) if within the United States, by first-class registered or certified airmail, or nationally recognized overnight express courier, postage prepaid, or by
facsimile, or (B) if from outside the United States, by International Federal Express (or comparable service) or facsimile, and shall be deemed given (i) if delivered by first-class registered or certified mail domestic, upon the Business
Day received, (ii) if delivered by nationally recognized overnight carrier, one (1) Business Day after timely delivery to such carrier, (iii) if delivered by International Federal Express (or comparable service), two (2) Business
Days after timely delivery to such carrier, (iv) if delivered by facsimile, upon electric confirmation of receipt and shall be addressed as follows, or to such other address or addresses as may have been furnished in writing by a party to
another party pursuant to this paragraph: 
  

	 	(a)	if to the Company, to: 

  
 Quantum Fuel Systems Technologies Worldwide, Inc. 
 178 72 Cartwright Road 
 Irvine, CA 92614 
 Attention: Brian Olson Telephone: (949) 399-4500 
 Fax: (949) 474-3086 
  
 with a copy to: 
  
 Kerr, Russell and Weber, PLC 
 Attention: Patrick Haddad 
 500 Woodward Ave., Suite 2500 
 Detroit, MI 48226-3427 
 Telephone: (313) 961-0200 
 Fax: (313) 961-0388 
  

	 	(b)	if to the Investor, at its address on the signature page to the Stock Purchase Agreement. 

  
 8.    Amendments; Waiver. This Agreement may not be modified or amended except pursuant to
an instrument in writing signed by the Company and the Investor. Any waiver of a provision of this Agreement must be in writing and executed by the party against whom enforcement of such waiver is sought. 

  

			
	 Securities Purchase Agreement
	 	Page 13 of 14

 9.      Headings. The headings of the various sections of this
Agreement have been inserted for convenience of reference only and shall not be deemed to be part of this Agreement. 
  
 10.    Entire Agreement; Severability. This Agreement sets forth the entire agreement and understanding of the parties relating
to the subject matter hereof and supersedes all prior and contemporaneous agreements, negotiations and understandings between the parties, both oral and written relating to the subject matter hereof. If any provision contained in this Agreement is
determined to be invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions contained herein shall not in any way be affected or impaired thereby. 
  
 11.    Governing Law. This Agreement shall be
governed by, and construed in accordance with, the internal laws of the State of New York, without giving effect to the principles of conflicts of law. 
  
 12.    Counterparts. This Agreement may be executed in two or more counterparts, each of which shall constitute an original,
but all of which, when taken together, shall constitute but one instrument, and shall become effective when one or more counterparts have been signed by each party hereto and delivered to the other parties. 
  

			
	 Securities Purchase Agreement
	 	Page 14 of 14

 EXHIBIT A 
  
 STOCK CERTIFICATE QUESTIONNAIRE 
  
 Please provide us with the following information: 
  

					
	1.	  	The exact name in which your Securities are to be registered (this is the name that will
appear on your stock certificate(s)). You may use a nominee name if appropriate:	  	 
	2.	  	If a nominee name is listed in response to item 1 above, the relationship between the Investor and such
nominee:	  	 
	3.	  	The mailing address of the registered holder listed in response to item 1 above:	  	 
	4.	  	The Social Security Number or Tax Identification Number of the registered holder listed in the response to item 1
above:	  	 

  

 A-1 

 EXHIBIT B 
  
 INVESTOR QUESTIONNAIRE 
  
 (All information will be treated confidentially) 
  

	To:	Quantum Fuel Systems Technologies Worldwide, Inc. 

  
 The undersigned hereby acknowledges the following: 
  
 This Investor Questionnaire (“Questionnaire”) must be completed by each potential investor in connection with the offer and sale of the
shares of the common stock, par value $0.001 per share (the “Shares”), of Quantum Fuel Systems Technologies Worldwide, Inc. (the “Company”). The Shares are being offered and sold by the Company without registration
under the Securities Act of 1933, as amended (the “Securities Act”), and the securities laws of certain states, in reliance on the exemptions contained in Section 4 of the Securities Act and on Regulation D promulgated
thereunder and in reliance on similar exemptions under applicable state laws. The Company must determine that a potential investor meets certain suitability requirements before offering or selling Shares to such investor. The purpose of this
Questionnaire is to assure the Company that each investor will meet the applicable suitability requirements. The information supplied by the undersigned will be used in determining whether the undersigned meets such criteria, and reliance upon the
private offering exemption from registration is based in part on the information herein supplied. 
  
 This Questionnaire does not constitute an offer to sell or a solicitation of an offer to buy any security. The undersigned’s answers will be kept
strictly confidential. However, by signing this Questionnaire the undersigned will be authorizing the Company to provide a completed copy of this Questionnaire to such parties as the Company deems appropriate in order to ensure that the offer and
sale of the Shares will not result in a violation of the Securities Act or the securities laws of any state and that the undersigned otherwise satisfies the suitability standards applicable to purchasers of the Shares. All potential investors must
answer all applicable questions and complete, date and sign this Questionnaire. The undersigned shall print or type its responses and attach additional sheets of paper if necessary to complete its answers to any item. 
  

	A.	BACKGROUND INFORMATION 

  
  

	Name:                                     
                                        
                                        
                                        
                                        
                                        
       	

  

	Business	Address:                                     
                                        
                                        
                                        
                                        
                          

                                        
                                        
                 (Number and Street) 
  
  
                                       
                                        
                                        
                                        
                                        
                                        
                    
 (City)                                      
                          (State)             
                                        
                               (Zip Code) 
  

	Telephone	Number: (            )                        
                                        
                                        
                                        
                                        
                 

  

	Residence	Address:                                     
                                        
                                        
                                        
                                        
                       

                                        
                                        
                 (Number and Street) 
  
  
                                       
                                        
                                        
                                        
                                        
                                        
                    
 (City)                                      
                          (State)             
                                        
                               (Zip Code) 
  

	Telephone	Number: (            )                        
                                        
                                        
                                        
                                        
                 

  
 If an individual: 
  

	Age:            	                                Citizenship:    
                                     Where
 registered to vote:                                  
                                        

  

 B-1 

 If a corporation, partnership, limited liability company, trust or other entity:

  
 Type of entity:                                  
                                        
                                        
                                        
                                        
                                    
  
 State of formation:                                 
                                     Date of
 formation:                                     
                                        
                          
  
 Social Security or Taxpayer Identification No.                          
                                        
                                        
                                        
                       
  
 Send all correspondence to (check one):              Residence Address         
                                        
                            Business Address 
  
  

	B.	STATUS AS ACCREDITED INVESTOR 

  
  
 The undersigned is an “accredited investor” as such
term is defined in Regulation D under the Securities Act, because at the time of the sale of the Shares the undersigned falls within one or more of the following categories (Please initial one or more, as applicable): 
  
  
               (1) a bank as defined in Section 3(a)(2) of the Securities Act, or a savings and loan association or other institution as defined in
Section 3(a)(5)(A) of the Securities Act whether acting in its individual or fiduciary capacity; a broker or dealer registered pursuant to Section 15 of the Securities Exchange Act of 1934; an insurance company as defined in
Section 2(13) of the Securities Act; 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; a Small Business Investment Company licensed by
the U.S. Small Business Administration under Section 301(c) or (d) of the Small Business Investment Act of 1958; 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 such plan has total assets in excess of $5,000,000; an employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974 if the investment decision is made by
a plan fiduciary, as defined in Section 3(21) of such act, which is either a bank, savings and loan association, insurance company, or registered investment adviser, or if the employee benefit plan has total assets in excess of $5,000,000 or,
if a self-directed plan, with the investment decisions made solely by persons that are accredited investors;1

  
  
               (2) a private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940; 
  
  
               (3) an organization described in Section 501(c)(3) of the Internal Revenue Code of 1986, corporation, Massachusetts or similar business
trust, or partnership, not formed for the specific purpose of acquiring the Shares offered, with total assets in excess of $5,000,000; 
  
  
               (4) a natural person whose individual net worth, or joint net worth with that person’s spouse, at the time of such person’s purchase
of the Shares exceeds $1,000,000; 
  
  
               (5) a natural person who had an individual income in excess of $200,000 in
each of the two most recent years or joint income with that person’s spouse in excess of $300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year; 
  

 1 As used in this Questionnaire, the term “net worth” means the excess of total assets over total liabilities. In
computing net worth for the purpose of subsection (4), the principal residence of the investor must be valued at cost, including cost of improvements, or at recently appraised value by a professional appraiser. In determining income, the investor
should add to the investor’s adjusted gross income any amounts attributable to tax exempt income received, losses claimed as a limited partner in any limited partnership, deductions claimed for depreciation, contributions to an IRA or KEOGH
retirement plan, alimony payments, and any amount by which income from long-term capital gains has been reduced in arriving at adjusted gross income. 
  

 B-2 

               (6) a trust, with total
assets in excess of $5,000,000, not formed for the specific purpose of acquiring the Shares offered, whose purchase is directed by a sophisticated person as described in Rule 506(b)(2)(ii) of Regulation D; and 
  
  

	              (7)	an entity in which all of the equity owners are accredited investors (as defined above). 

  
  

	C.	REPRESENTATIONS 

  
  
 The undersigned hereby represents and warrants to the
Company as follows: 
  
  
 1. Any purchase of the Shares would be solely for the account of the undersigned and not for the account of any other person or with a view to any
resale, fractionalization, division, or distribution thereof. 
  
  
 2. The information contained herein is complete and accurate and may be relied upon by the Company, and the undersigned will notify the Company
immediately of any material change in any of such information occurring prior to the closing, if any, with respect to the purchase of Shares by the undersigned or any co-purchaser. 
  
  
 3. The undersigned acknowledges that
there may occasionally be times when the Company, based on the advice of its counsel, determines that it must suspend the use of the Prospectus forming a part of the Registration Statement (as such terms are defined in the Stock Purchase Agreement
to which this Questionnaire is attached) until such time as an amendment to the Registration Statement has been filed by the Company and declared effective by the Securities and Exchange Commission or until the Company has amended or supplemented
such Prospectus. The undersigned is aware that, in such event, the Shares will not be subject to ready liquidation, and that any Shares purchased by the undersigned would have to be held during such suspension. The overall commitment of the
undersigned to investments which are not readily marketable is not excessive in view of the undersigned’s net worth and financial circumstances, and any purchase of the Shares will not cause such commitment to become excessive. The undersigned
is able to bear the economic risk of an investment in the Shares. 
  
  
 4. The following is a list of all states and other jurisdictions in which blue sky or similar clearance will be required in connection with the
undersigned’s purchase of the Shares: 
  
  
  

			
	 	 	 
		
	 	 	 
		
	 	 	 

  
  
 The undersigned agrees to notify the Company in writing of any additional states or other jurisdictions in which blue sky or similar clearance will be required in
connection with the undersigned’s purchase of the Shares. 
  

 B-3 

 IN WITNESS WHEREOF, the undersigned has executed this Questionnaire on [July [    ], 2006],
and declares under oath that it is truthful and correct. 
  
  

			
	Print Name
		
	By:	 	 
	 Signature

			
		
	 Title:
	 	 
	 	 	 (required for any purchaser that is a corporation,
 partnership, trust or other entity)

  
  
  
  
  

 ACCEPTED ON BEHALF OF THE COMPANY: 
  
  
  

													
	 QUANTUM FUEL SYSTEMS TECHNOLOGIES
 WORLDWIDE, INC.
	 	 	 	 	 	 	 	 Shares
Purchased:                                     
        

	 	 	 	 	 	 	 	 	 Dollar Amount Invested:

	By:	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 Name:
 Title:
	 	 	 	 	 	 	 	 $                                      
              

  

 B-4 

  

 C-1Form of Registrations Rights Agreement, dated June 29, 2006

 Exhibit 10.77 
  
 REGISTRATION RIGHTS AGREEMENT 
  
 This Registration Rights Agreement (the “Agreement”) is made as of the date set
forth below between Quantum Fuel Systems Technologies Worldwide, Inc., a Delaware corporation (the “Company”), and the purchasers of its Common Stock (as defined below) pursuant to a Securities Purchase Agreement dated as of the
date hereof (each in “Investor” and, collectively, the “Investors”). Capitalized terms used and not defined herein shall have the respective meanings ascribed to them in the Securities Purchase Agreement. 
  
 R E C I T A L S 
  
 WHEREAS, the Company has sold to up to
[            ] shares (the “Shares”) of its common stock, $0.001 par value per share, (the “Common Stock”), to certain investors in a private placement
(the “Offering”); and 
  
 WHEREAS, the execution
and delivery of this Agreement by the Company is a condition to the completion of the Offering. 
  
 NOW, THEREFORE, the parties hereto agree as follows: 
  
 1. Registration Procedures and Expenses. The Company shall: 
  
 (a) subject to receipt of necessary information from
the Investors, prepare and file with the Securities and Exchange Commission (“SEC”), within thirty (30) Calendar Days after the Closing Date (the “Required Filing Date”), a Registration Statement on Form S-3 to
enable the resale of the Shares by the Investors from time to time; 
  
 (b) use its best efforts, subject to receipt of necessary information from the Investors, to cause the Registration Statement to become effective as soon as practicable, but in no event later than ninety
(90) days unless such Registration statement is reviewed by the SEC, in which case the number of days shall be increased to one hundred twenty (120) days after the Closing Date (the “Required Effective Date”). If the
Registration Statement (i) has not been filed by the Required Filing Date or (ii) has not been declared effective by the SEC on or before the Required Effective Date, then the Company shall, immediately following the Required Filing Date
(if not then so filed) and the Required Effective Date (if not then so effective), and on each 30th day anniversary
thereafter, make a payment to the Investor as compensation for such delay (the “Late Registration Payments”) an amount equal to one half of one percent (0.5%) of the Purchase Price paid for the Shares purchased by the Investor, until the
Registration Statement is filed or declared effective by the SEC. Notwithstanding the foregoing, in no event shall the total of all Late Registration Payments exceed in the aggregate ten percent (10%) of such Purchase Price. Late Registration
Payments, if any, will be prorated on a daily basis and will be paid to Investor by wire transfer or check within five (5) Business Days after the date that each payment is due; 
  
 (c) use its commercially reasonable best efforts to prepare and file with the SEC such amendments and
supplements to the Registration Statement and the Prospectus as may be necessary to keep the Registration Statement current and effective for a period ending on the earlier of (i) the date on which the Investor may sell Shares pursuant to
paragraph (k) of Rule 144 under the Securities Act or any successor rule (“Rule 144”) or (ii) such time as all Shares purchased by such Investor in this Offering have been sold pursuant to a registration statement 

  

			
	 Registration Rights Agreement
	 	Page 1 of 10

 
or Rule 144, and to notify each Investor promptly upon the Registration Statement and each post-effective amendment thereto, being declared effective by the
SEC; 
  
 (d) furnish to the Investor such
number of copies (in paper or electronic version) of the Registration Statement and the Prospectus (including supplemental prospectuses), as the Investor may reasonably request, in order to facilitate the public sale or other disposition of all or
any of the Shares by the Investor; 
  
 (e)
file documents required of the Company for normal blue sky clearance in states specified in writing by the Investor; provided, however, that the Company shall not be required to qualify to do business or consent to service of process in any
jurisdiction in which it is not now so qualified or has not so consented; 
  
 (f) bear all expenses (other than underwriting discounts and commissions, if any) in connection with the procedures in paragraph (a) through (e) of this Section 1 and the registration of the
Shares pursuant to the Registration Statement; 
  
 (g) advise the Investors, promptly after it shall receive notice or obtain knowledge of the issuance of any stop order by the SEC delaying or suspending the effectiveness of the Registration Statement or of the initiation of any
proceeding for that purpose; and it will promptly use its commercially reasonable efforts to prevent the issuance of any stop order or to obtain its withdrawal at the earliest possible moment if such stop order should be issued; and 
  
 (h) with a view to making available to the Investor
the benefits of Rule 144 or other rule that may permit the Investor to sell Shares without registration, the Company agrees to use its commercially reasonable efforts to: (i) make and keep public information available, as those terms are
understood and defined in Rule 144, until the earlier of (A) such date as all of the Investor’s Shares may be resold pursuant to Rule 144(k) or (B) such date as all of the Investor’s Shares shall have been sold; (ii) file
with the SEC in a timely manner all reports and other documents required of the Company under the Securities Act and under the Exchange Act; and (iii) furnish to the Investor upon request a written statement that the Company has complied with
the reporting requirements of the Securities Act and the Exchange Act, a copy (in paper or electronic version) of the Company’s most recent Annual Report on Form 10-K or Quarterly Report on Form 10-Q, and (C) such other information as may
be reasonably requested that permits the selling of any such Shares without registration. 
  
 It shall be a condition precedent to the obligations of the Company to take any action pursuant to this Section 1 that the Investor shall furnish to the Company such information and representations regarding
Investor, the Shares to be sold by Investor, and the intended method of disposition of such securities as shall be required to effect the registration of the Shares and/or sale under Rule 144. 
  
 The Company understands that the Investor disclaims being an underwriter, but
acknowledges that a determination by the SEC that the Investor is deemed an underwriter shall not relieve the Company of any obligations it has hereunder. 
  
 2. Transfer of Shares After Registration; Suspension. 
  
 (a) The Investor agrees that it will not effect any disposition or other transfer of the Shares or its right to purchase the Shares
that would constitute a sale within the meaning of the Securities Act other than transactions exempt from the registration requirements of the Securities Act, as contemplated in the Registration Statement and as described below, and that it will
promptly notify the 

  

			
	 Registration Rights Agreement
	 	Page 2 of 10

 
Company of any material changes in the information set forth in the Registration Statement regarding the Investor or its plan of distribution. 
  
 (b) Except in the event that paragraph (c) below
applies, the Company shall: (i) if deemed necessary by the Company, prepare and file from time to time with the SEC a post-effective amendment to the Registration Statement or a supplement to the related Prospectus or a supplement or amendment
to any document incorporated therein by reference or file any other required document so that such Registration Statement will not contain an untrue statement of a material fact or omit to state a material fact required to be stated therein or
necessary to make the statements therein not misleading, and so that, as thereafter delivered to purchasers of the Shares being sold thereunder, such Prospectus will not contain an untrue statement of a material fact or omit to state a material fact
required to be stated therein or necessary to make the statements therein, in light of the circumstances under which they were made, not misleading; (ii) provide the Investor with either copies of any documents filed pursuant to
Section 2(b)(i) or access to such documents electronically; and (iii) upon request, inform each Investor who so requests that the Company has complied with its obligations in Section 2(b)(i) (or that, if the Company has filed a
post-effective amendment to the Registration Statement which has not yet been declared effective, the Company will notify the Investor to that effect, will use its best efforts to secure the effectiveness of such post-effective amendment as promptly
as possible and will promptly notify the Investor pursuant to Section 2(b)(i) hereof when the amendment has become effective). 
  
 (c) Subject to paragraph (d) below, in the event: (i) of any request by the SEC or any other federal or state
governmental authority during the period of effectiveness of the Registration Statement for amendments or supplements to the Registration Statement or related Prospectus or for additional information; (ii) of the issuance by the SEC or any
other federal or state governmental authority of any stop order suspending the effectiveness of the Registration Statement or the initiation of any proceedings for that purpose; (iii) of the receipt by the Company of any notification with
respect to the suspension of the qualification or exemption from qualification of any of the Shares for sale in any jurisdiction or the initiation of any proceeding for such purpose; or (iv) of any event or circumstance which necessitates the
making of any material changes in the Registration Statement or Prospectus, or any document incorporated or deemed to be incorporated therein by reference, so that, in the case of the Registration Statement, it will not contain any untrue statement
of a material fact or omit to state a material fact required to be stated therein or necessary to make the statements therein not misleading, and that in the case of the Prospectus, it will not contain any untrue statement of a material fact or omit
to state a material fact required to be stated therein or necessary to make the statements therein, in the light of the circumstances under which they were made, not misleading; then the Company shall promptly deliver a certificate in writing or
electronically to the Investor (the “Suspension Notice”) to the effect of the foregoing and, upon receipt of such Suspension Notice, the Investor will refrain from selling any Shares pursuant to the Registration Statement (a
“Suspension”) until the Investors are advised in writing by the Company that the current Prospectus may be used, and has received copies of any additional or supplemental filings that are incorporated or deemed incorporated by
reference in any such Prospectus. Notwithstanding the foregoing, the right of the Company to implement a Suspension shall be limited to two such Suspensions in any twelve-month period, each of which may not exceed 30 days. In the event of any
Suspension, the Company will use its reasonable best efforts to cause the use of the Prospectus so suspended to be resumed as soon as reasonably practicable after delivery of a Suspension Notice to the Investors. In addition to and without limiting
any other remedies (including, without limitation, at law or at equity) available to the Investor, the Investor shall be entitled to specific performance in the event that the Company fails to comply with the provisions of this Section 2(c).
The Investor covenants that from the date hereof it will maintain in confidence the receipt and content of any Suspension Notice provided in accordance with this paragraph (c) in accordance with and subject to Section 4.6 of Annex I to the
Securities Purchase Agreement. 
  

			
	 Registration Rights Agreement
	 	Page 3 of 10

 (d) If a Suspension is not then in effect, the Investor may sell Shares under the
Registration Statement, provided that it complies with any applicable prospectus delivery requirements. Upon receipt of a request therefor, the Company will provide an adequate number of current Prospectuses to the Investor and to any other parties
requiring such Prospectuses. 
  
 (e) In
the event of a sale of Shares by the Investor, unless such requirement is waived by the Company in writing, the Investor must also deliver to the Company’s transfer agent, with a copy to the Company, a Certificate of Subsequent Sale
substantially in the form attached hereto as Exhibit A, so that the Shares may be properly transferred. 
  
 (f) The Company agrees that it shall, immediately prior to the Registration Statement being declared effective, deliver to its
transfer agent an opinion letter of counsel, opining that at any time the Registration Statement is effective, the transfer agent shall issue, in connection with the sale of the Shares, certificates representing such Shares without restrictive
legend, provided the Shares are to be sold pursuant to the Prospectus contained in the Registration Statement and the transfer agent receives a Certificate of Subsequent Sale in the form attached hereto as Exhibit “A.” Upon receipt of such
opinion, the Company shall cause the transfer agent to confirm, for the benefit of the Investor, that no further opinion of counsel is required at the time of transfer in order to issue such Shares without restrictive legend. 
  
 The Company shall cause its transfer agent to issue a certificate without any restrictive
legend to a purchaser of any Shares from the Investor at Investor’s expense and upon request of Investor, if (a) the sale of such Shares is registered under the Registration Statement (including registration pursuant to Rule 415 under the
Securities Act) and the Investor has delivered a Certificate of Subsequent Sale to the Transfer Agent; (b) the holder has provided the Company with an opinion of counsel, in form, substance and scope customary for opinions of counsel in
comparable transactions, to the effect that a public sale or transfer of such Shares may be made without registration under the Securities Act; or (c) such Shares are sold in compliance with Rule 144 under the Securities Act. In addition, the
Company shall, at the Investors expense and upon request of the Investor, remove the restrictive legend from any Shares held by the Investor following the expiration of the holding period required by Rule 144(k) under the Securities Act (or any
successor rule). 
  
 3. Indemnification. For the
purpose of this Section 3: 
  
 (a)
the term “Selling Shareholder” shall mean the Investor and each person, if any, who controls the Investor within the meaning of Section 15 of the Securities Act or Section 20 of the Exchange Act; 
  
 (b) the term “Registration
Statement” shall mean the final Prospectus, supplement or amendment thereto (or deemed to be a part thereof) referred to in Section 1; and 
  
 (c) the term “untrue statement” shall mean any material untrue statement, or any material omission of a statement
of a material fact required to be made therein or necessary to make the statements therein, in the light of the circumstances under which they were made, not materially misleading. 
  
 (d) (i) The Company agrees to indemnify and hold harmless each Selling Shareholder from and
against any losses, or damages to which such Selling Shareholder may incur (under the Securities Act or otherwise) insofar as such losses or damages arise out of (i) any untrue statement of a material fact contained in the Registration
Statement, or (ii) any inaccuracy in the 

  

			
	 Registration Rights Agreement
	 	Page 4 of 10

 
representations of the Company contained in this Agreement. The Company will reimburse such Selling Shareholder for any reasonable legal expense incurred or
any out of pocket expenses reasonably incurred in defending any such claim or action; provided, however, that the Company shall not be liable in any such case to the extent that such loss or damage arises out of, or is based upon, an untrue
statement made in such Registration Statement in reliance upon and in conformity with written information furnished to the Company by or on behalf of such Selling Shareholder for use in preparation of the Registration Statement, or any inaccuracy in
representations made by such Selling Shareholder in the Investor Questionnaire or the failure of such Selling Shareholder to comply with its covenants and agreements contained in Sections in this Agreement or contained in the Securities Purchase
Agreement or any statement or omission in any Prospectus that is corrected in any subsequent Prospectus that was delivered to the Selling Shareholder prior to the pertinent sale or sales by the Selling Shareholder. The obligation to indemnify shall
be limited to the net amount of the proceeds received by the Company from the Investor as a result of the Offering. 
  
 (ii) The Investor agrees to indemnify and hold harmless the Company (and each person, if any, who controls the Company within the
meaning of Section 15 of the Securities Act, each officer of the Company who signs the Registration Statement and each director of the Company) from and against any losses or damage to which the Company (or any such officer, director or
controlling person) may become subject (under the Securities Act or otherwise), insofar as such loss or damage (or actions or proceedings in respect thereof) arise out of, or are based upon, (i) any failure to comply with the covenants and
agreements contained in this Agreement or of the Securities Purchase Agreement or (ii) any untrue statement of a material fact contained in the Registration Statement if, and only if, such untrue statement was made in reliance upon and in
conformity with written information furnished by or on behalf of the Investor specifically for use in preparation of the Registration Statement. The Investor will reimburse the Company (or such officer, director or controlling person), as the case
may be, for any reasonable legal expense or other actual accountable out-of-pocket expenses reasonably incurred in defending any such claim, action or proceeding. The obligation to indemnify shall be limited to the net amount of the proceeds
received by the Investor from the sale of the Shares pursuant to the Registration Statement. 
  
 (iii) Promptly after receipt by any indemnified person of a notice of a claim or the beginning of any action in respect of which
indemnity is to be sought against an indemnifying person pursuant to this Section 3, such indemnified person shall notify the indemnifying person in writing of such claim or of the commencement of such action, but the omission to so notify the
indemnifying party will not relieve it from any liability which it may have to any indemnified party under this Section 3 (except to the extent that such omission materially and adversely affects the indemnifying party’s ability to defend
such action) or from any liability otherwise than under this Section 3. Subject to the provisions hereinafter stated, in case any such action shall be brought against an indemnified person, the indemnifying person shall be entitled to
participate therein, and, to the extent that it shall elect by written notice delivered to the indemnified party promptly after receiving the aforesaid notice from such indemnified party, shall be entitled to assume the defense thereof, with counsel
reasonably satisfactory to such indemnified person. After notice from the indemnifying person to such indemnified person of its election to assume the defense thereof (unless it has failed to assume the defense thereof and appoint counsel reasonably
satisfactory to the indemnified party), such indemnifying person shall not be liable to such indemnified person for any legal expenses subsequently incurred by such indemnified person in connection with the defense thereof; provided, however, that
if there exists or shall exist a conflict of interest that would make it inappropriate, in the reasonable opinion of counsel to the indemnified person, for the same counsel to represent both the indemnified person and such indemnifying person or any
affiliate or associate thereof, the indemnified person shall be entitled to retain its own counsel at the expense of such indemnifying person; provided, however, that no indemnifying person shall be responsible for the fees and expenses of more than
one separate counsel (together with appropriate local 

  

			
	 Registration Rights Agreement
	 	Page 5 of 10

 
counsel) for all indemnified parties. In no event shall any indemnifying person be liable in respect of any amounts paid in settlement of any action unless
the indemnifying person shall have approved the terms of such settlement; provided that such consent shall not be unreasonably withheld. No indemnifying person shall, without the prior written consent of the indemnified person, effect any settlement
of any pending or threatened proceeding in respect of which any indemnified person is or could reasonably have been a party and indemnification could have been sought hereunder by such indemnified person, unless such settlement includes an
unconditional release of such indemnified person from all liability on claims that are the subject matter of such proceeding. 
  
 (iv) If the indemnification provided for in this Section 3 is unavailable to or insufficient to hold harmless an indemnified
party under paragraphs 3(d)(i) or 3(d)(ii) above in respect of any loss or damage (or actions or proceedings in respect thereof) referred to therein, then each indemnifying party shall contribute to the amount paid or payable by such indemnified
party as a result of such loss or damage (or actions in respect thereof) in such proportion as is appropriate to reflect the relative fault of the Company on the one hand and the Investor on the other in connection with the statements or omissions
or other matters which resulted in such loss or damage (or actions in respect thereof), as well as any other relevant equitable considerations. The relative fault shall be determined by reference to, among other things, in the case of an untrue
statement, whether the untrue statement relates to information supplied by the Company on the one hand or the Investor on the other and the parties’ relative intent, knowledge, access to information and opportunity to correct or prevent such
untrue statement. The Company and the Investor agree that it would not be just and equitable if contribution pursuant to this subsection (d) were determined by pro rata allocation (even if the Investors were treated as one entity for such
purpose) or by any other method of allocation which does not take into account the equitable considerations referred to above in this subsection (d). The amount paid or payable by an indemnified party as a result of the loss or damage (or actions in
respect thereof) referred to above in this subsection (d) shall be deemed to include any reasonable legal fees incurred by such indemnified party in connection with defending any such action or claim. Notwithstanding the provisions of this
subsection (d), the Investor shall not be required to contribute any amount in excess of the amount by which the gross amount received by the Investor from the sale of the Shares to which such loss relates exceeds the amount of any damages which the
Investor has otherwise been required to pay by reason of such untrue statement. No person guilty of fraudulent misrepresentation (within the meaning of Section 11(f) of the Securities Act) shall be entitled to contribution from any person who
was not guilty of such fraudulent misrepresentation. The Investors’ obligations in this subsection to contribute are several in proportion to their sales of Shares to which such loss relates and not joint. 
  
 (e) The parties to this Agreement hereby acknowledge
that they are sophisticated business persons who were represented by counsel during the negotiations regarding the provisions hereof including, without limitation, the provisions of this Section 3, and are fully informed regarding said
provisions. They further acknowledge that the provisions of this Section 3 fairly allocate the risks in light of the ability of the parties to investigate the Company and its business in order to assure that adequate disclosure is made in the
Registration Statement as required by the Securities Act and the Exchange Act. 
  
 4. Termination of Conditions and Obligations. The conditions precedent imposed by Section 4 of the Securities Purchase Agreement or this Agreement upon the transferability of the Shares shall cease
and terminate as to any particular number of the Shares when such Shares shall have been effectively registered under the Securities Act and sold or otherwise disposed of in accordance with the intended method of disposition set forth in the
Registration Statement covering such Shares or at such time as an opinion of counsel satisfactory to the Company shall have been rendered to the effect that such conditions are not necessary in order to comply with the Securities Act. 
  

			
	 Registration Rights Agreement
	 	Page 6 of 10

 5. Information Available. So long as the Registration Statement is effective covering the
resale of Shares owned by the Investor, the Company will furnish (or, to the extent such information is available electronically through the Company’s filings with the SEC, the Company will make available) to the Investor: 
  
 (a) as soon as practicable after it is available, one
copy of (i) its Annual Report to Shareholders (which Annual Report shall contain financial statements audited in accordance with generally accepted accounting principles by a national firm of certified public accountants) and (ii) if not
included in substance in the Annual Report to Shareholders, its Annual Report on Form 10-K (the foregoing, in each case, excluding exhibits); and, 
  
 (b) upon the reasonable request of the Investor, an adequate number of copies of the Prospectuses to supply to any other party
requiring such Prospectuses either in printed or electronic form. 
  
 6. Limits on Additional Issuances. Except for the issuance of stock options under the Company’s stock option plan, the issuance of warrants to purchase the Company’s common stock, or the issuance of common stock
under the Company’s employee stock purchase plan or upon exercise of outstanding options and warrants and the offering contemplated hereby, the Company will not, for a period of three (3) months following the Closing Date, offer for sale
or sell any securities unless, in the opinion of the Company’s counsel, such offer or sale does not jeopardize the availability of exemptions from the registration and qualification requirements under applicable securities laws with respect to
the Offering. The foregoing shall not apply to securities issued in connection with any acquisition, including by way of merger, or purchase of stock or all or substantially all of the assets of any third party. The foregoing provisions shall not
prevent the Company from filing a “shelf” registration statement pursuant to Rule 415 under the Securities Act, but the foregoing provisions shall apply to any sale of securities thereunder. 
  
 7. Notices. All notices, requests, consents and other
communications hereunder shall be in writing, shall be delivered (A) if within the United States, by first-class registered or certified airmail, or nationally recognized overnight express courier, postage prepaid, or by facsimile, or
(B) if from outside the United States, by International Federal Express (or comparable service) or facsimile, and shall be deemed given (i) if delivered by first-class registered or certified mail domestic, upon the Business Day received,
(ii) if delivered by nationally recognized overnight carrier, one (1) Business Day after timely delivery to such carrier, (iii) if delivered by International Federal Express (or comparable service), two (2) Business Days after
timely delivery to such carrier, (iv) if delivered by facsimile, upon electric confirmation of receipt and shall be addressed as follows, or to such other address or addresses as may have been furnished in writing by a party to another party
pursuant to this paragraph: 
  
 (a)  if to the Company, to: 
  
 Quantum Fuel Systems Technologies Worldwide, Inc. 
 178 72 Cartwright Road 
 Irvine, CA 92614 
 Attention: Brian Olson 
 Telephone: (949) 399-4500 
 Fax: (949) 474-3086 
  
 with a copy to: 
  

			
	 Registration Rights Agreement
	 	Page 7 of 10

 Kerr, Russell and Weber, PLC 
 Attention: Patrick Haddad 
 500 Woodward Ave., Suite 2500 
 Detroit, MI 48226-3427 
 Telephone: (313) 961-0200 
 Fax: (313) 961-0388 
  
 (b) if to the Investor, at its address on the signature page to the Stock Purchase Agreement. 
  
 8. Amendments; Waiver. This Agreement may not be modified or amended except pursuant to an instrument in writing signed by the Company and
the Investor. Any waiver of a provision of this Agreement must be in writing and executed by the party against whom enforcement of such waiver is sought. 
  
 9. Headings. The headings of the various sections of this Agreement have been inserted for convenience of reference only and shall not be
deemed to be part of this Agreement. 
  
 10. Entire
Agreement; Severability. This Agreement sets forth the entire agreement and understanding of the parties relating to the subject matter hereof and supersedes all prior and contemporaneous agreements, negotiations and understandings between the
parties, both oral and written relating to the subject matter hereof. If any provision contained in this Agreement is determined to be invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining
provisions contained herein shall not in any way be affected or impaired thereby. 
  
 11. Governing Law. This Agreement shall be governed by, and construed in accordance with, the internal laws of the State of New York, without giving effect to the principles of conflicts of law.

  
 12. Counterparts. This Agreement may be executed
in two or more counterparts, each of which shall constitute an original, but all of which, when taken together, shall constitute but one instrument, and shall become effective when one or more counterparts have been signed by each party hereto and
delivered to the other parties. 
  
 [Remainder of Page
Intentionally Left Blank] 
  

			
	 Registration Rights Agreement
	 	Page 8 of 10

 Please confirm that the foregoing correctly sets forth the agreement between us by signing in the space provided below
for that purpose. 
  

	
	 Dated as of: June     , 2006

	
	 
	[Investor Name]

  

			
		
	By:	 	 
	 	 	 Name:

	 	 	 Title:

  

			
		
	Address:	 	 
	
	 
	
	 

  

			
	AGREED AND ACCEPTED:
	
	Quantum Fuel Systems Technologies Worldwide, Inc.
		
	By:	 	 
	 	 	 Name:

	 	 	 Title:

  

			
	 Registration Rights Agreement
	 	Page 1 of 10

 EXHIBIT A 
  
 QUANTUM FUEL SYSTEMS TECHNOLOGIES WORLDWIDE,
INC. 
 CERTIFICATE OF SUBSEQUENT SALE 
  
 [Transfer Agent] 
 __________________ 
  
 __________________ 
  

	 	RE:	Sale of Shares of Common Stock of Quantum Fuel Systems Technologies Worldwide, Inc. (the “Company”) pursuant to the Company’s Prospectus dated _______________, 2006
(the “Prospectus”) 

  
 Dear Sir/Madam: 
  
 The undersigned hereby certifies, in
connection with the sale of shares of Common Stock of the Company included in the table of Selling Shareholders in the Prospectus, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption
“Plan of Distribution” in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. 
  
 Selling Shareholder (the beneficial
owner):___________________________________________________ 
  
 Record Holder (e.g., if held in name of nominee):______________________________________________ 
  
 Restricted Stock Certificate No.(s):_________________________________________________________ 
  
 Number of Shares
Sold:__________________________________________________________________ 
  
 Date of Sale:___________________________________________________________________________ 
  
 In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should
return to the undersigned a newly issued certificate for such excess shares in the name of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. 
  

			
	Dated:_______________	 	 Very truly yours,
  
 By:_______________________________________
 Print
Name:________________________________
 Title:_____________________________________

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