Document:

Exhibit

Exhibit 10.18
Execution Version

AMENDMENT NO. 4 TO AMENDED AND RESTATED SENIOR 
SECURED REVOLVING CREDIT AGREEMENT
This AMENDMENT NO. 4 (this “Amendment”) dated as of May 15, 2020 is made with respect to the Amended and Restated Senior Secured Revolving Credit Agreement, dated as of August 12, 2016 (as modified by the Limited Waiver to Amended and Restated Senior Secured Revolving Credit Agreement, dated as of September 27, 2018, and as amended by that certain Amendment No. 1 to Amended and Restated Senior Secured Revolving Credit Agreement, dated as of February 8, 2019, and as amended by that certain Amendment No. 2 to Amended and Restated Senior Secured Revolving Credit Agreement, dated as of July 25, 2019, and as amended by that certain Amendment No. 3 to Amended and Restated Senior Secured Revolving Credit Agreement, dated as of March 30, 2020, and as further amended, restated, supplemented or otherwise modified from time to time prior to the date hereof, the “Credit Agreement”), among SIERRA INCOME CORPORATION, a Maryland corporation (the “Borrower”), the several banks and other financial institutions or entities from time to time party to the Credit Agreement as lenders (the “Lenders”), ING CAPITAL LLC, as administrative agent for the Lenders under the Credit Agreement (in such capacity, together with its successors in such capacity, the “Administrative Agent”), and solely for purposes of Section 2.9, SIC AAR LLC, a Delaware limited liability company (“SIC AAR”), SIC INVESTMENT HOLDINGS LLC, a Delaware limited liability company  (“SIC Holdings”), and SIERRA MANAGEMENT INC., a Delaware corporation (together with SIC AAR and SIC Holdings, the “Subsidiary Guarantors”). Capitalized terms not otherwise defined herein shall have the meanings ascribed to them in the Credit Agreement (as amended hereby).
W I T N E S S E T H:
WHEREAS, pursuant to the Credit Agreement, the Lenders have made certain loans and other extensions of credit to the Borrower;
WHEREAS, the Borrower has requested that the Lenders and the Administrative Agent amend certain provisions of the Credit Agreement and the Lenders signatory hereto and the Administrative Agent have agreed to do so on the terms and subject to the conditions contained in this Amendment;
NOW THEREFORE, in consideration of the promises and the mutual agreements contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows:
SECTION I  AMENDMENTS TO CREDIT AGREEMENT
Effective as of the Amendment No. 4 Effective Date, and subject to the terms and conditions set forth below, the Credit Agreement is hereby amended to:
(a)    delete the stricken text (indicated textually in the same manner as the following example: stricken text or stricken text) and to add the double-underlined text (indicated textually in the same manner as the following example: double-underlined text or double-underline text) as set forth in the Credit Agreement attached hereto as Exhibit A; 
(b)    replace Schedules 1.01(b), 3.11(a), 3.11(b), 3.11(c), 3.12(a) and 3.12(b) of the Credit Agreement as set forth in the Schedules 1.01(b), 3.11(a), 3.11(b), 3.12(a) and 3.12(b) attached hereto as Exhibit B; and
(c)    add Schedule 1.01(e) attached hereto as Exhibit C as a new Schedule 1.01(e) to the Credit Agreement (as amended hereby).
SECTION II      MISCELLANEOUS
2.1.      Conditions to Effectiveness of Amendment.  This Amendment shall become effective as of the date (the “Amendment No. 4 Effective Date”) on which the Borrower and each Subsidiary Guarantor party hereto have 

satisfied each of the following conditions precedent (unless a condition shall have been waived in accordance with Section 9.02 of the Credit Agreement):
(a)    Executed Counterparts.  The Administrative Agent shall have received from each party hereto either (1) a counterpart of this Amendment signed on behalf of such party or (2) written evidence satisfactory to the Administrative Agent (which may include telecopy transmission or electronic mail of a signed signature page to this Amendment) that such party has signed a counterpart of this Amendment.
(b)    Fees and Expenses.  The Borrower shall have paid in full to the Administrative Agent and the Lenders all fees and expenses owing related to this Amendment and the Credit Agreement owing, incurred and invoiced on or prior to the Amendment No. 4 Effective Date due to any Lender on the Amendment No. 4 Effective Date.  
(c)    Prepayment.  The Borrower shall have made a prepayment of the outstanding Loans pursuant to Section 2.08 of the Credit Agreement in an aggregate principal amount of not less than $20,000,000.  The Administrative Agent and the Lenders hereby acknowledge and confirm they have received notice in accordance with Section 2.08(g) of the Credit Agreement.
(d)    Opinion of Counsel to the Borrower.  The Administrative Agent shall have received a favorable written opinion (addressed to the Administrative Agent and the Lenders and dated the Amendment No. 4 Effective Date) of Dechert LLP, counsel for the Obligors, in form and substance reasonably acceptable to the Administrative Agent and covering such matters as the Administrative Agent may reasonably request (and the Borrower hereby instructs such counsel to deliver such opinion to the Lenders and the Administrative Agent).
(e)    Corporate Documents.  (w) The Administrative Agent shall have received copies of the organizational documents of each Obligor certified as of a recent date by the appropriate governmental official, (x) signature and incumbency certificates of the officers of each Obligor executing the Loan Documents to which it is a party, (y) resolutions of the board of directors or similar governing body of each Obligor approving and authorizing the execution, delivery and performance of this Agreement and the other Loan Documents to which it is a party or by which it or its assets may be bound as of the Amendment No. 4 Effective Date, certified as of the Amendment No. 4 Effective Date by its secretary or an assistant secretary as being in full force and effect without modification or amendment, and (z) a good standing certificate from the applicable Governmental Authority of each Obligor’s jurisdiction of incorporation, organization or formation, each dated a recent date prior to the Amendment No. 4 Effective Date.
(f)    Officer’s Certificate.  The Administrative Agent shall have received a certificate, dated the Amendment No. 4 Effective Date and signed by a Financial Officer of the Borrower, confirming compliance with the conditions set forth in Sections 2.2(b) and (c) hereof.
(g)    Borrowing Base Certificate.  The Administrative Agent shall have received a Borrowing Base Certificate as of the Amendment No. 4 Effective Date, showing a calculation of the Borrowing Base as of the date thereof in form and substance reasonably satisfactory to the Administrative Agent.
(h)    Other Documents.  The Administrative Agent shall have received such other documents, instruments, certificates, opinions and information as the Administrative Agent may reasonably request in form and substance reasonably satisfactory to the Administrative Agent.
The contemporaneous exchange and release of executed signature pages by each of the Persons contemplated to be a party hereto shall render this Amendment effective and any such exchange and release of such executed signature pages by all such persons shall constitute satisfaction or waiver (as applicable) of any condition precedent to such effectiveness set forth above. 
2.2.      Representations and Warranties.  To induce the other parties hereto to enter into this Amendment, the Borrower represents and warrants to the Administrative Agent and each of the Lenders that, as of the Amendment No. 4 Effective Date and immediately after giving effect to this Amendment:

(a)    This Amendment has been duly authorized, executed and delivered by the Borrower and the Subsidiary Guarantors, and constitutes a legal, valid and binding obligation of the Borrower and the Subsidiary Guarantors enforceable in accordance with its terms, except as such enforceability may be limited by (a) bankruptcy, insolvency, reorganization, moratorium or similar laws of general applicability affecting the enforcement of creditors’ rights and (b) the application of general principles of equity (regardless of whether such enforceability is considered in a proceeding in equity or at law).  The Credit Agreement, as amended by this Amendment, constitutes the legal, valid and binding obligation of the Borrower enforceable in accordance with its respective terms, except as such enforceability may be limited by (a) bankruptcy, insolvency, reorganization, moratorium or similar laws of general applicability affecting the enforcement of creditors’ rights and (b) the application of general principles of equity (regardless of whether such enforceability is considered in a proceeding in equity or at law).
(b)    The representations and warranties set forth in Article III of the Credit Agreement as amended by this Amendment and the representations and warranties in each other Loan Document are true and correct in all material respects (other than any representation or warranty already qualified by materiality or Material Adverse Effect, which shall be true and correct in all respects) on and as of the Amendment No. 4 Effective Date or as to any such representations and warranties that refer to a specific date, as of such specific date.  
(c)    After giving effect to this Amendment, no Default or Event of Default has occurred or is continuing under the Credit Agreement. 
2.3.      Counterparts.  This Amendment may be executed in counterparts (and by different parties hereto on different counterparts), each of which shall constitute an original, but all of which when taken together shall constitute a single contract.  This Amendment constitutes the entire contract between and among the parties relating to the subject matter hereof and supersedes any and all previous agreements and understandings, oral or written, relating to the subject matter hereof.  Delivery of an executed counterpart of this Amendment by telecopy or electronic mail shall be effective as delivery of a manually executed counterpart of this Amendment.
2.4.      Payment of Expenses.  The Borrower agrees to pay and reimburse, pursuant to Section 9.03 of the Credit Agreement, the Administrative Agent for all of its reasonable and documented out-of-pocket costs and expenses incurred in connection with this Amendment.
2.5.      GOVERNING LAW.  THIS AMENDMENT SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAW OF THE STATE OF NEW YORK.
2.6.      WAIVER OF JURY TRIAL.   EACH PARTY HERETO HEREBY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN ANY LEGAL PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AMENDMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY (WHETHER BASED ON CONTRACT, TORT OR ANY OTHER THEORY). EACH PARTY HERETO (A) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVER AND (B) ACKNOWLEDGES THAT IT AND THE OTHER PARTIES HERETO HAVE BEEN INDUCED TO ENTER INTO THIS AMENDMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION.
2.7.      Incorporation of Certain Provisions.  The provisions of Sections 9.01, 9.07, 9.09 and 9.12 of the Credit Agreement are hereby incorporated by reference mutatis mutandis as if fully set forth herein.
2.8.      Effect of Amendment.  Except as expressly set forth herein, this Amendment shall not by implication or otherwise limit, impair, constitute a waiver of, or otherwise affect the rights and remedies of the Lenders, the Administrative Agent, the Collateral Agent, the Borrower or the Subsidiary Guarantors under the Credit Agreement or any other Loan Document, and, except as expressly set forth herein, shall not alter, modify, amend or in any way affect any of the other terms, conditions, obligations, covenants or agreements contained in the Credit Agreement or any other Loan Document, all of which are ratified and affirmed in all respects and shall continue in full force and effect.  Nothing herein shall be deemed to entitle any Person to a consent to, or a waiver, amendment, modification 

or other change of, any of the terms, conditions, obligations, covenants or agreements contained in the Credit Agreement or any other Loan Document in similar or different circumstances, or to constitute a novation of the obligations and liabilities existing under the Credit Agreement or any other Loan Document.  This Amendment shall apply and be effective only with respect to the provisions amended herein of the Credit Agreement.  Upon the effectiveness of this Amendment, each reference in the Credit Agreement to “this Agreement,” “hereunder,” “hereof,” “herein” or words of similar import shall mean and be a reference to the Credit Agreement as amended by this Amendment and each reference in any other Loan Document shall mean the Credit Agreement as amended hereby.  This Amendment shall constitute a Loan Document.
2.9.      Consent and Affirmation.  Without limiting the generality of the foregoing, by its execution hereof, each of the Borrower and the Subsidiary Guarantors hereby as of the Amendment No. 4 Effective Date (i) consents to this Amendment and the transactions contemplated hereby, (ii) agrees that the Guarantee and Security Agreement and each of the other Security Documents is in full force and effect, (iii) confirms its guarantee (solely in the case of the Subsidiary Guarantors) and affirms its obligations under the Guarantee and Security Agreement and confirms its grant of a security interest in its assets as Collateral for the Secured Obligations (as defined in the Guarantee and Security Agreement), and (iv) acknowledges and affirms that such guarantee and/or grant, as applicable, is in full force and effect in respect of, and to secure, the Secured Obligations (as defined in the Guarantee and Security Agreement).
[Signature pages follow]

IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed and delivered as of the day and year first above written. 
SIERRA INCOME CORPORATION, as Borrower

By: /s/ Richard T. Allorto, Jr.    
Name: Richard T. Allorto Jr.
Title: Chief Financial Officer

[Amendment No. 4 to Amended and Restated Revolving Credit Agreement]

SIC AAR LLC, as Subsidiary Guarantor

By:  Sierra Income Corporation, its managing member

By: /s/ Richard T. Allorto, Jr.    
Name: Richard T. Allorto Jr.
Title: Chief Financial Officer

[Amendment No. 4 to Amended and Restated Revolving Credit Agreement]

SIC INVESTMENT HOLDINGS LLC, as Subsidiary Guarantor

By:  Sierra Income Corporation, its managing member

By: /s/ Richard T. Allorto, Jr.    
Name: Richard T. Allorto Jr.
Title: Chief Financial Officer

[Amendment No. 4 to Amended and Restated Revolving Credit Agreement]

SIERRA MANAGEMENT INC., as Subsidiary Guarantor

By: /s/ Richard T. Allorto, Jr.    
Name: Richard T. Allorto Jr.
Title: Chief Financial Officer

[Amendment No. 4 to Amended and Restated Revolving Credit Agreement]

ING CAPITAL LLC, as Administrative Agent and a Lender

By:/s/ Patrick Frisch    
Name: Patrick Frisch
Title: Managing Director

By: /s/ Dominik Breuer        
Name: Dominik Breuer
Title: Vice President

[Amendment No. 4 to Amended and Restated Revolving Credit Agreement]

KEYBANK, N.A., as a Lender
		
	By:
	     /s/ Richard Andersen     
Name: Richard Andersen   
Title: Senior Vice President

[Amendment No. 4 to Amended and Restated Revolving Credit Agreement]

    

CITY NATIONAL BANK, as a Lender
		
	By:
	     /s/ Brandon Feitelson     
Name: Brandon Feitelson  
Title: Senior Vice President

[Amendment No. 4 to Amended and Restated Revolving Credit Agreement]

    

TIAA, FSB, as a Lender
		
	By:
	     /s/ Martin O'Brien     
Name: Martin O'Brien
Title: Director

[Amendment No. 4 to Amended and Restated Revolving Credit Agreement]

    

CUSTOMERS BANK, as a Lender
		
	By:
	    /s/ Lyle P. Cunningham     
Name: Lyle P. Cunningham   
Title: Executive Vice President

[Amendment No. 4 to Amended and Restated Revolving Credit Agreement]Exhibit 10.3

 

FORM OF SUBSCRIPTION AGREEMENT

 

This Subscription Agreement
is entered into as of May 8, 2020 between [ ], an individual whose principal residence is at the address set forth on the signature
page hereto (hereinafter "Subscriber"), and C-Bond Systems, Inc., a Colorado corporation (the "Company") concerning
an investment in the amount set forth on the signature page hereto (the “Common Stock”). The Subscriber and the Company
agree as follows:

 

1.                     
Subscription and Method of Payment. Subject to the terms and conditions hereof, Subscriber hereby subscribes the amount
set forth on the signature page hereto to purchase such number of shares of Common Stock of the Company as determined by dividing
the amount subscribed by a price per share of $0.023 (the "Subscription Amount"). To satisfy this subscription, the Subscriber
will tender cash or a wire transfer equal to the Subscription Amount.

 

After the Subscription
Amount is paid timely and received in full by the Company will cause a stock certificate to be issued totaling 7,000,000 shares
of the Company’s common stock, par value $0.001 (the “Common Stock”).

 

2.       Representations
and Warranties of the Company. The Company hereby represents and warrants to Subscriber as follows:

 

(a)Organization.
The Company is a corporation duly organized, validly existing and in good standing under the laws of the State of Colorado and
has all requisite corporate power and authority to own and lease its properties, to carry on its business as presently conducted
and as proposed to be conducted and to carry out the transactions contemplated hereby.

 

(b)Authority.
The Company has all requisite power and authority to enter into this Agreement and perform Company’s obligations hereunder.
The execution, delivery and performance by the Company of this Agreement have been duly authorized by all requisite corporate action.
This Agreement has been duly executed and delivered by the Company and is a legal, valid and binding obligation of the Company,
enforceable against the Company in accordance with its terms (except as enforceability may be limited by laws of bankruptcy or
insolvency and general equitable principles).

 

(c)No Conflicts.
The execution, delivery and performance by the Company of this Agreement, and the issuance, sale and delivery of the shares of
Common Stock being subscribed for, will not violate any law, statute, rule, regulation, order, judgment or decree of any court,
arbitrator, administrative agency or other governmental body applicable to the Company, or conflict with or result in any breach
of any of the terms, conditions or provisions of, or constitute a default under, or result in the creation of any encumbrance upon
any of the properties or assets of the Company pursuant to, the charter documents of the Company or any note, indenture, mortgage,
lease agreement or other agreement, contract or instrument to which the Company is a party or by which it or any of its property
is bound or affected.

 

    

     

    

 

(d)Approvals.
Except for the filing of any notice as may be required under applicable securities laws, no permit, authorization, notice, consent
or approval is required in connection with the execution, delivery or performance of this Agreement by the Company.

 

3.       Representations
and Warranties of Subscriber. The Subscriber represents and warrants to the Company as follows:

 

(a)       Subscriber
is an "accredited investor" as such term is defined in Section 2(15) of the Securities Act of 1933, as amended (the “Act”)
and Rule 501 of Regulation D promulgated thereunder pursuant to the categories checked by the Subscriber on the signature page
hereto. Subscriber is aware of the significance to the Company of the foregoing representation, and they are made with the intention
that the Company will rely on them.

 

(b)       Subscriber
has had an opportunity to ask questions of and receive answers from duly designated representatives of the Company concerning the
terms and conditions of the offering and has been afforded an opportunity to examine such documents and other information which
Subscriber has requested for the purpose of answering any questions Subscriber may have concerning the business and affairs of
the Company.

(c)       Subscriber
is not subscribing for the Common Stock as a result of, or subsequent to, an advertisement, article, notice or other communication
published in any newspaper, magazine or similar media or broadcast over television or radio or presented at any seminar or meeting
or any other public solicitation.

 

(d)       Subscriber
acknowledges and understands that the Common Stock has not been registered under the Securities Act of 1933, as amended (the "Act")
or the securities laws of any state ("State Law") and must be held indefinitely unless they are subsequently registered
under the Act and/or applicable State Law, or exemptions from such registration are available. Subscriber agrees that the Common
Stock will not be sold without registration under applicable securities laws (including the Act and State Law) or exemptions there
from. The Company is the only entity which may register its Common Stock under the Act and State Law.

 

(e)       Subscriber
acknowledges that Subscriber has such knowledge and experience in financial business matters that it is capable of evaluating the
merits and risks of the prospective investment and to make an informed investment decision based upon the information provided
by the Company.

 

(f)       Subscriber
further represents that Subscriber can bear the economic risk of loss of its entire investment; that the address set forth herein
is its principal residence (if an individual) or place of business (if an entity); that Subscriber intends to purchase the Common
Stock for Subscriber's own account and not, in whole or in part, for the account of any other person; that Subscriber is purchasing
the Common Stock for investment and not with a view to public resale or distribution; and that Subscriber has not formed any entity
for the purpose of purchasing the Common Stock; and that this Subscription Agreement has been duly authorized by all necessary
action on the part of the Subscriber and is a legal, valid and binding obligation of the Subscriber enforceable in accordance
with its terms.

    2

     

    

 

(g)       Subscriber
is aware that the Common Stock is and will be when issued "restricted securities" as that term is defined in Rule 144
of the General Rules and Regulations under the Act.

 

(h)       Subscriber
is fully aware of the applicable limitations on the resale of the Common Stock according to law.

 

4.        Subscription
Not Revocable. The Subscriber hereby acknowledges and agrees that the Subscriber is not entitled to cancel, terminate or revoke
this Subscription Agreement or any agreements of the Subscriber herein and that this Subscription Agreement shall survive the death,
disability, dissolution, bankruptcy or insolvency of the Subscriber.

 

5.       Shares.
Company agrees to cause the shares of Common Stock of the Company to be issued hereunder to be duly authorized, validly issued,
fully paid and nonassessable.

 

(a)       True-Up
Shares. If the closing price of the Common Stock six months following the date of issuance of this Subscription Agreement (the
“True-Up Price”), is below $0.023, then the Company shall issue shares of Common Stock to the Holder (the “True-Up
Shares”). The amount of shares the Subscriber shall be entitled to receive shall be calculated as follows:

$161,000 – (7,000,000
x True-Up Price) = True-Up Price x True-Up Shares. In no event shall the number of True-Up Shares to be issued be greater than
the original number of shares issued (7,000,000 shares).

 

		6.	Miscellaneous.

 

(a)       Subscriber
agrees not to transfer or assign this Subscription Agreement, or any of the Subscriber's interest herein, and further agrees that
the transfer or assignment of the Common Stock acquired pursuant hereto shall be made only in accordance with all applicable laws.

 

(b)       This
Subscription Agreement constitutes the entire agreement among the parties hereto with respect to the subject matter hereof and
may be amended only by a written execution by all parties.

(c)       The
Subscription Agreement is being delivered and is intended to be performed in the State of Texas, and shall be construed and enforced
in accordance with, and the rights of parties shall be governed by, the law of such state. Jurisdiction and venue for any action
hereunder shall be in Harris county, Texas.

 

(d)       Any
controversy or claim arising out of this Agreement, or the breach thereof, shall be settled by arbitration in accordance with the
rules of the American Arbitration Association, and judgment upon the award rendered by the arbitration may be entered in any court
having jurisdiction thereof. The arbitration agreement set forth herein shall not limit a court from granting a temporary restraining
order or preliminary injunction in order to preserve the status quo of the parties pending arbitration. Further, the arbitrator(s)
shall have power to enter such orders by way of interim award, and they shall be enforceable in court. The place of such arbitration
shall be in Harris County, Texas.

 

    3

     

    

 

 

(e)       This
Subscription Agreement shall become effective upon execution and delivery hereof by all the parties hereto; delivery of this Subscription
Agreement may be made by facsimile or electronic transmission such as portable document format (“PDF”) or similar format
to the parties.

IN WITNESS WHEREOF, the undersigned have
executed this agreement as of the dates below.

	
        SUBSCRIBER:

         

         

        _____________________________

        Name:

         
	
        Address for Notice:

        ____________________________________

        ____________________________________

        ____________________________________

        ____________________________________

         

         

        Date: _______________________________

         

         

        Subscription Amount: $161,000 for 7,000,000 shares
        of Common Stock of C-Bond Systems, Inc.

         

 

By executing above, the Subscriber also
hereby certifies that the Subscriber is an “accredited investor” as that term is defined in Rule 501(a) of Regulation
D promulgated under the Securities Act of 1933, as amended. The specific category(s) of accredited investor applicable to the undersigned
is checked below.

PLEASE CHECK ONE OF THE BOXES BELOW
– REQUIRED TO OBTAIN SHARES

		_____	a.Any director or executive officer of the Company;

		_____	b.Any natural person whose individual net worth, or joint net worth with that person's spouse,
at the time of his purchase exceeds $1,000,000;

_____ c.Any
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;

		_____	d.Any organization described in Section 501(c)(3) of the Internal Revenue Code, corporation,
Massachusetts or similar business trust, or partnership, not formed for the specific purpose of acquiring the securities offered,
with total assets in excess of $5,000,000;

		_____	e.Any trust, with total assets in excess of $5,000,000, not formed for the specific purpose
of acquiring the securities offered, whose purchase is directed by a sophisticated person as described in Section 506(b)(2)(ii)
of Reg D; or

_____f.an entity in which all of the
equity owners are “accredited investors.”

_____g.Other (explain) __________________________________________________________

 

ACCEPTED BY C-Bond
systems, INC.

 

By: ________________________________

Name: ______________________________

Title: _______________________________

Date: _______________________________

 

 

    4

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