Document:

EX-10.2

 Exhibit 10.2 

WHITING PETROLEUM CORPORATION 

PERFORMANCE SHARE AWARD AGREEMENT 

THIS PERFORMANCE SHARE AWARD AGREEMENT (this “Agreement”) is made and entered into as of
            ,             by and between Whiting Petroleum Corporation, a Delaware corporation with its principal offices at
Denver, Colorado (the “Company”), and the executive officer of the Company or one of its affiliates whose signature is set forth on the signature page hereof (the “Participant”). 

W I T N E S S E T H : 

WHEREAS, the Company has adopted the Whiting Petroleum Corporation 2013 Equity Incentive Plan (the “Plan”) to permit shares
of the Company’s common stock (the “Stock”) to be awarded to certain key salaried employees and non-employee directors of the Company and any affiliate of the Company; and 

WHEREAS, the Participant is an executive officer of the Company, and the Company desires such person to remain in such capacity and to further
an opportunity for his or her stock ownership in the Company in order to increase his or her proprietary interest in the success of the Company; 

NOW, THEREFORE, in consideration of the premises and of the covenants and agreements herein set forth, the parties hereby mutually covenant
and agree as follows: 
 1. Award of Performance Shares. Subject to the terms and conditions set forth herein, the Company hereby
awards the Participant the number of shares of Stock set forth on the signature page hereof as the target number of shares of Stock subject to this Agreement (the “Target Shares”). 

2. Determination of Performance Shares Earned. The number of shares of Stock earned (the “Earned Shares”) at the end
of the performance period set forth on Exhibit A (the “Performance Period”) will equal the product of (a) the Target Shares multiplied by (b) the earned percentage (the “Earned Percentage”) for the
Performance Period, determined as set forth on Exhibit A. 
 3. Restrictions; Forfeiture of Unearned Shares. (a) Except
as otherwise provided herein, none of the Target Shares may be sold, transferred, pledged, assigned, encumbered or otherwise alienated or hypothecated until the Compensation Committee of the Board of Directors of the Company (the
“Committee”) determines the Earned Percentage and the number of Earned Shares. The Committee will make such determination on a date within six weeks following the end of the Performance Period (the “Release Date”).

 (b) If the number of Earned Shares determined by the Committee is greater than the number of Target Shares, then shares of Stock equal to
the excess of the Earned Shares over the Target Shares will be issued on the Release Date. 

 (c) If the number of Earned Shares determined by the Committee is fewer than the number of Target
Shares, then shares of Stock equal to the excess of the Target Shares over the Earned Shares will be forfeited to the Company on the Release Date. 

4. Issuance of Shares. The Target Shares shall be issued as soon as practicable in the name of the Participant but shall be held in a
segregated account by the transfer agent of the Company. Unless forfeited as provided herein, (a) Target Shares that become Earned Shares following the end of the Performance Period shall cease to be held in such segregated account and
(b) certificates for such Target Shares and any other Earned Shares shall be delivered, or such shares of Stock shall be transferred electronically, to the Participant on the Release Date, and such delivered or transferred shares of Stock shall
become free of the restrictions set forth in Section 3. 
 5. Transfer After Release Date; Securities Law Restrictions.
Notwithstanding anything to the contrary herein, the Participant agrees and acknowledges with respect to any shares of Stock that have not been registered under the Securities Act of 1933, as amended (the “Act”) (a) he or she
will not sell or otherwise dispose of such Stock except pursuant to an effective registration statement under the Act and any applicable state securities laws, or in a transaction which, in the opinion of counsel for the Company, is exempt from such
registration, and (b) a legend will be placed on the certificates, or an appropriate stop-transfer order shall be entered, for such Stock to such effect. 

6. Termination of Employment or Death. If the Participant’s employment with the Company (as applicable) is terminated for any
reason (including death) prior to the Release Date, all Stock that has not been earned and released shall be forfeited to the Company on the date on which such termination of status occurs. 

7. Certificate Legend. In addition to any legends placed on certificates for the Stock subject to this Agreement under Section 5
hereof, each certificate for shares of such Stock may bear the following legend: 
 “THE SALE OR OTHER TRANSFER OF THE SHARES OF STOCK
REPRESENTED BY THIS CERTIFICATE, WHETHER VOLUNTARY, INVOLUNTARY OR BY OPERATION OF LAW, IS SUBJECT TO CERTAIN RESTRICTIONS SET FORTH IN THE WHITING PETROLEUM CORPORATION 2013 EQUITY INCENTIVE PLAN AND A PERFORMANCE SHARE AWARD AGREEMENT BETWEEN
WHITING PETROLEUM CORPORATION AND THE REGISTERED OWNER HEREOF. A COPY OF SUCH PLAN AND SUCH AGREEMENT MAY BE OBTAINED FROM THE CORPORATE SECRETARY OF WHITING PETROLEUM CORPORATION.” 

When the restrictions imposed by Section 3 hereof terminate, the Participant shall be entitled to have the foregoing legend removed from
the certificates representing such Stock that has been earned. 

 8. Voting Rights; Dividends and Other Distributions. (a) While the Target Shares are
subject to restrictions under Section 3 and prior to any forfeiture thereof, the Participant may exercise full voting rights for the Target Shares registered in his or her name and held in a segregated account hereunder. The Participant shall
have no voting rights with respect to any other shares of Stock subject to this Agreement until such time, if any, as such shares of Stock have been earned and released. 

(b) If any dividends or other distributions are paid or made on shares of Stock while the restrictions under Section 3
apply and prior to any forfeiture of Stock subject to this Agreement, then the Participant shall be credited with dividends, distributions or equivalents (collectively, “Dividends”) on the shares of Stock subject to this
Agreement as if such shares were issued and outstanding on the payment date; provided that such Dividends shall be subject to the same terms, conditions, restrictions and risk of forfeiture as the shares of Stock with respect to which they were
credited, and shall be paid at the same time as, and to the same extent that, the shares of Stock with respect to which they were credited become Earned Shares and are released. 

(c) Subject to the provisions of this Agreement, prior to the forfeiture of the Target Shares, the Participant shall have all
other rights of holders of Stock with respect to the Target Shares. 
 9. Tax Withholding. (a) It shall be a condition of the
obligation of the Company to issue or release from the segregated account shares of Stock and Dividends to the Participant, and the Participant agrees, that the Participant shall pay to the Company upon demand such amount as may be requested by the
Company for the purpose of satisfying its liability to withhold federal, state, or local income or other taxes incurred by reason of the award of the Stock or Dividends or as a result of the termination of the restrictions on such Stock or Dividends
hereunder. 
 (b) The Participant may satisfy the Company’s withholding tax requirements with respect to shares of Stock
by electing to have the Company withhold that number of shares of Stock otherwise deliverable to the Participant from the segregated account hereunder or otherwise issuable to the Participant to deliver to the Company a number of shares of Stock, in
each case, having a Fair Market Value (as defined in the Plan) on the Tax Date (as defined below) equal to the minimum amount required to be withheld as a result of the termination of the restrictions on or issuance of such shares of Stock. The
election must be made in writing and must be delivered to the Company prior to the Tax Date. If the number of shares of Stock so determined shall include a fractional share, the Participant shall deliver cash in lieu of such fractional share. All
elections shall be made in a form approved by the Committee and shall be subject to disapproval, in whole or in part, by the Committee. As used herein, “Tax Date” means the date on which the Participant must include in his or her
gross income for federal income tax purposes the fair market value of shares of Stock over the purchase price therefor, if any. 

 10. Powers of Company Not Affected. The existence of the Stock subject to this Agreement
shall not affect in any way the right or power of the Company or its stockholders to make or authorize any combination, subdivision or reclassification of the Stock or any reorganization, merger, consolidation, business combination, exchange of
shares, or other change in the Company’s capital structure or its business, or any issue of bonds, debentures or stock having rights or preferences equal, superior or affecting the Stock subject to this Agreement or the rights thereof, or
dissolution or liquidation of the Company, or any sale or transfer of all or any part of its assets or business, or any other corporate act or proceeding, whether of a similar character or otherwise. Nothing in this Agreement shall confer upon the
Participant any right to continue in the employment of the Company, or interfere with or limit in any way the right of the Company to terminate the Participant’s employment at any time. 

11. Interpretation by Committee. The Participant agrees that any dispute or disagreement which may arise in connection with this
Agreement shall be resolved by the Committee, in its sole discretion, and that any interpretation by the Committee of the terms of this Agreement or the Plan and any determination made by the Committee under this Agreement or the Plan may be made in
the sole discretion of the Committee and shall be final, binding, and conclusive. Any such determination need not be uniform and may be made differently among Participants awarded shares of Stock. 

12. Miscellaneous. (a) This Agreement shall be governed and construed in accordance with the internal laws of the State of
Delaware applicable to contracts made and to be performed therein between residents thereof. 
 (b) This Agreement may not be
amended or modified except by the written consent of the parties hereto. 
 (c) The captions of this Agreement are inserted
for convenience of reference only and shall not be taken into account in construing this Agreement. 
 (d) Any notice, filing
or delivery hereunder or with respect to shares of Stock subject to this Agreement shall be given to the Participant at either his or her usual work location or his or her home address as indicated in the records of the Company, and shall be given
to the Committee or the Company at 1700 Broadway, Suite 2300, Denver, Colorado 80290-2300, Attention: Corporate Secretary. All such notices shall be given by first class mail, postage prepaid, or by personal delivery. 

(e) This Agreement shall be binding upon and inure to the benefit of the Company and its successors and assigns and shall be
binding upon and inure to the benefit of the Participant, except that the Participant may not transfer any interest in any shares of Stock subject to this Agreement prior to the release of the restrictions imposed by Section 3. 

(f) This Agreement is subject in all respects to the terms and conditions of the Plan. 

13. Change of Control. Notwithstanding any other provision to the contrary contained in this Agreement, effective upon a Change in
Control (as defined in the Plan) prior to the forfeiture of the Target Shares, the restrictions imposed upon the Target Shares 

 
by Section 3 of this Agreement shall immediately be deemed to have lapsed and the Release Date shall be deemed to have occurred as of the date of the Change in Control with respect to such
Target Shares. 
 [Signature page follows] 

 IN WITNESS WHEREOF, the Company has caused this instrument to be executed by its duly authorized
officer and the Participant has hereunto affixed his or her signature, all as of the day and year first set forth above. 
 WHITING PETROLEUM CORPORATION

  

							
	By:	 	  
	 		 	  

		 	James J. Volker	 		 	
		 	Chairman, President and Chief Executive Officer	 		 	

 Target Shares:EX-4.1

 Exhibit 4.1 

Warrant Certificate No. [            ] 

NEITHER THE SECURITIES REPRESENTED BY THIS CERTIFICATE NOR THE SECURITIES ISSUABLE UPON THE EXERCISE OF THIS WARRANT HAVE BEEN REGISTERED
UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “ACT”), OR ANY STATE SECURITIES LAWS, AND NEITHER SUCH SECURITIES NOR ANY INTEREST THEREIN MAY BE OFFERED, SOLD, ASSIGNED OR OTHERWISE TRANSFERRED UNLESS (1) A REGISTRATION STATEMENT
WITH RESPECT THERETO IS EFFECTIVE UNDER THE ACT AND ANY APPLICABLE STATE SECURITIES LAWS, OR (2) AN EXEMPTION FROM SUCH REGISTRATION EXISTS AND THE COMPANY RECEIVES AN OPINION OF COUNSEL TO THE HOLDER OF SUCH SECURITIES, WHICH COUNSEL AND
OPINION ARE SATISFACTORY TO THE COMPANY, THAT SUCH SECURITIES MAY BE OFFERED, SOLD, PLEDGED, ASSIGNED OR TRANSFERRED IN THE MANNER CONTEMPLATED WITHOUT AN EFFECTIVE REGISTRATION STATEMENT UNDER THE ACT OR APPLICABLE STATE SECURITIES LAWS. 

 

							
	 Effective Date: [    ], 2014
	 		  	Void After: [    ], 2019

 CORBUS PHARMACEUTICALS HOLDINGS, INC. 

WARRANT TO PURCHASE COMMON STOCK 

Corbus Pharmaceuticals Holdings, Inc., a Delaware corporation (the “Company”),
for value received on [                    ], 2014 (the “Effective Date”), hereby issues to
[                ] (the “Holder” or “Warrant Holder”) this Warrant (the “Warrant”) to purchase,
[                ] shares (each such share as from time to time adjusted as hereinafter provided being a “Warrant Share” and all such
shares being the “Warrant Shares”) of the Company’s Common Stock (as defined below), at the Exercise Price (as defined below), as adjusted from time to time as provided herein, on or before
[                    ], 2019 [5 year anniversary of first closing] (the “Expiration Date”), all
subject to the following terms and conditions. This Warrant is one of a series of warrants of like tenor that have been issued in connection with the Company’s private offering solely to accredited investors of units in accordance with, and
subject to, the terms and conditions described in the Subscription Agreement, attached to the Confidential Private Placement Memorandum of the Company dated March [    ], 2014, as the same may be amended and supplemented from
time to time (the “Subscription Agreement” and the “Private Placement Memorandum” respectively). 

As used in this Warrant, (i) “Business Day” means any day other than Saturday, Sunday or any other day
on which commercial banks in the City of New York, New York, are authorized or required by law or executive order to close; (ii) “Common Stock” means the common stock of the Company, par value $0.0001 per share, including any
securities issued or issuable with respect thereto or into which or for which such shares may be exchanged for, or converted into, pursuant to any stock dividend, stock split, stock combination, recapitalization, reclassification, reorganization or
other similar event; (iii) “Exercise Price” means $1.00 per share of Common Stock, subject to adjustment as provided herein; (iv) “Trading Day” means any day on which the Common Stock

  
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is traded (or available for trading) on its principal trading market; (v) “Affiliate” means any person that, directly or indirectly, through one or more intermediaries,
controls, is controlled by, or is under common control with, a person, as such terms are used and construed in Rule 144 promulgated under the Securities Act of 1933, as amended (the “Securities Act”) and
(vi) “Warrantholders” means the holders of Warrants issued pursuant to the Subscription Agreement and Private Placement Memorandum. 
  

	 1.
	 DURATION AND EXERCISE OF WARRANTS 

(a) Exercise Period. The Holder may exercise this Warrant in whole or in part on any Business Day on or before 5:00
P.M., Eastern Time, on the Expiration Date, at which time this Warrant shall become void and of no value. 
 (b) Exercise
Procedures. 
 (i) While this Warrant remains outstanding and exercisable in accordance with Section 1(a), in
addition to the manner set forth in Section 1(b)(ii) below, the Holder may exercise this Warrant in whole or in part at any time and from time to time by: 

(A) delivery to the Company of a duly executed copy of the Notice of Exercise attached as Exhibit A; 

(B) surrender of this Warrant to the Secretary of the Company at its principal offices or at such other office or agency as
the Company may specify in writing to the Holder; and 
 (C) payment of the then-applicable Exercise Price per share
multiplied by the number of Warrant Shares being purchased upon exercise of the Warrant (such amount, the “Aggregate Exercise Price”) made in the form of cash, or by certified check, bank draft or money order payable in lawful money
of the United States of America or in the form of a Cashless Exercise to the extent permitted in Section 1(b)(ii) below. 

(ii) In addition to the provisions of Section 1(b)(i) above, if any time after the Effectiveness Deadline (as defined in
the Registration Rights Agreement of even date herewith, by and among the Company, the Holder and the other subscribers of the Company’s securities pursuant to the Subscription Agreements (the “Registration Rights Agreement”)),
a registration statement covering the resale of the Warrant Shares by the Holder is not effective with the Securities and Exchange Commission (the “SEC”), the Holder may, in its sole discretion, exercise all or any part of the
Warrant in a “cashless” or “net-issue” exercise (a “Cashless Exercise”) by delivering to the Company (1) the Notice of Exercise and (2) the original Warrant, pursuant to which the Holder shall surrender
the right to receive upon exercise of this Warrant, a number of Warrant Shares having a value (as determined below) equal to the Aggregate Exercise Price, in which case, the number of Warrant Shares to be issued to the Holder upon such exercise
shall be calculated using the following formula: 

  
 2 

							
		 	
                       
 X =    
	  	Y * (A - B)	 	
		 		  	A	 	

  

					
			
	       with:
	  	         X =
	  	 the number of Warrant Shares to be issued to the Holder

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

			
		  	         A =
	  	 the fair value per share of Common Stock on the date of exercise of this Warrant

			
		  	         B =
	  	 the then-current Exercise Price of the Warrant

 Solely for the purposes of this paragraph, “fair value” per share of Common
Stock shall mean the average Closing Price (as defined below) per share of Common Stock for the twenty (20) trading days immediately preceding the date on which the Notice of Exercise is deemed to have been sent to the Company. “Closing
Price” means, for any date, the price determined by the first of the following clauses that applies: (a) if the Common Stock is then listed or quoted on the New York Stock Exchange, the NYSE MKT, the NASDAQ Global Select Market, the
NASDAQ Global Market or the NASDAQ Capital Market or any other national securities exchange, the closing price per share of the Common Stock for such date (or the nearest preceding date) on the primary eligible market or exchange on which the Common
Stock is then listed or quoted; (b) if prices for the Common Stock are then quoted on the OTC Bulletin Board or any tier of the OTC Markets, the closing bid price per share of the Common Stock for such date (or the nearest preceding date) so
quoted; or (c) if prices for the Common Stock are then reported in the “Pink Sheets” published by the National Quotation Bureau Incorporated (or a similar organization or agency succeeding to its functions of reporting prices), the
most recent closing bid price per share of the Common Stock so reported. If the Common Stock is not publicly traded as set forth above, the “fair value” per share of Common Stock shall be reasonably and in good faith determined by the
Board of Directors of the Company as of the date which the Notice of Exercise is deemed to have been sent to the Company. 

Notwithstanding the foregoing, provided that a registration statement (including any post-effective amendment) covering the
resale of the Warrant Shares by the Holder has (x) been declared effective by the SEC and (y) has been effective for an aggregate period of one year, any Cashless Exercise right hereunder shall thereupon terminate. 

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

(iii) Upon the exercise of this Warrant in compliance with the provisions of this Section 1(b), and except as limited
pursuant to the last paragraph of Section 1(b)(ii), the Company shall promptly issue and cause to be delivered to the Holder a certificate for the Warrant Shares purchased by the Holder. Each exercise of this Warrant shall be effective
immediately prior to the close of business on the date (the “Date of Exercise”) that the conditions set forth in Section 1(b) have been satisfied, as the case may 

  
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be. On the first Business Day following the date on which the Company has received each of the Notice of Exercise and the Aggregate Exercise Price (or notice of a Cashless Exercise in accordance
with Section 1(b)(ii)) (the “Exercise Delivery Documents”), the Company shall transmit an acknowledgment of receipt of the Exercise Delivery Documents to the Company’s transfer agent (the “Transfer
Agent”). On or before the third Business Day following the date on which the Company has received all of the Exercise Delivery Documents (the “Share Delivery Date”), the Company shall (X) provided that the Transfer
Agent is participating in The Depository Trust Company (“DTC”) Fast Automated Securities Transfer Program, upon the request of the Holder, credit such aggregate number of shares of Common Stock to which the Holder is entitled
pursuant to such exercise to the Holder’s or its designee’s balance account with DTC through its Deposit Withdrawal Agent Commission system, or (Y) if the Transfer Agent is not participating in the DTC Fast Automated Securities
Transfer Program, issue and dispatch by overnight courier to the address as specified in the Notice of Exercise, a certificate, registered in the Company’s share register in the name of the Holder or its designee, for the number of shares of
Common Stock to which the Holder is entitled pursuant to such exercise. Upon delivery of the Exercise Delivery Documents, the Holder shall be deemed for all corporate purposes to have become the holder of record of the Warrant Shares with respect to
which this Warrant has been exercised, irrespective of the date of delivery of the certificates evidencing such Warrant Shares. 

(iv) If the Company shall fail for any reason or for no reason to issue to the Holder, within three (3) Business Days of
receipt of the Exercise Delivery Documents, a certificate for the number of shares of Common Stock to which the Holder is entitled and register such shares of Common Stock on the Company’s share register or to credit the Holder’s balance
account with DTC for such number of shares of Common Stock to which the Holder is entitled upon the Holder’s exercise of this Warrant, and if on or after such Business Day the Holder purchases (in an open market transaction or otherwise) shares
of Common Stock to deliver in satisfaction of a sale by the Holder of shares of Common Stock issuable upon such exercise that the Holder anticipated receiving from the Company (a “Buy-In”), then the Company shall, (A) pay in
cash to the Holder the amount, if any, by which (x) the Holder’s total purchase price (including brokerage commissions, if any) for the shares of Common Stock so purchased (the “Buy-In Amount”) plus the amount paid by the
Holder to the Company as the exercise price for the Warrant Shares exceeds (y) the amount obtained by multiplying (1) the number of Warrant Shares that the Company was required to deliver to the Holder in connection with the exercise at
issue times (2) the price at which the sell order giving rise to such purchase obligation was executed, and (B) at the option of the Holder, either reinstate the portion of the Warrant and equivalent number of Warrant Shares for which such
exercise was not honored or deliver to the Holder the number of shares of Common Stock that would have been issued had the Company timely complied with its exercise and delivery obligations hereunder. For example, if the Holder purchases Common
Stock having a total purchase price of $11,000 to cover a Buy-In with respect to an attempted exercise of shares of Common Stock, and paid the Company $5,000 as the exercise price, the Holder’s cash outlay would be a total of $16,000; and if
the aggregate sales price of the shares giving rise to such Buy-In obligation was $10,000, under clause (A) of the immediately preceding sentence the Company shall be required to pay the Holder $6,000. The Holder shall provide the Company
written notice indicating the amounts payable to the Holder in respect of the Buy-In and, upon request of the Company, evidence of the amount of such loss. Nothing herein shall limit a Holder’s right to pursue

  
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any other remedies available to it hereunder, at law or in equity including, without limitation, a decree of specific performance and/or injunctive relief with respect to the Company’s
failure to timely deliver certificates representing shares of Common Stock upon exercise of the Warrant as required pursuant to the terms hereof. 

(c) Partial Exercise. This Warrant shall be exercisable, either in its entirety or, from time to time, for part only of
the number of Warrant Shares referenced by this Warrant. If this Warrant is submitted in connection with any exercise pursuant to Section 1 and the number of Warrant Shares represented by this Warrant submitted for exercise is greater than the
actual number of Warrant Shares being acquired upon such an exercise, then the Company shall as soon as practicable and in no event later than five (5) Business Days after any exercise and at its own expense, issue a new Warrant of like tenor
representing the right to purchase the number of Warrant Shares purchasable immediately prior to such exercise under this Warrant, less the number of Warrant Shares with respect to which this Warrant is exercised. 

(d) Disputes. In the case of a dispute as to the determination of the Exercise Price or the arithmetic calculation of
the Warrant Shares, the Company shall promptly issue to the Holder the number of Warrant Shares that are not disputed and resolve such dispute in accordance with Section 16. 

 

	 2.
	 ISSUANCE OF WARRANT SHARES 

(a) The Company covenants that all Warrant Shares will, upon issuance in accordance with the terms of this Warrant, be
(i) duly authorized, fully paid and non-assessable, and (ii) free from all liens, charges and security interests, with the exception of claims arising through the acts or omissions of any Holder and except as arising from applicable
Federal and state securities laws. 
 (b) The Company shall register this Warrant upon records to be maintained by the
Company for that purpose in the name of the record holder of such Warrant from time to time. The Company may deem and treat the registered Holder of this Warrant as the absolute owner thereof for the purpose of any exercise thereof, any distribution
to the Holder thereof and for all other purposes. 
 (c) The Company will not, by amendment of its certificate of
incorporation, by-laws or through any reorganization, transfer of assets, consolidation, merger, dissolution, issue or sale of securities or any other voluntary action, avoid or seek to avoid the observance or performance of any of the terms to be
observed or performed hereunder by the Company, but will at all times in good faith assist in the carrying out of all the provisions of this Warrant and in the taking of all action necessary or appropriate in order to protect the rights of the
Holder to exercise this Warrant, or against impairment of such rights. 

  
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	 3.
	 ADJUSTMENTS OF EXERCISE PRICE, NUMBER AND TYPE OF WARRANT SHARES 

(a) The Exercise Price and the number of shares purchasable upon the exercise of this Warrant shall be subject to adjustment
from time to time upon the occurrence of certain events described in this Section 3; provided, that notwithstanding the provisions of this Section 3, the Company shall not be required to make any adjustment if and to the extent that
such adjustment would require the Company to issue a number of shares of Common Stock in excess of its authorized but unissued shares of Common Stock, less all amounts of Common Stock that have been reserved for issue upon the conversion of all
outstanding securities convertible into shares of Common Stock and the exercise of all outstanding options, warrants and other rights exercisable for shares of Common Stock. If the Company does not have the requisite number of authorized but
unissued shares of Common Stock to make any adjustment, the Company shall use its commercially best efforts to obtain the necessary stockholder consent to increase the authorized number of shares of Common Stock to make such an adjustment pursuant
to this Section 3. 
 (i) Subdivision or Combination of Stock. In case the Company shall at any time subdivide
(whether by way of stock dividend, stock split or otherwise) its outstanding shares of Common Stock into a greater number of shares, the Exercise Price in effect immediately prior to such subdivision shall be proportionately reduced and the number
of Warrant Shares shall be proportionately increased, and conversely, in case the outstanding shares of Common Stock of the Company shall be combined (whether by way of stock combination, reverse stock split or otherwise) into a smaller number of
shares, the Exercise Price in effect immediately prior to such combination shall be proportionately increased and the number of Warrant Shares shall be proportionately decreased. The Exercise Price and the Warrant Shares, as so adjusted, shall be
readjusted in the same manner upon the happening of any successive event or events described in this Section 3(a)(i). 

(ii) Dividends in Stock, Property, Reclassification. If at any time, or from time to time, all of the holders of Common
Stock (or any shares of stock or other securities at the time receivable upon the exercise of this Warrant) shall have received or become entitled to receive, without payment therefore: 

(A) any shares of stock or other securities that are at any time directly or indirectly convertible into or exchangeable for
Common Stock, or any rights or options to subscribe for, purchase or otherwise acquire any of the foregoing by way of dividend or other distribution, or 

(B) additional stock or other securities or property (including cash) by way of spin-off, split-up, reclassification,
combination of shares or similar corporate rearrangement (other than shares of Common Stock issued as a stock split or adjustments in respect of which shall be covered by the terms of Section 3(a)(i) above), 

then and in each such case, the Exercise Price and the number of Warrant Shares to be obtained upon exercise of this Warrant shall be adjusted
proportionately, and the Holder hereof shall, upon the exercise of this Warrant, be entitled to receive, in addition to the number of shares of Common Stock receivable thereupon, and without payment of any additional consideration therefor, the
amount of stock and other securities and property (including cash in the cases referred to above) that such Holder would hold on the date of 

  
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such exercise had such Holder been the holder of record of such Common Stock as of the date on which holders of Common Stock received or became entitled to receive such shares or all other
additional stock and other securities and property. The Exercise Price and the Warrant Shares, as so adjusted, shall be readjusted in the same manner upon the happening of any successive event or events described in this Section 3(a)(ii).

 (iii) Reorganization, Reclassification, Consolidation, Merger or Sale. If any recapitalization, reclassification
or reorganization of the capital stock of the Company, or any consolidation or merger of the Company with another corporation, or the sale of all or substantially all of its assets or other transaction shall be effected in such a way that holders of
Common Stock shall be entitled to receive stock, securities, or other assets or property (an “Organic Change”), then, as a condition of such Organic Change, lawful and adequate provisions shall be made by the Company whereby the
Holder hereof shall thereafter have the right to purchase and receive (in lieu of the shares of the Common Stock of the Company immediately theretofore purchasable and receivable upon the exercise of the rights represented by this Warrant) such
shares of stock, securities or other assets or property as may be issued or payable with respect to or in exchange for a number of outstanding shares of such Common Stock equal to the number of shares of such stock immediately theretofore
purchasable and receivable assuming the full exercise of the rights represented by this Warrant. In the event of any Organic Change, appropriate provision shall be made by the Company with respect to the rights and interests of the Holder of this
Warrant to the end that the provisions hereof (including, without limitation, provisions for adjustments of the Exercise Price and of the number of shares purchasable and receivable upon the exercise of this Warrant and registration rights) shall
thereafter be applicable, in relation to any shares of stock, securities or assets thereafter deliverable upon the exercise hereof. The Company will not affect any such consolidation, merger or sale unless, prior to the consummation thereof, the
successor corporation (if other than the Company) resulting from such consolidation or merger or the corporation purchasing such assets shall assume by written instrument reasonably satisfactory in form and substance to the Holder executed and
mailed or delivered to the registered Holder hereof at the last address of such Holder appearing on the books of the Company, the obligation to deliver to such Holder such shares of stock, securities or assets as, in accordance with the foregoing
provisions, such Holder may be entitled to purchase. If there is an Organic Change, then the Company shall cause to be mailed to the Holder at its last address as it shall appear on the books and records of the Company, at least 10 calendar days
before the effective date of the Organic Change, a notice stating the date on which such Organic Change is expected to become effective or close, and the date as of which it is expected that holders of the Common Stock of record shall be entitled to
exchange their shares for securities, cash, or other property delivered upon such Organic Change; provided, that the failure to mail such notice or any defect therein or in the mailing thereof shall not affect the validity of the corporate action
required to be specified in such notice. The Holder is entitled to exercise this Warrant during the 10-day period commencing on the date of such notice to the effective date of the event triggering such notice. In any event, the successor
corporation (if other than the Company) resulting from such consolidation or merger or the corporation purchasing such assets shall be deemed to assume such obligation to deliver to such Holder such shares of stock, securities or assets even in the
absence of a written instrument assuming such obligation to the extent such assumption occurs by operation of law. 

  
 7 

 (b) Certificate as to Adjustments. Upon the occurrence of each adjustment
or readjustment pursuant to this Section 3, the Company at its expense shall promptly compute such adjustment or readjustment in accordance with the terms hereof and furnish to each Holder of this Warrant a certificate setting forth such
adjustment or readjustment and showing in detail the facts upon which such adjustment or readjustment is based. The Company shall promptly furnish or cause to be furnished to such Holder a like certificate setting forth: (i) such adjustments
and readjustments; and (ii) the number of shares and the amount, if any, of other property which at the time would be received upon the exercise of the Warrant. 

(c) Certain Events. If any event occurs as to which the other provisions of this Section 3 are not strictly
applicable but the lack of any adjustment would not fairly protect the purchase rights of the Holder under this Warrant in accordance with the basic intent and principles of such provisions, or if strictly applicable would not fairly protect the
purchase rights of the Holder under this Warrant in accordance with the basic intent and principles of such provisions, then the Company’s Board of Directors will, in good faith, make an appropriate adjustment to protect the rights of the
Holder; provided, that no such adjustment pursuant to this Section 3(c) will increase the Exercise Price or decrease the number of Warrant Shares as otherwise determined pursuant to this Section 3. 

 

	 4.
	 REDEMPTION OF WARRANTS 

(a) General. Prior to the Expiration Date, the Company shall have the option, subject to the conditions set forth
herein, to redeem all of the Warrants then outstanding upon not less than thirty (30) days nor more than sixty (60) days prior written notice to the Warrant Holders at any time provided that, at the time of delivery of such notice
(i) there is an effective registration statement covering the resale of the Warrant Shares, and (ii) the VWAP of the Company’s Common Stock for each of the twenty (20) consecutive Trading Days prior to the date of the notice of
redemption is at least $2.50, as proportionately adjusted to reflect any stock splits, stock dividends, combination of shares or like events. It is contemplated that Aegis Capital Corp. will be retained as solicitation agent in the event the Company
elects to redeem the Warrants and shall be paid a fee of 5% of the gross proceeds derived from the exercise of the Warrants in such event. 

For purposes hereof, (i) “VWAP” means, for any date, the price determined by the first of the following
clauses that applies: (a) if the Common Stock is then listed or quoted on a Trading Market, the average daily volume weighted average price of the Common Stock for the date so reported on the Trading Market on which the Common Stock is then
listed or quoted as reported by Bloomberg L.P. (based on a Trading Day from 9:30 a.m. (New York City time) to 4:02 p.m. (New York City time), or (b) if the Common Stock is not then listed or quoted for trading on a Trading Market and if prices
for the Common Stock are then reported in the “Pink Sheets” published by Pink OTC Markets, Inc. (or a similar organization or agency succeeding to its functions of reporting prices), the average daily volume weighted average price of the
Common Stock for the date so reported and (ii) “Trading Market” means any of the following markets or exchanges on which the Common Stock is listed or quoted for trading on the date in question: the New York Stock Exchange, the NYSE
MKT, the NASDAQ Global Select Market, the NASDAQ Global Market, the NASDAQ Capital Market, or any other national securities exchange, as well as the OTC Bulletin Board or any tier of the OTC Markets. 

  
 8 

 (b) Notice. Notice of redemption will be effective upon mailing in
accordance with this Section and such date may be referred to below as the “Notice Date.” Notice of redemption shall be mailed by first class mail, postage prepaid, by the Company not less than 30 days prior to the date fixed for
redemption to the Holders of the Warrants to be redeemed at their last addresses as they shall appear on the registration books. Any notice mailed in the manner herein provided shall be conclusively presumed to have been duly given whether or not
the Holder received such notice. 
 (c) Redemption Date and Redemption Price. The notice of redemption shall state
the date set for redemption, which date shall be not less than thirty (30) days, or more than sixty (60) days, from the Notice Date (the “Redemption Date”). The Company shall not mail the notice of redemption unless all
funds necessary to pay for redemption of the Warrants to be redeemed shall have first been set aside by the Company for the benefit of the Warrant Holders so as to be and continue to be available therefor. The redemption price to be paid to the
Warrant Holders will be $0.0001 for each share of Common Stock of the Company to which the Warrant Holder would then be entitled upon exercise of the Warrant being redeemed, as adjusted from time to time as provided herein (the “Redemption
Price”). 
 (d) Exercise. Following the Notice Date, the Warrant Holders may exercise their Warrants in
accordance with Section 1 of this Warrant between the Notice Date and 5:00 p.m. Eastern Time on the Redemption Date and such exercise shall be timely if the form of election to purchase duly executed and the Warrant Exercise Price for the
shares of Common Stock to be purchased are actually received by the Company at its principal offices prior to 5:00 p.m. Eastern Time on the Redemption Date. 

(e) Mailing. If any Warrant Holder does not wish to exercise any Warrant being redeemed, he should mail such Warrant to
the Company at its principal offices after receiving the notice of redemption. On and after 5:00 p.m. Eastern Time on the Redemption Date, notwithstanding that any Warrant subject to redemption shall not have been surrendered for redemption, the
obligation evidenced by all Warrants not surrendered for redemption or effectively exercised shall be deemed no longer outstanding, and all rights with respect thereto shall forthwith cease and terminate, except only the right of the holder of each
Warrant subject to redemption to receive the Redemption Price for each share of Common Stock to which he would be entitled if he exercised the Warrant upon receiving notice of redemption of the Warrant subject to redemption held by him. 

 

	 5.
	 TRANSFERS AND EXCHANGES OF WARRANT AND WARRANT SHARES 

(a) Registration of Transfers and Exchanges. Subject to Section 5(c), upon the Holder’s surrender of this
Warrant, with a duly executed copy of the Form of Assignment attached as Exhibit B, to the Secretary of the Company at its principal offices or at such other office or agency as the Company may specify in writing to the Holder, the Company
shall register the transfer of all or any portion of this Warrant. Upon such registration of transfer, the Company shall issue a new Warrant, in substantially the form of this 

  
 9 

 
Warrant, evidencing the acquisition rights transferred to the transferee and a new Warrant, in similar form, evidencing the remaining acquisition rights not transferred, to the Holder requesting
the transfer. 
 (b) Warrant Exchangeable for Different Denominations. The Holder may exchange this Warrant for a new
Warrant or Warrants, in substantially the form of this Warrant, evidencing in the aggregate the right to purchase the number of Warrant Shares which may then be purchased hereunder, each of such new Warrants to be dated the date of such exchange and
to represent the right to purchase such number of Warrant Shares as shall be designated by the Holder. The Holder shall surrender this Warrant with duly executed instructions regarding such re-certification of this Warrant to the Secretary of the
Company at its principal offices or at such other office or agency as the Company may specify in writing to the Holder. 

(c) Restrictions on Transfers. This Warrant may not be transferred at any time without (i) registration under the
Securities Act or (ii) an exemption from such registration and a written opinion of legal counsel addressed to the Company that the proposed transfer of the Warrant may be effected without registration under the Securities Act, which opinion
will be in form and from counsel reasonably satisfactory to the Company. 
 (d) Permitted Transfers and Assignments.
Notwithstanding any provision to the contrary in this Section 5, the Holder may transfer, with or without consideration, this Warrant or any of the Warrant Shares (or a portion thereof) to the Holder’s Affiliates (as such term is defined
under Rule 144 of the Securities Act) without obtaining the opinion from counsel that may be required by Section 5(c)(ii), provided, that the Holder delivers to the Company and its counsel certification, documentation, and other
assurances reasonably required by the Company’s counsel to enable the Company’s counsel to render an opinion to the Company’s Transfer Agent that such transfer does not violate applicable securities laws. 

 

	 6.
	 MUTILATED OR MISSING WARRANT CERTIFICATE 

If this Warrant is mutilated, lost, stolen or destroyed, upon request by the Holder, the Company will, at its expense, issue,
in exchange for and upon cancellation of the mutilated Warrant, or in substitution for the lost, stolen or destroyed Warrant, a new Warrant, in substantially the form of this Warrant, representing the right to acquire the equivalent number of
Warrant Shares; provided, that, as a prerequisite to the issuance of a substitute Warrant, the Company may require satisfactory evidence of loss, theft or destruction as well as an indemnity from the Holder of a lost, stolen or destroyed
Warrant. 
  

	 7.
	 PAYMENT OF TAXES 

The Company will pay all transfer and stock issuance taxes attributable to the preparation, issuance and delivery of this
Warrant and the Warrant Shares (and replacement Warrants) including, without limitation, all documentary and stamp taxes; provided, however, that the Company shall not be required to pay any tax in respect of the transfer of this
Warrant, or the issuance or delivery of certificates for Warrant Shares or other securities in respect of the Warrant Shares to any person or entity other than to the Holder. 

  
 10 

	 8.
	 FRACTIONAL WARRANT SHARES 

No fractional Warrant Shares shall be issued upon exercise of this Warrant. The Company, in lieu of issuing any fractional
Warrant Share, shall round up the number of Warrant Shares issuable to nearest whole share. 
  

	 9.
	 NO STOCK RIGHTS AND LEGEND 

No holder of this Warrant, as such, shall be entitled to vote or be deemed the holder of any other securities of the Company
that may at any time be issuable on the exercise hereof, nor shall anything contained herein be construed to confer upon the holder of this Warrant, as such, the rights of a stockholder of the Company or the right to vote for the election of
directors or upon any matter submitted to stockholders at any meeting thereof, or give or withhold consent to any corporate action or to receive notice of meetings or other actions affecting stockholders (except as provided herein), or to receive
dividends or subscription rights or otherwise (except as provide herein). 
 Each certificate for Warrant Shares initially
issued upon the exercise of this Warrant, and each certificate for Warrant Shares issued to any subsequent transferee of any such certificate, shall be stamped or otherwise imprinted with a legend in substantially the following form: 

“THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED
(THE “ACT”), OR ANY STATE SECURITIES LAWS, AND NEITHER SUCH SECURITIES NOR ANY INTEREST THEREIN MAY BE OFFERED, SOLD, PLEDGED, ASSIGNED OR OTHERWISE TRANSFERRED UNLESS (1) A REGISTRATION STATEMENT WITH RESPECT THERETO IS EFFECTIVE
UNDER THE ACT AND ANY APPLICABLE STATE SECURITIES LAWS, OR (2) AN EXEMPTION FROM SUCH REGISTRATION EXISTS AND THE COMPANY RECEIVES AN OPINION OF COUNSEL TO THE HOLDER OF SUCH SECURITIES, WHICH COUNSEL AND OPINION ARE REASONABLY SATISFACTORY TO
THE COMPANY, THAT SUCH SECURITIES MAY BE OFFERED, SOLD, PLEDGED, ASSIGNED OR TRANSFERRED IN THE MANNER CONTEMPLATED WITHOUT AN EFFECTIVE REGISTRATION STATEMENT UNDER THE ACT OR APPLICABLE STATE SECURITIES LAWS.” 

 

	 10.
	 REGISTRATION RIGHTS 

The Holder shall be entitled to the registration rights as are contained in the Registration Rights Agreement, the provisions
of which are deemed incorporated herein by reference.
  

	 11.
	 NOTICES 

All notices, consents, waivers, and other communications under this Warrant must be in writing and will be deemed given to a
party when (a) delivered to the appropriate address by hand or by nationally recognized overnight courier service (costs prepaid); (b) sent by facsimile or e-mail with confirmation of transmission by the transmitting equipment;
(c) received or rejected by the 

  
 11 

 
addressee, if sent by certified mail, return receipt requested, if to the registered Holder hereof; or (d) seven days after the placement of the notice into the mails (first class postage
prepaid), to the Holder at the address, facsimile number, or e-mail address furnished by the registered Holder to the Company in accordance with the Subscription Agreement by and between the Company and the Holder, or if to the Company, to it at One
Kendall Square, Bldg 200, Cambridge, MA 02139, Attn: Yuval Cohen, CEO (or to such other address, facsimile number, or e-mail address as the Holder or the Company as a party may designate by notice the other party). 

 

	 12.
	 SEVERABILITY 

If a court of competent jurisdiction holds any provision of this Warrant invalid or unenforceable, the other provisions of this
Warrant will remain in full force and effect. Any provision of this Warrant held invalid or unenforceable only in part or degree will remain in full force and effect to the extent not held invalid or unenforceable. 

 

	 13.
	 BINDING EFFECT 

This Warrant shall be binding upon and inure to the sole and exclusive benefit of the Company, its successors and assigns, the
registered Holder or Holders from time to time of this Warrant and the Warrant Shares. 
  

	 14.
	 SURVIVAL OF RIGHTS AND DUTIES 

This Warrant shall terminate and be of no further force and effect on the earlier of 5:00 P.M., Eastern Time, on the Expiration
Date or the date on which this Warrant has been exercised in full. 
  

	 15.
	 GOVERNING LAW 

This Warrant will be governed by and construed under the laws of the State of New York without regard to conflicts of laws
principles that would require the application of any other law. 
  

	 16.
	 DISPUTE RESOLUTION 

In the case of a dispute as to the determination of the Exercise Price or the arithmetic calculation of the Warrant Shares, the
Company shall submit the disputed determinations or arithmetic calculations via facsimile within two Business Days of receipt of the Notice of Exercise giving rise to such dispute, as the case may be, to the Holder. If the Holder and the Company are
unable to agree upon such determination or calculation of the Exercise Price or the Warrant Shares within three Business Days of such disputed determination or arithmetic calculation being submitted to the Holder, then the Company shall, within two
Business Days, submit via facsimile (a) the disputed determination of the Exercise Price to an independent, reputable investment bank selected by the Company and approved by the Holder or (b) the disputed arithmetic calculation of the
Warrant Shares to the Company’s independent, outside 

  
 12 

 
accountant. The Company shall cause at its expense the investment bank or the accountant, as the case may be, to perform the determinations or calculations and notify the Company and the Holder
of the results no later than ten (10) Business Days from the time it receives the disputed determinations or calculations. Such investment bank’s or accountant’s determination or calculation, as the case may be, shall be binding upon
all parties absent demonstrable error. 
  

	 17.
	 NOTICES OF RECORD DATE 

Upon (a) any establishment by the Company of a record date of the holders of any class of securities for the purpose of
determining the holders thereof who are entitled to receive any dividend or other distribution, or right or option to acquire securities of the Company, or any other right, or (b) any capital reorganization, reclassification, recapitalization,
merger or consolidation of the Company with or into any other corporation, any transfer of all or substantially all the assets of the Company, or any voluntary or involuntary dissolution, liquidation or winding up of the Company, or the sale, in a
single transaction, of a majority of the Company’s voting stock (whether newly issued, or from treasury, or previously issued and then outstanding, or any combination thereof), the Company shall mail to the Holder at least ten
(10) Business Days, or such longer period as may be required by law, prior to the record date specified therein, a notice specifying (i) the date established as the record date for the purpose of such dividend, distribution, option or
right and a description of such dividend, option or right, (ii) the date on which any such reorganization, reclassification, transfer, consolidation, merger, dissolution, liquidation or winding up, or sale is expected to become effective and
(iii) the date, if any, fixed as to when the holders of record of Common Stock shall be entitled to exchange their shares of Common Stock for securities or other property deliverable upon such reorganization, reclassification, transfer,
consolation, merger, dissolution, liquidation or winding up. 
  

	 18.
	 RESERVATION OF SHARES 

The Company shall reserve and keep available out of its authorized but unissued shares of Common Stock for issuance upon the
exercise of this Warrant, free from pre-emptive rights, such number of shares of Common Stock for which this Warrant shall from time to time be exercisable. The Company will take all such reasonable action as may be necessary to assure that such
Warrant Shares may be issued as provided herein without violation of any applicable law or regulation. Without limiting the generality of the foregoing, the Company covenants that it will use commercially reasonable efforts to take all such action
as may be necessary or appropriate in order that the Company may validly and legally issue fully paid and nonassessable Warrant Shares upon the exercise of this Warrant and use commercially reasonable efforts to obtain all such authorizations,
exemptions or consents, including but not limited to consents from the Company’s stockholders or Board of Directors or any public regulatory body, as may be necessary to enable the Company to perform its obligations under this Warrant. 

  
 13 

	 19.
	 NO THIRD PARTY RIGHTS 

This Warrant is not intended, and will not be construed, to create any rights in any parties other than the Company and the
Holder, and no person or entity may assert any rights as third-party beneficiary hereunder. 
 [SIGNATURE PAGE FOLLOWS] 

  
 14 

 IN WITNESS WHEREOF, the Company has caused this Warrant to be duly executed as of
the date first set forth above. 
  

			
	 CORBUS PHARMACEUTICALS HOLDINGS, INC.

		
	 By:
	 	  

		 	 Name:     Yuval Cohen

		 	 Title:       Chief Executive Officer

  
 15 

 EXHIBIT A 

NOTICE OF EXERCISE 
 (To be
executed by the Holder of Warrant if such Holder desires to exercise Warrant) 
 To Corbus Pharmaceuticals Holdings, Inc.: 

The undersigned hereby irrevocably elects to exercise this Warrant and to purchase thereunder,
[                ] full shares of Corbus Pharmaceuticals Holdings, Inc common stock issuable upon exercise of the Warrant and delivery of: 

(1) $[            ] (in cash as provided for in the foregoing
Warrant) and any applicable taxes payable by the undersigned pursuant to such Warrant; and 
 (2)
[                ] shares of Common Stock (pursuant to a Cashless Exercise in accordance with Section 1(b)(ii) of the Warrant) (check here if the undersigned
desires to deliver an unspecified number of shares equal the number sufficient to effect a Cashless Exercise [            ]). 

The undersigned requests that certificates for such shares be issued in the name of: 

 

					
		  	  
	  	
			
		  	
(Please print name, address and social security or federal employer

identification number (if applicable))
	  	
			
		  	  
	  	
			
		  	  
	  	

 If the shares issuable upon this exercise of the Warrant are not all of the Warrant Shares
which the Holder is entitled to acquire upon the exercise of the Warrant, the undersigned requests that a new Warrant evidencing the rights not so exercised be issued in the name of and delivered to: 

 

					
		  	  
	  	
			
		  	
(Please print name, address and social security or federal employer

identification number (if applicable))
	  	
			
		  	  
	  	
			
		  	  
	  	

  

	
	 Name of Holder
(print):                                       
         

	
(Signature):                    
                                         
       

	
(By:)                     
                                         
                

	
(Title:)                     
                                         
             

	
Dated:                     
                                         
               

  
 16 

 EXHIBIT B 

FORM OF ASSIGNMENT 

FOR VALUE RECEIVED,
[                    ] hereby sells, assigns and transfers to each assignee set forth below all of the rights of the undersigned under the Warrant
(as defined in and evidenced by the attached Warrant) to acquire the number of Warrant Shares set opposite the name of such assignee below and in and to the foregoing Warrant with respect to said acquisition rights and the shares issuable upon
exercise of the Warrant: 
  

					
	 Name of Assignee
	  	 Address
	  	 Number of Shares

		  		  	
		  		  	
		  		  	

 If the total of the Warrant Shares are not all of the Warrant Shares evidenced by the
foregoing Warrant, the undersigned requests that a new Warrant evidencing the right to acquire the Warrant Shares not so assigned be issued in the name of and delivered to the undersigned. 

 

	
	 Name of Holder
(print):                                       
         

	
(Signature):                    
                                         
       

	
(By:)                     
                                         
                

	
(Title:)                     
                                         
             

	
Dated:

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