Document:

remotes8091407ex4-a.htm

    
      

      

    

    THIS
      WARRANT AND ANY SHARES ACQUIRED UPON THE EXERCISE OF THIS WARRANT MAY NOT BE
      TRANSFERRED IN THE ABSENCE OF REGISTRATION UNDER THE SECURITIES ACT OF 1933,
      AS
      AMENDED, OR ANY COMPARABLE STATE LAW, OR AN EXEMPTION THEREFROM UNDER SUCH
      ACT.  THIS WARRANT AND SUCH SHARES MAY BE TRANSFERRED ONLY IN
      COMPLIANCE WITH THE CONDITIONS SPECIFIED IN THIS
      WARRANT

    

    RemoteMDx,
      Inc.

    

    COMMON
      STOCK PURCHASE WARRANT

    

    

    
      	
              Warrant
                Holder:

            	
              ________________

            

    

    
      	
              Date
                of Grant:

            	
              _____________,
                20__

            

    

    
      Number
        of Covered Shares:

    

    
      	
              Exercise
                Price Per Share:

            	
              $

            

    

    
      	
              Term:

            	
              Five
                year term

            

    

     

     

    Effective
      as of ______________ RemoteMDx, Inc., a Utah corporation (the
“Company”), for value received, hereby certifies that
      ___________ (“Holder”), is entitled to purchase from the
      Company, at such times and in such amounts as are permitted herein, ____________
      duly authorized shares of the Common Stock, par value $0.0001 per share, of
      the
      Company (the “Warrant Stock”) at a purchase price per share of
      $________ per share, all subject to the terms and conditions set forth
      below.

     

    
      	
               

            	
              1.

            	
              Exercise
                of
                Warrant.

            

    

     

    1.1.      Manner
      of Exercise.  Holder may exercise
      this
      Warrant, in whole or in part, during normal business hours on any business
      day
      by surrendering this Warrant to the Company at the Company's principal office,
      accompanied by an executed subscription agreement in substantially the form
      annexed hereto as Exhibit "A",
      as such form may be modified in the
      discretion of the Company to comply with any applicable federal or state
      securities laws, and by payment, in cash or by certified or official bank check
      payable to the order of the Company, or by any combination of such methods,
      in
      the amount obtained by multiplying (a) the number of shares of Warrant Stock
      designated in such subscription by (b) $___, whereupon Holder shall be entitled
      to receive the number of duly authorized, validly issued, fully paid and
      nonassessable shares of Warrant Stock as is indicated on the
      subscription.

     

    1.2.      When
      Exercise
      Effective.   Each exercise of
      this
      Warrant shall be deemed to have been effected immediately prior to the close
      of
      business on the business day on which this Warrant shall have been surrendered
      to the Company as provided in Section 1.1, and at such time the person or
      persons in whose name or names any certificate or certificates for shares of
      Warrant Stock shall be issued upon such exercise shall be deemed for all
      corporate purposes to have become the holder of record
      thereof.

     

    

     

    

    
      
        
           

        

        
           

          
            

          

        

        
           

        

      

    

    

    1.3.      Delivery
      of Stock
      Certificates.   As soon as
      practicable after each exercise of this Warrant, and in any event within five
      business days thereafter, the Company at its expense (including the payment
      by
      it of any applicable issue taxes) will cause to be issued in the name of and
      delivered to Holder, a certificate or certificates for the number of duly
      authorized, validly issued, fully paid and nonassessable shares of Warrant
      Stock
      to which Holder shall be entitled upon such exercise.

     

    
      	
               

            	
              1.4.

            	
              Partial
                Exercise.

            

    

     

    (a)        Fractional
      Shares. In the event of
      any partial exercise
      of this Warrant, the Company will not issue certificates for any fractional
      shares of the Warrant Stock to which Holder otherwise may be entitled, and
      the
      Company shall not be obligated to refund an amount of cash comprising the market
      value of any fractional share of Warrant Stock for which the Company will not
      issue a certificate.

     

    (b)        Replacement
      Warrant.  In the event of any
      partial
      exercise of this Warrant, at the request of Holder and upon tender of this
      Warrant to the Company, the Company shall issue a new Warrant containing the
      same terms and conditions as this Warrant but calling on the face thereof for
      the number of shares of Warrant Stock equal to the number of shares called
      for
      on the face of this Warrant minus the number of shares of Warrant Stock issued
      upon the partial exercise of this Warrant.

     

    
      	
               

            	
              2.

            	
              Certain
                Adjustments.

            

    

     

    2.1.      Mergers,
      Consolidations or
Sale
      of Assets.  If at any time there
      shall
      be a capital reorganization (other than a combination or subdivision of Warrant
      Stock otherwise provided for herein), or a merger or consolidation of the
      Company with or into another corporation, or the sale of the Company's
      properties and assets as, or substantially as, an entirety to any other person,
      then, as a part of such reorganization, merger, consolidation or sale, lawful
      provision shall be made so that the holder shall thereafter be entitled to
      receive upon exercise of this Warrant, during the period specified in this
      Warrant and upon payment of the purchase price, the number of shares of stock
      or
      other securities or property of the Company or the successor corporation
      resulting from such reorganization, merger, consolidation or sale, to which
      a
      holder of the Common Stock deliverable upon exercise of this Warrant would
      have
      been entitled under the provisions of the agreement in such reorganization,
      merger, consolidation or sale if this Warrant had been exercised immediately
      before that reorganiza­tion, merger, consolidation or sale.  In
      any such case, appropriate adjustment (as determined in good faith by the
      Company's Board of Directors) shall be made in the application of the provisions
      of this Warrant with respect to the rights and interests of the holder after
      the
      reorganization, merger, consolidation or sale to the end that the provisions
      of
      this Warrant (including adjustment of the purchase price then in effect and
      the
      number of shares of Warrant Stock) shall be applicable after that event, as
      near
      as reasonably may be, in relation to any shares or other property deliverable
      after that event upon exercise of this Warrant.

     

    

     

    

    
      
        
           

        

        
          2

          
            

          

        

        
           

        

      

    

    

    2.2.      Splits
      and
      Subdivisions.  If the Company at
      any time
      or from time to time after the date of this Warrant but before expiration
      effects a split or subdivision of the outstanding shares of its then outstanding
      Common Stock into a greater number of shares of Common Stock, or if the Company
      effects a reverse split of the outstanding shares of its Common Stock into
      a
      lesser number of shares of Common Stock, (by reclassification or otherwise
      than
      by payment of a dividend in Common Stock), then, and in each such case, the
      number of shares called for on the face of this Warrant (or the face of any
      replacement Warrant issued upon partial exercise) shall be adjusted
      proportionally, and the exercise price with respect to such adjusted number
      of
      shares also shall be adjusted proportionally.

     

    2.3.      Certificate
      as to
      Adjustments.  In the case of each
      adjustment or readjustment of the purchase price pursuant to this Section 2,
      the
      Company will promptly compute such adjustment or readjustment in accordance
      with
      the terms hereof and cause a certificate setting forth such adjustment or
      readjustment and showing in detail the facts upon which such adjustment or
      readjust­ment is based to be delivered to the holder of this
      Warrant.  The Company will, upon the written request at any time of
      the holder of this Warrant, furnish or cause to be furnished to such holder
      a
      certificate setting forth:

     

    
      	
               

            	
              (a)

            	
              Such
                adjustments and
                readjustments;

            

    

     

    
      	
               

            	
              (b)

            	
              The
                purchase price at the time in
                effect; and

            

    

     

    (c)       
      The number of shares of Warrant
      Stock and the amount, if any, of other property at the time receivable upon
      the
      exercise of the Warrant.

     

    
      	
               

            	
              3.

            	
              Restrictions
                on
                Transfer.

            

    

     

    3.1.      Restrictive
      Legends.  Unless the shares
      issued
      upon exercise of this Warrant are registered under the Securities Act of 1933
      and under applicable laws of any state, each certificate for Common Stock issued
      upon the exercise of any Warrant, and each certificate issued upon the transfer
      of any such Common Stock, shall be stamped or otherwise imprinted with a legend
      in substantially the following form:

     

    THE
      SHARES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE
      SECURITIES ACT OF 1933, AS AMENDED, OR UNDER THE SECURITIES LAWS OF ANY
      STATE.  THESE SECURITIES MAY NOT BE OFFERED, SOLD, TRANSFERRED,
      PLEDGED OR HYPOTHECATED IN THE ABSENCE OF REGISTRATION, OR THE AVAILABILITY
      OF
      AN EXEMPTION FROM REGISTRATION, UNDER THE SECURITIES ACT OF 1933 AND APPROPRIATE
      STATE SECURITIES LAWS.  FURTHERMORE, NO OFFER, SALE, TRANSFER, PLEDGE
      OR HYPOTHECATION IS TO TAKE PLACE UNLESS THE COMPANY RECEIVES AN OPINION OF
      COUNSEL AT SHAREHOLDER'S EXPENSE, AND SATISFACTORY TO IT, THAT AN EXEMPTION
      FROM
      REGISTRATION IS AVAILABLE.

     

    

     

    

    
      
        
           

        

        
          3

          
            

          

        

        
           

        

      

    

    

    3.2.      Notice
      of Proposed
      Transfer;  Opinions of Counsel.  Prior to the transfer
      of
      any shares of Common Stock issued upon the exercise of this Warrant and during
      any period during which such shares of Common Stock are not registered by the
      Company under an effective registration statement filed pursuant to the
      Securities Act of 1933, the holder thereof shall give written notice to the
      Company, which notice shall (a) state such holder's intention to transfer such
      restricted shares and to comply in all other respects with the transfer
      requirements of this Warrant; (b) describe the circumstances of the proposed
      transfer in sufficient detail to enable counsel to render the opinions referred
      to below, and (c) designate counsel for the holder giving such
      notice.  The holder giving such notice shall submit a copy thereof to
      the counsel designated in such notice and the Company will promptly submit
      a
      copy thereof to its counsel.  The following provisions shall then
      apply:

     

    (a)        If
      (a) in the opinion of counsel for the
      holder designated in the notice the proposed transfer may be effected without
      registration of such shares of Common Stock under the Securities Act of 1933
      and
      any applicable state securities laws, and (b) counsel for the Company shall
      not
      have rendered an opinion within 15 days after receipt by the Company of such
      written notice that such registration is required, such holder shall thereupon
      be entitled to transfer such shares of Common Stock in accordance with the
      terms
      of the notice delivered by such holder to the Company.  Each Warrant
      or certificate, if any, issued upon or in connection with such transfer shall
      bear the appropriate restrictive legend set forth in Section 3.1, unless in
      the
      opinion of each such counsel such legend is no longer required to insure
      compliance with the Securities Act.  If for any reason counsel for the
      Company (after having been furnished with the information required to be
      furnished by clause (a) of this Section 3.2) shall fail to deliver an opinion
      to
      the Company as aforesaid, then for all purposes of this Warrant the opinion
      of
      counsel for the Company shall be deemed to be the same as the opinion of counsel
      for such holder.

     

    (b)        If
      in the opinion of either or both of
      such counsel the proposed transfer may not legally be effected without
      registration of such shares of Common Stock under the Securities Act of 1933
      or
      applicable state securities laws (such opinion or opinions to state the basis
      of
      the legal conclusions reached therein), the Company will promptly so notify
      the
      holder thereof and thereafter such holder shall not be entitled to transfer
      such
      shares of Common Stock until receipt of a further notice from the holder under
      Section 3.2  above or until registration of such shares of Common
      Stock under the Securities Act or applicable state law has become
      effective.

     

    4.         Reservation
      of
      Shares.   The Company
      will at
      all times reserve and keep available, solely for issuance and delivery upon
      the
      exercise of the Warrants, the number of shares of Warrant Stock that would
      be
      issuable upon the exercise of all Warrants at the time
      outstanding.  All such shares shall be duly authorized and, when
      issued upon such exercise, shall be validly issued, fully paid and nonassessable
      with no liability on the part of the holders thereof.

     

    

     

    

    
      
        
           

        

        
          4

          
            

          

        

        
           

        

      

    

    

    5.         Replacement
      of
      Warrants.   Upon receipt
      of
      evidence reasonably satisfactory to the Company of the loss, theft, destruction
      or mutilation of any Warrant and, in the case of any such loss, theft of
      destruction of any Warrant, upon delivery of indemnity reasonably satisfactory
      to the Company in form and amount or, in the case of any such mutilation, upon
      surrender of such the Company at its expense will execute and deliver, in lieu
      thereof, a new Warrant of like tenor.

     

    6.         No
      Rights or Liabilities as
      Stockholder.   Nothing
      herein shall
      give or shall be construed to give the holder of this Warrant any of the rights
      of a shareholder of the Company including, without limitation, the right to
      vote
      on matters requiring the vote of shareholders, the right to receive any dividend
      declared and payable to the holders of Common Stock, and the right to a pro-rata
      distribution upon the Company's dissolution.

     

    7.         Notices.  All
      notices and other
      communications provided for herein shall be delivered or mailed by first class
      mail, postage prepaid, addressed (a) if to the holders of any Warrant, at the
      registered address of such holder as set forth in the register kept at the
      principal office of the Company, or (b) if to the Company, at its principal
      office to the attention of the Company’s Chief Financial Officer, RemoteMDx,
      Inc., 150 West Civic Center Drive, Suite 400, Sandy, Utah 84070, or at the
      address of such other principal office of the Company as the Company shall
      have
      furnished to each holder of any Warrants in writing, provided
      that the exercise of any Warrants shall
      be effective only in the manner provided in Section 1.

     

    8.         Assignment.  No
      Warrant granted herein
      or any of the rights and privileges thereby conferred shall be transferred,
      assigned, pledged, or hypothecated in any way (whether by operation of law
      or
      otherwise), and no such Warrant, right, or privilege shall be subject to
      execution, attachment, or similar process.  Upon any attempt so to
      transfer, assign, pledge, hypothecate, or otherwise dispose of the Warrant,
      or
      of any right or privilege conferred thereby, contrary to the provisions hereof,
      or upon the levy of any attachment or similar process upon which Warrant, right,
      or privilege, the Warrant and such rights and privileges shall immediately
      become null and void.

     

    9.         Investment
      Representations.  In connection
      with its
      acquisition of this Warrant, Holder represents and warrants, and (unless the
      shares underlying this Warrant are registered pursuant to the Securities Act
      of
      1933) in connection with any exercise of this Warrant Holder will represent
      and
      warrant, as follows:

     

    9.1.      Holder
      is acquiring the Warrant and the
      Warrant Stock (together, the “Securities”)
      for his its own account; no other
      person has any direct or indirect beneficial ownership in the
      Securities.

     

    9.2.      Holder
      is acquiring the Securities for
      investment, with no present intention of distributing or selling any of the
      Securities or any interest therein.

     

    9.3.      Holder
      has the capacity to protect its
      own interests in connection with the acquisition of the
      Securities.  It has such knowledge and experience in financial and
      business matters generally, and about the Company in particular, that it is
      capable of evaluating the merits and risks of its acquisition of the
      Securities.

     

    

     

    

    
      
        
           

        

        
          5

          
            

          

        

        
           

        

      

    

    

    9.4.      Holder
      acknowledges that as of the date
      hereof, and as of the date of any exercise of the Warrants, it has read and
      analyzed, and retained copies of this Agreement and the following
      documents:

     

    (a)        The
      most recent Annual Report on Form
      10-KSB of the Company;

     

    (b)        Any
      and all Quarterly Reports on Form
      10-Q of the Company filed since the latest Form 10-KSB; and

     

    (c)        Any
      and all Current Reports on Form 8-K
      of the Company filed since the latest Form 10-KSB.

     

    9.5.      Holder
      has been informed and understands
      that there are risks associated with purchasing the Securities, including those
      risks of ownership of Common Stock of the Company identified in the Company’s
      Annual Reports on Form 10-KSB.  Holder is capable of bearing the
      economic risk of ownership of the Securities including, but not limited to,
      the
      possibility of the complete loss of the value of the Securities and the
      restrictions on transferability of the Securities.

     

    10.       Miscellaneous.  This
      Warrant and any term
      hereof may be changed, waived, discharged or terminated only by an instrument
      in
      writing signed by the party against which enforcement of such change, waiver,
      discharge or termination is sought.  This Warrant shall be governed by
      the laws of the State of Utah.  The
      headings of this
      Warrant are inserted for convenience only and shall not be deemed to constitute
      a part hereof.

     

    11.       Expiration.  The
      Warrants granted herein
      shall in no event be exercisable after ______________.

     

    

     

    

     

    

     

    

     

    

    
      
        
           

        

        
          6

          
            

          

        

        
           

        

      

    

    

    

     

    IN
      WITNESS WHEREOF, this Warrant has
      been signed effective _______________.

     

    

     

    
      	 	
              REMOTEMDX,
                INC.

            
	 	 
	 	
              By:
                _____________________________

            
	 	 
	 	
              Title:
                ____________________________

            

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

     

     

    
 

    

    
      
        
           

        

        
          7

          
            

          

        

        
           

        

      

    

     

    EXHIBIT
      A

    

    SUBSCRIPTION

    

    (To
      be
      executed by the holder of the Warrant to exercise the right to purchase Common
      Stock evidenced by the Warrant)

    

    To:          Chief
      Financial Officer

    RemoteMDx,
      Inc.

    5095
      West
      2100 South

    Salt
      Lake
      City, Utah  84120

    

    The
      undersigned hereby irrevocably subscribes for ___________________ shares of
      the
      Common Stock, par value $______ per share, of RemoteMdx, Inc., a Utah
      corporation, pursuant to and in accordance with the terms and conditions of
      a
      Warrant dated effective _________________ (the "Warrant"), and
      tenders with the Warrant and this Subscription Agreement payment of
      $_____________________ as payment for the shares, and requests that a
      certificate for such shares be issued in the name of the undersigned and be
      delivered to the undersigned at the address stated below.

    

     

    
      	
              NAME:

            	
              __________________________________________________

            

    

     

    
      	
              ADDRESS:

            	
              __________________________________________________

            

    

     

    
      	
               

            	
              __________________________________________________

            

    

     

    SOCIAL
      SECURITY NUMBER:___________________________________

     

    

     

    ______________________________________________________________

    Signed

     

    
      	
              DATED:

            	
              __________________________________________________

            

    

     

     

     

     

     

     

     

     

     

    8remotes8091407ex4-b.htm

    
      

      

    

    

    Name

    Street
      Address

    City,
      State and Zip Code

    

    Date:

    

    

    Re:      Stock
      Award

    

    Dear
      ___________:

    

    In
      consideration for your past and future advice, services and work as the
      ___________ of RemoteMDx, Inc., the Board of Directors of the Company has agreed
      to grant to you, as of the date of this letter, an award of _____________ shares
      of Common stock of the Company.  We will promptly instruct our counsel
      to make the necessary filing s to have the shares issued as soon as
      possible.

    

    Thank
      you
      again for your valuable services to the Company.

    

    Sincerely,

    RemoteMDx,
      Inc.

    

    

    By:_______________

    Title:______________

    

    Accepted
      and Agreed:

    

    ____________________________

    

    ____________________________

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