Document:

Exhibit
4.1

 

Exhibit
D

 

NEITHER
THIS WARRANT NOR THE SECURITIES ISSUABLE UPON EXERCISE OF THIS WARRANT HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933,
AS AMENDED (THE “ACT”), OR QUALIFIED UNDER APPLICABLE STATE SECURITIES LAWS AND MAY ONLY BE ACQUIRED FOR INVESTMENT
PURPOSES ONLY AND NOT WITH A VIEW TO, OR IN CONNECTION WITH, THE SALE OR DISTRIBUTION THEREOF. THIS WARRANT AND THE SECURITIES
ISSUABLE UPON THE EXERCISE OF THIS WARRANT, IF ANY, MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE
OF AN EFFECTIVE REGISTRATION STATEMENT AS TO SUCH SECURITIES UNDER THE ACT AND QUALIFICATION UNDER APPLICABLE STATE LAW WITHOUT
AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT SUCH REGISTRATION AND QUALIFICATION ARE NOT REQUIRED UNDER THE ACT OR RECEIPT
OF A NO-ACTION LETTER FROM THE SECURITIES AND EXCHANGE COMMISSION.

 

COMMON
STOCK PURCHASE WARRANT

 

To
Purchase ____________ Shares of Common Stock of

 

JERRICK
MEDIA HOLDINGS, INC.

 

____________
____, 2017 (the “Issuance Date”)

 

 

THIS
COMMON STOCK PURCHASE WARRANT (the “Warrant”) CERTIFIES that, for value received, __________
(the “Holder”), is entitled, upon the terms and subject to the limitations on exercise and the
conditions hereinafter set forth, at any time on or after the date of this Warrant and on or prior to the fifth anniversary
of the date of this Warrant (the “Termination Date”) but not thereafter, to subscribe for and purchase
from Jerrick Media Holdings, Inc., a Nevada corporation (the “Company”), up to __________ shares (the
“Warrant Shares”) of the Common Stock, par value $0.001 per share, of the Company (the “Common
Stock”). The purchase price of one share of Common Stock (the “Exercise Price”) under this
Warrant shall be US $0.20 (twenty cents US). The Exercise Price and the number of Warrant Shares for which the Warrant is
exercisable shall be subject to adjustment as provided herein. Capitalized terms used and not otherwise defined herein shall
have the meanings set forth in that certain Note Subscription Agreement (the “Subscription Agreement”),
dated as of __________ ___ , 2017, among the Company and the Subscriber parties signatory thereto.

 

1.
         Title to Warrant. Prior to the Termination Date and subject to compliance with
applicable laws, including transfer restrictions imposed by applicable securities laws, and Section 7 of this Warrant, this Warrant
and all rights hereunder are transferable, in whole or in part, at the office or agency of the Company by the Holder in person
or by duly authorized attorney, upon surrender of this Warrant together with the Assignment Form annexed hereto properly endorsed.
The transferee shall sign an investment letter in form and substance reasonably satisfactory to the Company.

 

    	 	-1-	 

     

    

 

 

2
         Authorization of Shares. The Company covenants that all Warrant Shares, which
may be issued upon the exercise of the purchase rights represented by this Warrant in accordance with the terms of this Warrant,
including the payment of the exercise price for such Warrant Shares, will, upon exercise of the purchase rights represented by
this Warrant, be duly authorized, validly issued, fully paid and nonassessable and free from all taxes, liens and charges in respect
of the issue thereof (other than taxes in respect of any transfer occurring contemporaneously with such issue).

 

3.
         Exercise of Warrant.

 

(a)
         Exercise of the purchase rights represented by this Warrant may be made at any time
or times on or before the Termination Date by delivery to the Company of a duly executed Notice of Exercise Form annexed hereto
(or such other office or agency of the Company as it may designate by notice in writing to the registered Holder at the address
of such Holder appearing on the books of the Company) and surrender of this Warrant, together with payment of the aggregate Exercise
Price of the shares thereby purchased by wire transfer or cashier’s check drawn on a United States bank in immediately available
funds. Certificates for shares purchased hereunder shall be delivered to the Holder within 5 Trading Days from the delivery to
the Company of the Notice of Exercise Form, surrender of this Warrant and payment of the aggregate Exercise Price as set forth
above (“Warrant Share Delivery Date”). This Warrant shall be deemed to have been exercised on the later of
the date the Notice of Exercise is delivered to the Company and the date the Exercise Price is received by the Company. The Warrant
Shares shall be deemed to have been issued, and Holder or any other person so designated to be named therein shall be deemed to
have become a holder of record of such shares for all purposes, as of the date the Warrant has been exercised by payment to the
Company of the Exercise Price and all taxes required to be paid by the Holder, if any, pursuant to Section 5 prior to the issuance
of such shares, have been paid. If the Company fails to deliver to the Holder a certificate or certificates representing the Warrant
Shares pursuant to this Section 3(a) by the end of business (New York, New York time) on the fifth Trading Day following the Warrant
Share Delivery Date, then the Holder will have the right to rescind such exercise. Nothing herein shall limit a Holder’s
right to pursue 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.

 

(b)
        If this Warrant shall have been exercised in part, the Company shall, at the time of
delivery of the certificate or certificates representing Warrant Shares, deliver to Holder a new Warrant evidencing the rights
of Holder to purchase the unpurchased Warrant Shares called for by this Warrant, which new Warrant shall in all other respects
be identical with this Warrant.

 

    	 	-2-	 

     

    

 

(c)
       This Warrant may also be exercised by means of a “cashless exercise” in
which the Holder shall be entitled to receive a certificate for the number of Warrant Shares equal to the quotient obtained by
dividing [(A-B) (X)] by (A), where:

 

(A)
= the VWAP on the Trading Day immediately preceding the date of such election;

 

(B)
= the Exercise Price of this Warrant, as adjusted; and

 

(X)
= the number of Warrant Shares issuable upon exercise of this Warrant in accordance with the terms of this Warrant by means of
a cash exercise rather than a cashless exercise.

 

“VWAP”
shall mean, 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 daily volume weighted average price of the Common Stock for such date (or the nearest
preceding date) on the Trading Market on which the Common Stock is then listed or quoted as reported by Bloomberg Financial L.P.
(based on a trading day from 9:30 a.m. Eastern Time to 4:02 p.m. Eastern Time); (b) if the Common Stock is not then listed or
quoted on a Trading Market and 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 bid price per share of the Common Stock so reported; or (c) in all other cases, the fair market value of a share
of Common Stock as determined by an independent appraiser selected in good faith by the Subscribers and reasonably acceptable
to the Company.

 

4.
         No Fractional Shares or Scrip. No fractional shares or scrip representing fractional
shares shall be issued upon the exercise of this Warrant. As to any fraction of a share which Holder would otherwise be entitled
to purchase upon such exercise, the Company shall pay a cash adjustment in respect of such final fraction in an amount equal to
such fraction multiplied by the Exercise Price.

 

5.
          Charges, Taxes and Expenses. Issuance of certificates for Warrant Shares shall
be made without charge to the Holder for any issue or transfer tax or other incidental expense in respect of the issuance of such
certificate, all of which taxes and expenses shall be paid by the Company, and such certificates shall be issued in the name of
the Holder or in such name or names as may be directed by the Holder; provided, however, that in the event certificates for Warrant
Shares are to be issued in a name other than the name of the Holder, this Warrant when surrendered for exercise shall be accompanied
by the Assignment Form attached hereto duly executed by the Holder; and the Company may require, as a condition thereto, the payment
of a sum sufficient to reimburse it for any transfer tax incidental thereto.

 

6.
         Closing of Books. The Company will not close its stockholder books or records
in any manner which prevents the timely exercise of this Warrant, pursuant to the terms hereof.

 

    	 	-3-	 

     

    

 

 

7.
         Transfer, Division and Combination.

 

(a)
        Subject to compliance with any applicable securities laws and the conditions set forth
in Sections 1 and 7(e) hereof, this Warrant and all rights hereunder are transferable, in whole or in part, upon surrender of
this Warrant at the principal office of the Company, together with a written assignment of this Warrant substantially in the form
attached hereto duly executed by the Holder or its agent or attorney and funds sufficient to pay any transfer taxes payable upon
the making of such transfer. Upon such surrender and, if required, such payment, the Company shall execute and deliver a new Warrant
or Warrants in the name of the assignee or assignees and in the denomination or denominations specified in such instrument of
assignment, and shall issue to the assignor a new Warrant evidencing the portion of this Warrant not so assigned, and this Warrant
shall promptly be cancelled. A Warrant, if properly assigned, may be exercised by a new holder for the purchase of Warrant Shares
without having a new Warrant issued.

 

(b)
       This Warrant may be divided or combined with other Warrants upon presentation hereof
at the aforesaid office of the Company, together with a written notice specifying the names and denominations in which new Warrants
are to be issued, signed by the Holder or its agent or attorney. Subject to compliance with Section 7(a), as to any transfer which
may be involved in such division or combination, the Company shall execute and deliver a new Warrant or Warrants in exchange for
the Warrant or Warrants to be divided or combined in accordance with such notice.

 

(c)
        The Company shall prepare, issue and deliver at its own expense (other than transfer
taxes) the new Warrant or Warrants under this Section 7.

 

(d)
      The Company agrees to maintain, at its aforesaid office, books for the registration
and the registration of transfer of the Warrants.

 

(e)     
The Company may require, as a condition of allowing such transfer (i) that the Holder or transferee of this Warrant, as the
case may be, furnish to the Company a written opinion of counsel (which opinion shall be in form, substance and scope customary
for opinions of counsel in comparable transactions) to the effect that such transfer may be made without registration under the
Securities Act and under applicable state securities or blue sky laws, (ii) that the holder or transferee execute and deliver
to the Company an investment letter in form and substance acceptable to the Company and (iii) that the transferee be an “accredited
investor” as defined in Rule 501(a) promulgated under the Securities Act or a qualified institutional buyer as defined in
Rule 144A(a) under the Securities Act.

 

8.
         No Rights as Shareholder until Exercise. This Warrant does not entitle the Holder
to any voting rights or other rights as a shareholder of the Company prior to the exercise hereof. Upon the surrender of this
Warrant and the payment of the aggregate Exercise Price (or by means of a cashless exercise), the Warrant Shares so purchased
shall be and be deemed to be issued to such Holder as the record owner of such shares as of the close of business on the later
of the date of such surrender or payment.

 

    	 	-4-	 

     

    

 

9.
         Loss, Theft, Destruction or Mutilation of Warrant. The Company covenants that
upon receipt by the Company of evidence reasonably satisfactory to it of the loss, theft, destruction or mutilation of this Warrant
or any stock certificate relating to the Warrant Shares, and in case of loss, theft or destruction, of indemnity or security reasonably
satisfactory to it (which, in the case of the Warrant, shall not include the posting of any bond), and upon surrender and cancellation
of such Warrant or stock certificate, if mutilated, the Company will make and deliver a new Warrant or stock certificate of like
tenor and dated as of such cancellation, in lieu of such Warrant or stock certificate.

 

10.
        Saturdays, Sundays, Holidays, etc. If the last or appointed day for the taking
of any action or the expiration of any right required or granted herein shall be a Saturday, Sunday or a legal holiday, then such
action may be taken or such right may be exercised on the next succeeding day not a Saturday, Sunday or legal holiday.

 

11.
       Adjustments of Exercise Price and Number of Warrant Shares. The number and kind
of securities purchasable upon the exercise of this Warrant and the Exercise Price shall be subject to adjustment from time to
time in the event that the Company: (i) pays a dividend in shares of Common Stock or make a distribution in shares of Common Stock
to holders of its outstanding Common Stock; (ii) subdivides its outstanding shares of Common Stock into a greater number of shares;
(iii) combines its outstanding shares of Common Stock into a smaller number of shares of Common Stock; or (iv) issues any shares
of its capital stock in a reclassification of the Common Stock, then the number of Warrant Shares purchasable upon exercise of
this Warrant immediately prior thereto shall be adjusted so that the Holder shall be entitled to receive the kind and number of
Warrant Shares or other securities of the Company which it would have owned or have been entitled to receive had such Warrant
been exercised in advance thereof. Upon each such adjustment of the kind and number of Warrant Shares or other securities of the
Company which are purchasable hereunder, the Holder shall thereafter be entitled to purchase the number of Warrant Shares or other
securities resulting from such adjustment at an Exercise Price per Warrant Share or other security obtained by multiplying the
Exercise Price in effect immediately prior to such adjustment by the number of Warrant Shares purchasable pursuant hereto immediately
prior to such adjustment and dividing by the number of Warrant Shares or other securities of the Company that are purchasable
pursuant hereto immediately after such adjustment. An adjustment made pursuant to this paragraph shall become effective immediately
after the effective date of such event retroactive to the record date, if any, for such event.

 

12.         Subsequent Equity Sales. In the event that on or subsequent to the Issuance Date, the Company issues or sells any Common
Stock, any securities which are convertible into or exchangeable for its Common Stock or any convertible securities, or any warrants
or other rights to subscribe for or to purchase or any options for the purchase of its Common Stock or any such convertible securities
(the “Common Stock Equivalents”) (other than (i) securities which are issued pursuant to the Offering Documents,
(ii) shares of Common Stock or options to purchase such shares issued to employees, consultants, officers or directors in accordance
with stock plans approved by the Board of Directors, and shares of Common Stock issuable under options or warrants that are outstanding
as of the date of the Offering Documents or issued in the future pursuant to any stock incentive plan authorized by the Board
of Directors, and (iii) shares of Common Stock issued pursuant to a stock dividend, split or other similar transaction) at an
effective price per share which is less than the Exercise Price, then the Exercise Price in effect immediately prior to such issue
or sale shall be reduced to the lowest per share price of Common Stock in such issuance or sale or deemed issuance or sale.

 

    	 	-5-	 

     

    

 

13.
        Reorganization, Reclassification, Merger, Consolidation or Disposition of Assets.
In case the Company shall reorganize its capital, reclassify its capital stock, consolidate or merge with or into another corporation
(where the Company is not the surviving corporation or where there is a change in or distribution with respect to the Common Stock
of the Company), or sell, transfer or otherwise dispose of its property, assets or business to another corporation and, pursuant
to the terms of such reorganization, reclassification, merger, consolidation or disposition of assets, shares of common stock
of the successor or acquiring corporation, or any cash, shares of stock or other securities or property of any nature whatsoever
(including warrants or other subscription or purchase rights) in addition to or in lieu of common stock of the successor or acquiring
corporation (“Other Property”), are to be received by or distributed to the holders of Common Stock of the
Company, then, from and after the consummation of such transaction or event, the Holder shall have the right thereafter to receive,
instead of the Warrant Shares, at the option of the Holder, (a) upon exercise of this Warrant, the number of shares of Common
Stock of the successor or acquiring corporation or of the Company, if it is the surviving corporation, and Other Property receivable
upon or as a result of such reorganization, reclassification, merger, consolidation or disposition of assets by a Holder of the
number of shares of Common Stock for which this Warrant is exercisable immediately prior to such event or (b) cash equal to the
value of this Warrant as determined in accordance with the Black-Scholes option pricing formula. For purposes of this Section
12, “common stock of the successor or acquiring corporation” shall include stock of such corporation of any class
which is not preferred as to dividends or assets over any other class of stock of such corporation and which is not subject to
redemption and shall also include any evidences of indebtedness, shares of stock or other securities which are convertible into
or exchangeable for any such stock, either immediately or upon the arrival of a specified date or the happening of a specified
event and any warrants or other rights to subscribe for or purchase any such stock. The foregoing provisions of this Section 12
shall similarly apply to successive reorganizations, reclassifications, mergers, consolidations or disposition of assets.

 

14.
       Notice of Adjustment. Whenever the number of Warrant Shares or number or kind
of securities or other property purchasable upon the exercise of this Warrant or the Exercise Price is adjusted, as herein provided,
the Company shall give notice thereof to the Holder, which notice shall state the number of Warrant Shares (and other securities
or property) purchasable upon the exercise of this Warrant and the Exercise Price of such Warrant Shares (and other securities
or property) after such adjustment, setting forth a brief statement of the facts requiring such adjustment and setting forth the
computation by which such adjustment was made.

 

    	 	-6-	 

     

    

 

15.
        Notice of Corporate Action. If at any time:

 

(a)
       the Company shall take a record of the holders of its Common Stock for the purpose of
entitling them to receive a dividend or other distribution, or

 

(b)
       there shall be any capital reorganization of the Company, any reclassification or recapitalization
of the capital stock of the Company or any consolidation or merger of the Company with, or any sale, transfer or other disposition
of all or substantially all the property, assets or business of the Company to, another corporation or,

 

(c)
       there shall be a voluntary or involuntary dissolution, liquidation or winding up of
the Company;

 

then,
in any one or more of such cases, the Company shall give to Holder (i) prior written notice of the date on which a record date
shall be selected for such dividend or distribution or for determining rights to vote in respect of any such reorganization, reclassification,
merger, consolidation, sale, transfer, disposition, liquidation or winding up, and (ii) in the case of any such reorganization,
reclassification, merger, consolidation, sale, transfer, disposition, dissolution, liquidation or winding up, prior written notice
of the date when the same shall take place. Such notice in accordance with the foregoing clause also shall specify (i) the date
on which the holders of Common Stock shall be entitled to any such dividend or distribution, and the amount and character thereof,
and (ii) the date on which any such reorganization, reclassification, merger, consolidation, sale, transfer, disposition, dissolution,
liquidation or winding up is to take place and the time, if any such time is to be fixed, as of which the holders of Common Stock
shall be entitled to exchange their Warrant Shares for securities or other property deliverable upon such disposition, dissolution,
liquidation or winding up. Each such written notice shall be sufficiently given if addressed to Holder at the last address of
Holder appearing on the books of the Company and delivered in accordance with Section 16(d).

 

16.
       Authorized Shares. The Company covenants that during the period the Warrant is
outstanding, it will reserve from its authorized and unissued Common Stock a sufficient number of shares to provide for the issuance
of the Warrant Shares upon the exercise of any purchase rights under this Warrant. The Company further covenants that its issuance
of this Warrant shall constitute full authority to its officers who are charged with the duty of executing stock certificates
to execute and issue the necessary certificates for the Warrant Shares upon the exercise of the purchase rights under this Warrant.
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, or of any requirements of the Trading Market upon which the Common
Stock may be listed.

 

    	 	-7-	 

     

    

 

Except
and to the extent as waived or consented to by the Holder, the Company shall not by any action, including, without limitation,
amending its certificate of incorporation 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 of this Warrant, but will at all times in good faith assist in the carrying out of all such terms and in the taking of all
such actions as may be necessary or appropriate to protect the rights of Holder as set forth in this Warrant against impairment.
Without limiting the generality of the foregoing, the Company will (a) not increase the par value of any Warrant Shares above
the amount payable therefor upon such exercise immediately prior to such increase in par value, (b) 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 (c) use commercially reasonable efforts to obtain all such authorizations, exemptions or
consents from any public regulatory body having jurisdiction thereof as may be necessary to enable the Company to perform its
obligations under this Warrant.

 

Before
taking any action which would result in an adjustment in the number of Warrant Shares for which this Warrant is exercisable or
in the Exercise Price, the Company shall obtain all such authorizations or exemptions thereof, or consents thereto, as may be
necessary from any public regulatory body or bodies having jurisdiction thereof.

 

17.
        Miscellaneous.

 

(a)
        Jurisdiction. All questions concerning the construction, validity, enforcement
and interpretation of this Warrant shall be governed by and construed in accordance with the laws of the State of New York applicable
to contracts to be wholly performed within such state and without regard to conflicts of law provisions that would result in the
application of any laws other than the laws of the State of New York. Any legal action or proceeding arising out of or relating
to this Warrant may be instituted in the courts of the State of New York sitting in New York County or in the United States of
America for the Southern District of New York, and the parties hereto irrevocably submit to the jurisdiction of each such court
in any action or proceeding. Holder hereby irrevocably waives and agrees not to assert, by way of motion, as a defense, or otherwise,
in every suit, action or other proceeding arising out of or based on this Warrant and brought in any such court, any claim that
Holder is not subject personally to the jurisdiction of the above named courts, that Holder’s property is exempt or immune
from attachment or execution, that the suit, action or proceeding is brought in an inconvenient forum or that the venue of the
suit, action or proceeding is improper.

 

(b)
       Restrictions. The Holder acknowledges that the Warrant Shares acquired upon the
exercise of this Warrant, if not registered for resale, will have restrictions upon resale imposed by state and federal securities
laws.

 

(c)
       Nonwaiver and Expenses. No course of dealing or any delay or failure to exercise
any right hereunder on the part of Holder shall operate as a waiver of such right or otherwise prejudice Holder’s rights,
powers or remedies, notwithstanding all rights hereunder terminate on the Termination Date. If the Company willfully and knowingly
fails to comply with any provision of this Warrant, which results in any material damages to the Holder, the Company shall pay
to Holder such amounts as shall be sufficient to cover any costs and expenses including, but not limited to, reasonable attorneys’
fees, including those of appellate proceedings, incurred by Holder in collecting any amounts due pursuant hereto or in otherwise
enforcing any of its rights, powers or remedies hereunder.

 

    	 	-8-	 

     

    

 

(d)
       Notices. Any notice, request or other document required or permitted to be given
or delivered to the Holder by the Company shall be delivered in accordance with the notice provisions of the Subscription Agreement.

 

(e)
       Limitation of Liability. No provision hereof, in the absence of any affirmative
action by Holder to exercise this Warrant or purchase Warrant Shares, and no enumeration herein of the rights or privileges of
Holder, shall give rise to any liability of Holder for the purchase price of any Common Stock or as a stockholder of the Company,
whether such liability is asserted by the Company or by creditors of the Company.

 

(f)
       Successors and Assigns. Subject to applicable securities laws, this Warrant and
the rights and obligations evidenced hereby shall inure to the benefit of and be binding upon the successors of the Company and
the successors and permitted assigns of Holder. The provisions of this Warrant are intended to be for the benefit of all Holders
from time to time of this Warrant and shall be enforceable by any such Holder or holder of Warrant Shares.

 

(g)
       Amendment. This Warrant may be modified or amended or the provisions hereof waived
with the written consent of the Company and the Holder.

 

(h)
       Severability. Wherever possible, each provision of this Warrant shall be interpreted
in such manner as to be effective and valid under applicable law, but if any provision of this Warrant shall be prohibited by
or invalid under applicable law, such provision shall be ineffective to the extent of such prohibition or invalidity, without
invalidating the remainder of such provisions or the remaining provisions of this Warrant.

 

(i)
        Headings. The headings used in this Warrant are for the convenience of reference
only and shall not, for any purpose, be deemed a part of this Warrant.

 

IN
WITNESS WHEREOF, the Company has caused this Warrant to be executed by its officer thereunto duly authorized.

 

Dated:
____________ ____, 2017

 

	JERRICK
    MEDIA HOLDINGS, INC. 	 
	 	 	 
	By:	 	 
	 	Jeremy
    Frommer	 
	 	Chief
    Executive Officer	 

 

    	 	-9-	 

     

    

 

NOTICE
OF EXERCISE

 

To:
Jerrick Media Holdings, Inc.

 

(1)
The undersigned hereby elects to purchase _________ Warrant Shares of the Company pursuant to the terms of the attached Warrant, and tenders
herewith payment of the exercise price in full, together with all applicable transfer taxes, if any.

 

(2)
Payment shall take the form of (check applicable box):

 

☐
in lawful money of the United States; or

 

☐
the cancellation of such number of Warrant Shares as is necessary, in accordance with the formula set forth in subsection 3(c),
to exercise this Warrant with respect to the maximum number of Warrant Shares purchasable pursuant to the cashless exercise procedure
set forth in subsection 3(c).

 

(3)
Please issue a certificate or certificates representing said Warrant Shares in the name of the undersigned or in such other name
as is specified below:

 

	 	 

 

The
Warrant Shares shall be delivered to the following:

 

	 	 
	 	 
	 	 
	 	 
	 	 
	 	 
	 	 

 

(4)
Accredited Investor. The undersigned is an “accredited investor” as defined in Regulation D under the Securities
Act of 1933, as amended.

 

	(PURCHASER)	 
	 	 	 
	By:	            	 
	 	 	 
	Name:	 	 
	 	 	 
	Title:	 	 
	 	 	 
	Dated:	 	 

 

    	 	-10-	 

     

    

 

ASSIGNMENT
FORM

 

(To
assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.)

 

FOR
VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to ________________________________________________whose address is __________________________.

 

	 	 	Dated:
    __________,  ______
	 	 	 
	 	Holder’s
    Signature	 
	 	 	 
	 	Holder’s
    Address:	 
	 	 	 
	 	 	 
	 	 	 
	 	 	 
	 	 	 
	 	 	 
	Signature
    Guaranteed:	 	 

 

NOTE:
The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration
or enlargement or any change whatsoever, and must be guaranteed by a bank or trust company. Officers of corporations and those
acting in a fiduciary or other representative capacity should file proper evidence of authority to assign the foregoing Warrant.

 

 -11-Exhibit 10.1

 

No. ____

 

Exhibit B

 

SUBSCRIPTION AGREEMENT

 

 

As of February____, 2017

Jerrick Media Holdings, Inc.

202 S. Dean Street

Englewood, NJ 07631

 

Investors:

 

1.            Subscription;
Escrow Arrangement.

 

(a)       The
undersigned subscriber (the “Subscriber”) hereby irrevocably subscribes for and agrees to purchase a Secured
Promissory Note in the form of Exhibit C hereto (each a “Note” and collectively, the “Notes”)
in the principal amount set forth on the signature page hereto from Jerrick Media Holdings, Inc., a Nevada corporation (the “Company”)
in connection with the Company’s offering of up to $1,000,000 in Notes together with warrants (the “Offering”),
in the form of Exhibit D hereto, to purchase shares of the Company’s common stock (the “Warrants”;
together with the Notes, the “Securities”) pursuant to the terms set forth in the Confidential Term Sheet attached
as Exhibit A hereto. The Company and the Placement Agent may mutually agree to increase the size of the Offering by $250,000
in order to cover over-allotments of the Securities (the “Over-Allotment Option”. This Note Subscription Agreement
and all Exhibits hereto shall be hereinafter referred to as the “Subscription Agreement”; together with such
Exhibits and Schedules attached hereto, the “Offering Documents”. The minimum investment per Subscriber shall
be $25,000 but may be waived by the Company in its sole discretion.

 

This subscription is
based upon the information provided in the Offering Documents and upon the Subscriber’s own investigation as to the merits
and risks of this investment. The Subscriber shall deliver herewith duly executed copies of the signature pages to the following
documents: (i) this Subscription Agreement and (ii) the Accredited Investor Questionnaire & Form W-9 provided herewith (the
“Investor Questionnaire”) as Exhibit E.

 

It is currently anticipated
that the initial closing in the Offering will take place on or around February 15, 2017 and the final closing in connection with
the Offering shall occur on or before March 3, 2017 (each a “Closing” and each date, a “Closing Date”),
unless otherwise extended by the Company.

The Company shall
deliver PDF copies of the executed Note and Warrant issuable to the Subscriber on or prior to the Closing Date applicable to the
Subscriber.

    	 	-1-	 

     

    

 

(b)       Subject
to the terms and conditions hereinafter set forth, the Subscriber hereby subscribes for and agrees to purchase the principal amount
of Notes from the Company set forth on the signature page hereof (the “Purchase Price”), which Purchase Price
represents a 6% original issue discount to the principal amount of the Notes, and when this Subscription Agreement is accepted
and executed by the Company, the Company agrees to issue such Notes to the Subscriber. The total principal amount of Notes issued
will be up to a maximum of $1,000,000 unless increased by the Over-Allotment Option (the “Maximum Amount”).
The Purchase Price is payable by wire transfer to Cross River Bank for Jerrick Media Holdings, Inc. pursuant
to the following wire instructions. 

 

WIRING INSTRUCTIONS

 

Cross River Bank

885 Teaneck Road

Teaneck, NJ 07666

Account #2000514031

ABA/Routing: 021214273

Swift Code: CSRVUS33

 

F/B/O

Cross River Bank as Escrow Agent for Jerrick
Media Holdings, Inc.

 

Provided that (i) the Subscriber
has satisfied all conditions set forth herein, and (ii) the Company has accepted and executed this Subscription Agreement, the
Securities purchased by the Subscriber will be delivered by the Company promptly following the Closing Date. In the event that
a Closing does not occur, Subscriber’s funds will be returned by the Company to the Subscriber.

 

(c) In connection with the
Subscriber’s subscription and purchase of the Notes, the Company shall issue to the Subscriber warrants to acquire shares
of the Company’s Common Stock as follows:

 

(i) Subscribers purchasing $150,000
or more of Notes will be entitled to one hundred and thirty percent (130%) warrant coverage.

 

(ii) Subscribers purchasing at least
$100,000 but less than $150,000 of Notes will be entitled to one hundred percent (100%) warrant coverage.

 

(iii) Subscribers purchasing less than
$100,000 of Notes will be entitled to seventy percent (70%) warrant coverage.

 

For the avoidance of doubt,
“Warrant Coverage” and the number of shares of Common Stock to be issued to the Subscriber will be determined by dividing
(a) the principal amount of the Subscriber’s Note, without regard to the Original Issue Discount, by (b) the Exercise Price
(as defined in the Warrant).

 

    	 	-2-	 

     

    

 

2.            Subscriber Representations, Warranties and Agreements. The Subscriber hereby acknowledges, represents and warrants
as follows (with the understanding that the Company will rely on such representations and warranties in determining, among other
matters, the suitability of this investment for the Subscriber in order to comply with federal and state securities laws):

 

(a)       In
connection with this subscription, the Subscriber has read this Subscription Agreement. The Subscriber acknowledges that this Subscription
Agreement is not intended to set forth all of the information which might be deemed pertinent by an investor who is considering
an investment in the Securities. It is the responsibility of the Subscriber (i) to determine what additional information he desires
to obtain in evaluating this investment, and (ii) to obtain such information from the Company.

(b)       This
offering is limited to persons who are “accredited investors,” as that term is defined in RULE 501 OF Regulation D
under the Securities Act of 1933, as amended (the “Act”), and who have the financial means and the business,
financial and investment experience and acumen to conduct an investigation as to, and to evaluate, the merits and risks of this
investment. The Subscriber hereby represents that he has read, is familiar with and understands Rule 501 of Regulation D under
the Act. The Subscriber is an “accredited investor” as defined in Rule 501(a) of Regulation D.

(c)       The
Subscriber has had full access to all the information which the Subscriber (or the Subscriber’s advisor(s)) considers necessary
or appropriate to make an informed decision with respect to the Subscriber’s investment in the Securities. The Subscriber
acknowledges that the Company has made available to the Subscriber and the Subscriber’s advisors the opportunity to examine
and copy any contract, matter or information which the Subscriber considers relevant or appropriate in connection with this investment
and to ask questions and receive answers relating to any such matters including, without limitation, the financial condition,
management, employees, business, obligation, corporate books and records, budgets, business plans of and other matters relevant
to the Company. To the extent the Subscriber has not sought information regarding any particular matter, the Subscriber represents
that he or she had and has no interest in doing so and that such matters are not material to the Subscriber in connection with
this investment. The Subscriber has accepted the responsibility for conducting the Subscriber’s own investigation and obtaining
for itself such information as to the foregoing and all other subjects as the Subscriber deems relevant or appropriate in connection
with this investment. The Subscriber is not relying on any representation or warranty other than that contained herein. The Subscriber
acknowledges that no representation regarding projected revenues or a projected rate of return has been made to it by any party.

    	 	-3-	 

     

    

(d)       The
Subscriber understands that the offering of the Securities has not been registered under the Act, in reliance on an exemption for
private offerings provided pursuant to Section 4(2) of the Act and that, as a result, the Securities will be “restricted
securities” as that term is defined in Rule 144 under the Act and, accordingly, under Rule 144 as currently in effect, that
the Securities must be held for at least one (1) year after the investment has been made (or indefinitely if the Subscriber is
deemed an “affiliate” within the meaning of such rule) unless the Securities is subsequently registered under the Act
and qualified under any other applicable securities law or exemptions from such registration and qualification are available. The
Subscriber understands that the Company is under no obligation to register the Securities under the Act or to register or qualify
the Securities under any other applicable securities law, or to comply with any other exemption under the Act or any other securities
law, and that the Subscriber has no right to require such registration. The Subscriber further understands that the Offering of
the Securities has not been qualified or registered under any foreign or state securities laws in reliance upon the representations
made and information furnished by the Subscriber herein and any other documents delivered by the Subscriber in connection with
this subscription; that the offering has not been reviewed by the SEC or by any foreign or state securities authorities; that the
Subscriber’s rights to transfer the Securities will be restricted, which includes restrictions against transfers unless the
transfer is not in violation of the Act and applicable state securities laws (including investor suitability standards); and that
the Company may in its sole discretion require the Subscriber to provide at Subscriber’s own expense an opinion of its counsel
to the effect that any proposed transfer is not in violation of the Act or any state securities laws.

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

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

 

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

 

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

 

    	 	-4-	 

     

    

 

(f)       The
Subscriber acknowledges that there will be no market for the Securities and that the Subscriber may not be able to sell or dispose
of them; the Subscriber has liquid assets sufficient to assure that the purchase price of the Securities will cause no undue financial
difficulties and that, after purchasing the Securities the Subscriber will be able to provide for any foreseeable current needs
and possible personal contingencies; the Subscriber is able to bear the risk of illiquidity and the risk of a complete loss of
this investment.

(g)       The
information in any documents delivered by the Subscriber in connection with this subscription, including, but not limited to the
Investor Questionnaire, is true, correct and complete in all respects as of the date hereof. The Subscriber agrees promptly to
notify the Company in writing of any change in such information after the date hereof.

(h)       The
offering and sale of the Securities to the Subscriber were not made through any advertisement in printed media of general and regular
paid circulation, radio or television or any other form of advertisement, or as part of a general solicitation.

(i)       The
Subscriber recognizes that an investment in the Securities involves significant risks, which risks could give rise to the loss
of the Subscriber’s entire investment in such securities.

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

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

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

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

    	 	-5-	 

     

    

 

3.            Representations and Warrants of the Company. As a material inducement of the Subscriber to enter into this Subscription
Agreement and subscribe for the Securities, the Company represents and warrants to the Subscriber, as of the date hereof, as follows:

 

(a)       Organization
and Standing. The Company is a duly organized corporation, validly existing and in good standing under the laws of the State
of Nevada, has full power to carry on its business as and where such business is now being conducted and to own, lease and operate
the properties and assets now owned or operated by it and is duly qualified to do business and is in good standing in each jurisdiction
where the conduct of its business or the ownership of its properties requires such qualification except where the failure to be
so qualified would not have a Material Adverse Effect. “Material Adverse Effect” means any circumstance, change
in, or effect on the Company that, individually or in the aggregate with any other similar circumstances, changes in, or effects
on, the Company taken as a whole: (i) is, or is reasonably expected to be, materially adverse to the business, operations, assets,
liabilities, employee relationships, customer or supplier relationships, prospects, results of operations or the condition (financial
or otherwise) of the Company taken as a whole, or (ii) is reasonably expected to adversely affect the ability of the Company to
operate or conduct the Company’s business in the manner in which it is currently operated or conducted or proposed to be
operated or conducted by the Company.

 

(b)       Authority.
The execution, delivery and performance of this Subscription Agreement and the other Offering Documents by the Company and the
consummation of the transactions contemplated hereby and thereby have been duly authorized by the Board of Directors of the Company.

 

(c)       No
Conflict. The execution, delivery and performance of this Subscription Agreement and the other Offering Documents, and the
consummation of the transactions contemplated hereby and thereby do not (i) violate or conflict with the Company’s Certificate
of Incorporation, By-laws or other organizational documents, (ii) conflict with or result (with the lapse of time or giving of
notice or both) in a material breach or default under any material agreement or instrument to which the Company is a party or by
which the Company is otherwise bound, or (iii) violate any order, judgment, law, statute, rule or regulation applicable to the
Company, except where such violation, conflict or breach would not have a Material Adverse Effect. This Subscription Agreement
and the other Offering Documents when executed by the Company will be a legal, valid and binding obligation of the Company enforceable
in accordance with its terms (except as may be limited by bankruptcy, insolvency, reorganization, moratorium and similar laws and
equitable principles relating to or limiting creditors’ rights generally).

 

    	 	-6-	 

     

    

 

(d)       Authorization.
Issuance of the Securities to the Subscriber has been duly authorized by all appropriate corporate actions of the Company.

 

(e)       Litigation
and Other Proceedings. There are no actions, suits, proceedings or investigations pending or, to the knowledge of the Company,
threatened against the Company at law or in equity before or by any court or Federal, state, municipal or their governmental department,
commission, board, bureau, agency or instrumentality, domestic or foreign which could materially adversely affect the Company.
The Company is not subject to any continuing order, writ, injunction or decree of any court or agency against it which would have
a material adverse effect on the Company.

 

(f)       Use
of Proceeds. The proceeds of this Offering and sale of the Securities, net of payment of placement expenses, will be used by
the Company for working capital and other general corporate purposes subject to the restrictions set forth in the Securities and
on Schedule 1 hereto.

 

(g)       Consents/Approvals.
No consents, filings (other than Federal and state securities filings relating to the issuance of the Securities pursuant to applicable
exemptions from registration, which the Company hereby undertakes to make in a timely fashion), authorizations or other actions
of any governmental authority are required to be obtained or made by the Company for the Company’s execution, delivery and
performance of this Subscription Agreement which have not already been obtained or made or will be made in a timely manner following
the Closing.

 

(h)       No
Commissions. The Company has not incurred any obligation for any finder’s, broker’s or agent’s fees or commissions
in connection with the transaction contemplated hereby other than those fees payable to a Placement Agent pursuant to that certain
Placement Agent Agreement, dated January 3, 2017, by and between the Company and Bradley Woods & Co. Ltd., such fees shall
not be in excess of ten percent (10%) of aggregate capital raised in the Offering.

 

(i)       Capitalization.
A capitalization table illustrating the authorized and the outstanding capital stock of the Company as of the date hereof is attached
as Schedule 2. All of such outstanding shares have been, or upon issuance will be, validly issued, fully paid and nonassessable.
As of the date hereof, except as disclosed in Schedule 2.2, (i) no shares of the Company’s capital stock are subject
to preemptive rights or any other similar rights or any liens or encumbrances suffered or permitted by the Company, (ii) there
are no outstanding debt securities, (iii) there are no outstanding options, warrants, scrip, rights to subscribe to, calls or commitments
of any character whatsoever relating to, or securities or rights convertible into, any shares of capital stock of the Company or
any of its subsidiaries, or contracts, commitments, understandings or arrangements by which the Company or any of its subsidiaries
is or may become bound to issue additional shares of capital stock of the Company or any of its subsidiaries or options, warrants,
scrip, rights to subscribe to, calls or commitments of any character whatsoever relating to, or securities or rights convertible
into, any shares of capital stock of the Company or any of its subsidiaries, (iv) there are no agreements or arrangements under
which the Company or any of its subsidiaries is obligated to register the sale of any of their securities under the Act, and (v)
there are no outstanding securities of the Company or any of its subsidiaries which contain any redemption or similar provisions,
and there are no contracts, commitments, understandings or arrangements by which the Company or any of its subsidiaries is or may
become bound to redeem a security of the Company or any of its subsidiaries. The subscribers are aware that there are securities
or instruments containing anti-dilution or similar provisions that may be triggered by the issuance or exercise of the Securities
as described in this Subscription Agreement. The Company has furnished to the Subscriber true and correct copies of the Company’s
Certificate of Incorporation attached hereto as Schedule 6, as amended and as in effect on the date hereof (the “Certificate
of Incorporation”), and the Company’s By-laws, as in effect on the date hereof (the “By-laws”)
attached hereto as Schedule 7, and the terms of all securities convertible or exchangeable into or exercisable for Common
Stock and the material rights of the holders thereof in respect thereto. Schedule 2.1 also lists all outstanding debt of
the Company for borrowed money (other than the Notes previously issued in the Offering).

 

    	 	-7-	 

     

    

 

(j)       Employee
Relations. Neither the Company nor any of its subsidiaries is involved in any labor dispute nor, to the knowledge of the Company
or any of its subsidiaries, is any such dispute threatened, the effect of which would be reasonably likely to result in a Material
Adverse Effect. Neither the Company nor any of its subsidiaries is a party to a collective bargaining agreement.

 

(k)       Intellectual
Property Rights. The Company and its subsidiaries own or possess adequate rights or licenses to use all trademarks, trade names,
service marks, service mark registrations, service names, patents, patent rights, copyrights, inventions, licenses, approvals,
governmental authorizations, trade secrets and rights necessary to conduct their respective businesses as now conducted. The Company
and its subsidiaries do not have any knowledge of any infringement by the Company or its subsidiaries of trademark, trade name
rights, patents, patent rights, copyrights, inventions, licenses, service names, service marks, service mark registrations, trade
secret or other similar rights of others, or of any such development of similar or identical trade secrets or technical information
by others and, except as set forth on Schedule 3, there is no claim, action or proceeding being made or brought against,
or to the Company’s knowledge, being threatened against, the Company or its subsidiaries regarding trademarks, trade name
rights, patents, patent rights, inventions, copyrights, licenses, service names, service marks, service mark registrations, trade
secrets or other infringement.

 

(l)       Environmental
Laws. The Company and its subsidiaries (i) are to the Company’s knowledge in compliance with any and all applicable foreign,
federal, state and local laws and regulations relating to the protection of human health and safety, the environment or hazardous
or toxic substances or wastes, pollutants or contaminants (“Environmental Laws”), (ii) have received all permits,
licenses or other approvals required of them under applicable Environmental Laws to conduct their respective businesses, and (iii)
are in compliance with all terms and conditions of any such permit, license or approval where such noncompliance or failure to
receive permits, licenses or approvals referred to in clauses (i), (ii) or (iii) above would be reasonably likely to result in
a Material Adverse Effect.

 

    	 	-8-	 

     

    

 

(m)       Disclosure.
No representation or warranty by the Company in this Subscription Agreement, the other Offering Documents, nor in any certificate,
Schedule or Exhibit delivered or to be delivered pursuant to this Subscription Agreement or the other Offering Documents contains
or will contain any untrue statement of material fact or omits or will omit to state a material fact necessary to make the statements
contained herein or therein not misleading. To the knowledge of the Company and its subsidiaries at the time of the execution of
this Subscription Agreement, there is no information concerning the Company and its subsidiaries or their respective businesses
which has not heretofore been disclosed to the Subscribers that would have a Material Adverse Effect.

 

(n)       Title.
The Company and its subsidiaries have good and marketable title in fee simple to all real property and good and marketable title
to all personal property owned by them which is material to the business of the Company and its subsidiaries, in each case free
and clear of all liens, encumbrances and defects except such as are described in Schedule 2.1 or such as do not materially
and adversely affect the value of such property and do not interfere with the use made and proposed to be made of such property
by the Company or any of its subsidiaries. Any real property and facilities held under lease by the Company or any of its subsidiaries
are held by them under valid, subsisting and enforceable leases with such exceptions as are not material and do not interfere with
the use made and proposed to be made of such property and buildings by the Company and its subsidiaries.

 

(o)       Foreign
Corrupt Practices Act. To the Company’s knowledge, neither the Company, nor any director, officer, agent, employee or
other person acting on behalf of the Company or any subsidiary has, in the course of acting for, or on behalf of, the Company,
directly or indirectly used any corporate funds for any unlawful contribution, gift, entertainment or other unlawful expenses relating
to political activity; directly or indirectly made any direct or indirect unlawful payment to any foreign or domestic government
official or employee from corporate funds; violated or is in violation of any provision of the U.S. Foreign Corrupt Practices Act
of 1977, as amended, or any similar treaties of the United States; or directly or indirectly made any bribe, rebate, payoff, influence
payment, kickback or other unlawful payment to any foreign or domestic government or party official or employee.

 

(p)       Tax
Status. The Company and each of its subsidiaries has made or filed all United States federal and state income and all other
tax returns, reports and declarations required by any jurisdiction to which it is subject and all such returns, reports and declarations
are true, correct and accurate in all material respects. The Company has paid all taxes and other governmental assessments and
charges, shown or determined to be due on such returns, reports and declarations, except those being contested in good faith, for
which adequate reserves have been established, in accordance with generally accepted accounting principles.

 

(q)       Compliance
with Laws. The business of the Company and its subsidiaries has been and is presently being conducted so as to comply with
all applicable material federal, state and local governmental laws, rules, regulations and ordinances.

 

    	 	-9-	 

     

    

 

(r)       Employee
Benefit Plans; ERISA. Schedule 5 sets forth a true, correct and complete list of all employee benefit plans, programs,
policies and arrangements, whether written or unwritten (the “Company Plans”), that the Company, any subsidiary
or any other corporation or business which is now or at the relevant time was a member of a controlled group of companies or trades
or businesses including the Company or any subsidiary, within the meaning of section 414 of the Internal Revenue Code of 1986,
as amended (the “Code”), maintain or have maintained on behalf of current or former members, partners, principals,
directors, officers, managers, employees, consultants or other personnel. (i) There has been no prohibited transaction within the
meaning of Section 406 of the Employee Retirement Income Security Act of 1974, as amended (“ERISA”), or Section
4975 of the Code, with respect to any of the Company Plans; (ii) none of the Company Plans is or was subject to Section 412 of
the Code or Section 302 or Title IV of ERISA; and (iii) each of the Company Plans has been operated and administered in all material
respects in accordance with all applicable laws, including ERISA. There are no actions, suits or claims pending or threatened (other
than routine claims for benefits), whether by participants, the Internal Revenue Service, the Department of Labor or otherwise,
with respect to any Company Plan and no facts exist under which any such actions, suits or claims are likely to be brought or under
which the Company or any subsidiary could incur any liability with respect to a Company Plan other than in the ordinary course.
None of the Company Plans is or was a multiemployer plan within the meaning of Section 3(37) of ERISA. Neither the Company nor
any subsidiary has announced, proposed or agreed to any change in benefits under any Company Plan or the establishment of any new
Company Plan. There have been no changes in the operation or interpretation of any Company Plan since the most recent annual report,
which would have any material effect on the cost of operating, maintaining or providing benefits under such Company Plan. Neither
the Company nor any subsidiary has incurred any liability for the misclassification of employees as leased employees or independent
contractors. Except as provided for in this Subscription Agreement and in the other Offering Documents, the consummation of the
transactions contemplated by this Subscription Agreement, either alone or in combination with another event, will not (A) result
in any individual becoming entitled to any increase in the amount of compensation or benefits or any additional payment from the
Company or any subsidiary (including, without limitation, severance, golden parachute or bonus payments or otherwise), or (B) accelerate
the vesting or timing of payment of any benefits or compensation payable in respect of any individual.

 

(s)       Restrictions
on Business Activities. There is no judgment, order, decree, writ or injunction binding upon the Company or any subsidiary
or, to the knowledge of the Company or any subsidiary, threatened that has or could prohibit or impair the conduct of their respective
businesses as currently conducted or any business practice of the Company or any subsidiary, including the acquisition of property,
the provision of services, the hiring of employees or the solicitation of clients, in each case either individually or in the aggregate.

 

4.            Legends. The Subscriber understands and agrees that the Company will cause any necessary legends in addition to representations
to be placed upon any instruments(s) evidencing ownership of the Securities, together with any other legend that may be required
by federal or state securities laws or deemed necessary or desirable by the Company.

 

    	 	-10-	 

     

    

 

5.            General Provisions.

 

(a)         Confidentiality. The Subscriber covenants and agrees that it will keep confidential and will not disclose or divulge
any confidential or proprietary information that such Subscriber may obtain from the Company pursuant to financial statements,
reports, and other materials submitted by the Company to such Subscriber in connection with this Offering or as a result of discussions
with or inquiry made to the Company, unless such information is known, or until such information becomes known, to the public through
no action by the Subscriber; provided, however, that a Subscriber may disclose such information to its attorneys,
accountants, consultants, and other professionals to the extent necessary in connection with such Subscriber’s investment
in the Company so long as any such professional to whom such information is disclosed is made aware of the Subscriber’s obligations
hereunder and such professional agrees to be likewise bound as though such professional were a party hereto.

 

(b)         Successors. The covenants, representations and warranties contained in this Subscription Agreement shall be binding
on the Subscriber’s and the Company’s heirs and legal representatives and shall inure to the benefit of the respective
successors and assigns of the Company. The rights and obligations of this Subscription Agreement may not be assigned by any party
without the prior written consent of the other party.

 

(c)         Counterparts. This Subscription Agreement may be executed in counterparts, each of which shall
be deemed an original agreement, but all of which together
shall constitute one and the same instrument.

 

(d)         Execution by Facsimile or Email. Execution and delivery of this Subscription Agreement by facsimile transmission or Internet
email (including the delivery of documents in Adobe PDF format) shall constitute execution and delivery of this Agreement for all
purposes, with the same force and effect as execution and delivery of an original manually signed copy hereof.

 

(e)         Governing Law and Jurisdiction. This Subscription Agreement shall be governed by and construed in accordance with the laws
of the State of New York applicable to contracts to be wholly performed within such state and without regard to conflicts of law
provisions that would result in the application of any laws other than the laws of the State of New York. Any legal action or proceeding
arising out of or relating to this Subscription Agreement and/or the other Offering Documents may be instituted in the courts of
the State of New York sitting in New York County or in the United States of America for the Southern District of New York, and
the parties hereto irrevocably submit to the jurisdiction of each such court in any action or proceeding. Subscriber hereby irrevocably
waives and agrees not to assert, by way of motion, as a defense, or otherwise, in every suit, action or other proceeding arising
out of or based on this Subscription Agreement and/or the other Offering Documents and brought in any such court, any claim that
Subscriber is not subject personally to the jurisdiction of the above named courts, that Subscriber’s property is exempt
or immune from attachment or execution, that the suit, action or proceeding is brought in an inconvenient forum or that the venue
of the suit, action or proceeding is improper.

 

    	 	-11-	 

     

    

 

(f)         Indemnification Generally.

 

i. The
Company, on the one hand, and the Subscriber, on the other hand (each an “Indemnifying Party”), shall
indemnify the other from and against any and all losses, damages, liabilities, claims, charges, actions, proceedings,
demands, judgments, settlement costs and expenses of any nature whatsoever (including, without limitation, reasonable
attorneys’ fees and expenses) resulting from any breach of a representation and warranty, covenant or agreement by the
Indemnifying Party contained within an Offering Document and all claims, charges, actions or proceedings incident to or
arising out of the foregoing.

 

ii Indemnification
Procedures. Each person entitled to indemnification under this Section 5(f) (an “Indemnified Party”)
shall give notice as promptly as reasonably practicable to each party required to provide indemnification under this Section
5(f) of any action commenced against or by it in respect of which indemnity may be sought hereunder, but failure to so notify
an Indemnifying Party shall not release such Indemnifying Party from any liability that it may have, otherwise than on
account of this indemnity agreement so long as such failure shall not have materially prejudiced the position of the
Indemnifying Party. Upon such notification, the Indemnifying Party shall assume the defense of such action if it is a claim
brought by a third party, and, if and after such assumption, the Indemnifying Party shall not be entitled to reimbursement of
any expenses incurred by it in connection with such action except as described below. In any such action, any Indemnified
Party shall have the right to retain its own counsel, but the fees and expenses of such counsel shall be at the expense of
such Indemnified Party unless (A) the Indemnifying Party and the Indemnified Party shall have mutually agreed to the
contrary, or (B) the named parties in any such action (including any impleaded parties) include both the Indemnifying Party
and the Indemnified Party and representation of both parties by the same counsel would be inappropriate due to actual or
potential differing or conflicting interests between them. The Indemnifying Party shall not be liable for any settlement of
any proceeding effected without its written consent (which shall not be unreasonably withheld or delayed by such Indemnifying
Party), but if settled with such consent or if there be final judgment for the plaintiff, the Indemnifying Party shall
indemnify the Indemnified Party from and against any loss, damage or liability by reason of such settlement or judgment.

 

(g)         Notices. All notices, requests, demands, claims and other communications hereunder shall be in writing and shall
be delivered by certified or registered mail (first class postage pre-paid), guaranteed overnight delivery, or facsimile transmission
if such transmission is confirmed by delivery by certified or registered mail (first class postage pre-paid) or guaranteed overnight
delivery, to the following addresses and facsimile numbers (or to such other addresses or facsimile numbers which such party shall
subsequently designate in writing to the other party):

 

(i)       if
to the Company:

 

Jerrick Media Holdings,
Inc.

202 S. Dean Street

Englewood, NJ 07631

Attention: Mr.
Jeremy Frommer

 

    	 	-12-	 

     

    

 

with a copy to

 

Lucosky Brookman LLP

101 Wood Avenue South, 5th
Floor

Iselin, NJ 08830

Attention: Mr. Joseph M. Lucosky,
Esq.

 

(ii)       If
to Subscriber to the address set forth next to its name on the signature page hereto.

 

(h)         Entire Agreement. This Subscription Agreement (including the Exhibits attached hereto) and other Offering Documents
delivered at the Closing pursuant hereto, contain the entire understanding of the parties in respect of its subject matter and
supersedes all prior agreements and understandings between or among the parties with respect to such subject matter. The Exhibits
constitute a part hereof as though set forth in full above.

 

(i)         Amendment; Waiver. This Subscription Agreement may not be modified, amended, supplemented, canceled or discharged,
except by written instrument executed by both parties. No failure to exercise and no delay in exercising, any right, power or privilege
under this Subscription Agreement shall operate as a waiver, nor shall any single or partial exercise of any right, power or privilege
hereunder preclude the exercise of any other right, power or privilege. No waiver of any breach of any provision shall be deemed
to be a waiver of any preceding or succeeding breach of the same or any other provision, nor shall any waiver be implied from any
course of dealing between the parties. No extension of time for performance of any obligations or other acts hereunder or under
any other agreement shall be deemed to be an extension of the time for performance of any other obligations or any other acts.
The rights and remedies of the parties under this Subscription Agreement are in addition to all other rights and remedies, at law
or equity, that they may have against each other.

 

 

Remainder of Page Intentionally Left Blank

 

    	 	-13-	 

     

    

 

INFORMATION IN RESPONSE TO THIS SECTION
WILL BE KEPT STRICTLY CONFIDENTIAL 

 

 

	PRINCIPAL
DOLLAR AMOUNT OF NOTE PURCHASED	$_____________________________
	 	
	AMOUNT OF CHECK/WIRE/SUBSCRIBED	$_____________________________
	 	 	 
	AMOUNT INVESTED
TO BE SENT VIA: 	☐ Check (enclosed)	☐ Wire  

 

Name in Which Note and Warrants Should Be
Issued:

 

 

 

 

Address
Information:

For individual subscribers this address should
be the Subscriber’s primary legal residence. For entities other than individual subscribers, please provide address information
for the entities primary place of business. Information regarding a joint subscriber should be included in the column at right. 

 

	 	
        

        _________________________________________

        Legal Address
	 	
        

        _________________________________________

        Legal Address

	 	 	 	 
	 	
         _________________________________________

        City, State, and Zip Code
	 	
        

        _________________________________________

        City, State, and Zip Code

 

 

Alternate
Address Information:

Subscribers who wish to receive correspondence
at an address other than the address listed above should complete the Alternate Address section below.

	 	
         

        _________________________________________

        Alternate Address for Correspondence
	 	
         

        _________________________________________

        Alternate Address for Correspondence

	 	
         

        _________________________________________

        City, State and Zip Code
	 	
         

        _________________________________________

        City, State and Zip Code

	 	
         

        _________________________________________

        Telephone
	 	
         

        _________________________________________

        Telephone

	 	
         

        _________________________________________

        Tax ID # or Social Security #
	 	
         

        _________________________________________

        Tax ID # or Social Security #

 

    	 	-14-	 

     

    

 

	 	
         

        AGREED
        AND SUBSCRIBED

         

         

        This ___ day of _____________,
        2017

         

        By:_________________________________

         

        Name:_______________________________

         

        Title (if any): _________________________
	 	
         

        ACCEPTED

         

         

        This ___ day of _____________,
        2017

         

        By:_________________________________

         

        Name: Jeremy Frommer

         

        Title: Chief Executive Officer

 

CERTIFICATE OF SIGNATORY

 

(To be completed if the Securities are

being subscribed for by an entity)

 

I,________________________, am the_______________________________ of _____________________________________________ (the “Entity”).

 

I certify that I am empowered
and duly authorized by the Entity to execute and carry out the terms of the Subscription Agreement and to purchase and hold the
Notes and Warrants, and certify further that the Subscription Agreement has been duly and validly executed on behalf of the Entity
and constitutes a legal and binding obligation of the Entity.

 

IN WITNESS WHEREOF, I have
set my hand this ____ day of ______________, 2017.

 

	 	 
	 	(Signature)

 

 

-15-

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