Document:

1st Amendment to Lease Agreement between Registrant and BMR-530 Fairview Avenue

 Exhibit 10.12 
 FIRST AMENDMENT TO LEASE 
 THIS FIRST AMENDMENT
TO LEASE (this “Amendment”) is entered into as of this 21st day of May, 2009, by and between BMR-530 FAIRVIEW AVENUE LLC, a Delaware limited liability company (“Landlord”), and NANOSTRING TECHNOLOGIES, INC. (“Tenant”).

 RECITALS 
 A. WHEREAS, Landlord and Tenant entered into that certain Lease dated as of October 19, 2007 (as the same may have been amended, supplemented or otherwise modified from time to time, the
“Lease”), whereby Tenant leases certain premises (the “Premises”) from Landlord at 530 Fairview Avenue in Seattle, Washington (the “Building”); and 

B. WHEREAS, Landlord and Tenant desire to modify and amend the Lease only in the respects and on the conditions hereinafter stated.

 AGREEMENT 
 NOW, THEREFORE, Landlord and Tenant, in consideration of the mutual promises contained herein and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged,
and intending to be legally bound, agree as follows: 
 1. Definitions. For purposes of this Amendment, capitalized terms
shall have the meanings ascribed to them in the Lease unless otherwise defined herein. The Lease, as amended by this Amendment, shall be referred to herein as the “Amended Lease.” 

2. Sales Tax. 
 a. Retail sales tax otherwise applicable to portions of construction of the Building and Tenant Improvements and other improvements made or requested by Tenant may be eligible for deferral pursuant to RCW
82.63 (the “Sales Tax Deferral”) as a result of the uses of the Premises intended by Tenant. Landlord shall make application with the Washington State Department of Revenue (the “State”) for the Sales Tax Deferral
with respect to work to be performed and paid for by Landlord pursuant to the Amended Lease. When the State has determined the final amount of the sales tax which Landlord may defer pursuant to the Sales Tax Deferral Program, Landlord will provide
Tenant with written notice of such amount. 
 b. Tenant agrees if a subsequent audit by the State determines that
(a) because Tenant’s use of the Premises has changed or (b) for any other reason, any of the sales tax previously deferred pursuant to the Sales Tax Deferral is now due and owing to the State, then Tenant shall pay to Landlord, within
ten (10) days following the date Landlord notifies Tenant of any such determination by the State, an amount equal to the amount required to be paid to the State, including any penalties and interest due to the State; provided that Tenant
may conduct a good faith contest of any such determination by the State in accordance with appropriate administrative procedures so long as payment of the amount claimed by the State is stayed during the conduct of the contest. If Tenant desires to
dispute the amount claimed by the 

 
State to be due but payment of such amount is not stayed during the conduct of the proceedings, Tenant shall pay the amount due but at Tenant’s request, Landlord shall pay the amount claimed
by the State under protest. 
 c. Landlord shall reasonably cooperate with and assist Tenant in any challenges or audits to the
Sales Tax Deferral benefit. Landlord shall promptly notify Tenant of any such action of which Landlord becomes aware, and shall promptly forward any correspondence regarding any such challenge or audit. Tenant shall have the right to contest or
review on its own behalf (but not on Landlord’s behalf) any proceedings regarding the Sales Tax Deferral benefit that may be instituted, either before, during or after the Term of the Amended Lease. Landlord shall, on a timely basis, execute
all necessary instruments in connection with any such protest, appeal or other proceedings, at no cost to Landlord. If any proceeding may only be instituted and maintained by Landlord, then Landlord shall do so at Tenant’s cost upon the request
of Tenant, unless Landlord reasonably objects. 
 3. Back-Up Generator. Landlord will install a back-up generator in the
basement of the Building and connect the Generator to the Premises’ existing emergency electrical panel (the “Generator”). Tenant shall be entitled to use up to twenty kilowatts of power from the Generator on a non-exclusive
basis with other Tenants in the Building. The cost of maintaining, repairing and replacing the Generator shall constitute Operating Expenses. Landlord shall remove the generator installed by Tenant on the roof of the Building within thirty
(30) days after the Generator becomes operational and deliver the same to the Building loading dock. Tenant shall promptly remove the Generator from the loading dock and the Project. Tenant shall have no right to place additional generators at
the Project, unless agreed to in advance in writing by Landlord. Landlord expressly disclaims any warranties with regard to the Generator or the installation thereof, including, without limitation, any warranty of merchantability or fitness for a
particular purpose. Landlord shall maintain the Generator in good working condition, but shall not shall not be liable for any failure to make any repairs or to perform any maintenance that is an obligation of Landlord unless such failure shall
persist for an unreasonable time after Tenant provides Landlord with written notice of the need of such repairs or maintenance. The provisions of Section 17.2 of the Lease shall apply to the Generator. 

4. Broker. Tenant represents and warrants that it has not dealt with any broker or agent in the negotiation for or the obtaining
of this Amendment other than Landlord’s Broker and Tenant’s Broker, and agrees to indemnify, defend and hold Landlord harmless from any and all cost or liability for compensation claimed by any other broker or agent employed or engaged by
it or claiming to have been employed or engaged by it. 
 5. Effect of Amendment. Except as modified by this Amendment,
the Lease and all the covenants, agreements, terms, provisions and conditions thereof shall remain in full force and effect and are hereby ratified and affirmed. The covenants, agreements, terms, provisions and conditions contained in this Amendment
shall bind and inure to the benefit of the parties hereto and their respective successors and, except as otherwise provided in the Lease, their respective assigns. In the event of any conflict between the terms contained in this Amendment and the
Lease, the terms herein contained shall supersede and control the obligations and liabilities of the parties. From and after the date hereof, the term “Lease” as used in the Lease shall mean the Lease, as modified by this Amendment.

	

	

  
 2 

 6. Miscellaneous. This Amendment becomes effective only upon execution and delivery
hereof by Landlord and Tenant. The captions of the paragraphs and subparagraphs in this Amendment are inserted and included solely for convenience and shall not be considered or given any effect in construing the provisions hereof. All exhibits
hereto are incorporated herein by reference. 
 7. Counterparts. This Amendment may be executed in one or more
counterparts that, when taken together, shall constitute one original. 
 [REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK]

  
 3 

 IN WITNESS WHEREOF, Landlord and Tenant have hereunto set their hands as of the date and
year first above written, and acknowledge that they possess the requisite authority to enter into this transaction and to execute this Amendment. 
  

			
	 LANDLORD:

	
	 BMR-530 FAIRVIEW AVENUE LLC,
 a Delaware limited liability company

		
	By:	 	 /s/ Kevin M. Simonsen

	Name:	 	 Kevin M. Simonsen

	Title:	 	 VP, Real Estate Counsel

	
	 TENANT:

	
	 NANOSTRING TECHNOLOGIES, INC.,
 a Delaware corporation

		
	By:	 	 /s/ Wayne Burns

	Name:	 	Wayne Burns
	Title:	 	Chief Financial Officer

 ACKNOWLEDGEMENT 

 

			
	STATE OF CA	  	§
		  	§
	COUNTY OF San Diego	  	§

 On May 30, 2009, before me, a Notary Public in and for said state, personally appeared
Kevin Simonsen, personally know to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledge to me that he executed the same in his authorized capacity, in
that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. 
 WITNESS my hand and official seal. 
  

	
	 /s/ Christy Bartlett

	                , Notary Public
	
	 See attached notary certificate—CdB

 ACKNOWLEDGEMENT 

 

			
	STATE OF WA	  	§
		  	§
	COUNTY OF King	  	§

 On May 21, 2009, before me, a Notary Public in and for said state, personally appeared
Wayne Burns, personally know to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledge to me that he executed the same in his authorized capacity, in that
by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. 

WITNESS my hand and official seal. 
  

	
	 /s/ Susan Van Den Ameele

	Susan Van Den Ameele, Notary Public2nd Amendment to Lease Agreement between Registrant and BMR-530 Fairview Avenue

 Exhibit 10.13 
 SECOND AMENDMENT TO LEASE 
 THIS SECOND AMENDMENT TO LEASE (this
“Amendment”) is entered into as of this 16 day of June, 2010, by and between BMR-530 FAIRVIEW AVENUE LLC, a Delaware limited liability company (“Landlord”), and NANOSTRING TECHNOLOGIES, INC., a Delaware
corporation (“Tenant”). 
 RECITALS 

A. WHEREAS, Landlord and Tenant entered into that certain Lease dated as of October 19, 2007, as amended by that certain First
Amendment to Lease dated as of May 21, 2009 (collectively, the “Lease”), whereby Tenant leases certain premises from Landlord at 530 Fairview Avenue in Seattle, Washington (the “Building”); 

B. WHEREAS, Tenant received from Landlord a Notice of Offer pursuant to Article 43 of the Lease and elected to exercise its
Right of First Refusal with respect to the Available Premises (as defined in the Lease) on the first floor of the Building, subject to the modification of such Notice of Offer pursuant to the terms and conditions provided herein; and 

C. WHEREAS, Tenant desires to lease from Landlord and Landlord desires to lease to Tenant the 1st Floor Premises (as defined below); and

 D. WHEREAS, Landlord and Tenant desire to modify and amend the Lease only in the respects and on the conditions hereinafter
stated. 
 AGREEMENT 
 NOW, THEREFORE, Landlord and Tenant, in consideration of the mutual promises contained herein and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged,
and intending to be legally bound, agree as follows: 
 1. Definitions. For purposes of this Second Amendment,
capitalized terms shall have the meanings ascribed to them in the Lease unless otherwise defined herein. 
 2. Original
Premises. Pursuant to Section 9.5 of the Lease, Landlord has made a reconciliation measurement of the Original Premises and the parties acknowledge and agree that the Original Premises contain seventeen thousand seven hundred
fifty-six (17,756) square feet of Rentable Area. The foregoing total rentable area of the Original Premises includes a nine hundred four (904) square foot increase to the Rentable Area of the Original Premises. Landlord and Tenant
acknowledge that Landlord’s obligation to expend the TI Allowance has expired and therefore shall not be adjusted in accordance with the reconciliation measurement of the Premises. 

3. 1st Floor Premises. Effective as of the 1st Floor Premises Commencement Date (as defined below), Landlord
hereby leases to Tenant and Tenant hereby leases from Landlord approximately five thousand six hundred seventy-seven (5,677) square feet of Rentable Area, located on the first floor of the Building as shown on Exhibit A attached
hereto (the “1st Floor Premises”), but during the Interim Term, Tenant shall pay Basic Annual Rent and Tenant’s Pro 

  
 BMR form dated
8/21/09 

 
Rata Share of Operating Expenses calculated using only four thousand five hundred two (4,502) square feet of Rentable Area of the 1st Floor Premises. The total square feet of Rentable Area of the Premises (including the 1st Floor Premises) shall be twenty-three thousand four hundred
thirty-three (23,433). 
 4. First Floor Common Area. The break room, ice maker room and telecom room located on the
first floor of the Building and depicted on Exhibit A attached hereto shall be hereinafter referred to as the “First Floor Common Area.” During the Interim Term (as defined below), the First Floor Common Area shall be
considered part of the Common Area (as defined in the Lease) except that Tenant shall have the non-exclusive right, in common with tenants of the first floor of the Building only, to use the First Floor Common Area, and Tenant shall pay its Pro Rata
Share of the Operating Expenses attributable to the First Floor Common Area as set forth in Section 5 below. 
 5.
Tenant’s Pro Rata Shares: Effective as of the 1st Floor Premises Commencement Date, Tenant’s Pro Rata Share of the Building shall equal 24.36% and Tenant’s Pro Rata Share of the first floor of the Building shall equal 58.9%;
however, for calculation of Tenant’s Pro Rata Share of Operating Expenses during the Interim Term, Tenant’s Pro Rata Share of the Building shall equal 23.14% and Tenant’s Pro Rata Share of the first floor of the Building shall equal
46.71%. 
 6. Interim Term: The term of the Lease for the 1st Floor Premises shall commence upon the latter to occur of:
(a) July 1, 2010, or (b) upon Substantial Completion of the 1st Floor Work (as defined below) (such date the “1st Floor Premises Commencement Date”), and provided that the parties reach an agreement on terms for leasing the 3rd Floor Premises, shall expire five (5) days after
Landlord’s notice to Tenant that the tenant improvements for the 3rd Floor Premises have been substantially completed (the “Interim Term”). In the event that the parties do not reach an agreement on terms for leasing of the 3rd Floor Premises within the Exclusive Negotiation Period (as defined
below), the Interim Term shall expire and (y) Tenant shall commence paying Basic Annual Rent and Tenant’s Pro Rata Share of Operating Expenses at the then-current rate on the entire
1st Floor Premises (i.e., 5,677 square feet of Rentable
Area) effective immediately after the expiration of the Exclusive Negotiation Period, and (z) the term for the 1st Floor Premises shall expire on the Term Expiration Date for the Original Premises, subject to Tenant’s option to extend the
Term of the Lease for the entire Premises (including the
1st Floor Premises), as provided in Article 42
of the Lease. 
 7. 3rd Floor Option: Landlord has engaged SABA architects to
assist in the design and programming related to Tenant’s requirements for the third floor of the Building (such space, the “3rd Floor Premises”). Landlord will continue to engage
SABA for such services; provided, however, Landlord shall not be obligated to expend any amount over Twelve Thousand Five Hundred Dollars ($12,500) for those costs directly related to Tenant’s requirements for the 3rd Floor Premises. Tenant shall have the option to lease the 3rd Floor Premises on the following terms. Within 90 days after the date
of this Second Amendment (the “Exclusive Negotiation Period”), Landlord and Tenant shall negotiate in good faith an additional amendment to the Lease setting forth the mutually acceptable terms for leasing the 3rd Floor Premises. During the Exclusive Negotiation Period, Landlord
shall not negotiate with any other third parties for the
3rd Floor Premises, nor shall such 3rd Floor Premises be generally marketed

 
to the public. In the event that Landlord and Tenant cannot agree on mutually acceptable terms within the Exclusive Negotiation Period, then (a) Landlord shall be free to market the 3rd Floor Premises; subject, however, to Tenant’s Right of First
Refusal, as set forth in the Lease, and (b) the term for the First Floor Premises shall continue until the Term Expiration Date, as set forth in Section 6 above. 

8. Basic Annual Rent: Commencing two (2) months after the 1st Floor Premises Commencement Date, Tenant shall pay Landlord Basic
Annual Rent (“1st Floor Premises Basic Annual
Rent”) for the 1st Floor Premises, in accordance with the provisions in the Lease, in an amount equal to Thirty-Five Dollars ($35.00) per square foot of Rentable Area per annum (i.e., initially 4,502 square feet).

 9. Condition of Premises: Tenant acknowledges that (a) it is familiar with the
condition of the 1st Floor Premises and, notwithstanding
anything in the Lease to the contrary, agrees to take the same in its condition “as is” as of the first day of the Interim Term and (b) Landlord shall have no obligation to alter, repair or otherwise prepare the 1st Floor Premises for Tenant’s occupancy or to pay for any
improvements to the 1st Floor Premises, except as may be
expressly provided in the Section entitled “1st
Floor Work” below. 
 10. 1st Floor Work: Landlord and Tenant shall perform the work summarized in Exhibit B attached hereto. Landlord shall be responsible for Key Notes #1, 2, 3, 4, 5, 6 (electrical only), 9, 10, 11, 13, 14,
General Note #2, and installation of 3 card readers (one at the entrance to lab support, one at the corridor into the lab and one at the corridor into the carpeted areas). Tenant shall be responsible for Key Notes #6 (all items other than
electrical), 7, 8, 12 and General Note #1. 
 11. Security Deposit. No later than the 1st
Floor Premises Commencement Date, Tenant shall deposit with Landlord an amount equal to Fifteen Thousand Dollars ($15,000), which amount shall become part of the Security Deposit and in the event that the parties reach mutually acceptable terms for
leasing the 3rd Floor Premises, the balance of which shall
be applied to any security deposit required for the 3rd
Floor Premises. 
 12. Addresses of Landlord. Sections 2.10 and 2.11 of the Lease are hereby deleted
and replaced with the following: 
  

			
	2.10 Address for Rent Payment:	  	 BMR-530 Fairview Avenue LLC

P.O. Box 511287
 Los Angeles, CA
90051-7842

		
	2.11 Address for Notices to Landlord:	  	 BMR-530 Fairview Avenue LLC

17190 Bernardo Center Drive
 San Diego,
California 92128
 Attn: Vice President, Real Estate Counsel

 13. Appointment of Agent: Tenant represents and warrants that it has had no dealings with any real
estate broker or agent in connection with the negotiation of this Second 

 
Amendment other than Jones Lang LaSalle (“Broker”), and that it knows of no other real estate broker or agent that is or might be entitled to a commission in connection with this
Second Amendment. Landlord shall compensate Broker in relation to the Second Amendment pursuant to a separate agreement between Landlord and Broker if Landlord and Tenant execute and deliver the Second Amendment. Tenant agrees to indemnify, save,
defend and hold Landlord harmless from any and all cost or liability for compensation claimed by any broker or agent, other than Broker, employed or engaged by it or claiming to have been employed or engaged by it. 

14. No Default. To Tenant’s actual knowledge as of the date hereof, Tenant represents, warrants and covenants that Landlord
and Tenant are not in default of any of their respective obligations under the Lease and no event has occurred that, with the passage of time or the giving of notice (or both) would constitute a default by either Landlord or Tenant thereunder.

 15. Effect of Amendment. Except as modified by this Second Amendment, the Lease and all the
covenants, agreements, terms, provisions and conditions thereof shall remain in full force and effect and are hereby ratified and affirmed. The covenants, agreements, terms, provisions and conditions contained in this Second Amendment shall bind and
inure to the benefit of the parties hereto and their respective successors and, except as otherwise provided in the Lease, their respective assigns. In the event of any conflict between the terms contained in this Second Amendment and the Lease, the
terms herein contained shall supersede and control the obligations and liabilities of the parties. From and after the date hereof, the term “Lease” as used in the Lease shall mean the Lease, as modified by this Second Amendment, and the
term “Premises” as used in the Lease, shall mean the Original Premises plus the 1st Floor Premises 
 16. Miscellaneous. This Second Amendment becomes
effective only upon execution and delivery hereof by Landlord and Tenant. The captions of the paragraphs and subparagraphs in this Second Amendment are inserted and included solely for convenience and shall not be considered or given any effect in
construing the provisions hereof, All exhibits hereto are incorporated herein by reference. 
 17. Counterparts. This
Second Amendment may be executed in one or more counterparts that, when taken together, shall constitute one original. 

[REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK] 

 IN WITNESS WHEREOF, Landlord and Tenant have hereunto set their hands as of the date and
year first above written, and acknowledge that they possess the requisite authority to enter into this transaction and to execute this Second Amendment to Lease. 
  

			
	LANDLORD:
	
	 BMR-530 FAIRVIEW AVENUE LLC,
 a Delaware limited liability company

		
	By:	 	 /s/ Kevin M. Simonsen

	Name:	 	 Kevin M. Simonsen

	Title:	 	 VP, Real Estate Counsel

[NOTARY ACKNOWLEDGMENT ATTACHED HERETO] 
  

			
	TENANT:
	
	NANOSTRING TECHNOLOGIES, INC.,
	a Delaware corporation
		
	By:	 	 /s/ Wayne Burns

	Name:	 	 Wayne Burns

	Title:	 	 CFO and Acting CEO

 [NOTARY ACKNOWLEDGMENT ATTACHED HERETO] 

 EXHIBIT A 
 1ST FLOOR PREMISES AND FIRST FLOOR COMMON AREA 

  
 

 

 EXHIBIT B 

1ST FLOOR WORK 

  
 

 

  
 

 

 NOTARY ACKNOWLEDGEMENTS 

			
	NOTARIZATION (required in the State of Washington)
		
	STATE OF WASHINGTON	 	)
		 	: ss.
	COUNTY OF King )

 I certify that I know or have satisfactory evidence that Wayne Burns is the person who appeared
before me, and s/he acknowledged that s/he signed this instrument, on oath stated that s/he was authorized to execute the instrument and acknowledged it as the CFO and Acting CEO of NanoString Technologies, a corporation, to be the
free and voluntary act of such corporation for the uses and purposes mentioned in the instrument. 
 Dated this 16 day
June, 2010. 
  

	
	 /s/ Susan R. Van Den Ameele

	[Signature of Notary]
	
	 Susan R Van Den Ameele

	[Print Name of Notary]
	
	Notary Public in and for the State of Washington, residing at Seattle.
	My commission expires: 21 September 2011.

  

			
	STATE OF WASHINGTON	 	)
		 	: ss.
	COUNTY OF              )

 I certify that I know or have satisfactory evidence that
                             is the person who appeared before me, and s/he acknowledged that s/he signed
this instrument, on oath stated that s/he was authorized to execute the instrument and acknowledged it as the
                             of
                            , a corporation, to be the free and voluntary act of such corporation for the
uses and purposes mentioned in the instrument. 
 Dated this      day
            , 201    . 
  

	
	  

	[Signature of Notary]
	
	  

	[Print Name of Notary]
	
	Notary Public in and for the State of Washington, residing at
                    .
	My commission expires:                     .

 CALIFORNIA ALL-PURPOSE 

CERTIFICATE OF ACKNOWLEDGMENT 
 State of California 
 County of San Diego 
 On Feb. 8, 2011 before me, Christy Bartlett, Notary Public 
 (Here
insert name and title of the officer) 
 personally appeared Kevin Simonsen 
 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. 

 

					
	WITNESS my hand and official seal.	 		 	 

	/s/ Christy D. Bartlett	 		 
	Signature of Notary Public	 		 	(Notary Seal)

  
  

ADDITIONAL OPTIONAL INFORMATION 

 

	
	  

DESCRIPTION OF THE ATTACHED DOCUMENT
  
 (Title or description of attached document)

 
 (Title or description of attached
document continued)
  
 Number of Pages
     Document Date
                                

 
 (Additional information)

 

 

CAPACITY CLAIMED BY THE SIGNER 
  

	 	 ̈	Individual (s) 

  

	 	 ̈	Corporate Officer 

 _________________ 

                   
     (Title) 
  

	 	 ̈	Partner(s) 

  

	 	 ̈	Attorney-in-Fact 

  

	 	 ̈	Trustee(s) 

  

	 	 ̈	Other
                                         
    

 

 INSTRUCTIONS FOR COMPLETING THIS FORM 

Any acknowledgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must
be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California. In such instances, any alternative acknowledgment verbiage as may be printed on such a document so long as the verbiage
does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the document carefully for proper notarial wording and attach this form if required.

  

	 	•	 	 State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment.

	 	•	 	 Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed.

	 	•	 	 The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public).

	 	•	 	 Print the name(s) of document signer(s) who personally appear at the time of notarization. 

	 	•	 	 Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they, is /are) or circling the correct forms. Failure to
correctly indicate this information may lead to rejection of document recording. 

	 	•	 	 The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,
re-seal if a sufficient area permits, otherwise complete a different acknowledgment form. 

	 	•	 	 Signature of the notary public must match the signature on file with the office of the county clerk. 

	 	v	Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. 

	 	v	Indicate title or type of attached document, number of pages and date. 

	 	v	Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). 

	 	•	 	 Securely attach this document to the signed document

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