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EXHIBIT 10.6

2016 STOCK INCENTIVE PLAN
OF HONEYWELL INTERNATIONAL INC. AND ITS AFFILIATES
PERFORMANCE PLAN GRANT AGREEMENT
						
	EID:	
	Employee Name:	
	# of Performance Stock Units Granted:	

This PERFORMANCE STOCK UNIT AGREEMENT made in Charlotte, North Carolina, as of the [GRANT DATE] (the “Grant Date”), between Honeywell International Inc. (the “Company”) and the Company senior executive named above (the “Participant”).
1.    Grant of Performance Award. The Company has granted you a target number (“Target Award”) of Restricted Stock Units as a Performance Award (“Performance Stock Units”), subject to the terms of this Agreement and the 2016 Stock Incentive Plan of Honeywell International Inc. and Its Affiliates (the “Plan”).
The Company will hold the Performance Stock Units and [Additional Performance Stock Units (as defined in Section 4)] in a bookkeeping account on your behalf until they become payable or are forfeited or cancelled.
The details for this grant can be found on the Morgan Stanley StockPlan Connect website at www.stockplanconnect.com. The Company reserves the right to change or correct any information contained on the Morgan Stanley StockPlan Connect website to reflect the terms of the Award actually made by the Company on the Grant Date or the Plan.
2.    Definitions. For purposes of this Agreement, the following definitions apply:
a.    “Actual Award” means (A) the product of (i) the Plan Payout Percentage (as determined under Section 3), and (ii) your Target Award[; plus (B) any Additional Performance Stock Units (as determined under Section 4)]. Notwithstanding anything in this Agreement to the contrary, the Committee may reduce the amount of your Actual Award in its sole discretion.
b.    “Performance Cycle” means the [INSERT PERFORMANCE CYCLE DATES].
3.    Performance Measures. The Plan Payout Percentage shall be determined based on [INCLUDE IF PERFORMANCE MEASURES ARE THE SAME, OTHERWISE DESCRIBE PERFORMANCE MEASURES: actual performance against pre-set goals of (a) total revenue, (b) average return on investment, (c) average segment margin rate, and (d) Total Shareholder Return (collectively the “Performance Measures”) for the Performance Cycle, with each Performance Measure equally weighted (25% each). The Plan Payout for each Performance Measure other than Total Shareholder Return shall be determined at the Company level (“Corporate”) for eligible employees not assigned to one of the Company’s strategic business groups or the Honeywell Connected Enterprise business unit (collectively, an “SBG”), and 50% at the Company level and 50% at the SBG level for other eligible employees; provided, however, that the average return on 

investment Performance Measure for eligible employees assigned to the Honeywell Connected Enterprise business unit shall be determined 100% at the Company level.] For purposes of this determination, if an eligible employee transfers from one of the Company’s business units (i.e., an SBG or Corporate) to another during the Performance Cycle, their Actual Award will be prorated for the number of days actively employed in each business unit during the Performance Cycle.
[DESCRIBE ADDITIONAL PERFORMANCE MEASURES]
4.    [INCLUDE IF DIVIDEND EQUIVALENTS ARE PROVIDED UNDER GRANT: Dividend Equivalents. Except as otherwise determined by the Management Development and Compensation Committee (the “Committee”), in its sole discretion, you will earn Dividend Equivalents in an amount equal to the value of any cash or stock dividends paid by the Company upon one Share of Common Stock for each unvested Performance Stock Unit or Additional Performance Stock Unit (as defined below) credited to your bookkeeping account on a dividend payment date. At the vesting date(s) specified in Section 6, such Dividend Equivalents shall be adjusted up or down based on your Actual Award. In the case of cash dividends, the Company shall credit to your bookkeeping account, on each dividend payment date, an additional number of Performance Stock Units (“Additional Performance Stock Units”) equal to (a) divided by (b), where (a) equals the total number of unvested Performance Stock Units and Additional Performance Stock Units, if any, subject to this Agreement on such date multiplied by the dollar amount of the cash dividend paid per Share of Common Stock on such date, and (b) equals the Fair Market Value of a Share on such date. If a dividend is paid to holders of Common Stock in Shares, the Company shall credit to you, on such dividend payment date, Additional Performance Stock Units equal to the total number of unvested Performance Stock Units and Additional Performance Stock Units subject to this Agreement on such date multiplied by the Share dividend paid per Share of Common Stock on such date. Additional Performance Stock Units are subject to the same restrictions, including but not limited to vesting, transferability and payment restrictions, that apply to the Performance Stock Units to which they relate. You will continue to earn Additional Performance Stock Units on unpaid Performance Stock Units and Additional Performance Stock Units that are held in your bookkeeping account until the vested Shares are paid to you.]
5.    Payment Amount. Each Performance Stock Unit [and Additional Performance Stock Unit] represents one (1) Share of Common Stock. Your Actual Award will not exceed 200% of your Target Award.
6.    Vesting and Payment. Except as otherwise provided in this Agreement, the vesting and payment of an Actual Award is contingent upon (i) the achievement of a Plan Payout Percentage based on performance as described in Section 3 and Attachment A, and (ii) you remaining actively employed by the Company on [DESCRIBE VESTING PROVISIONS] (“Vesting Date”). [In no event will Additional Performance Stock Units be paid if the related Performance Stock Units have not vested.]
[INCLUDE IF PAYMENT PROVISIONS ARE THE SAME, OTHERWISE DESCRIBE PAYMENT PROVISIONS Except as otherwise provided in Sections 8 and 10, if earned, the Actual Award will be paid 50% in Shares rounded up to the nearest whole Share, with the net Shares held 

by you for at least one year from the Vesting Date. The remaining Actual Award will be converted and paid in cash, calculated by multiplying 50% of the Actual Award, stated in Shares, by the Fair Market Value of the Shares on the last trading day of the Performance Cycle.
If an Actual Award is due, payment in cash and Shares will be made as soon as practicable following the Vesting Date, but in no event later than two and one-half months following the end of the year in which vesting occurs.
The cash portion of your Actual Award shall be expressed in U.S. dollars. Cash payment shall be made in the same currency as your pay (“Local Currency”). In the event you receive pay in more than one Local Currency, the currency used for payment will be at the discretion of the Company or your employer. The Company will convert the cash portion of your Actual Award from U.S. dollars to your Local Currency using the exchange rate in effect for the compensation planning cycle in the year of payment (i.e., the same rate used for converting annual bonuses to local currency in the first quarter of the year of payment). No payments will be credited with interest, and you may not defer any portion of the Actual Award hereunder.]
7.    Termination of Employment. Except as otherwise provided in this Agreement, if your Termination of Employment occurs for any reason other than death or Disability before the Vesting Date, any unvested Performance Stock Units [and Additional Performance Stock Units] will immediately be forfeited and your rights with respect to future payments under this Agreement will end.
8.    Death or Disability. If your Termination of Employment occurs because of your death or Disability before the Vesting Date, you or your estate will receive the prorated value of your Actual Award. The prorated value of the Actual Award shall be determined by multiplying the Actual Award by a fraction, the numerator of which is the number of days you were actively employed before your Termination of Employment from your first eligibility date to the last day of the Performance Cycle, and the denominator of which is the total number of days from your first eligibility date to the last day of the Performance Cycle. Such prorated Actual Award, stated in Shares, shall be multiplied by the Fair Market Value of the Shares on the last trading day of the Performance Cycle and paid in cash as soon as practicable, but in no event later than two and one-half months following the end of the Performance Cycle. [Additional Performance Stock Units will be calculated on the prorated Actual Award as provided in Section 4.]
9.    Retirement. For the avoidance of doubt, if your Termination of Employment occurs solely because of your Retirement at any age before the Vesting Date specified above, any unvested Performance Stock Units [and Additional Performance Stock Units] or unpaid Actual Award, as applicable, will immediately be forfeited and your rights with respect to future payments under this Agreement will end.
10.    Change in Control. Notwithstanding anything in Sections 2 through 9 to the contrary, in the event of a Change in Control (as defined in the Plan), the following provisions apply:
a.    Rollover of Performance Awards. If adjusted or exchanged pursuant to Section 5.3(c) – (f) of the Plan, Performance Stock Units [and Additional Performance Stock Units] that 

have not vested or terminated as of the date of the Change in Control will continue to vest in accordance with the schedule described in Section 6 of this Agreement (or as adjusted if more favorable); provided, however, that (x) if you incur an involuntary Termination of Employment not for Cause (as defined in Section 2.7 of the Plan) or a voluntary Termination of Employment for Good Reason (as defined in Section 5.4(d) of the Plan) on or before the second anniversary of the date of the Change in Control and after the Performance Cycle has ended, your unpaid Actual Award will immediately vest in full and be paid in cash no later than the earlier of 90 days after the Termination of Employment or two and one-half months after the end of the calendar year in which the Termination of Employment occurs, or (y) if you incur an involuntary Termination of Employment not for Cause (as defined in Section 2.7 of the Plan) or a voluntary Termination of Employment for Good Reason (as defined in Section 5.4(d) of the Plan) during the two-year period following the Change in Control and before the Performance Cycle has ended, an amount equal to the Target Award, pro-rated to reflect the portion of the Performance Cycle that elapsed before such Termination of Employment, will be paid in cash no later than the earlier of 90 days after the Termination of Employment or two and one-half months after the end of the calendar year in which the Termination of Employment occurs.
b.    Cashout of Performance Awards. Unless adjusted or exchanged pursuant to Section 5.3(a) or 5.3(b) of the Plan (concerning rollover of outstanding awards in certain circumstances), Performance Stock Units [and Additional Performance Stock Units] that have not vested or terminated as of the date of the Change in Control will immediately vest. If the Change in Control occurs after the Performance Cycle has ended, you will receive your unpaid Actual Award. If the Change in Control occurs before the Performance Cycle has ended, the Actual Award will be based on the Target Award or other level of substantially achieved performance, as determined by the Committee prior to the Change in Control. No later than the earlier of 90 days after the date of the Change in Control or two and one-half months after the end of the calendar year in which the Change in Control occurs, you will receive for the Performance Stock Units [and Additional Performance Stock Units] a single cash payment equal to the product of the number of vested and outstanding Performance Stock Units [and Additional Performance Stock Units] as of the date of the Change in Control (including any Performance Stock Units [and Additional Performance Stock Units] that vest pursuant to this Section 10) and an amount equal to the greater of (i) the highest price per Share paid by the successor, as determined by the Committee, and (ii) the highest Fair Market Value during the period of 90 days that ends on the date of the Change in Control. Any securities or other property that is part or all of the consideration paid for Shares pursuant to the Change in Control will be valued at the higher of (x) the valuation placed on the securities or property by any entity that is a party with the Company to the Change in Control, or (y) the valuation placed on the securities or property by the Committee.
11.    Withholdings. The Company or your local employer shall have the power and the right to deduct or withhold, or require you to remit to the Company or to your local employer, prior to any issuance or delivery of Shares, an amount sufficient to satisfy taxes imposed under the laws of any country, state, province, city or other jurisdiction, including but not limited to income taxes, capital gain taxes, transfer taxes, and social security contributions, and National Insurance Contributions, that are required by law to be withheld as determined by the Company or your local employer.

12.    Transfer of Performance Award. You may not transfer the Performance Stock Units[, Additional Performance Stock Units] or any interest in such Units or any portion of your Actual Award except by will or the laws of descent and distribution or except as permitted by the Committee and as specified in the Plan. Any other attempt to dispose of your interest will be null and void.
13.    Requirements for and Forfeiture of Award.
a.    General. This Award is expressly contingent upon you complying with the terms, conditions and definitions contained in this Section 13 and in any other agreement that governs your noncompetition with Honeywell, your nonsolicitation of Honeywell’s employees, customers, suppliers, business partners and vendors, and/or your conduct with respect to Honeywell’s trade secrets and proprietary and confidential information. For purposes of this Section 13, the term “Honeywell” is defined as Honeywell International Inc. (a Delaware corporation having a place of business in Charlotte, North Carolina), its predecessors, designees and successors, as well as its past, present and future operating companies, divisions, subsidiaries, affiliates and other business units, including businesses acquired by purchase of assets, stock, merger or otherwise.
b.    Remedies.
         1.    You expressly agree and acknowledge that the forfeiture provisions of subsection 13.b.2. of this Agreement shall apply if: (A) you are terminated for Cause (as defined in the Plan) or you voluntarily terminate your employment with less than a 60-day notice period, or (B) from the Grant Date until the date that is twenty-four (24) months after your Termination of Employment for any reason, you (i) enter into an employment, consultation or similar agreement or arrangement (including any arrangement for service as an agent, partner, stockholder, consultant, officer or director) with any entity or person engaged in a business in which Honeywell is engaged if the business is competitive (in the sole judgment of the Honeywell International Inc. Chief Executive Officer (“CEO”)) and the CEO has not approved the agreement or arrangement in writing, or (ii) make any statement, publicly or privately (other than to your spouse and legal advisors), which would be disparaging (as defined below) to Honeywell or its businesses, products, strategies, prospects, condition, or reputation or that of its directors, employees, officers or members; provided, however, that nothing shall preclude you from making any statement in good faith which is required by any applicable law or regulation or the order of a court or other governmental body, or (iii) write or contribute to a book, article or other media publication, whether in written or electronic format, that is in any way descriptive of Honeywell or your career with Honeywell without first submitting a draft thereof, at least thirty (30) days in advance, to the Honeywell International Inc. Senior Vice President and General Counsel, whose judgment about whether such book, article or other media publication is disparaging shall be determinative; or such a book, article or other media publication is published after a determination that it is disparaging; provided, however, that nothing herein shall preclude you from reporting (in good faith) possible violations of federal law or regulation to any governmental agency or entity, including but not limited to, the Department of Justice, the Securities and Exchange Commission, the Congress, and/or any agency Inspector General, or making any other disclosures that are protected under the whistleblower provisions of federal or state law or regulation, or from otherwise making any 

statement (in good faith) which is required by any applicable law or regulation or the order of a court or other governmental body.
For purposes of this subsection 13.b.1, the term “disparaging” shall mean any statement or representation (whether oral or written and whether true or untrue) which, directly or by implication, tends to create a negative, adverse, or derogatory impression about the subject of the statement or representation or which is intended to harm the reputation of the subject of the statement or representation.
2.    In addition to the relief described in any other agreement that governs your noncompetition with Honeywell, your nonsolicitation of Honeywell’s employees, customers, suppliers, business partners and vendors, and/or your conduct with respect to Honeywell’s trade secrets and proprietary and confidential information, if the CEO determines, in their sole judgment, that you have violated the terms of any such agreement or you have engaged in an act that violates subsection 13.b.1. of this Agreement, or you are terminated for Cause (as defined in the Plan) or you voluntarily terminate your employment with less than a 60-day notice period, (i) any Performance Stock Units [and Additional Performance Stock Units] that have not vested under this Agreement shall immediately be cancelled, and you shall forfeit any rights you have with respect to such Units as of the date of the CEO’s determination or the date of your Termination of Employment for Cause or voluntary Termination of Employment, as applicable, and (ii) you shall immediately deliver to the Company Shares and cash equal in value to the Actual Award you received during the period beginning twelve (12) months prior to your Termination of Employment and ending on (x) the date of the CEO’s determination in the case of a violation other than for a Termination of Employment for Cause or voluntary termination without sufficient notice, or (y) the date of your Termination of Employment in the case of a Termination of Employment for Cause or voluntary termination without sufficient notice, as applicable.
3.    Notwithstanding anything in the Plan or this Agreement to the contrary, you acknowledge that the Company may be entitled or required by law, Company policy or the requirements of an exchange on which the Shares are listed for trading, to recoup compensation paid to you pursuant to the Plan, and you agree to comply with any Company request or demand for recoupment.
14.    Restrictions on Payment of Shares. Payment of Shares is subject to the conditions that, to the extent required at the time of exercise, (i) the Shares underlying the Award and/or Actual Award shall be duly listed, upon official notice of redemption, upon The Nasdaq Stock Market LLC (“Nasdaq”), and (ii) a Registration Statement under the Securities Act of 1933 with respect to the Shares shall be effective. The Company shall not be required to deliver any Common Stock until all applicable federal and state laws and regulations have been complied with and all legal matters in connection with the issuance and delivery of the Shares have been approved by counsel for the Company.
15.    Adjustments. Any adjustments to this Performance Award will be governed by Section 5.3 of the Plan.

16.    Disposition of Securities. By accepting the Performance Award, you acknowledge that you have read and understand (i) the Company’s policy, and are aware of and understand your obligations under applicable securities laws in respect of trading in the Company’s securities, and (ii) the Company’s stock ownership guidelines as they apply to this Performance Award. The Company shall have the right to recover, or receive reimbursement for, any compensation or profit you realize on the disposition of Shares received to the extent that the Company has a right of recovery or reimbursement under applicable securities laws.
17.    Plan Terms Govern. This Award (including the vesting and redemption of Performance Stock Units [or Additional Performance Stock Units], the disposition of any Shares received, the treatment of gain on the disposition of these Shares, and the treatment of Dividend Equivalents) are subject to the provisions of the Plan and any rules that the Committee may prescribe. The Plan document, as may be amended from time to time, is incorporated into this Agreement. Capitalized terms used in this Agreement have the meaning set forth in the Plan, unless otherwise stated in this Agreement. In the event of any conflict between the terms of the Plan and the terms of this Agreement, the Plan shall control. By accepting the Performance Award, you acknowledge that the Plan and the Plan prospectus, as in effect on the date of this Agreement, have been made available to you for your review. Without limiting the generality of the foregoing, you agree that all determinations made by the Committee of the Performance Measures described in Section 3 (including but not limited to, Total Shareholder Return and the Company’s ranking within the Compensation Peer Group) shall be final, binding and conclusive on you in accordance with Article III of the Plan.
18.    Personal Data.
a.    By entering into this Agreement, and as a condition of the grant of this Performance Award, you expressly consent to the collection, use, and transfer of personal data as described in this Section to the full extent permitted by and in full compliance with applicable law.
b.    You understand that your local employer holds, by means of an automated data file, certain personal information about you, including, but not limited to, name, home address and telephone number, date of birth, social insurance number, salary, nationality, job title, any shares or directorships held in the Company, details of all Performance Stock Units or other entitlement to shares awarded, canceled, exercised, vested, unvested, or outstanding in your favor, for the purpose of managing and administering the Plan (“Data”).
c.    You understand that part or all of your Data may be also held by the Company or its Affiliates, pursuant to a transfer made in the past with your consent, in respect of any previous grant of Performance Stock Units or awards, which was made for the same purposes of managing and administering of previous award/incentive plans, or for other purposes.
d.    You understand that your local employer will transfer Data to the Company or its Affiliates among themselves as necessary for the purposes of implementation, administration, and management of your participation in the Plan, and that the Company or its Affiliates may transfer data among themselves, and/or each, in turn, further transfer Data to any third parties assisting the Company in the implementation, administration, and management of the Plan (“Data Recipients”).

e.    You understand that the Company or its Affiliates, as well as the Data Recipients, are or may be located in your country of residence or elsewhere, such as the United States. You authorize the Company or its Affiliates, as well as the Data Recipients, to receive, possess, use, retain, and transfer Data in electronic or other form, for the purposes of implementing, administering, and managing your participation in the Plan, including any transfer of such Data, as may be required for the administration of the Plan and/or the subsequent holding of Shares on your behalf, to a broker or third party with whom the Shares may be deposited.
f.    You understand that you may show your opposition to the processing and transfer of your Data, and, may at any time, review the Data, request that any necessary amendments be made to it, or withdraw your consent herein in writing by contacting the Company. You understand that withdrawing consent may affect your ability to participate in the Plan.
19.    Discretionary Nature and Acceptance of Performance Award. By accepting this Performance Award, you agree to be bound by the terms of this Agreement and acknowledge that:
a.    The Company (and not your local employer) is granting these Performance Stock Units [and Additional Performance Stock Units]. This Agreement is not derived from any preexisting labor relationship between you and the Company, but rather from a mercantile relationship.
b.    The Company may administer the Plan from outside your country of residence and United States law will govern all Performance Stock Units [and Additional Performance Stock Units] granted under the Plan.
c.    Benefits and rights provided under the Plan are wholly discretionary and, although provided by the Company, do not constitute regular or periodic payments.
d.    The benefits and rights provided under the Plan are not to be considered part of your salary or compensation under your employment with your local employer for purposes of calculating any severance, resignation, redundancy or other end of service payments, vacation, bonuses, long-term service awards, indemnification, pension or retirement benefits, or any other payments, benefits or rights of any kind. You waive any and all rights to compensation or damages as a result of the termination of employment with your local employer for any reason whatsoever insofar as those rights result, or may result, from the loss or diminution in value of such rights under the Plan or your ceasing to have any rights under, or ceasing to be entitled to any rights under, the Plan as a result of such termination.
e.    The grant of this Performance Award, and any future grant of Performance Stock Units [or Additional Performance Stock Units] under the Plan, is entirely voluntary, and at the complete discretion of the Company. Neither the grant of the Performance Stock Units[, the Additional Performance Stock Units] nor any future grant by the Company will be deemed to create any obligation to make any future grants, whether or not such a reservation is explicitly stated at the time of such a grant. The Company has the right, at any time and/or on an annual basis, to amend, suspend or terminate the Plan; provided, however, that no such amendment, suspension, or termination will adversely affect your rights hereunder.

f.    The Plan will not be deemed to constitute, and will not be construed by you to constitute, part of the terms and conditions of employment. Neither the Company nor your local employer will incur any liability of any kind to you as a result of any change or amendment, or any cancellation, of the Plan at any time.
g.    Participation in the Plan will not be deemed to constitute, and will not be deemed by you to constitute, an employment or labor relationship of any kind with the Company.
20.    Limitations. Nothing in this Agreement or the Plan gives you any right to continue in the employ of the Company or any of its Affiliates or to interfere in any way with the right of the Company or any Affiliate to terminate your employment at any time. Payment of your Performance Stock Units [and Additional Performance Stock Units] is not secured by a trust, insurance contract or other funding medium, and you do not have any interest in any fund or specific asset of the Company by reason of this Performance Award or the account established on your behalf. You have no rights as a shareowner of the Company pursuant to the Performance Stock Units [and Additional Performance Stock Units] until Shares are actually delivered to you.
21.    Incorporation of Other Agreements. This Agreement and the Plan constitute the entire understanding between you and the Company regarding the Performance Stock Units. This Agreement supersedes any prior agreements, commitments or negotiations concerning the Performance Stock Units [and Additional Performance Stock Units].
22.    Severability. The invalidity or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of the other provisions of the Agreement, which shall remain in full force and effect. Moreover, if any provision is found to be excessively broad in duration, scope or covered activity, the provision shall be construed so as to be enforceable to the maximum extent compatible with applicable law.
23.    Governing Law. The Plan, this Agreement, and all determinations made and actions taken under the Plan or this Agreement shall be governed by the internal substantive laws, and not the choice of law rules, of the State of Delaware and construed accordingly, to the extent not superseded by applicable federal law.
24.    Agreement Changes. The Company reserves the right to change the terms of this Agreement and the Plan without your consent to the extent necessary or desirable to comply with the requirements of Code section 409A, the Treasury regulations and other guidance thereunder.
25.    Acknowledgements and Acceptance. By signing this Agreement (including via electronic signature), you agree that: (i) you have carefully read, fully understand and agree to all of the terms and conditions described in this Agreement, the Plan, the Plan’s prospectus and all accompanying documentation; and (ii) you understand and agree that this Agreement and the Plan constitute the entire understanding between you and the Company regarding the Performance Award, and that any prior agreements, commitments, or negotiations concerning the Performance Award are replaced and superseded.
To retain this Award, you must accept it [through Docusign OR on the Morgan Stanley website].Exhibit
10.1

 

REVENUE
PURCHASE AGREEMENT

 

This
Revenue Purchase Agreement and Security Agreement and Guaranty of Performance (“Agreement”) dated as of 04/25/2022
between Samson MCA LLC (“FUNDER”) the Merchant(s) listed below (Merchant”) and the Individual(s)
listed below (“Guarantor”)

 

MERCHANT
INFORMATION

 

Merchant’s
Legal Name: MCA WESTOVER HILLS OPERATING COMPANY LLC 

D/B/A:
Memory Care of Westover Hills

State
of Incorporation / Organization: TN

 

Type
of Entity: LLC

 

Physical
Address: 10910 TOWN CENTER DRIVE

 

City:
SAN ANTONIO                  State:TX
                                 Zip:
78251                    Business
Phone: 210-802-6653

 

Guarantor(s)
Name: JAMES T WALESA         Cell phone Number: ________________ Email Address: _______________

 

Mailing
Address: _________________________________________ City: _________________________________

 

            State:
___________________________ Zip: _____________________

 

Guarantor(s)
Name: _______________ Cell phone Number: _________________ Email Address: __________________

 

Mailing
Address: _________________________________________ City: _________________________________

 

            State:
___________________________ Zip: _____________________

 

Purchase
Price: $175,000.00           Purchased Percent: 25%                 Purchased
Amount: $236,250.00

 

Payment
Frequency: WEEKLY                                    
Remittance $6,999.00

 

In
consideration of payment by FUNDER to Merchant of the Purchase Price set forth above, Merchant hereby sells, assigns and transfers to
FUNDER (making FUNDER the absolute owner) the Purchased Percentage of all of Merchant’s payments, receipts, settlements and funds
paid to or received by or for the account of Merchant from time to time on and after the date hereof in payment or settlement of Merchant’s
existing and future accounts, payment intangibles, credit, debit and/or stored value card transactions, contract rights and other entitlements
arising from or relating to the payment of monies from Merchant’s customers’ and/or other payors or obligors (the “Future
Receipts” defined as all payments made by cash, check, clearinghouse settlement, electronic transfer or other form of monetary
payment), for the payments to Merchant as a result of Merchant’s sale of goods and/or services (the “Transactions”)
until the Purchased Amount has been delivered by or on behalf of Merchant to FUNDER.

 

Merchant
is selling a portion of a future revenue stream to FUNDER at a discount, and is not borrowing money from FUNDER, therefore there is no
interest rate or payment schedule and no time period during which the Purchased Amount must be collected by FUNDER. The Remittance is
a good faith estimate of FUNDER’s share of the future revenue stream. Merchant going bankrupt or going out of business, or experiencing
a slowdown in business, or a delay in collecting its receivables, in and of itself, does not constitute a breach of this Agreement. FUNDER
is entering this Agreement knowing the risks that Merchant’s business may not perform as expected or fail, and FUNDER assumes these
risks based on Merchant’s representations, warranties and covenants in this Agreement, which are designed to give FUNDER a reasonable
and fair opportunity to receive the benefit of its bargain. FUNDER acknowledges that it may never receive the Purchased Amount in the
event that the Merchant does not generate sufficient revenue. Merchant and Guarantor(s)(s) are only guaranteeing their performance of
the terms of this Revenue Purchase Agreement, and are not guaranteeing the payment of the Purchased Amount. The initial Remittance shall
be as described above. The Remittance is subject to adjustment as set forth in Paragraph 1.4 and Paragraph 1.5.

 

FUNDER
will debit the Remittance each business day from only one depositing bank account, which account must be acceptable to, and pre-approved
by, FUNDER (the “Account”) into which Merchant and Merchant’s customers shall remit the Receipts from each Transaction,
until such time as FUNDER receives payment in full of the Purchased Amount. Merchant hereby authorizes FUNDER to ACH debit the agreed
Remittance from the Account on the agreed upon Payment Frequency; a daily basis means any day that is not a United States banking holiday.
Merchant agrees not to make or cause debits to the Account (other than in favor of FUNDER) at any time that would cause the balance therein
on any business day to be insufficient to fund payment in full of the agreed Remittance. The Account may not be used for any personal,
family or household purposes. Merchant will provide FUNDER with all required access codes and monthly bank statements regarding the Account
so that FUNDER may monitor the Account. FUNDER payment of the Purchase Price shall be deemed the acceptance and performance by FUNDER
of this Agreement. Merchant understands that it is responsible for ensuring that the agreed Remittance to be debited by FUNDER remains
in the Account and will be held responsible for any fees incurred by FUNDER resulting from a rejected ACH attempt or an Event of Default.
FUNDER is not responsible for any overdrafts or rejected transactions that may result from FUNDER’s ACH debiting the agreed Remittance
under the terms of this Agreement. Notwithstanding anything to the contrary in this Agreement or any other agreement between FUNDER and
Merchant, upon the occurrence of an Event of Default of the MERCHANT AGREEMENT TERMS AND CONDITIONS the Purchased Percentage shall equal
100%. A list of all fees applicable under this Agreement is contained in Appendix A.

 

THE
MERCHANT AGREEMENT “TERMS AND CONDITIONS”, THE “SECURITY AGREEMENT AND GUARANTY” AND THE “ADMINISTRATIVE
FORM HEREOF, ARE ALL HEREBY INCORPORATED IN AND MADE A PART OF THIS MERCHANT AGREEMENT.

 

	FOR
    THE MERCHANT (#1) By:	James
    Walesa	 	 
	 	(Print
    Name and Title)	 	(Signature)
	 	 	 	 
	FOR
THE MERCHANT (#2) By:	 	 	 
	 	(Print
    Name and Title)	 	(Signature)
	 	 	 	 
	BY
    GUARANTOR(S) (#1) By:	James
    Walesa	 	 
	 	(Print
    Name and Title)	 	(Signature)
	 	 	 	 
	BY
GUARANTOR(S) (#2)  By:	 	 	 
	 	(Print
    Name and Title)	 	(Signature)

 

	 	Initial:	

 

    	1

    	 

    

 

MERCHANT
AGREEMENT TERMS AND CONDITIONS

 

TERMS
OF ENROLLMENT IN PROGRAM

 

1.1 Merchant
Deposit Agreement and Processor. Merchant shall (A) execute an agreement acceptable to FUNDER with a Bank acceptable to FUNDER
to obtain electronic fund transfer services for the Account, and (B) if applicable, execute an agreement acceptable to FUNDER with a
credit and debit card processor (the “Processor”) instructing the Processor to deposit all Receipts into the Account. Merchant
shall provide FUNDER and/or its authorized agent(s) with all of the information, authorizations and passwords necessary for verifying
Merchant’s receivables, receipts, deposits and withdrawals into and from the Account. Merchant hereby authorizes FUNDER and/or
its agent(s) to withdraw from the Account via ACH debit the amounts owed to FUNDER for the receipts as specified herein and to pay such
amounts to FUNDER. These authorizations apply not only to the approved Account but also to any subsequent or alternate account used by
the Merchant for these deposits, whether pre- approved by FUNDER or not. This additional authorization is not a waiver of FUNDER’s
entitlement to declare this Agreement breached by Merchant as a result of its usage of an account which FUNDER did not first pre- approve
in writing prior to Merchant’s usage thereof. The aforementioned authorizations shall be irrevocable without the written consent
of FUNDER.

 

1.2
 Term of Agreement. This Agreement shall remain in full force and effect until the entire Purchased Amount and
any other amounts due are received by FUNDER as per the terms of this Agreement.

 

1.3
 Reconciliation. As long as an Event of Default, or breach of this agreement, has not occurred, Merchant may request
a retroactive reconciliation of the total Remittance Amount. All requests hereunder must be in writing to reconciliations@samsonfunding.com
Said request must include copies of all of Merchant’s bank account statements, credit card processing statements, and accounts
receivable report outstanding if applicable, from the date of this Agreement through and including the date the request is made. FUNDER
retains the right the request additional reasonable documentation including without limitation bank login or access to view Merchant’s
accounts using third party software, and Merchant’s refusal to provide access shall be a breach of this Agreement and FUNDER shall
have no obligation to reconcile. Such reconciliation, if applicable, shall be performed by FUNDER within two (2) Business Days following
its receipt of Merchant’s request for reconciliation by either crediting or debiting the difference back to, or from, Merchants
Bank Account so that the total amount debited by FUNDER shall equal the Specific Percentage of the Future Receipts that Merchant collected
during the requested month. Nothing set forth in this section shall be deemed to provide Merchant with the right to interfere with FUNDER’s
right and ability to debit Merchant’s Account while the request is pending or to unilaterally modify the Remittance Amount, in
any method other than the ones listed in this Agreement.

 

1.4
 Adjustments to the Remittance. As long an Event of Default, or breach of this agreement, has not occurred, Merchant
may give notice to FUNDER to request a decrease in the Remittance, should they experience a decrease in its Future Receipts. All requests
hereunder must be in writing to reconciliations@samsonfunding.com and must include copies of all of Merchant’s bank account
statements, credit card processing statements, and accounts receivable report outstanding from the date of this Agreement through and
including the date the request is made. FUNDER retains the right the request additional reasonable documentation including without limitation
bank login or 3rd party software access to view Merchant’s accounts, refusal to provide access shall be a breach of
this Agreement and FUNDER shall have no obligation to reconcile. The Remittance shall be modified to more closely reflect the Merchant’s
actual receipts by multiplying the Merchant’s actual receipts by the Purchased Percentage divided by the number of business days
in the previous (2) calendar weeks. Merchant shall provide FUNDER with viewing access to their bank account as well as all information
reasonably requested by FUNDER to properly calculate the Merchant’s Remittance. At the end of the two (2) calendar weeks the Merchant
may request another adjustment pursuant to this paragraph or it is agreed that the Merchant’s Remittance shall return to the Remittance
as agreed upon on Page 1 of this Agreement.

 

1.5
 Financial Condition. Merchant and Guarantor(s)(s) (as hereinafter defined and limited) authorize FUNDER and its
agents to investigate their financial responsibility and history, and will provide to FUNDER any authorizations, bank or financial statements,
tax returns, etc., as FUNDER requests in its sole and absolute discretion prior to or at any time after execution of this Agreement.
A photocopy of this authorization will be deemed as acceptable as an authorization for release of financial and credit information. FUNDER
is authorized to update such information and financial and credit profiles from time to time as it deems appropriate.

 

	 	Initial:	

 

    	2

    	 

    

 

1.6 Transactional
History. Merchant authorizes all of its banks, brokers and processor to provide FUNDER with Merchant’s banking, brokerage
and/or processing history to determine qualification or continuation in this program and for collections purposes. Merchant shall provide
FUNDER with copies of any documents related to Merchant’s card processing activity or financial and banking affairs within five
days after a request from FUNDER.

 

1.7 Indemnification.
Merchant and Guarantor(s)(s) hereby jointly and severally indemnify and hold harmless FUNDER and each Processor, their respective
officers, directors, agents and representatives, and shareholders against all losses, damages, claims, liabilities and expenses (including
reasonable attorney’s fees) incurred by any such indemnitee as a direct or indirect result of (a) claims asserted by FUNDER for
monies owed to FUNDER from Merchant and (b) actions taken by indemnitee in reliance upon any fraudulent, misleading or deceptive information
or instructions provided by FUNDER.

 

1.8 No
Liability. In no event will FUNDER be liable for any claims asserted by Merchant or Guarantor(s)s under any legal or equitable
theory for lost profits, lost revenues, lost business opportunities, exemplary, punitive, special, incidental, indirect or consequential
damages, each of which is waived by both Merchant and Guarantor(s)(s). In the event these claims are nonetheless raised, Merchant and
Guarantor(s)s will be jointly liable for all of FUNDER’s attorney’s fees and expenses resulting therefrom.

 

1.9 Reliance
on Terms. Section 1.1, 1.6, 1.7, 1.8 and 2.5 of this Agreement are agreed to for the benefit of Merchant, FUNDER, Processor,
and Merchant’s bank

 

and
notwithstanding the fact that Processor and the bank is not a party of this Agreement, Processor and the bank may rely upon their terms
and raise them as a defense in any action.

 

1.10 Sale
of Receipts. Merchant and FUNDER agree that the Purchase Price under this Agreement is in exchange for the Purchased Amount,
and that such Purchase Price is not intended to be, nor shall it be construed as a loan from FUNDER to Merchant. Merchant agrees that
the Purchase Price is in exchange for the Receipts pursuant to this Agreement, and that it equals the fair market value of such Receipts.
FUNDER has purchased and shall own all the Receipts described in this Agreement up to the full Purchased Amount as the Receipts are created.
Merchant acknowledges that FUNDER’s share of Receipts collected are being held by Merchant in trust and are the sole property of
FUNDER until they are remitted to FUNDER. Payments made to FUNDER in respect to the full amount of the Receipts shall be conditioned
upon Merchant’s sale of products and services, and the payment therefore by Merchant’s customers. By this Agreement, Merchant
transfers to FUNDER full and complete ownership of the Purchased Amount and Merchant retains no legal or equitable interest therein.
FUNDER hereby appoints Merchant, and Merchant accepts appointment, as servicer for and on behalf of FUNDER for the purpose of collecting
and delivering Receipts to FUNDER as required by this Agreement until FUNDER has received the Receipts Purchased Amount, and Merchant
agrees that all such Receipts shall be received and held in trust for the benefit of SPFL for purposes of carrying out the terms of this
Agreement. Merchant agrees that it will treat the amounts received and the Purchased Receipts delivered to FUNDER under this Agreement
in a manner consistent with a sale in its accounting records and tax returns. Merchant agrees that FUNDER is entitled to audit Merchant’s
accounting records upon reasonable notice in order to verify compliance. Merchant waives any rights of privacy, confidentiality or taxpayer
privilege in any such litigation or arbitration in which Merchant asserts that this transaction is anything other than a sale of future
receipts. In no event shall the aggregate of all amounts or any portion thereof be deemed as interest hereunder, and in the event it
is found to be interest despite the parties hereto specifically representing that it is NOT interest, it shall be found that no sum charged
or collected hereunder shall exceed the highest rate permissible at law. In the event that a court nonetheless determines that FUNDER
has charged or received interest hereunder in excess of the highest applicable rate, the rate in effect hereunder shall automatically
be reduced to the maximum rate permitted by applicable law and FUNDER shall promptly refund to Merchant any interest received by FUNDER
in excess of the maximum lawful rate, it being intended that Merchant not pay or contract to pay, and that FUNDER not receive or contract
to receive, directly or indirectly in any manner whatsoever, interest in excess of that which may be paid by Merchant under applicable
law result, result thereof, Merchant knowingly and willingly waives the defense of Usury in any action or proceeding.

 

1.11 Power
of Attorney. Merchant irrevocably appoints FUNDER and its agents and representatives, as its agent and attorney-in-fact with
full authority to take any action or execute any instrument or document to settle all obligations due to FUNDER from Processor, or in
the case of a violation by Merchant of Section 1or the occurrence of an Event of Default under Section 3 hereof, including without limitation
(i) to obtain and adjust insurance; (ii) to collect monies due or to become due under or in respect of any of the Collateral; (iii) to
receive, endorse and collect any checks, notes, drafts, instruments, documents or chattel paper in connection with clause (i) or clause
(ii) above; (iv) to sign Merchant’s name on any invoice, bill of lading, or assignment directing customers or account debtors to
make payment directly to FUNDER; and (v) to contact Merchant’s banks and financial institutions using Merchant and Guarantor(s)(s)
personal information to verify the existence of an account and obtain account balances (vi) to file any claims or take any action or
institute any proceeding which FUNDER may deem necessary for the collection of any of the unpaid Purchased Amount from the Collateral,
or otherwise to enforce its rights with respect to payment of the Purchased Amount. In connection therewith, all costs, expenses and
fees, including legal fees, shall be payable by merchant.

 

1.12
 Protections against Default. The following Protections 1 through 8 may be invoked by FUNDER immediately and without notice
to Merchant in the event: (a) Merchant takes any action to discourage the use of electronic check processing that are settled through
Processor, or permits any event to occur that could have an adverse effect on the use, acceptance, or authorization of checks or other
payments or deposits for the purchase of Merchant’s services and products including but not limited to direct deposit of any checks
into a bank account without scanning into the FUNDER electronic check processor; (b) Merchant changes its arrangements with Processor
or the Bank in any way that is adverse or unacceptable to FUNDER; (c) Merchant changes the electronic check processor through which the
Receipts are settled from Processor to another electronic check processor, or permits any event to occur that could cause diversion of
any of Merchant’s check or deposit transactions to another processor; (d) Merchant intentionally interrupts or ceases the operation
of this business transfers, moves, sells, disposes, or otherwise conveys its business and/or assets without (i) the express prior written
consent of FUNDER, and (ii) the written agreement of any FUNDER or transferee to the assumption of all of Merchant’s obligations
under this Agreement pursuant to documentation satisfactory to FUNDER; (e) Merchant takes any action, fails to take any action, or offers
any incentive—economic or otherwise—the result of which will be to induce any customer or customers to pay for Merchant’s
services with any means other than payments, checks or deposits that are settled through Processor; (f) Merchant fails to provide FUNDER
with copies of any documents related to Merchant’s card processing activity of financial and banking affairs within five days after
a request from FUNDER, or (g) Merchant breaches any terms of this Agreement, including but not limited any of the Events of Default contained
in Section 3.1 herein. These protections are in addition to any other remedies available to FUNDER at law, in equity or otherwise pursuant
to this Agreement.

 

	 	Initial:	

 

    	3

    	 

    

 

Protection
1. The full uncollected Purchased Amount plus all fees (including attorney’s fees and costs of collection in the amount
of 30% of the Purchased Amount then outstanding due under this Agreement and the attached Security Agreement become due and payable in
full immediately.

 

Protection
2. FUNDER may enforce the provisions of the Limited Personal Guaranty of Performance against the Guarantor(s).

 

Protection
3. Merchant hereby authorizes FUNDER to execute in the name of the Merchant a Confession of Judgment in favor of FUNDER pursuant
to the terms of the Confession of Judgment. Upon an Event of Default, FUNDER may enter that Confession of Judgment as a Judgment with
the Clerk of any Court and execute thereon.

 

Protection
4. FUNDER may enforce its security interest in the Collateral including sending demand letters to account debtors and credit
card processors.

 

Protection
5. FUNDER may exercise any and all rights and remedies of a secured party under Uniform Commercial Code Article 9

 

Protection
6. FUNDER may proceed to protect and enforce its right and remedies by lawsuit. In any such lawsuit, if FUNDER recovers a Judgment
against Merchant, Merchant shall be liable for all of FUNDER’s costs of the lawsuit, including but not limited to all reasonable
attorneys’ fees and court costs.

 

Protection
7. This Agreement shall be deemed Merchant’s Assignment of Merchant’s Lease of Merchant’s business premises
to FUNDER. Upon breach of any provision in this Agreement, FUNDER may exercise its rights under this Assignment of Lease without prior
Notice to Merchant. Protection 8. FUNDER may debit Merchant’s depository accounts wherever situated by means of ACH debit or facsimile
signature on a computer-generated check drawn on Merchant’s bank account or otherwise for all sums due to FUNDER. Protection
8. FUNDER may debit Merchant’s depository accounts wherever situated in such amounts as determined by FUNDER in its sole
discretion for purposes of collecting funds for application to the unrealized Purchased Amount and other amounts owed by Merchant to
FUNDER by means of ACH debit or facsimile signature on a computer-generated check drawn on Merchant’s bank account or otherwise
for all sums due to FUNDER.

 

1.13 Protection
of Information. Merchant and each person signing this Agreement on behalf of Merchant and/or as Owner or Guarantor(s), in respect
of himself or herself personally, authorizes FUNDER to disclose information concerning Merchant’s and each Owner’s and each
Guarantor(s)’s credit standing (including credit bureau reports that FUNDER obtains) and business conduct only to agents, affiliates,
subsidiaries, and credit reporting bureaus. Merchant and each Owner and each Guarantor(s) hereby and each waives to the maximum extent
permitted by law any claim for damages against FUNDER or any of its affiliates relating to any (i)investigation undertaken by or on behalf
of FUNDER as permitted by this Agreement or (ii) disclosure of information as permitted by this Agreement.

 

1.14 Confidentiality.
Merchant understands and agrees that the terms and conditions of the products and services offered by FUNDER, including this Agreement
and any other FUNDER documents (collectively, “Confidential Information”) are proprietary and confidential information of
FUNDER. Accordingly, unless disclosure is required by law or court order, Merchant shall not disclose Confidential Information of FUNDER
to any person other than an attorney, accountant, financial advisor or employee of Merchant who needs to know such information for the
purpose of advising Merchant (“Advisor”), provided such Advisor uses such information solely for the purpose of advising
Merchant and first agrees in writing to be bound by the terms of this section. A breach hereof entitles FUNDER to not only damages and
reasonable attorney’s fees but also to both a Temporary Restraining Order and a Preliminary Injunction without Bond or Security.

 

1.15 Publicity.
Merchant and each of Merchant’s Owners and all Guarantor(s)s hereto all hereby authorizes FUNDER to use its, his or her name in
listings of clients and in advertising and marketing materials.

 

1.16 D/B/A’s.
Merchant hereby acknowledges and agrees that FUNDER may be using “doing business as” or “d/b/a” names
in connection with various matters relating to the transaction between FUNDER and Merchant, including the filing of UCC-1 financing statements
and other notices or filings.

 

REPRESENTATIONS,
WARRANTIES AND COVENANTS

 

Merchant
represents warrants and covenants that, as of this date and during the term of this Agreement:

 

2.1 Financial
Condition and Financial Information. Merchant’s and Guarantor(s)s’ bank and financial statements, copies of which
have been furnished to FUNDER, and future statements which will be furnished hereafter at the discretion of FUNDER, fairly represent
the financial condition of Merchant at such dates, and since those dates there has been no material adverse changes, financial or otherwise,
in such condition, operation or ownership of Merchant. Merchant and Guarantor(s)s have a continuing, affirmative obligation to advise
FUNDER of any material adverse change in their financial condition, operation or ownership. FUNDER may request statements at any time
during the performance of this Agreement and the Merchant and Guarantor(s)s shall provide them to FUNDER within five business days after
request from FUNDER. Merchant’s or Guarantor(s)s’ failure to do so is a material breach of this Agreement.

 

	 	Initial:	

 

    	4

    	 

    

 

2.2 Governmental
Approvals. Merchant is in compliance and shall comply with all laws and has valid permits, authorizations and licenses to own,
operate and lease its properties and to conduct the business in which it is presently engaged and/or will engage in hereafter.

 

2.3 Authorization.
Merchant, and the person(s) signing this Agreement on behalf of Merchant, have full power and authority to incur and perform the
obligations under this Agreement, all of which have been duly authorized.

 

2.4 Use
of Funds. Merchant agrees that it shall use the Purchase Price for business purposes and not for personal, family, or household
purposes.

 

2.5
Electronic Check Processing Agreement. Merchant will not change its Processor, add terminals, change its financial
institution or bank account(s)or take any other action that could have any adverse effect upon Merchant’s obligations under this
Agreement, without FUNDER’s prior written consent. Any such changes shall be a material breach of this Agreement.

 

2.6
 Change of Name or Location. Merchant will not conduct Merchant’s businesses under any name other than as
disclosed to the Processor and FUNDER, nor shall Merchant change any of its places of business without prior written consent by FUNDER.

 

2.7 Daily
Batch Out. Merchant will batch out receipts with the Processor on a daily basis ifapplicable.

 

2.8 Estoppel
Certificate. Merchant will at every and all times, and from time to time, upon at least one (1) day’s prior notice from
FUNDER to Merchant, execute, acknowledge and deliver to FUNDER and/or to any other person, firm or corporation specified by FUNDER, a
statement certifying that this Agreement is unmodified and in full force and effect (or, if there have been modifications, that the same
is in full force and effect as modified and stating the modifications) and stating the dates which the Purchased Amount or any portion
thereof has been repaid.

 

2.9 No
Bankruptcy. As of the date of this Agreement, Merchant is not insolvent and does not contemplate filing for bankruptcy in the
next six months and has not consulted with a bankruptcy attorney or filed any petition for bankruptcy protection pursuant to the United
States Bankruptcy Code and there has been no involuntary petition brought or pending against Merchant. Merchant further warrants that
it does not anticipate filing any such bankruptcy petition and it does not anticipate that an involuntary petition will be filed against
it.

 

2.10 Unencumbered
Receipts. Merchant has good, complete, unencumbered and marketable title to all Receipts and all collateral in which FUNDER has
been granted a security interest under the Security Agreement, free and clear of any and all liabilities, liens, claims, charges, restrictions,
conditions, options, rights, mortgages, security interests, equities, pledges and encumbrances of any kind or nature whatsoever other
than in favor of FUNDER or any other rights or interests that may be inconsistent with the transactions contemplated with, or adverse
to the interests of FUNDER.

 

2.11 Business
Purpose. Merchant is a valid business in good standing under the laws of the jurisdictions in which it is organized and/or operates,
and Merchant is entering into this Agreement for business purposes and not as a consumer for personal, family or household purposes.

 

2.12 Defaults
under Other Contracts. Merchant’s execution of, and/or performance under this Agreement, will not cause or create an event
of default by Merchant under any contract with another person or entity.

 

2.13 Good
Faith. Merchant and Guarantor(s)s hereby affirm that Merchant is receiving the Purchase Price and selling FUNDER the Purchased
Amount in good faith and will use the Purchase Price funds to maintain and grow Merchant’s business

 

	 	Initial:	

 

    	5

    	 

    

 

EVENTS
OF DEFAULT AND REMEDIES

 

	3.1	Events
    of Default. The occurrence of any of the following events shall constitute an “Event of Default” hereunder:
	 	 
	(a)	Merchant
    or Guarantor(s) shall violate any term or covenant in this Agreement;
	 	 
	(b)	Any
    representation or warranty by Merchant or Guarantor(s) in this Agreement shall prove to have been incorrect, false or misleading
    in any material respect when made;
	 	 
	(c)	the
    sending of notice of termination by Merchant or verbally notifying FUNDER of its intent to breach this Agreement;
	 	 
	(d)	the
    Merchant fails to give FUNDER 24 hours advance notice that there will be insufficient funds in the account such that the ACH of the
    Remittance amount will not be honored by Merchant’s bank, the Merchant fails to supply all requested documentation and allow
    for daily and/or real time monitoring of its bank account;
	 	 
	(e)	Merchant
    fails to provide its bank statements, and/or month to date bank activity, and/or accounts receivable reports, and/or bank login information
    within two (2) business days of a request by FUNDER,
	 	 
	(f)	Merchant
    shall voluntarily transfer or sell all or substantially all of its assets;
	 	 
	(g)	Merchant
    shall make or send notice of any intended bulk sale or transfer by Merchant;
	 	 
	(h)	Merchant
                                            shall use multiple depository accounts without the prior written consent of FUNDER or takes
                                            any other action that intentionally interferes with or prevents FUNDER from receiving the
                                            Purchased Amount in accordance with the terms of this Agreement;

     

	(i)	Merchant
    shall enter into any financing agreements with any other party including but not limited to: Loans, Merchant Cash Advances, Receivables
    financing, or any other agreement that will increase the total debt owed by Merchant to any other party.
	(j)	Merchant
    shall change its depositing account without the prior written consent of FUNDER; or
	 	 
	(k)	Merchant
    shall close its depositing account used for ACH debits without the prior written consent of FUNDER
	 	 
	(l)	Merchant’s
    bank returns a code other than NSF cutting FUNDER from its collections
	 	 
	(m)	Merchant
    or any Owner/Guarantor(s), directly or indirectly, causes to be formed a new entity or otherwise becomes associated with any new
    or existing entity, which operates a business similar to or competitive with that of Merchant;
	 	 
	(n)	Merchant
    shall default under any of the terms, covenants and conditions of any other agreement with FUNDER.

 

3.2 Limited
Personal Guaranty Upon the occurrence of an Event of Default, FUNDER will enforce its rights against the Guarantor(s)s of this
transaction. Said Guarantor(s)s will be jointly and severally liable to FUNDER for all of FUNDER’s losses and damages, in additional
to all costs and expenses and legal fees associated with such enforcement.

 

3.3 Remedies.
Upon the occurrence of an Event of Default occurs and is not waived pursuant to Section 4.4. hereof, FUNDER may proceed to protect
and enforce its rights or remedies by suit in equity or by action at law, or both, whether for the specific performance of any covenant,
agreement or other provision contained herein, or to enforce the discharge of Merchant’s obligations hereunder (including the Guaranty)
or any other legal or equitable right or remedy, including but not limited to filing the Confession of Judgment and executing thereon,
and enforcing the Security Agreement contained herein. All rights, powers and remedies of FUNDER in connection with this Agreement may
be exercised at any time by FUNDER after the occurrence of an Event of Default, are cumulative and not exclusive, and shall be in addition
to any other rights, powers or remedies provided by law or equity.

 

3.4 Attorney’s
Fees. Upon the occurrence of an Event of Default, and Funder retains an attorney or law firm to enforce this Agreement, Merchant
and Guarantor(s) agree that a fee equal to 30% of the Remaining Balance (purchased amount less amount remitted by Merchant) (“Attorney’s
Fees”) shall be immediately assessed Merchant and Guarantor(s) agree that the calculation for Attorney’s Fees is reasonable.

 

3.5 Costs.
Merchant shall pay to FUNDER all reasonable costs associated with (a) an Event or Default, (b) breach by Merchant of the Covenants
in this Agreement and the enforcement thereof, and(c) the enforcement of FUNDER’s remedies set forth in this Agreement, including
but not limited to court costs and attorneys’ fees.

 

3.6 Required
Notifications. Merchant is required to give FUNDER written notice within 24 hours of any filing under Title 11 of the United
States Code. Merchant is required to give FUNDER seven days’ written notice prior to the closing of any sale of all or substantially
all of the Merchant’s assets or stock.

 

	 	Initial:	

 

    	6

    	 

    

 

4
MISCELLANEOUS

 

4.1
 Modifications; Agreements. No modification, amendment, waiver or consent of any provision of this Agreement shall
be effective unless the same shall be in writing and signed by FUNDER.

 

4.2
 Assignment. FUNDER may assign, transfer or sell its rights to receive the Purchased Amount or delegate its duties
hereunder, either in whole or in part.

 

4.3
 Notices. All notices, requests, consents, demands and other communications hereunder shall be delivered by certified
mail, return receipt requested, to the respective parties to this Agreement at the addresses set forth in this Agreement. Notices to
FUNDER shall become effective only upon receipt by FUNDER. Notices to Merchant shall become effective three days after mailing.

 

4.4
 Waiver Remedies. No failure on the part of FUNDER to exercise, and no delay in exercising any right under this
Agreement shall operate as a waiver thereof, nor shall any single or partial exercise of any right under this Agreement preclude any
other or further exercise thereof or the exercise of any other right. The remedies provided hereunder are cumulative and not exclusive
of any remedies provided by law or equity.

 

4.5
 Binding Effect; Governing Law, Venue and Jurisdiction. This Agreement, Security Agreement and Guaranty, Guaranty of Performance,
and any and all addendums attachments, exhibits, and other documents relating to this Agreement in any way, shall be binding upon and
inure to the benefit of Merchant and Guarantor(s) on the one hand, and FUNDER and their respective successors and assigns, except that
Merchant and Guarantor(s) shall not have the right to assign its rights hereunder or any interest herein without the prior written consent
of FUNDER which consent may be withheld in FUNDER’s sole discretion. FUNDER reserves the rights to assign this Agreement with or
without prior written notice to Merchant. This Agreement, Security Agreement and Guaranty, Guaranty of Performance, and any and all addendums,
attachments, exhibits, and other documents relating to this Agreement in any way, shall be governed by and construed in accordance with
the laws of the state of New York, without regards to any applicable principals of conflicts of law. Any suit, action or proceeding arising
hereunder, or the interpretation, performance or breach hereof, shall, if FUNDER so elects, be instituted in any court sitting in New
York, (the “Acceptable Forums”). All Parties to this Agreement, including but not limited to, Merchant, Guarantor(s), Corporate
Guarantor(s) Merchant and Guarantor(s) that the Acceptable Forums are convenient to it, and submit to the jurisdiction of the Acceptable
Forums and waives any and all objections to jurisdiction or venue. Should such proceeding be initiated in any other forum, Merchant and
Guarantor(s) waives any right to oppose any motion or application made by FUNDER to transfer such proceeding to an Acceptable Forum.
Merchant and Guarantor(s) hereby agree that the mailing of any Summons and Complaint in any proceeding commenced by FUNDER by certified
or registered mail, return receipt requested to the Mailing Address listed on this Agreement, or via email to the Email Address listed
on this Agreement, or any other process required by any such court will constitute valid and lawful service of process against them without
the necessity for service by any other means provided by statute or rule of court, but without invalidating service performed in accordance
with such other provisions.

 

4.6
 Survival of Representation, etc. All representations, warranties and covenants herein shall survive the execution and
delivery of this Agreement and shall continue in full force until all obligations under this Agreement shall have been satisfied in full
and this Agreement shall have terminated.

 

	 	Initial:	

 

    	7

    	 

    

 

4.7
 Interpretation. All Parties hereto have reviewed this Agreement with attorney of their own choosing and have
relied only on their own attorneys’ guidance and advice. No construction determinations shall be made against either Party hereto
as drafter.

 

4.8
 Severability. In case any of the provisions in this Agreement is found to be invalid, illegal or unenforceable
in any respect, the validity, legality and enforceability of any other provision contained herein shall not in any way be affected or
impaired.

 

4.9
 Entire Agreement. Any provision hereof prohibited by law shall be ineffective only to the extent of such prohibition
without invalidating the remaining provisions hereof. This Agreement and the Security Agreement and Guaranty hereto embody the entire
agreement between Merchant Guarantor(s) and Corporate Guarantor(s)s and FUNDER and supersede all prior agreements and understandings
relating to the subject matter hereof.

 

4.10
 JURY TRIAL WAIVER. THE PARTIES HERETO WAIVE TRIAL BY JURY IN ANY COURT IN ANY SUIT, ACTION OR PROCEEDING ON ANY
MATTER ARISING INCONNECTION WITH OR IN ANY WAY RELATED TO THE TRANSACTIONS OR THEENFORCEMENT HEREOF. THE PARTIES HERETO ACKNOWLEDGE THAT
EACH MAKES THIS WAIVER KNOWINGLY, WILLINGLY AND VOLUNTARILY AND WITHOUT DURESS, AND ONLY AFTER EXTENSIVE CONSIDERATION OF THE RAMIFICATIONS
OF THIS WAIVER WITH THEIR ATTORNEYS.

 

4.11
 CLASS ACTION WAIVER. THE PARTIES HERETO WAIVE ANY RIGHT TO ASSERT ANY CLAIMS AGAINST THE OTHER PARTY AS A REPRESENTATIVE
OR MEMBER IN ANY CLASS OR REPRESENTATIVE ACTION, EXCEPT WHERE SUCH WAIVER IS PROHIBITED BY LAW AS AGAINST PUBLIC POLICY. TO THE EXTENT
EITHER PARTY IS PERMITTED BY LAW OR COURT OF LAW TO PROCEED WITH A CLASS OR REPRESENTATIVE ACTION AGAINST THE OTHER, THE PARTIES HEREBY
AGREE THAT: (1) THE PREVAILING PARTY SHALL NOT BE ENTITLED TO RECOVER ATTORNEYS’ FEES OR COSTS ASSOCIATED WITH PURSUING THE CLASS
OR REPRESENTATIVE ACTION (NOT WITHSTANDING ANY OTHER PROVISION IN THIS AGREEMENT); AND ( 2) THE PARTY WHO INITIATES OR PARTICIPATES AS
A MEMBER OF THE CLASS WILL NOT SUBMIT A CLAIM OR OTHERWISE PARTICIPATE IN ANY RECOVERY SECURED THROUGH THE CLASS OR REPRESENTATIVE ACTION.

 

4.12
 Facsimile & Digital Acceptance. Facsimile signatures and digital signatures hereon shall be deemed acceptable
for all purposes.

 

    	8

    	 

    

 

SECURITY
AGREEMENT AND GUARANTY OF PERFORMANCE

 

THE
TERMS, DEFINITIONS, CONDITIONS AND INFORMATION SET FORTH IN THE “MERCHANT AGREEMENT”, INCLUDING THE “TERMS AND CONDITIONS”,
ARE HEREBY INCORPORATED IN AND MADE A PART OF THIS SECURITY AGREEMENT AND GUARANTY OF PEFORMANCE. CAPITALIZED TERMS NOT DEFINED IN THIS
SECURITY AGREEMENT AND GUARANTY, SHALL HAVE THE MEANING SET FORTH IN THE MERCHANT AGREEMENT, INCLUDING THE TERMS AND CONDITIONS.

 

	Merchant’s
    Legal Name: 	MCA
    WESTOVER HILLS OPERATING COMPANY LLC

 

	D/B/A:
    	Memory
    Care of Westover Hills	Federal
    ID#:	 

 

	Physical
    Address: 	10910
    TOWN CENTER DRIVE	City:
    	SAN
    ANTONIO	State:
    	TX	Zip:
    	78251

 

	 	Initial:	

 

    	9

    	 

    

 

SECURITY
AGREEMENT

 

Security
Interest. This Agreement will constitute a security agreement under the Uniform Commercial Code. To secure Merchant’s obligations
under the Revenue Purchase Agreement to make available or deliver Purchased Amount to FUNDER and FUNDER’s right to realize the
Purchased Amount, as and to the extent required by the terms of the Revenue Purchase Agreement, and performance of and compliance by
Merchant with its other undertakings and agreements herein, Merchant and Guarantor(s)(s) grants to FUNDER a security interest in and
lien upon: (a) all accounts, chattel paper, documents, equipment, general intangibles, instruments, and inventory, as those terms are
each defined in Article 9 of the Uniform Commercial Code (the “UCC”), now or hereafter owned or acquired by Merchant and/or
Guarantor(s)(s), (b) all proceeds, as that term is defined in Article 9 of the UCC (c) all funds at any time in the Merchant’s
and/or Guarantor(s)(s) Account, regardless of the source of such funds, (d) present and future Electronic Check Transactions, and

 

(e)
any amount which may be due to FUNDER under this Agreement, including but not limited to all rights to receive any payments or credits
under this Agreement (collectively, the “Secured Assets”). Merchant agrees to provide other security to FUNDER upon request
to secure Merchant’s obligations under this Agreement. Merchant agrees that, if at any time there are insufficient funds in Merchant’s
Account to cover FUNDER’s entitlements under this Agreement, FUNDER is granted a further security interest in all of Merchant’s
assets of any kind whatsoever, and such assets shall then become Secured Assets. These security interests and liens will secure all of
FUNDER’s entitlements under this Agreement and any other agreements now existing or later entered into between Merchant, FUNDER
or an affiliate of FUNDER is authorized to file any and all notices or filings it deems necessary or appropriate to enforce its entitlements
hereunder.

 

In
the event Merchant, any of its officers or directors or any Owner/Guarantor(s), during the term of the Revenue Purchase Agreement or
while Merchant remains liable to FUNDER for any obligations under the Revenue Purchase Agreement, directly or indirectly, including acting
by, through or in conjunction with any other person, causes to be formed a new entity or otherwise becomes associated with any new or
existing entity, whether corporate, partnership, limited liability company or otherwise, which operates a business similar to or competitive
with that of Merchant, such entity shall be deemed to have expressly assumed the obligations due FUNDER under the Revenue Purchase Agreement.
With respect to any such entity, FUNDER shall be deemed to have been granted an irrevocable power of attorney with authority to file,
naming such newly formed or existing entity as debtor, an initial UCC financing Statement and to have it filed with any and all appropriate
UCC filing offices. FUNDER shall be held harmless by Merchant and each Owner/Guarantor(s) and be relieved of any liability as a result
of any such authentication and filing of any such Financing Statement or the resulting perfection of its ownership rights or security
interests in such entity’s assets. FUNDER shall have the right to notify such entity’s payors or account debtor (as defined
by the UCC) of FUNDER’s rights, including without limitation, FUNDER’s right to collect all accounts, and to notify any payment
card processor or creditor of such entity that FUNDER has such rights in such entity’s assets. Merchant also agrees that, at the
FUNDER’s discretion, FUNDER may choose to amend any existing financing statement to include any such newly formed entity as debtor.

 

This
security interest may be exercised by FUNDER without notice or demand of any kind by making an immediate withdrawal or freezing the Secured
Assets. FUNDER shall have the right to notify account debtors at any time. Pursuant to Article 9 of the Uniform Commercial Code, as amended
from time to time, FUNDER has control over and may direct the disposition of the Secured Assets, without further consent of Merchant.
Merchant hereby represents and warrants that no other person or entity has a security interest in the Secured Assets.

 

With
respect to such security interests and liens, FUNDER will have all rights afforded under the Uniform Commercial Code, any other applicable
law and in equity. Merchant will obtain from FUNDER written consent prior to granting a security interest of any kind in the Secured
Assets to a third party. Merchant and Guarantor(s) (s) agree(s) that this is a contract of recoupment and FUNDER is not required to file
a motion for relief from a bankruptcy action automatic stay to realize on any of the Secured Assets. Nevertheless, Merchant and Guarantor(s)(s)
agree(s) not to contest or object to any motion for relief from the automatic stay filed by FUNDER. Merchant and Guarantor(s)(s) agree(s)
to execute and deliver to FUNDER such instruments and documents FUNDER may reasonably request to perfect and confirm the lien, security
interest and right of setoff set forth in this Agreement. FUNDER is authorized to execute all such instruments and documents in Merchant’s
and Guarantor(s)(s) name.

 

	 	Initial:	

 

    	10

    	 

    

 

Merchant
and Guarantor(s)(s) each acknowledge and agree that any security interest granted to FUNDER under any other agreement between Merchant
or Guarantor(s)(s) and FUNDER (the “Cross-Collateral”) will secure the obligations hereunder and under the Merchant Agreement.
Merchant and Guarantor(s)(s) each agrees to execute any documents or take any action in connection with this Agreement as FUNDER deems
necessary to perfect or maintain FUNDER’s first priority security interest in the Collateral and the Additional Collateral, including
the execution of any account control agreements. Merchant and Guarantor(s)(s) each hereby authorizes FUNDER to file any financing statements
deemed necessary by FUNDER to perfect or maintain FUNDER’s security interest. Merchant and Guarantor(s)(s) shall be liable for,
and FUNDER may charge and collect, all costs and expenses, including but not limited to attorney’s fees, which may be incurred
by FUNDER in protecting, preserving and enforcing FUNDER’s security interest and rights.

 

Negative
Pledge. Merchant and Guarantor(s)(s) each agrees not to create, incur, assume, or permit to exist, directly or indirectly, any lien
on or with respect to any of the Collateral or the Additional Collateral, as applicable.

 

Consent
to Enter Premises and Assign Lease. FUNDER shall have the right to cure Merchant’s default in the payment of rent on the following
terms. In the event Merchant is served with papers in an action against Merchant for nonpayment of rent or for summary eviction, FUNDER
may execute its rights and remedies under the Assignment of Lease. Merchant also agrees that FUNDER may enter into an agreement with
Merchant’s landlord giving FUNDER the right: (a) to enter Merchant’s premises and to take possession of the fixtures and
equipment therein for the purpose of protecting and preserving same; and/or (b) to assign Merchant’s lease to another qualified
business capable of operating a business comparable to Merchant’s at such premises.

 

Remedies.
Upon any Event of Default, FUNDER may pursue any remedy available at law (including those available under the provisions of the UCC),
or in equity to collect, enforce, or satisfy any obligations then owing to FUNDER, whether by acceleration or otherwise.

 

GUARANTY
OF PERFORMANCE

 

As
an additional inducement for FUNDER to enter into the Revenue Purchase Agreement, the undersigned Guarantor(s)(s) hereby provides FUNDER
with this Guaranty. Guarantor(s)(s) will not be personally liable for any amount due under the Revenue Purchase Agreement unless Merchant
commits an Event of Default pursuant to Paragraph 3.1 of the Revenue Purchase Agreement. Each Guarantor(s) shall be jointly and severally
liable for all amounts owed to FUNDER in the Event of Default. Guarantor(s)(s) guarantee Merchant’s good faith, truthfulness and
performance of all of the representations, warranties, covenants made by Merchant in this Agreement including the Merchant’s full
and timely delivery of the Purchased Amount pursuant to (and limited by) the Revenue Purchase Agreement, in each case as each may be
renewed, amended, extended or otherwise modified (the “Guaranteed Obligations”). Guarantor(s)’s obligations are due
at the time of any breach by Merchant of any representation, warranty, or covenant made by Merchant in the Agreement.

 

	 	Initial:	

 

    	11

    	 

    

 

Guarantor(s)
Waivers. In the event of a breach of the above, FUNDER may seek recovery from Guarantor(s)s for all of FUNDER’s losses and
damages by enforcement of FUNDER’s rights under this Agreement without first seeking to obtain payment from Merchant, any other
Guarantor(s), or any Collateral or Additional Collateral FUNDER may hold pursuant to this Agreement or any other guaranty. In addition,
Section 4.5, 4.10 and 4.11 are expressly reiterated in the Security Agreement and Guaranty herein. FUNDER is not required to notify Guarantor(s)
of any of the following events and Guarantor(s) will not be released from its obligations under this Agreement if it is not notified
of: (i) Merchant’s failure to pay timely any amount required under the Merchant Agreement; (ii) any adverse change in Merchant’s
financial condition or business; (iii) any sale or other disposition of any collateral securing the Guaranteed Obligations or any other
guaranty of the Guaranteed Obligations; (iv) FUNDER’s acceptance of this Agreement; and (v) any renewal, extension or other modification
of the Merchant Agreement or Merchant’s other obligations to FUNDER. In addition, FUNDER may take any of the following actions
without releasing Guarantor(s) from any of its obligations under this Agreement: (i) renew, extend or otherwise modify the Merchant Agreement
or Merchant’s other obligations to FUNDER; (ii) release Merchant from its obligations to FUNDER; (iii) sell, release, impair, waive
or otherwise fail to realize upon any collateral securing the Guaranteed Obligations or any other guaranty of the Guaranteed Obligations;
and (iv) foreclose on any collateral securing the Guaranteed Obligations or any other guaranty of the Guaranteed Obligations in a manner
that impairs or precludes the right of Guarantor(s) to obtain reimbursement for payment under this Agreement. Until the Purchased Amount
and Merchant’s other obligations to FUNDER under the Merchant Agreement and this Agreement are paid in full, Guarantor(s) shall
not seek reimbursement from Merchant or any other Guarantor(s) for any amounts paid by it under this Agreement. Guarantor(s) permanently
waives and shall not seek to exercise any of the following rights that it may have against Merchant, any other Guarantor(s), or any collateral
provided by Merchant or any other Guarantor(s), for any amounts paid by it, or acts performed by it, under this Agreement: (i) subrogation;
(ii) reimbursement; (iii) performance; (iv) indemnification; or (v) contribution. In the event that FUNDER must return any amount paid
by Merchant or any other Guarantor(s) of the Guaranteed Obligations because that person has become subject to a proceeding under the
United States Bankruptcy Code or any similar law, Guarantor(s)’s obligations under this Agreement shall include that amount.

 

Guarantor(s)
Acknowledgement. Guarantor(s) acknowledges that: (i) He/She is bound by the Class Action Waiver provision in the Merchant Agreement Terms
and Conditions; (ii) He/She understands the seriousness of the provisions of this Agreement; (ii) He/She has had a full opportunity to
consult with counsel of his/her choice; and (iv) He/She has consulted with counsel of its choice or has decided not to avail himself/herself
of that opportunity.

 

This
Security Agreement and Guaranty and Guaranty of Performance shall be governed by and construed in accordance with the laws of the state
of New York, without regards to any applicable principals of conflicts of law. Any suit, action or proceeding arising hereunder, or the
interpretation, performance or breach hereof, shall, if Funder so elects, be instituted in any court sitting in New York, (the “Acceptable
Forums”). Merchant, Guarantor and Corporate Guarantors agree that the Acceptable Forums are convenient to it, and submits to the
jurisdiction of the Acceptable Forums and waives any and all objections to jurisdiction or venue. Merchant, Guarantor and Corporate Guarantors
agree that the Acceptable Forums are convenient to it, and submit to the jurisdiction of the Acceptable Forums and waives any and all
objections to jurisdiction or venue. Should such proceeding be initiated in any other forum, Merchant, Guarantor and Corporate Guarantors
waives any right to oppose any motion or application made by Funder to transfer such proceeding to an Acceptable Forum.

 

The
Merchant Guarantor(s) and Corporate Guarantor(s) acknowledge that they have read Paragraph 4.5 of this Agreement in its entirety and
understand that they are waiving their right to Service of Process by traditional manners and will accept process of any Summons and
Complaint or other legal process by certified mail return receipt requested to the Mailing Address on Page 1 of this Agreement.

 

	FOR
    ALL MERCHANT(S) (#1)	By:	James
    Walesa	 	
	 	 	(Print
    Name and Title)	 	(Signature)

 

	SSN#	 	 

 

	FOR
    ALL MERCHANT(S) (#2)	By:	 	 	 
	 	 	(Print
    Name and Title)	 	(Signature)
	 	 	 	 	 

 

	SSN#	 	 

 

	GUARANTOR(S)
    (#1)	By:	James
    Walesa	 	 
	 	 	(Print
    Name and Title)	 	(Signature)
	 	 	 	 	 

 

	SSN#	 	 

 

	GUARANTOR(S)
    (#2)	By:	 	 	 
	 	 	(Print
    Name and Title)	 	(Signature)

 

	SSN#	 	 

 

	 	Initial:	

 

    	12

    	 

    

 

APPENDIX
A - THE FEE STRUCTURE:

 

	 	A.	Underwriting
    Fee $2,625.00 to cover underwriting and related expenses.

 

	 	B.	Origination
    Fee $2,625.00 to cover cost of Origination and ACH Setup

 

	 	C.	NSF
    Fee (Standard) $35.00 (each)

 

D.
Rejected ACH / Blocked ACH / Default Fee $2,500.00 When Merchant BLOCKS Account from our Debit ACH, or when Merchant directs the
bank to reject our Debit ACH, which places them in default (per contract). When Merchant changes bank Account cutting us off from our
collections.

 

	 	E.	Bank
    Change Fee $50.00. When Merchant requires a change of Bank Account to be Debited, requiring us to adjust our system.

 

	 	F.	Wire
    Fee - Each Merchant shall receive their funding electronically to their designated bank account and will be charged $50.00 for a
    Fed Wire or $25.00 for a bank ACH.

 

	FOR
    THE MERCHANT (#1)	By:	James
                                            Walesa

    
	 	
	 	 	(Print
    Name and Title)	 	(Signature)

 

	FOR
    THE MERCHANT (#2)	By:		 	 
	 	 	(Print
    Name and Title)	 	(Signature)

 

	 	Initial:	

 

    	13

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