Document:

Exhibit 10.5

 

FORM OF

 

SECURITIES
PURCHASE AGREEMENT

THIS
SECURITIES PURCHASE AGREEMENT (this “Agreement”) is made and entered as of February , 2021 (the “Effective
Date”) by and among Thumzup Media Corporation, a Nevada corporation (“Company”), and investors whose
names are set forth on Schedule I attached hereto (each a “Buyer” and collectively, the “Buyers”).
Company and Buyers may be referred to herein individually as a “Party” or collectively as the “Parties.”

RECITALS

A.       The
Company is a recently formed pre-revenue Company with an unproven business plan to build an influencer community around a proprietary
Thumzup mobile app that will generate scalable word-of mouth posts and recommendations for advertisers on social media and in
the pursuit of which the Company intends to connect advertisers with individuals who are willing to promote brands, products and
services online and offline.

B.       The
Company and Buyers have previously agreed in principle upon a non-binding Common Stock Financing Summary of Terms (the “Term
Sheet”) a copy of which is attached hereto as Exhibit A.

C.       The
Company and the Buyers are executing and delivering this Agreement in reliance upon the exemption from securities registration
afforded by Section 4(a)(2) of the Securities Act of 1933, as amended (the “1933 Act”) and Rule 506(b) promulgated
by the United States Securities and Exchange Commission (the “SEC”) under the 1933 Act.

D.       The
Company has prior to the acceptance of this Agreement authorized the sale and issuance of the Shares.

E.       Buyers
desire to purchase from the Company, and the Company desires to issue and sell to each of the Buyers, upon the terms and conditions
set forth in this Agreement, up to 1,000,000 shares of common stock (each a “Share” and collectively the “Shares)
at a price of $1.00 per Share for an aggregate funding of up to $1,000,000 (the “Offering”).

F.       The
Company concurrently with this Agreement shall enter into a Registration Rights Agreement substantially in the form attached hereto
as Exhibit B (the “Registration Rights Agreement”) with each of the Buyers.

G.       This
Agreement together with the Registration Rights Agreement set forth the understanding of the parties with respect to the matters
contemplated hereby.

NOW,
THEREFORE, in consideration of the foregoing, and of the mutual covenants, promises, and agreements contained herein, and intending
to be legally bound, the Parties hereby agree as follows:

    	 

    	 

    

AGREEMENT

1.                 
Purchase Amount. Subject to the conditions set forth in this Agreement, Buyer hereby subscribes for and agrees to purchase
the number of Shares indicated on the signature page hereof on the terms and conditions described herein .

2.                 
Due Date; Obligation.

2.1.           
The Buyer understands and acknowledges that the purchase price per Share is $1.00 for a total purchase price as set forth on the
signature page hereof (the “Investment Amount”). The Buyer’s delivery of this Agreement to the Company shall
be accompanied by payment for the Shares subscribed for hereunder, payable in United States Dollars, by wire transfer of immediately
available funds delivered to the Company.

3.                 
Use of Proceeds. The Company is a pre-revenue recently formed entity. Proceeds from this Offering will be utilized
for marketing, operating and general corporate purposes. No minimum number of shares is required to be sold in this Offering and
no minimum amount of funds is required to be obtained in this Offering and each hereby authorizes the utilization of the Investment
Amount upon acceptance of each Buyer’s subscription.

4.                 
Each Buyer’s Representations and Warranties.

As
of the Closing Date, each Buyer represents and states for itself and not for any other Buyer that:

4.1       Buyer
is purchasing his or its Shares for its own account and not with a present view towards the public sale or distribution thereof,
except pursuant to sales registered or exempted from registration under the 1933 Act; provided, however, that by making the representations
herein, each Buyer acting only for itself, does not agree to hold any of the Shares for any minimum or other specific term and
reserves the right to dispose of the Shares at any time in accordance with or pursuant to a registration statement or an exemption
under the 1933 Act.

4.2       Accredited
Investor Status. Each Buyer is an “accredited investor” as that term is defined in Rule 501(a) of Regulation D
(an “Accredited Investor”) and has provided the Company an executed copy of the accredited investor questionnaire
(the “Questionnaire”) substantially in the form attached hereto as Exhibit C.

4.3       Reliance
on Exemptions. Each Buyer understands that the Shares are being offered and sold to it in reliance upon specific exemptions
from the registration requirements of United States federal and state securities laws and that the Company is relying upon the
truth and accuracy of, and the Buyer’s compliance with, the representations, warranties, agreements, acknowledgments and
understandings of the Buyer set forth herein in order to determine the availability of such exemptions and the eligibility of
the Buyer to acquire the Shares.

4.4       Company
Information. Each Buyer and its advisors, if any, have been, and for so long as the Shares remain unregistered, restricted
securities will continue to be, furnished with all materials relating to the business, finances and operations of the Company
and materials relating to the offer and sale of the Shares which have been requested by the Buyer or its advisors. The Buyer and
its advisors, if any, have been, and for so long as the Shares remain unregistered, restricted securities will continue to be,
afforded the opportunity to ask questions of the Company regarding its business and affairs. Notwithstanding the foregoing, the
Company has not disclosed to the Buyer any material nonpublic information regarding the Company or otherwise and will not disclose
such information unless such information is disclosed to the public prior to or promptly following such disclosure to the Buyer.
Neither such inquiries nor any other due diligence investigation conducted by Buyer or any of its advisors or representatives
shall modify, amend or affect Buyer’s right to rely on the Company’s representations and warranties contained in this
Agreement.

    	 

    	 

    

4.5       No
Governmental Review. Such Buyer understands that no United States federal or state agency or any other government or governmental
agency has passed on or made any recommendation or endorsement of the Securities or the fairness or suitability of the investment
in the Shares nor have such authorities passed upon or endorsed the merits of the Offering.

4.6       Restricted
Securities. Each Buyer understands that (i) the sale or resale of the Shares has not been and is not being registered under
the 1933 Act or any applicable state securities laws, and the Shares may not be transferred unless (a) the Shares are sold pursuant
to an effective registration statement under the 1933 Act, (b) the Buyer shall have delivered to the Company, an opinion of counsel
that shall be in form, substance and scope customary for opinions of counsel in comparable transactions to the effect that the
Shares to be sold or transferred may be sold or transferred pursuant to an exemption from such registration, which opinion shall
be accepted by the Company, (c) the Shares are sold or transferred to an “affiliate” (as defined in Rule 144 promulgated
under the 1933 Act (or a successor rule) (“Rule 144”)) of the Buyer who agrees to sell or otherwise transfer
the Shares only in accordance with this Section 4.6 and who is an Accredited Investor, (d) the Shares are sold pursuant to Rule
144, (ii) any sale of such Shares made in reliance on Rule 144 may be made only in accordance with the terms of said Rule 144
and further, if said Rule 144 is not applicable, any re-sale of such Shares under circumstances in which the seller (or the person
through whom the sale is made) may be deemed to be an underwriter (as that term is defined in the 1933 Act) may require compliance
with some other exemption under the 1933 Act or the rules and regulations of the SEC thereunder; and (iii) neither the Company
nor any other person is under any obligation to register such Shares under the 1933 Act or any state securities laws or to comply
with the terms and conditions of any exemption thereunder (in each case). Notwithstanding the foregoing or anything else contained
herein to the contrary, the Shares may be pledged in connection with a bona fide margin account or other lending arrangement secured
by the Securities, and such pledge of Securities shall not be deemed to be a transfer, sale or assignment of the Securities hereunder,
and the Buyer in effecting such pledge of Securities shall be not required to provide the Company with any notice thereof or otherwise
make any delivery to the Company pursuant to this Agreement or otherwise.

4.7       Securities
Legend. Each Buyer understands that until such time as the Shares have been registered under the 1933 Act or may be sold pursuant
to Rule 144, Rule 144A under the 1933 Act or Regulation S without any restriction as to the number of securities as of a particular
date that can then be immediately sold, the Shares may bear a restrictive legend in substantially the following form (and a stop-transfer
order may be placed against transfer of the certificates for such Securities):

“NEITHER
THE ISSUANCE AND SALE OF THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933,
AS AMENDED, OR APPLICABLE STATE SECURITIES LAWS. THE SECURITIES MAY NOT BE OFFERED FOR SALE, SOLD, TRANSFERRED OR ASSIGNED (I)
IN THE ABSENCE OF (A) AN EFFECTIVE REGISTRATION STATEMENT FOR THE SECURITIES UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR
(B) AN OPINION OF COUNSEL (WHICH COUNSEL SHALL BE SELECTED BY THE HOLDER), IN A GENERALLY ACCEPTABLE FORM, THAT REGISTRATION IS
NOT REQUIRED UNDER SAID ACT OR (II) UNLESS SOLD PURSUANT TO RULE 144, RULE 144A OR REGULATION S UNDER SAID ACT. NOTWITHSTANDING
THE FOREGOING, THE SECURITIES MAY BE PLEDGED IN CONNECTION WITH A BONA FIDE MARGIN ACCOUNT OR OTHER LOAN OR FINANCING ARRANGEMENT
SECURED BY THE SECURITIES.”

The
legend set forth above shall be removed and the Company shall issue or cause to be issued a certificate for the applicable shares
of Common Stock without such legend to the holder of any Security upon which it is stamped or (as requested by such holder) issue
the applicable shares of Common Stock to such holder by electronic delivery by crediting the account of such holder’s broker
with The Depository Trust Company (“DTC”), if, unless otherwise required by applicable state securities laws, (a)
such Security is registered for sale under an effective registration statement filed under the 1933 Act or otherwise may be sold
pursuant to Rule 144, Rule 144A or Regulation S without any restriction as to the number of securities as of a particular date
that can then be immediately sold, or (b) the Company or the Buyer provides the opinion of legal counsel to the effect that a
public sale or transfer of such Security may be made without registration under the 1933 Act, which opinion shall be accepted
by the Company so that the sale or transfer is effected promptly without delay. The Company shall be responsible for the fees
of its transfer agent and all DTC fees associated with any such issuance. The Buyer agrees to sell all Shares, including those
represented by a certificate(s) from which the legend has been removed, in compliance with applicable prospectus delivery requirements,
if any.

    	 

    	 

    

4.8       Valid
Authorization. This Agreement has been duly and validly authorized by each Buyer or has been duly executed and delivered on
behalf of each Buyer, and this Agreement constitutes a valid and binding agreement of each Buyer enforceable in accordance with
its terms, except as enforcement may be limited by bankruptcy, insolvency, reorganization, moratorium or other similar laws affecting
creditors’ rights generally and except as may be limited by the exercise of judicial discretion in applying principles of
equity.

4.9       Residency.
Each Buyer is a resident of the jurisdiction set forth immediately below the Buyer’s name on the signature pages hereto.

4.10       Due
Organization and Capacity. Each Buyer (i) if an entity, is duly organized, validly existing and in good standing under the
laws of the jurisdiction of its organization with the requisite power and authority to enter into and to consummate the transactions
contemplated hereby and herein, or (ii) if an individual, has the capacity to enter into and consummate the transactions contemplated
by this Agreement and other wise to carry out the obligations required of such individual Buyer hereunder.

4.11       Information.
Each Buyer and its advisors if any have been furnished with all materials relating to the business, finances and operations of
the Company and materials relating to the offer and sale of the Shares hereunder which have been requested by such Buyer. Such
Buyer and its advisors, if any, have been afforded the opportunity to ask questions of the Company. Such Buyer understands that
its investment in the Shares involves a high degree of risk, including but not limited to the risk of a complete loss of such
Buyer’s investment. Such Buyer has sought such accounting, legal and tax advice as it has considered necessary to make an
informed investment decision with respect to its acquisition of the Shares, and it is not relying on any statements or representations
of the Company or its agents for legal advice with respect to this investment or the transactions contemplated by this Agreement.
Such Buyer believes that it has received all the information such Buyer considers necessary or appropriate for deciding whether
to purchase the Shares. Such Buyer understands that such discussions, as well as any information provided by the Company, were
intended to describe certain aspects of the Company’s business and prospects, but were not necessarily a thorough or exhaustive
description. Such Buyer has such knowledge, sophistication and experience in business and financial matters so as to be capable
of evaluating the merits and risks of the prospective investment in the Shares, and has so evaluated the merits and risks of such
investment. Such Buyer is able to bear the economic risk of an investment in the Shares and is able to afford a complete loss
of such investment. The foregoing provisions of this paragraph 4.11, however, do not limit or modify the representations and warranties
of the Company in this Agreement or the right of the Buyers to rely thereon. 

4.12       No
Conflicts. The execution, delivery and performance by such Buyer of this Agreement and the consummation by such Buyer of the
transactions contemplated hereby will not (i) result in a violation of the organizational documents of such Buyer, (ii) conflict
with, or constitute a default (or an event which with notice or lapse of time or both would become a default) under, or give to
others any rights of termination, amendment, acceleration or cancellation of, any agreement, indenture or instrument to which
such Buyer is a party or (iii) result in a violation of any law, rule, regulation, order, judgment or decree (including federal
and state securities laws) applicable to such Buyer, except in the case of clauses (ii) and (iii) above,

for such conflicts, defaults, rights or violations which would not, individually or in the aggregate,

reasonably be expected to have a material adverse effect on the ability of such Buyer to perform its obligations hereunder.

4.13       No
Engagements. Such Buyer has not engaged any brokers, finders, or agents and the Company has not incurred, nor will incur,
directly or indirectly, as a result of any action taken by such Buyer, any liability for brokerage or finders’ fees or agents’
commissions or any similar charges in connection with the transactions consummated under this Agreement. Neither such Buyer, nor
any of Buyer’s officers, directors, agents stockholders or partners has either directly or indirectly, including through
a broker or finder (i) engaged in or received any general solicitation or (ii) published or received any advertisement in connection
with the offer or sale of the Shares.

    	 

    	 

    

4.14       Speculative
Securities; Need for Additional Capital. The Buyer acknowledges that (i) the Shares are extremely speculative,
(ii) that the Company has been recently formed with no assurance that it will be able to execute upon its untested business plan
to become profitable, (iii) the Company expects to continue incurring losses until such time, if ever, that it can obtain adequate
advertiser support and user acceptance, (iv) the Company will require and seek to obtain additional equity or other capital to
finance growth within approximately six months after completing this Offering although no assurance can be given that it will
be successful in doing so and (v) even if such future financings are obtained they may be obtained on terms involving substantial
dilution to then outstanding securities or may otherwise be obtained on terms not favorable to the Company’s shareholders.
Buyer further acknowledges that the offering price per share of $1.00 has been arbitrarily determined by management and should
not be considered an indication of the actual value of the Shares. Buyer, either alone or together with its representatives, has
such knowledge, sophistication and experience in business and financial matters so as to be capable of evaluating the merits and
risks of the Offering, and has so evaluated the merits and substantial risks of such investment including a risk of complete loss.
The Buyer has not authorized any person or entity to act as its Purchaser Representative (as that term is defined in Regulation
D of the General Rules and Regulations under the Securities Act) in connection with the Offering. Buyer is able to bear the economic
risk of an investment in the Shares, has no immediate need for liquidity in its investments and, at the present time, is able
to afford a complete loss of such investment.

5.                 
Representations and Warranties of the Company. The Company represents and warrants to each Buyer (a) as of the
date of this Agreement (except for representations and warranties that speak as of a particular date which shall be true and correct
in all material respects as of such dates) that:

5.1.           
The Company is duly organized, validly existing and in good standing under the laws of its state of incorporation, and is duly
qualified to do business and in good standing in each jurisdiction in which the nature of its business requires it to be so qualified.

5.2.           
Company has operated, and is operating, in compliance with all material laws, rules and regulations applicable to Company’s
business, and currently possesses all material permits, licenses and approvals necessary to conduct Company’s business as
currently conducted and as proposed to be conducted in the future.

5.3.           
Company has the power and authority to perform the transactions and its obligations as contemplated under this Agreement.

5.4.           
The execution, delivery and performance by Company of its obligations under the Agreement, and consummation by Company of the
transactions contemplated thereby:

5.4.1.     
have been duly authorized and executed by all necessary authorizations, approvals and consents of Company, its officers and directors,
its shareholders, and any applicable third parties or governmental agencies or authorities;

5.4.2.     
does not and will not contravene or cause Company to be in default under (I) Company’s organizational or governing documents,
(II) any material contractual restriction contained in any indenture, loan or credit agreement, lease, mortgage, security agreement,
bond, note, or other agreement or instrument binding on or affecting Company or Company’s business or property, or (III)
any law, rule, regulation, order, writ, judgment, award, injunction, or decree applicable to, binding on or affecting Company
or Company’s property;

5.4.3.     
does not and will not result in or require the creation of any adverse claim upon or with respect to any of the property of Company
(other than those in favor of Buyers as contemplated hereunder); and

5.4.4.     
are valid and binding obligations of Company, enforceable against Company in accordance with their respective terms except as
enforcement may be limited by bankruptcy, reorganization, insolvency, moratorium or other similar laws presently or hereafter
in effect affecting the enforcement of creditors’ rights generally and subject to general principles of equity.

5.5.           
As of December 31, 2020, the authorized capital stock of the Company consists of: 100,000,000 authorized shares of Common Stock,
$0.001 par value, of which 5,000,000 shares were issued and outstanding ) and no authorized shares of preferred stock. All of
such outstanding shares of capital stock of the Company, are, or upon issuance will be, duly authorized, validly issued, fully
paid and non-assessable. No shares of capital stock of the Company are subject to preemptive rights or any other similar rights
of the shareholders of the Company or any liens or encumbrances imposed through the actions or failure to act of the Company.
Except for senior convertible notes in the aggregate principal amount of $215,000 placed by the Company during November 2020,
with a due date in November 2021, that bear interest at eight percent per year and are convertible into shares of common stock
at $0.11 per share (the “Senior Notes”), as of the effective date of this Agreement, (i) there are no outstanding
options, warrants, scrip, rights to subscribe for, puts, calls, rights of first refusal, agreements, understandings, claims or
other commitments or rights of any character whatsoever relating to, or securities or rights convertible into or exchangeable
for any shares of capital stock of the Company or any of its subsidiaries, or arrangements by which the Company or any of its
Subsidiaries is or may become bound to issue additional shares of capital stock of the Company or any of its subsidiaries, (ii)
there are no agreements or arrangements under which the Company or any of its subsidiaries is obligated to register the sale of
any of its or their securities under the 1933 Act and (iii) there are no anti-dilution or price adjustment provisions contained
in any security issued by the Company (or in any agreement providing rights to security holders) that will be triggered by transactions
contemplated in this Agreement. The Company has furnished to the Buyers true and correct copies of the Company’s Articles
of Incorporation as in effect on the date hereof (“Articles of Incorporation”), the Company’s By-laws,
as in effect on the date hereof (the “By-laws”), and the terms of all securities convertible into or exercisable
for Common Stock of the Company, including the Senior Notes, and the material rights of the holders thereof in respect thereto.

    	 

    	 

    

5.6.           
Company owns or possesses or has valid rights to use all patents, patent applications, trademarks, service marks, trade names,
trademark registrations, service mark registrations, copyrights, licenses, inventions, trade secrets and similar rights (“Intellectual
Property Rights”) necessary for the conduct of the business of the Company as currently carried on. To the knowledge of
the Company, no action or use by the Company or any of its Subsidiaries necessary for the conduct of its business as currently
carried on will involve or give rise to any infringement of, or license or similar fees for, any Intellectual Property Rights
of others. The Company has not received any notice alleging any such infringement of, license or similar fees for, or conflict
with, any asserted Intellectual Property Rights of others. Company further represents that (i) there is no infringement, misappropriation
or violation by third parties of any of the Intellectual Property Rights owned by the Company; (ii) there is no pending threatened
action, suit, proceeding or claim by others challenging the rights of the Company in or to any such Intellectual Property Rights,
and the Company is unaware of any facts which would form a reasonable basis for any such claim; (iii) the Intellectual Property
Rights owned by the Company and the Intellectual Property Rights licensed to the Company have not been adjudged by a court of
competent jurisdiction invalid or unenforceable, in whole or in part, and there is no pending or threatened action, suit, proceeding
or claim by others challenging the validity or scope of any such Intellectual Property Rights, and the Company is unaware of any
facts which would form a reasonable basis for any such claim; (iv) there is no pending or, to the Company’s knowledge, threatened
action, suit, proceeding or claim by others that the Company infringes, misappropriates or otherwise violates any Intellectual
Property Rights or other proprietary rights of others, the Company has not received any written notice of such claim and the Company
is unaware of any other facts which would form a reasonable basis for any such claim that would, individually or in the aggregate;
and (v) no employee of the Company is in or has ever been in violation in any material respect of any term of any employment contract,
patent disclosure agreement, invention assignment agreement, non-competition agreement, non-solicitation agreement, nondisclosure
agreement or any restrictive covenant to or with a former employer where the basis of such violation relates to such employee’s
employment with the Company, or actions undertaken by the employee while employed with the Company. All material technical information
developed by and belonging to the Company which has not been disclosed in a filed patent application has been kept confidential.
The Company is not a party to or bound by any options, licenses or agreements with respect to the Intellectual Property Rights
of any other person or entity. None of the technology employed by the Company has been obtained or is being used by the Company
in violation of any contractual obligation binding on the Company or any of its officers, directors or employees, or otherwise
in violation of the rights of any persons.

5.7.           
All licenses for the use of the Intellectual Property are in full force and effect in all material respects and are enforceable
by the Company and the other parties thereto, in accordance with their terms, except (x) as such enforceability may be limited
by bankruptcy, insolvency, reorganization or similar laws affecting creditors’ rights generally, (y) as enforceability of
any indemnification or contribution provision may be limited under the federal and state securities laws, and (z) that the remedy
of specific performance and injunctive and other forms of equitable relief may be subject to the equitable defenses and to the
discretion of the court before which any proceeding therefor may be brought. None of such agreements or instruments has been assigned
by the Company, and the Company has not, and to the Company’s knowledge, no other party is in default thereunder and no
event has occurred that, with the lapse of time or the giving of notice, or both, would constitute a default thereunder.

5.8.           
The unaudited financial statements of Company listed in Schedule 5.8 attached hereto and incorporated herein by this reference
are materially accurate and not misleading as of the date hereof.

5.9.           
Company currently has no judgments of any kind against it or its properties.

5.10.       
Company is not currently involved in any litigation or governmental (including any judicial) proceedings or investigations of
any kind.

5.11.       
The Shares are duly authorized and reserved for issuance and, when issued in accordance with the terms of this Agreement, will
be validly issued, fully paid and non-assessable, and free from all taxes, liens, claims and encumbrances with respect to the
issue thereof and shall not be subject to preemptive rights or other similar rights of shareholders of the Company and will not
impose personal liability upon the holder thereof

5.12.       
The Company understands and acknowledges the potentially dilutive effect of to the common stock of the Company upon the conversion
of the Senior Notes by the holders thereof into common stock (the “Conversion Shares”). The Company further acknowledges
that its obligation to issue, upon conversion of the Senior Note, the Conversion Shares, in accordance with this Agreement, and
the Senior Notes are absolute and unconditional regardless of the dilutive effect that such issuance may have on the ownership
interests of other shareholders of the Company.

5.13.       
The Company and each of its subsidiaries has made or filed all federal, state and foreign income and all other tax returns, reports
and declarations required by any jurisdiction to which it is subject (unless and only to the extent that the Company and each
of its Subsidiaries has set aside on its books provisions reasonably adequate for the payment of all unpaid and unreported taxes)
and has paid all taxes and other governmental assessments and charges that are material in amount, shown or determined to be due
on such returns, reports and declarations, except those being contested in good faith and has set aside on its books provisions
reasonably adequate for the payment of all taxes for periods subsequent to the periods to which such returns, reports or declarations
apply. There are no unpaid taxes in any material amount claimed to be due by the taxing authority of any jurisdiction, and the
officers of the Company know of no basis for any such claim. The Company has not executed a waiver with respect to the statute
of limitations relating to the assessment or collection of any foreign, federal, state or local tax. None of the Company’s
tax returns is presently being audited by any taxing authority

    	 

    	 

    

5.14.       
The Senior Notes collectively are intended to be a senior debt obligation of the Company, with priority in payment and performance
over all existing and future indebtedness of the Company, except for the Company’s preexisting obligations. Neither the
Company nor any of its subsidiaries is in violation of its Articles of Incorporation, By-laws or other organizational documents
and neither the Company nor any of its subsidiaries is in default (and no event has occurred which with notice or lapse of time
or both could put the Company or any of its subsidiaries in default) under, and neither the Company nor any of its subsidiaries
has taken any action or failed to take any action that would give to others any rights of termination, amendment, acceleration
or cancellation of, any agreement, indenture or instrument to which the Company or any of its subsidiaries is a party or by which
any property or assets of the Company or any of its subsidiaries is bound or affected, except for possible defaults as would not,
individually or in the aggregate, have a Material Adverse Effect. Except as specifically contemplated by this Agreement and as
required under the 1933 Act and any applicable state securities laws, the Company is not required to obtain any consent, authorization
or order of, or make any filing or registration with, any court, governmental agency, regulatory agency, self-regulatory organization
or stock market or any third party in order for it to execute, deliver or perform any of its obligations under this Agreement.
All consents, authorizations, orders, filings and registrations which the Company is required to obtain pursuant to the preceding
sentence have been obtained or effected on or prior to the date hereof.

5.15.       
There has been since inception no material adverse change and no material adverse development in the assets, liabilities, business,
properties, operations, financial condition, results of operations, prospects or 1934 Act reporting status of the Company or any
of its Subsidiaries.

5.16.       
Neither the Company nor any of its Subsidiaries is subject to any charter, corporate or other legal restriction, or any judgment,
decree, order, rule or regulation which in the judgment of the Company’s officers has or is expected in the future to have
a Material Adverse Effect, except as described in Schedule 5.16 attached hereto. Neither the Company nor any of its Subsidiaries
is a party to any contract or agreement which in the judgment of the Company’s officers has or is expected to have a Material
Adverse Effect, except as previously disclosed in SEC filings of the Company.

5.17.       
Except for arm’s length transactions pursuant to which the Company or any of its Subsidiaries makes payments in the ordinary
course of business upon terms no less favorable than the Company or any of its Subsidiaries could obtain from third parties, none
of the officers, directors, or employees of the Company is presently a party to any transaction with the Company or any of its
subsidiaries (other than for services as employees, officers and directors), including any contract, agreement or other arrangement
providing for the furnishing of services to or by, providing for rental of real or personal property to or from, or otherwise
requiring payments to or from any officer, director or such employee or, to the knowledge of the Company, any corporation, partnership,
trust or other entity in which any officer, director, or any such employee has a substantial interest or is an officer, director,
trustee or partner.

5.18.       
All information relating to or concerning the Company or any of its Subsidiaries set forth in this Agreement and provided to the
Buyers otherwise in connection with the transactions contemplated hereby is true and correct in all material respects and the
Company has not omitted to state any material fact necessary in order to make the statements made herein or therein, in light
of the circumstances under which they were made, not misleading. No event or circumstance has occurred or exists with respect
to the Company or any of its subsidiaries or its or their business, properties, prospects, operations or financial conditions,
which, under applicable law, rule or regulation, requires public disclosure or announcement by the Company but which has not been
so publicly announced or disclosed.

5.19.       
The Company acknowledges and agrees that the Buyers are acting (i) severally and not jointly, and (ii) solely in the capacity
of arm’s length purchasers with respect to this Agreement and the transactions contemplated hereby. The Company further
acknowledges that the Buyers are not acting as a financial advisor or fiduciary of the Company (or in any similar capacity) with
respect to this Agreement and the transactions contemplated hereby and any statement made by the Buyers or any of their respective
representatives or agents in connection with this Agreement and the transactions contemplated hereby is not advice or a recommendation
and is merely incidental to the Buyers’ purchase of the Shares. The Company further represents to the Buyers that the Company’s
decision to enter into this Agreement has been based solely on the independent evaluation of the Company and its representatives.

5.20.       
Neither the Company, nor any of its affiliates, nor any person acting on its or their behalf, has directly or indirectly made
any offers or sales in any security or solicited any offers to buy any security under circumstances that would require registration
under the 1933 Act of the issuance of the Securities to the Buyers.

5.21.       
The Company has taken no action which would give rise to any claim by any person for brokerage commissions, transaction fees or
similar payments relating to this Agreement or the transactions contemplated hereby.

5.22.       
The Company agrees to file a Form D with respect to the Shares as required under Regulation D and to provide a copy thereof to
the Buyer promptly after such filing.

    	 

    	 

    

5.23.       
There are no transactions, arrangements or other relationships between and/or among the Company, any of its affiliates (as such
term is defined in Rule 405 of the Securities Act Regulations) and any unconsolidated entity, including, but not limited to, any
structured finance, special purpose or limited purpose entity that could reasonably be expected to materially affect the Company’s
or any of its Subsidiaries’ liquidity or the availability of or requirements for their capital resources.

5.24.       
Absence of Litigation. There is no action, suit, proceeding, inquiry or investigation before or by any court, public board, government
agency, self-regulatory organization or body pending, or to the knowledge of the Company, threatened against the Company, the
Shares or any of the Company’s officers or directors which is outside of the ordinary course of business or individually
or in the aggregate material to the Company. There has not been and to the knowledge of the Company there is not pending or contemplated,
any investigation by the SEC or other United States governmental agency involving the Company or any current or former director
or officer of the Company. 

6.                 
The Company’s Covenants. The Company hereby covenants and agrees as follows:

6.1.           
For so long as the Shares remain restricted securities not registered under the 1933 Act or are not transferred to persons who
are not Buyers, the Company shall deliver to Buyers (i) within one hundred twenty (120) days after the end of each fiscal year
of the Company, unaudited (or, if available, audited) annual financial statements, (ii) within forty-five (45) days after the
end of each fiscal quarterly period, unaudited quarterly financial statements, and (iii) such other information related to financial
condition, business prospects, or corporate affairs of the Company as may from time be reasonably requested. All financial statements
provided by Company after the date hereof shall be materially accurate and not misleading as of the date so provided. Company
shall promptly provide Buyers with updated financial statements if there are any material changes to the financial condition reflected
in the most recent statements provided to Buyers.

6.2.           
For a period of three (3) years after the date of this Agreement Company shall retain a transfer agent and registrar acceptable
to the Buyers.

6.3.        
The Company shall not materially alter the organizational structure, business, operations, officers or ownership of Company without
first obtaining the reasonable consent of Buyers, which consent shall not be unreasonably withheld or delayed.

6.4.           
The Company shall promptly notify Buyers in the event that Company becomes involved or threatened with any litigation or any governmental
(including judicial) proceedings or investigations of any kind.

6.5.           
The Company shall operate in accordance with all of its material permits, licenses and approvals, and all material laws, rules
and regulations of any kind applicable to the Company’s business or affairs.

6.6.           
The Company shall ensure all material inventions, software, code and intellectual property that is utilized by Company, incorporated
into Company’s products or important to Company’s business shall be and remain the sole and exclusive property of
Company.

7.                 
Governing Law; Jurisdiction; Consent to Service of Process; Waiver of Jury Trial. This Agreement shall be construed
in accordance with, and governed in all respects by, the laws of the State of California, without regard to its conflicts of laws
rules. The Company hereby irrevocably and unconditionally submits, for itself and its property, to the exclusive jurisdiction
of the Superior Court of the State of California, sitting in Los Angeles, California and of the United States District Court of
the Central District of California, and any California appellate court from any thereof, in any action or proceeding arising out
of or relating to this Agreement, or for recognition or enforcement of any judgment relating thereto or arising therefrom, and
each of the parties hereto hereby irrevocably and unconditionally agrees that all claims in respect of any such action or proceeding
shall be exclusively heard and determined in such California State court or, to the extent permitted by applicable law, in such
California federal court. Each of the parties hereto agrees that a final judgment in any such action or proceeding shall be conclusive
and may be enforced in other jurisdictions by suit on the judgment or in any other manner provided by applicable law. Nothing
in this Agreement or otherwise shall affect any right that Buyers may otherwise have to bring any action or proceeding relating
to this Agreement against Company or its properties in the courts of any jurisdiction. Company hereby irrevocably and unconditionally
waives, to the fullest extent permitted by applicable law, any objection which it may now or hereafter have to the laying of venue
of any suit, action or proceeding arising out of or relating to this Agreement or Registration Rights Agreement in any court referred
to in this Section 7. Each of the parties hereto hereby irrevocably waives, to the fullest extent permitted by applicable
law, the defense of any purported inconvenient forum to the maintenance of such action or proceeding in any such court. Each party
to this Agreement irrevocably consents to service of process in any action or proceeding arising out of or relating to this Agreement,
in the manner provided for notices (other than telecopy or email) herein. Nothing in this Agreement will affect the right of any
party to this Agreement to serve process in any other manner permitted by applicable law.

8.                 
Notices. Unless otherwise specifically provided herein, any approval, disapproval, demand, document or other notice
or communication (“Notice”) required or permitted to be given hereunder shall be in writing and may be served
(a) personally, or (b) by commercial delivery or private courier service, or (c) by Federal Express or other national overnight
delivery service, or (d) by registered or certified mail (return receipt requested, postage prepaid), or (e) by telecopy or facsimile
transmission, to the respective addresses and numbers specified below (or such other address for Notice as any Party may provide
to the other Party from time to time pursuant to a validly delivered Notice hereunder), which Notice shall be effective (i) upon
personal delivery, (ii) the next business day after delivery to Federal Express or other national overnight delivery service for
next day delivery to the appropriate address, (iii) when received as indicated by the date on the return invoice or receipt
showing delivery, or (iv) when sent by telecopy or facsimile, with written proof of either transmittal to and receipt by
the other party or the failure of such transmission to the number designated by such party in this Section being established mechanically
by the sender at the time of transmittal or attempted transmittal. Any delivery by facsimile in which all attempted facsimile
transmissions failed shall be followed on the next business day by one of the other methods of notice set forth in this Section.
Notice of change of any address or fax numbers shall be given by written notice in the manner detailed in this Section or by email
at the addresses set forth in this Section. Rejection or other refusal to accept or the inability to deliver because of changed
address of which no Notice was given shall be deemed to constitute receipt of the Notice. All Notices to Buyers shall be copied
via email to Buyers at the address specified below. The parties’ addresses for Notices are as follows:

    	 

    	 

    

 

If
to Buyers:Address set forth on signature page below

 

If
to Company:Thumzup Media Corporation

711
Carson Street, Suite 4

Carson City, Nevada 89701

Attention: Robert Steele, Chief Executive Officer

Email: robert@thumzupmedia.com

9.                 
Miscellaneous.

a.                  
This Agreement and the Registration Rights Agreement constitute the entire agreement between the parties hereto with respect to
the subject matter contained herein and therein and supersede all prior or contemporaneous agreements, representations and understandings
of the parties, express or implied, oral or written. This Agreement may not be amended or modified in any way except in a writing
signed by each of the parties hereto. Company may not assign its obligations under this Agreement without the prior written consent
of Buyers, which may be granted, conditioned or withheld in Buyers’ sole discretion. All provisions herein shall be construed
in all cases as a whole according to their fair meaning, neither strictly for nor against either Company or Buyers and without
regard for the identity of the party preparing the same. Company agrees to cooperate in good faith with Buyers and its agents
and representatives in all aspects of accomplishing the intent of this Agreement, including but not limited to signing additional
documents and taking other actions as may be reasonably necessary or proper for such purpose. No agency, partnership, joint venture
or other relationship is intended hereby, and no Party shall be deemed the agent, servant, employee, partner or joint venturer
of ant other Party. Company and Buyers shall not, in any way or for any reason be deemed to have become a partner of the other
in the conduct of its business or otherwise, or a joint venturer. Any date that falls on a legal holiday or weekend shall not
be extended until the next business day. Without limiting Buyers’ rights or remedies provided herein or available at law
or in equity, the term of this Agreement shall extend until all Obligations are paid in full and Company performs all obligations
that are required under this Agreement.

b.                 
This Agreement shall be deemed to be jointly drafted by the Company and the Buyers and shall not be construed against any person
as the drafter hereof. The headings of this Agreement are for convenience of reference only and shall not form part of, or affect
the interpretation of, this Agreement.

c.                  
In the event that any provision of this Agreement, or any other agreement or instrument delivered in connection herewith is invalid
or unenforceable under any applicable statute or rule of law, then such provision shall be deemed inoperative to the extent that
it may conflict therewith and shall be deemed modified to conform with such statute or rule of law. Any such provision which may
prove invalid or unenforceable under any law shall not affect the validity or enforceability of any other provision of this Agreement,
or any other agreement, certificate, instrument or document contemplated hereby or thereby.

d.                 
This Agreement, the Registration Rights Agreement and the instruments referenced herein contain the entire understanding of the
parties with respect to the matters covered herein and therein and, except as specifically set forth herein or therein, neither
the Company nor to any Buyer makes any representation, warranty, covenant or undertaking with respect to such matters. No provision
of this Agreement or any agreement or instrument contemplated hereby may be waived or amended other than by an instrument in writing
signed by a Buyer.

e.                  
This Agreement shall be binding upon the Company and its successors and assigns and shall inure to the benefit of the Buyers and
their successors and assigns. Each transferee of the Buyers must be an “Accredited Investor” under the federal securities
laws.

f.                   
This Agreement is intended for the benefit of the parties hereto and their respective permitted successors and assigns, and is
not for the benefit of, nor may any provision hereof be enforced by, any other person.

g.                 
The representations and warranties of the Company and the agreements and covenants set forth in this Agreement shall survive the
closing hereunder notwithstanding any due diligence investigation conducted by or on behalf of any of the Buyers. The Company
agrees to indemnify and hold harmless the Buyers and all their officers, directors, employees and agents for loss or damage arising
as a result of or related to any breach or alleged breach by the Company of any of its representations, warranties and covenants
set forth in this Agreement or any of its covenants and obligations under this Agreement, including advancement of expenses as
they are incurred.

h.                 
The language used in this Agreement will be deemed to be the language chosen by the parties to express their mutual intent, and
no rules of strict construction will be applied against any party.

i.                   
In consideration of the Buyers’ execution and delivery of this Agreement and acquiring the Shares hereunder, and in addition
to all of the Company’s other obligations under this Agreement or the Senior Notes, the Company shall defend, protect, indemnify
and hold harmless the Buyers and their respective stockholders, partners, members, officers, directors, employees and direct or
indirect investors and any of the foregoing persons’ agents or other representatives (including, without limitation, those
retained in connection with the transactions contemplated by this Agreement) (collectively, the “Indemnitees”) from
and against any and all actions, causes of action, suits, claims, losses, costs, penalties, fees, liabilities and damages, and
expenses in connection therewith (irrespective of whether any such Indemnitee is a party to the action for which indemnification
hereunder is sought), and including reasonable attorneys’ fees and disbursements (the “Indemnified Liabilities”),
incurred by any Indemnitee as a result of, or arising out of, or relating to (a) any misrepresentation or breach of any representation
or warranty made by the Company in this Agreement, , (b) any breach of any covenant, agreement or obligation of the Company contained
in this Agreement, or (c) any cause of action, suit or claim brought or made against such Indemnitee by a third party (including
for these purposes a derivative action brought on behalf of the Company) and arising out of or resulting from (i) the execution,
delivery, performance or enforcement of this Agreement, , or (ii) the status of the Buyer or holder of the Shares as an investor
in the Company pursuant to the transactions contemplated by this Agreement.

    	 

    	 

    

j.                   
No failure or delay on the part of the Buyer in the exercise of any power, right or privilege hereunder shall operate as a waiver
thereof, nor shall any single or partial exercise of any such power, right or privilege preclude other or further exercise thereof
or of any other right, power or privileges. All rights and remedies of the Buyer existing hereunder are cumulative to, and not
exclusive of, any rights or remedies otherwise available.

k.                 
Counterparts. This Agreement may be executed in one or more counterparts, each of which shall be deemed an original but
all of which shall constitute one and the same agreement and shall become effective when counterparts have been signed by each
party and delivered to the other party. A facsimile or .pdf signature shall be considered due execution and shall be binding upon
the signatory thereto with the same force and effect as if the signature were an original, not a facsimile or .pdf signature.
Delivery of a counterpart signature hereto by facsimile or email/.pdf transmission shall be deemed validly delivery thereof.

 

IN
WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above.

 

	Company:	Buyers:
	 	 
	Thumzup
    Media Corporation	 
	 	 
	 	 
	By:	By:
	Name:
    Robert Steele, Chief Executive Officer	Name:

                                         Address:

         

         

        Shares
        Purchased at $1 per share:

         

        Investment
        Amount:

	 	 
	 	 
	 	 
	 	 
	 	 
	 	 
	 	 
	 	 
	 	 
	 	 
	 	 
	 	 

 

    	 

    	 

    

SCHEDULE
I

 

Buyers

 

    	 

    	 

    

EXHIBIT
B

 

 

Form
of Registration Rights Agreement

(Separately
provided)

    	 

    	 

    

EXHIBIT
C

 

Form
of 

Accredited
Investor Questionnaire

(Separately
Provided)

    	 

    	 

    

EXHIBIT
D

 

Thumzup
Media Corporation Wire InstructionsDocument

EXHIBIT 10.1
FORM OF
RESTRICTED STOCK UNIT AGREEMENT
20__ GRANT

Name: xxxxxx
$ Granted: $ xxx,xxx

THIS AGREEMENT, dated as of March 1, 20__, (“Grant Date”) is between Mastercard Incorporated, a Delaware Corporation (“Company”), and you (the “Employee”).  Capitalized terms that are used but not defined in this Agreement have the meanings given to them in the 2006 Long Term Incentive Plan, as amended (“Plan”).
WHEREAS, the Company has established the Plan, the terms of which Plan, but not the standard terms and conditions of Section 9.4, are made a part hereof; 
WHEREAS, the Human Resources and Compensation Committee of the Board of Directors of the Company (“Committee”) has approved this grant under the terms of the Plan;
NOW, THEREFORE, the parties hereby agree as follows:
1.    Grant of Units.
Subject to the terms and conditions of this Agreement and of the Plan, the Company hereby grants to the Employee <xxx> Units, as reflected in the Employee’s grant statement, the terms of which statement are incorporated as a part of this Agreement.  The Units comprising this award will be recorded in an unfunded Units account in the Employee’s name maintained on the books of the Company (“Account”).  Each Unit represents the right to receive one share of the Company’s $0.0001 par value Class A Common Stock (“Common Shares”) under the terms and conditions set forth below.
2.    Vesting Schedule.
						
	Vest Date	Vest Quantity
	March 1, 20__	25%
	March 1, 20__	25%
	March 1, 20__	25%
	March 1, 20__	25%

1

(a)    Subject to (b), (c) and (d) below, the interest of the Employee in the Units shall vest 25 percent on each of the first, second, third and fourth anniversary of the Grant Date conditioned upon the Employee’s continued employment with the Company or an Affiliated Employer as of each such vesting date (collectively, the “Vesting Dates”).  In the event of the Employee’s Termination of Employment with the Company or an Affiliated Employer for any reason other than as set forth in (b), (c) or (d), unvested Units shall be forfeited.  A transfer of Employee’s employment among the Company and any Affiliated Employer shall not be treated as a Termination of Employment hereunder.  As a condition of the Employee’s right to vest in the Units, the Employee shall be required to execute and comply with any Mastercard LTIP Non-Competition Agreement that the Company requires for the Employee to be eligible to participate in the Plan, and to execute any other documents required by the Committee pursuant to this Agreement.  If the Employee has not executed and delivered to the Company any such required Mastercard LTIP Non-Competition Agreement by the date required by the Company, which will in no event be later than the first anniversary of the Grant Date or such earlier vesting event pursuant to (c) below, the unvested Units shall be forfeited.
(b)    In the event that the Employee’s employment with the Company or an Affiliated Employer terminates by reason of the Employee’s death following the Grant Date, 100 percent of the Employee’s then unvested Units shall vest and be payable, as set forth in section 6(b).  In the event of the Employee’s Termination of Employment with the Company or an Affiliated Employer due to Disability or Retirement seven months or longer after the Grant Date, unless circumstances exist at the time of Termination of Employment that would constitute Cause, unvested Units shall continue to vest as if there had been no Termination of Employment and shall be paid as set forth in section 6(a).  
(c)    In the event of the Employee’s Termination of Employment by the Company or an Affiliated Employer, or successor thereto, without Cause or due to a Job Elimination six months preceding or two years following a Change in Control, 100 percent of the Employee’s then unvested Units shall vest upon the later of the Employee’s termination date or the Change in Control and be payable in accordance with section 6(c).
(d)    In the event of the Employee’s Termination of Employment with the Company or an Affiliated Employer due to a Job Elimination (other than in connection with a Change in Control, as provided in section 2(c)), the Employee’s interest in a pro-rata portion of the unvested Units shall continue to vest as if there had been no Termination of Employment and shall be paid as set forth in section 6(a), contingent upon the Employee’s execution and non-revocation of a separation agreement and/or a release of all claims in a form satisfactory to the Company within a period of no more than 75 days following the Job Elimination date.  Such pro-rata portion of the unvested Units shall be calculated based on (A) the total Units granted multiplied by the ratio of (x) the number of calendar days worked by the Employee from the Grant Date to the Job Elimination date, to (y) the total number of calendar days in the original vesting schedule of the Units (from the Grant Date to the fourth anniversary of the Grant Date) less (B) any Units previously vested. For this 
2

purpose, a “Job Elimination” shall mean either (i) the Employee’s involuntary and permanent Termination of Employment by the Company or an Affiliated Employer because of a permanent layoff, reduction in force, facility closing, reorganization, or consolidation, or (ii) the Employee’s involuntary Termination of Employment with the Company or an Affiliated Employer after the Employee has been offered and declined continued employment with the Company or an Affiliated Employer in a position that is, in the Company’s sole judgment, not comparable to or better than the position that the Employee previously held with the Company or an Affiliated Employer. Notwithstanding the foregoing, the Employee shall not be entitled to continued vesting of the Units under this Section 2(d) if the Employee incurs a “Disqualifying Event” under the terms of the Mastercard International Incorporated Severance Plan or, as applicable, the Amended and Restated Mastercard International Incorporated Executive Severance Plan. To obtain a copy of the Mastercard International Incorporated Severance Plan, please send a request to the Employment Counsel at 2000 Purchase Street, Purchase, NY 10577.
3.    Transfer Restrictions.
The Units granted hereunder may not be sold, assigned, margined, transferred, encumbered, conveyed, gifted, hypothecated, pledged, or otherwise disposed of and may not be subject to lien, garnishment, attachment or other legal process, except as expressly permitted by the Plan.  
4.    Stockholder Rights.
Prior to the time that the Employee’s Units vest and the Company has issued Common Shares relating to such Units, the Employee will not be deemed to be the holder of, or have any of the rights of a holder with respect to, any Common Shares deliverable with respect to such Units.  Specifically, and without limiting the foregoing, the Employee shall not be entitled to dividends or dividend equivalents prior to being issued Common Shares.  
5.    Changes in Stock.
In the event of any change with respect to outstanding Common Shares contemplated by Section 4.6(1) of the Plan, the Units may be adjusted in accordance with Section 4.6(1) of the Plan.     
6.    Form and Timing of Payment.
    (a)    The Company shall pay within 60 days following each Vesting Date set forth in section 2(a) above, a number of Common Shares equal to the aggregate number of vested Units credited to the Employee as of such Vesting Date; provided, however, that payment of any Units that vest pursuant to Section 2(d) may occur within up to 74 days following the applicable Vesting Date in connection with the Employee’s execution and non-revocation of a separation agreement and/or a release of all claims. Further, in the event that a Vesting Date falls within the period the Employee has to provide a separation agreement and/or a release of all claims pursuant to Section 2(d) and such period spans 
3

two calendar years, any payment of the vested Units will be made in the second calendar year. 
    (b)    In the event of vesting under section 2(b) above due to an Employee’s death, payment shall be made within 90 days following death, or where additional time is needed for administrative reasons, at such later time as is permitted under Section 409A (as defined in section 12 below).
    (c)    In the event of vesting under section 2(c) above due to Termination of Employment in connection with a Change in Control, payment shall be made as follows: (i) in the event of Termination of Employment prior to the Change in Control, within 90 days following the Change in Control; or (ii) in the event of Termination of Employment after the Change in Control, on the first business day which is at least seven months following the Termination of Employment or at such later date permitted under Section 409A.
    (d)    Notwithstanding section 6(a) above, the Company may, in its sole discretion, settle the Units in the form of a cash payment (i) to the extent settlement in Common Shares is prohibited under local law, or would require the Employee, the Company and/or the Employer to obtain the approval of any governmental and/or regulatory body in the Employee’s country of residence (or country of employment, if different) or (ii) in the event that the net number of Common Shares issuable on a Vesting Date is less than one whole Common Share.  Alternatively, the Company may, in its sole discretion, settle the Units in the form of Common Shares but require the Employee to immediately sell such Common Shares (in which case, this Agreement shall give the Company the authority to issue sales instructions on behalf of the Employee).
7.    Compliance with Law.
No Common Shares (or cash pursuant to section 6(d) above) will be delivered to the Employee in accordance with section 6 above unless counsel for the Company is satisfied that such delivery will be in compliance with all applicable laws, including, without limitation, any rule, regulation or procedure of the U.S. national securities exchange upon which the Company’s Common Shares are traded or any listing agreement with any such securities exchange, or any other requirement of law or of any administrative or regulatory body having jurisdiction over the Company or an Affiliated Employer.
8.    Death of Employee.
In the event of the Employee’s death, where the death results in vesting and payment of Units under section 2(b) above, payment shall be made to the Employee’s estate.
9.    Taxes.
The Employee shall be liable for any and all taxes, including income tax (including U.S. federal, state and local taxes and/or non-U.S. taxes), social insurance, payroll tax, fringe benefits tax, payment on account or other tax-related items (“Tax-Related Items”), 
4

arising out of this grant or the issuance of the Common Shares on vesting of Units hereunder or any other taxable event in connection with the Units.  
Prior to any such taxable event, the Employee (or the Employee’s estate) shall pay or make adequate arrangements satisfactory to the Company or, if different, the Employee’s employer (the “Employer”) to meet the Company’s or the Employer’s withholding obligations for Tax-Related Items.  In this regard, the Company is authorized to deduct from the total number of Common Shares the Employee is to receive on settlement of the Units a number of Common Shares with a total value equal to the amount necessary to satisfy any such withholding obligation at the minimum applicable withholding rate or, to the extent permitted by the Plan and applicable accounting principles, up to the maximum applicable withholding rate. If the Tax-Related Items withholding is satisfied by withholding in Common Shares, for tax purposes, the Employee is deemed to have been issued the full number of Common Shares subject to the vested Units, notwithstanding that a number of the Common Shares is held back solely for the purpose of paying the Tax-Related Items.
Alternatively, provided the Employee is not subject to Securities and Exchange Commission Rule 16b-3 (“Rule 16b-3”), the Company may sell or arrange for the sale of a sufficient number of Common Shares issued to the Employee upon settlement of the Units to meet the Tax-Related Items withholding obligation. 
The Company (or, as applicable, the Employer) may withhold or account for Tax-Related Items by considering statutory withholding rates or other applicable withholding rates, including maximum rates applicable in the Employee’s jurisdiction(s), and will do so using the information in its applicable systems and other business records at the time of such withholding event.  In the event of over-withholding, the Employee may receive a refund from the local tax authorities of any over-withheld amount in cash and will have no entitlement to the Common Share equivalent.  In the event the withholding deducted is less than the Tax-Related Items for which the Employee is liable, the Employee may be required to pay any additional Tax-Related Items directly to the applicable tax authority or to the Company and/or the Employer.
Further, to the extent that any obligation to withhold Tax-Related Items arises prior to settlement of the Units, the Company may cause the Units to vest prior to any Vesting Date for the purpose of satisfying such obligation by withholding or selling of Common Shares as provided for above (to the extent such methods are otherwise permitted under this Agreement), provided that (a) to avoid a prohibited acceleration under Section 409A, the number of Units so vested will not exceed the number necessary to satisfy the liability for Tax-Related Items; and (b) if the Employee is subject to Rule 16b-3, any withholding in Common Shares pursuant to the foregoing will either be approved in advance by the Human Resources and Compensation Committee or solely at the election of the Employee.  Pursuant  to the foregoing and without limiting the discretion and authority of the Company as provided herein with respect to any other applicable Tax-Related Items, the Employee will have the right to elect to have the Company satisfy any Federal Insurance Contributions Act taxes required to be withheld before settlement of the Units by causing a sufficient portion of the Units to vest and withholding in Common Shares.  If Tax-Related 
5

Items are withheld prior to a Vesting Date by the method described in this paragraph, the number of Units in the Employee’s Account and originally scheduled to vest on the next applicable Vesting Date will be reduced by the number of Units vested and used to satisfy such Tax-Related Items. 
The Employee agrees to pay to the Company or the Employer, including through withholding from the Employee’s wages or other cash compensation paid to the Employee by the Company and/or the Employer, any amount of Tax-Related Items that the Company or the Employer may be required to withhold or account for as a result of the Employee’s participation in the Plan that is not satisfied by the means previously described including, without limitation, any Federal Insurance Contributions Act taxes required to be withheld before settlement of the Units for which the Employee does not elect withholding in Common Shares pursuant to the preceding paragraph. 
Finally, the Employee acknowledges that the ultimate liability for all Tax-Related Items legally due by the Employee is and remains the Employee’s responsibility, regardless of any withholding by the Company or the Employer, and that the Company and the Employer: (1) make no representations or undertakings regarding the treatment of any Tax-Related Items in connection with any aspect of the Units, including the grant of the Units, the vesting of the Units, the settlement of the Units, the subsequent sale of any Common Shares acquired pursuant to the Units, or the receipt of any dividends; and (2) do not commit to structure the terms of the grant or any aspect of the Units to reduce or eliminate the Employee’s liability for Tax-Related Items.  The Company may refuse to issue or deliver the Common Shares, or the proceeds of the sale of Common Shares, if the Employee fails to comply with the Employee’s obligations in connection with the Tax-Related Items. 
10.    Discretionary Nature of Plan.
The Employee acknowledges and agrees that the Plan is discretionary in nature and may be amended, cancelled, or terminated by the Company, in its sole discretion, at any time.  The grant of Units under the Plan is a one-time benefit and does not create any contractual or other right to receive a grant of Units, other types of grants under the Plan, or benefits in lieu of such grants in the future.  Future grants, if any, will be at the sole discretion of the Company, including, but not limited to, the timing of any grant, the number of Units granted and vesting provisions.
11.    Consent to On-Line Grant and Acceptance.
The Employee acknowledges and agrees that, as a term of this grant of Units, any grant, communication, or acceptance of such grant, if applicable, is permitted to be made and processed through the online system operated and maintained for this purpose.  The Employee further acknowledges and agrees that execution of any documents through such system shall have the same force and effect as if executed in writing.

6

12.    Section 409A.
The Company intends that payments under this Agreement will either comply with or be exempt from Section 409A of the Internal Revenue Code and the regulations and guidance promulgated thereunder (collectively, “Section 409A”) and, accordingly, to the maximum extent permitted, this Agreement shall be interpreted to be exempt from Section 409A or in compliance therewith, as applicable.  To the extent the Company determines that this Agreement is subject to Section 409A, but does not conform with the requirements of Section 409A, the Company may at its sole discretion amend or replace the Agreement to cause the Agreement to comply with Section 409A.  The Company makes no representation that the Agreement is exempt from or complies with Section 409A and makes no undertaking to preclude Section 409A from applying to the Agreement.  The Company will have no liability to the Employee or to any other party if the Agreement that is intended to be exempt from or compliant with Section 409A is not so exempt or compliant or for any action taken by the Company with respect thereto. 
13.    Recoupment Policy.
As an additional condition of receiving the Units, the Employee agrees that the Units and any benefits the Employee may receive hereunder shall be subject to forfeiture and/or repayment to the Company: (a) to the extent required under the terms of any recoupment or “clawback” policy adopted by the Company and in effect as of the Grant Date; (b) to comply with any recoupment requirement imposed under applicable laws, rules, regulations or stock exchange listing standards, including, without limitation, pursuant to Section 954 of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010; and/or (c) in the event the Employee engages in misconduct which has or might reasonably be expected to have material reputational or other harm to the Company, provided that in such case the Company will not seek to recover Units that were paid more than three years before the date the detrimental behavior was discovered or the date the full impact of the misconduct was known, as determined by the Committee.  A recovery under this section 13 can be made by withholding compensation otherwise due to the Employee, by cancelling vested but unpaid Units or by such other means determined appropriate by the Committee.  The Recoupment Policy set forth in this Section 13 shall be applied by the Committee, at its discretion, to the maximum extent permitted under applicable law.
14.    Miscellaneous.
(a)    All amounts credited to the Employee’s Account under this Agreement shall continue for all purposes to be a part of the general assets of the Company.  The Employee’s interest in the Account shall make the Employee only a general, unsecured creditor of the Company.
(b)    The parties agree to execute such further instruments and to take such action as may reasonably be necessary to carry out the intent of this Agreement.
(c)    Any notice required or permitted hereunder that is not covered by section 11 above, shall be given in writing and shall be deemed effectively given upon 
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delivery to the Employee at the address then on file with the Company or upon delivery to the Company at 2000 Purchase Street, Purchase, New York 10577, Attn: EVP, Total Rewards.
(d)    Neither the Plan nor this Agreement nor any provisions under either shall be construed so as to grant the Employee any right to remain in the employ of the Company or an Affiliated Employer.  Neither the Plan nor this Agreement shall interfere with the rights of the Company or an Affiliated Employer, as applicable, to terminate the employment of the Employee and/or take any personnel action affecting the Employee without regard to the effect which such action may have upon the Employee as a recipient or prospective recipient of any benefits under the Plan or this Agreement.   
The value of the Units granted hereunder is an extraordinary item of compensation outside the scope of the Employee’s terms and conditions of employment and/or employment contract, if any.  As such, the Units granted hereunder are not part of normal or expected compensation for purposes of calculating any severance, resignation, redundancy, end of service payments, bonuses, long-service awards, pension, or retirement benefits or similar payments.
(e)    The Company reserves the right to impose other requirements on the Units, any Common Shares acquired or payment made pursuant to the Units, and the Employee’s participation in the Plan, to the extent the Company determines, in its sole discretion, that such other requirements are necessary or advisable. Such requirements may include (but are not limited to) requiring the Employee to sign any agreements or undertakings that may be necessary to accomplish the foregoing.
(f)    Notwithstanding any provisions in this Agreement, the Units will be subject to any country-specific terms set forth in an addendum to this Agreement for Participants who work or reside in a country outside the United States (“Addendum”).  Moreover, if the Employee relocates to one of the countries included in the Addendum, the terms for such country will apply to him or her, to the extent the Company determines that the application of such terms is necessary or advisable.  The Addendum constitutes part of this Agreement.  
(g)    The provisions of this Agreement are severable and if any one or more provisions are determined to be illegal or otherwise unenforceable, in whole or in part, the remaining provisions shall nevertheless be binding and enforceable.  Further, upon a determination that any term or other provision of this Agreement is illegal or otherwise incapable of being enforced, such term or other provision shall be deemed replaced by a term or provision that is valid and enforceable and that comes closest to expressing the intention of the illegal or unenforceable term or provision.
(h)    This Agreement, along with the incorporated grant statement, an executed Mastercard LTIP Non-Competition Agreement, and any special provisions for the Employee’s country of residence or employment, as set forth in the applicable Addendum, constitutes the entire agreement of the parties with respect to the subject matter hereof.
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By: _______________________________
Name:  
Title:  
         
         

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