Document:

Unassociated Document

    THIS NOTE HAS NOT BEEN REGISTERED
UNDER THE SECURITIES ACT OF 1933, AS AMENDED AND MAY NOT BE SOLD, OFFERED FOR
SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION
STATEMENT AS TO THIS NOTE UNDER SAID ACT OR AN OPINION OF COUNSEL SATISFACTORY
TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED.

     

    CNS
RESPONSE, INC.

    PROMISSORY
NOTE

     

    
      
        	
                $125,000.00

              	
                July
      5, 2010

              
	 
      	
                Aliso Viejo,
      California

              

      

    

    

    FOR VALUE
RECEIVED, CNS Response, Inc., a Delaware corporation (the “Company”), promises to pay to
[      ] (“Investor”, or “Noteholder”), or its
registered assigns, in lawful money of the United States of America, the
principal sum of One Hundred Twenty Five Thousand Dollars ($125,000.00), together with a single payment of accrued interest
calculated based on the actual days outstanding and a 360 day year at a rate of
nine percent (9%).  Such interest shall be paid pursuant to Section 2
below (“Interest Payment”).  All unpaid principal,
together with the accrued
interest and other amounts
payable under this Secured
Promissory Note (this “Note”) shall be due and payable, on the
earliest of (i) the maturity date of December
15, 2010 (“Maturity Date”), (ii) upon prepayment of this Note pursuant to
Section 3 below, (iii) the closing of a financing in which the
aggregate proceeds to the Company are not less than $3,000,000 (which, for the
purposes of clarity, shall include a financing transaction that involves
multiple closings), or (iv) when, upon or after the
occurrence of an Event of Default (as defined below), such amounts are made due and payable in accordance with the terms
hereof.   Repayment of the outstanding debt of
this Note is guaranteed
by SAIL Venture Partners, LP (“Guarantor” see Guarantee Agreement).

     

    The
following is a statement of the rights of Investor and the conditions to which
this Note is subject, and to which the Company and Investor agree:

     

    1. Definitions.  As
used in this Note, the following capitalized terms have the following
meanings:

     

    (a) “Company” includes the
corporation initially executing this Note and any Person which shall succeed to
or assume the obligations of the Company under this Note.

     

    (b) “Exchange Act Filings” shall
mean the filings made by the Company with the Securities and Exchange Commission
pursuant to the Securities Exchange Act of 1934, as amended, including but not
limited to the Company’s Annual Report on Form 10-K for the year ended September
30, 2009, the Quarterly Reports on Form 10-Q for the periods ended December 31,
2009 and March 31, 2010 and all periodic reports on Form 8-K.

     

    (c)  “Investor” shall mean the
Person specified in the introductory paragraph of this Note or any other Person
who is the registered holder of this Note.

     

    (d)  “Outstanding Debt” shall mean,
as of a particular time, the sum of (i) the then outstanding principal amount of
this Note and (ii) the amount of interest due pursuant to the Interest
Payment.

     

    (e) “Person” shall mean and include
an individual, a partnership, a corporation (including a business trust), a
joint stock company, a limited liability company, an unincorporated association,
a joint venture or other entity or a governmental authority.

     

    (f) “Securities Act” shall mean the
Securities Act of 1933, as amended.

     

    
      
         

      

      
         

        
          

        

      

      
         

      

    

     

    2. Interest
Payment.  Subject to Section 3, the Interest Payment shall be
payable at the same time the principal amount of the Note is repaid as described
in the first paragraph hereof.

     

    3. Prepayment.  This
Note may be prepaid, in whole or part, at any time by the
Company.  All prepayment amounts shall first be applied to any accrued
interest with the remainder applied towards the outstanding principal (“Full Prepayment” or “Partial
Prepayment”).  Investor agrees to deliver the original of this
Note (or a notice to the effect that the original Note has been lost, stolen or
destroyed along with an indemnity with respect thereto in a form satisfactory to
the Company) at the closing of the Full Prepayment for cancellation or Partial
Prepayment for the appropriate principal adjustment; provided, however, that upon
Full Prepayment of the amounts set forth above with respect to the Outstanding
Debt, the Outstanding Debt shall be deemed satisfied and paid in full and the
Company shall have no other obligation with respect to the Outstanding Debt,
whether or not this Note is delivered for cancellation as set forth in the
preceding sentence.

     

    4. Notice of
Defaults.  The Company shall furnish to Investor written notice
of the occurrence of any Event of Default hereunder promptly following the
occurrence thereof.

     

    5. Events of
Default.

     

    (a) The
occurrence of any of the following shall constitute an “Event of
Default”:

     

    (i) Failure
of the Company to pay the principal or the Interest Payment on this Note when
due.

     

    (ii) Failure
of the Company to perform or observe any covenant or agreement as required by
this Note and continuation of such failure for a period of ten (10) days
following written notice from Investor.

     

    
      
         

      

      
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    (iii) The
Company makes a general assignment for the benefit of creditors.

     

    (iv) Any
proceeding is instituted by or against the Company seeking to adjudicate it
bankrupt or insolvent, and such proceeding is not dismissed within sixty (60)
days.

     

    (v) The entry
against the Company of a final judgment, decree or order for the payment of
money in the excess of $25,000 and the continuance of such judgment, decree or
order unsatisfied for a period of thirty (30) days without a stay of
execution.

     

    (vi) Any
representation or warranty of the Company made in this Note is proven not to
have been true and correct in any material respect as of the date of this
Note.

     

    (b) If an
Event of Default occurs and is continuing, Investor may exercise any or all of
the following rights and remedies:

     

    (i) Declare
the Note and the Interest Payment be immediately due and payable, and upon such
declaration, the Note and the Interest Payment shall immediately be due and
payable, without presentment, demand, protest or any notice of any kind, all of
which are expressly waived.

     

    (ii) Exercise
any and all other rights and remedies available to Investor and otherwise
available to creditors at law and in equity.

     

    
      
         

      

      
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    6. Successors and
Assigns.  Subject to the restrictions on transfer described in
Sections 8 and 10 below, the rights and obligations of the Company and Investor
shall be binding upon and benefit the successors, assigns, heirs, administrators
and transferees of the parties.

     

    7. Waiver and
Amendment.  Any provision of this Note may be amended, waived
or modified upon the written consent of the Company and Investor.  Any
such amendment, waiver or modification effected in accordance with this
paragraph shall be binding upon the Company and Investor.

     

    8. Transfer of this
Note.  With respect to any offer, sale or other disposition of
this Note, Investor will give written notice to the Company prior thereto,
describing briefly the manner thereof, together with a written opinion of
Investor’s counsel, or other evidence if reasonably satisfactory to the Company,
to the effect that such offer, sale or other distribution may be effected
without registration or qualification (under any federal or state law then in
effect, as applicable).  Upon receiving such written notice and
reasonably satisfactory opinion, if so requested, or other evidence, the
Company, as promptly as practicable, shall notify Investor that Investor may
sell or otherwise dispose of this Note, all in accordance with the terms of the
notice delivered to the Company.  This Note thus transferred shall
bear a legend as to the applicable restrictions on transferability in order to
ensure compliance with the Act, unless in the opinion of counsel for the Company
such legend is not required in order to ensure compliance with the Securities
Act.  The Company may issue stop transfer instructions to its transfer
agent in connection with such restrictions.  Subject to the foregoing,
transfers of this Note shall be registered upon registration books maintained
for such purpose by or on behalf of the Company.  Prior to
presentation of this Note for registration of transfer, the Company shall treat
the registered holder hereof as the owner and holder of this Note for the
purpose of receiving all payments of principal and the Premium Payment and for
all other purposes whatsoever, whether or not this Note shall be overdue and the
Company shall not be affected by notice to the
contrary.  Notwithstanding the foregoing, Investor may assign this
Note to an affiliated entity without the prior written consent of the Company so
long as such assignment complies with applicable law.

     

    9. Representations
and Warranties.

     

    (a) Investor
represents and warrants to the Company that:

     

    (i) Authorization.  Investor
has full power and authority to enter into this Note.  This Note
constitutes a valid and legally binding obligation of Investor, except as
limited by bankruptcy, insolvency or other laws of general application relating
to or affecting the enforcement of creditors’ rights generally and general
principles of equity.

     

    (ii) Accredited
Investor.  Investor is an “accredited investor” within the
meaning of Rule 501 of Regulation D promulgated under the Securities
Act.

     

    (iii) Investor
has had an opportunity to read and review all Exchange Act Filings of the
Company, has had an opportunity to ask questions of management of the Company
and is fully aware of the risks attendant to an investment in the
Note.

     

    (b) The
Company represents and warrants to Investor that:

     

    (i) Existence of
Company.  The Company is a duly organized Delaware
corporation.  The Company is validly existing in all jurisdictions
where it conducts its business.

     

    (ii) Authority to
Execute.  The execution, delivery and performance by the
Company of this Note are within the Company’s corporate powers, have been duly
authorized by all necessary corporate action, do not and will not conflict with
any provision of law or organizational document of the Company (including its
Certificate of Incorporation or Bylaws) or of any agreement or contractual
restrictions binding upon or affecting the Company or any of its property
and need no further
stockholder or creditor consent.

     

    
      
         

      

      
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    (iii) No Stockholder Approval
Required.  No approval of the Company’s stockholders is
required for the issuance of this Note or the granting of the security interest
hereunder.

     

    (iv) Binding
Obligation.  This Note is a legal, valid and binding obligation
of the Company, enforceable against the Company in accordance with its terms,
subject, as to enforcement of remedies, to applicable bankruptcy, insolvency,
moratorium, reorganization and similar laws affecting creditors’ rights
generally and to general equitable principles.

     

    (v) Litigation.  Except
as previously disclosed to Investor and described in the Exchange Act Filings,
no litigation or governmental proceeding is pending or threatened against the
Company which may have a materially adverse effect on the financial
condition,  operations or prospects of the Company, and to the
knowledge of the Company, no basis therefore exists.

     

    (vi) Intellectual
Property.  To the best of the Company’s knowledge, the Company
owns or possesses sufficient legal rights to all patents, trademarks, service
marks, trade names, copyrights, trade secrets, licenses, information and other
proprietary rights and processes necessary for its business as now conducted and
as presently proposed to be conducted, without any known infringement of the
rights of others.  There are no outstanding options, licenses or
agreements of any kind relating to the foregoing proprietary rights, nor is the
Company bound by or a party to any options, licenses or agreements of any kind
with respect to the patents, trademarks, service marks, trade names, copyrights,
trade secrets, licenses, information and other proprietary rights and processes
of any other person or entity other than such licenses or agreements arising
from the purchase of “off the shelf” or standard products.

     

    10. Assignment by the
Company.  Neither this Note nor any of the rights, interests or
obligations hereunder may be assigned, in whole or in part (other than by
operation of law) by the Company without the prior written consent of
Investor.

     

    11. Notices.  All
notices, requests, demands, consents, instructions or other communications
required or permitted hereunder shall be in writing and faxed, mailed or
delivered to each party at the respective addresses of the parties as set forth
on the signature page hereto, or at such other address or facsimile number as a
party shall have furnished to the other party in writing.  All such
notices and communications will be deemed effectively given the earlier of
(i) when received, (ii) when delivered personally, (iii) one
business day after being delivered by facsimile (with receipt of appropriate
confirmation), (iv) one business day after being deposited with an
overnight courier service of recognized standing or (v) four days after
being deposited in the U.S. mail, first class with postage prepaid.

     

    12. Employees and
Agents.  Investor may take any action hereunder by or through
agents or employees so long as such agents or employees are duly authorized to
so act on behalf of the Investor.

     

    13. Payment.  Payment
shall be made in lawful tender of the United States.

     

    14. Expenses;
Waivers.  If this Note is not paid when due and Investor takes
any action to enforce Investor’s rights hereunder, the Company shall promptly
pay upon demand by Investor all such reasonable costs of collection, including
reasonable attorneys’ fees, whether or not litigation is
commenced.  The Company hereby waives notice of default, presentment
or demand for payment, protest or notice of nonpayment or dishonor and all other
notices or demands relative to this instrument.  The Company also
shall pay for all attorney’s fees incurred by Investor related to the drafting
and preparation of this Note.

     

    
      
         

      

      
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    15. Governing
Law.  This Note and all actions arising out of or in connection
with this Note shall be governed by and construed in accordance with the laws of
the State of California, without regard to the conflicts of law provisions of
the State of California, or of any other state.

     

    16. Effectiveness.  This
Note shall become effective upon the execution by the Company and
Investor.

     

    [Remainder
of Page Intentionally Left Blank]

     

    
      
         

      

      
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    The Company has caused this Note to be
issued as of the date first written above and agrees to all the terms set forth
above.

     

    
      
        	 	      
                CNS
      RESPONSE, INC.

              	 
	 	 	 	 
	
              	
                By:
      

              	   	 
	 	Name:  	George
      Carpenter	 
	 	Its:  	Chief
      Executive Officer	 

      

       

       

      
        	 	 	Address:  85
      Enterprise, Suite 410	 
	 	 	 	 
	 	 	
                Aliso
      Vejo, CA 92656

              	 

      

    

    

    
      
        	Accepted
      and agreed:	 	 	 	 
	
              	 	 	
              	 
	
                      
                  INVESTOR:

                

              	 	 	
              	 
	
              	 	 	
              	 
	   	 	 	 	 
	 	 	 	 	 
	  	 	 	 	 
	
                Name and
    Position

              	 	 	 	 
	
                 

              	 	 	 	 

      

    

     

    
      
        	Address:Unassociated Document

    

     

    GUARANTY

     

    This
Guaranty (this “Guaranty”) is entered into as of July 5, 2010, by the person or
entity listed on the signature page hereto as the “Guarantor” (the “Guarantor”),
in favor of _____________________________(“Investor”).

     

     

    Recitals

     

    A.           Concurrently
herewith, CNS Response, Inc. a Delaware corporation (“Borrower”), is issuing to
Investor a Promissory Note dated as of the date hereof (the “Note”), pursuant to
which Investor has agreed to loan to Borrower the aggregate principal amount of
$125,000 (the “Loan”), subject to the terms and conditions set forth
therein.

     

    B.           In
consideration of the agreement of Investor to make the Loan to Borrower under
the Note, Guarantor is willing to guaranty the full payment and performance by
Borrower of all of its obligations thereunder, all as further set forth
herein.

     

    C.           Guarantor
will obtain substantial direct and indirect benefit from the Loan made by
Investor to Borrower under the Note.

     

    Now,
Therefore, to induce Investor to enter into the Note and to make the
Loan, and for other good and valuable consideration, the receipt and adequacy of
which are hereby acknowledged, and intending to be legally bound, Guarantor
hereby represents, warrants, covenants and agrees as follows:

     

    Section
1.                      Guaranty.

     

    1.1           Unconditional Guaranty of
Payment.  In consideration of the foregoing, Guarantor hereby
irrevocably, absolutely and unconditionally guarantees to Investor the prompt
and complete payment and performance when due (whether at stated maturity, by
acceleration or otherwise) of all principal, interest and other amounts under
the Note (collectively, the “Obligations”).  Guarantor agrees that it
shall execute such other documents or agreements and take such action as
Investor shall reasonably request to effect the purposes of this
Guaranty.

     

    1.2           Separate
Obligations.  These obligations
are independent of Borrower’s obligations and separate actions may be brought
against Guarantor (whether action is brought against Borrower or whether
Borrower is joined in the action).

     

    Section
2.                      Representations and
Warranties.

     

    Guarantor
hereby represents and warrants that:

     

    (a)           Guarantor:
(i) if an entity, is duly organized and validly existing under the laws of its
jurisdiction of formation; (ii) if an entity, is duly qualified to do business
in every jurisdiction where the nature of its business requires it to be so
qualified (except where the failure to so qualify would not have a material
adverse effect on Guarantor’s condition, financial or otherwise, or on
Guarantor’s ability to pay or perform its obligations hereunder); and (iii) has
all requisite power and authority to execute and deliver this Guaranty being
entered into and to perform its obligations thereunder and
hereunder.

     

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

    (b)           The
execution, delivery and performance by Guarantor of this Guaranty (i) are
within Guarantor’s powers and have been duly authorized by all necessary action
on the part of Guarantor; (ii) do not contravene Guarantor’s charter documents
(if applicable) or any law or any contractual restriction binding on or
affecting Guarantor or by which Guarantor’s property may be affected; (iii) do
not require any authorization or approval or other action by, or any notice to
or filing with, any governmental authority or any other Person under any
indenture, mortgage, deed of trust, lease, agreement or other instrument to
which Guarantor is a party or by which Guarantor or any of its property is
bound, except such as have been obtained or made; and (iv) do not result in the
imposition or creation of any lien or encumbrance upon any property of
Guarantor.

     

    (c)           This
Guaranty is a valid and binding obligation of Guarantor, enforceable against
Guarantor in accordance with its terms, except as the enforceability thereof may
be subject to or limited by bankruptcy, insolvency, reorganization, arrangement,
moratorium or other similar laws relating to or affecting the rights of
creditors generally.

     

    (d)           There
is no action, suit or proceeding affecting Guarantor pending or threatened
before any court, arbitrator, or governmental authority, domestic or foreign,
which may have a material adverse effect on the ability of Guarantor to perform
its obligations under this Guaranty.

     

    (e)           Guarantor’s
obligations hereunder are not subject to any offset or defense against Investor
or Borrower of any kind.

     

    (f)           The
incurrence of Guarantor’s obligations under this Guaranty will not cause
Guarantor to (i) become insolvent; (ii) be left with unreasonably small capital
for any business or transaction in which Guarantor is presently engaged or plans
to be engaged; or (iii) be unable to pay its debts as such debts
mature.

     

    Section
3.                      General
Waivers.  Guarantor waives:

     

    (a)           Any
right to require Investor to (i) proceed against Borrower or any other person;
(ii) proceed against or exhaust any security, or (iii) pursue any other
remedy.  Investor may exercise or not exercise any right or remedy it
has against Borrower without affecting Guarantor’s liability
hereunder.

     

    (b)           Any
defenses from disability or other defense of Borrower or from the cessation of
Borrower’s liabilities.

     

    (c)           Any
setoff, defense or counterclaim against Investor.

     

    (d)           Any
defense from the absence, impairment or loss of any right of reimbursement or
subrogation or any other rights against Borrower.  Until Borrower’s
obligations to Investor have been paid, Guarantor has no right of subrogation or
reimbursement or other rights against Borrower.

     

    
      
        
        

      

      
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    (e)           Any
right to enforce any remedy that Investor has against Borrower.

     

    (f)           The
benefit of any act or omission by Investor which directly or indirectly results
in or aids the discharge of Borrower from any of the Obligations by operation of
law or otherwise.

     

    Section
4.                      Reinstatement.  Notwithstanding
any provision of the Note to the contrary, the liability of Guarantor hereunder
shall be reinstated and revived and the rights of Investor shall continue if and
to the extent that for any reason any payment by or on behalf of Guarantor or
Borrower is rescinded or must be otherwise restored by Investor, whether as a
result of any proceedings in bankruptcy or reorganization or otherwise, all as
though such amount had not been paid.  The determination as to whether
any such payment must be rescinded or restored shall be made by Investor in its
sole discretion; provided,
however, that if Investor chooses to contest any such matter at the
request of Guarantor, Guarantor agrees to indemnify and hold harmless Investor
from all costs and expenses (including, without limitation, reasonable
attorneys’ fees) of such litigation.  To the extent any payment is
rescinded or restored, Guarantor’s obligations hereunder shall be revived in
full force and effect without reduction or discharge for that
payment.

     

    Section
5.                      Withholding.  In the event any payments
are received by Investor
from Guarantor hereunder, such payments will be made subject to applicable
withholding for any taxes, levies, fees, deductions, withholding, restrictions
or conditions of any nature whatsoever.  Specifically, if at any time
any governmental authority, applicable law or regulation requires Guarantor to
make any such withholding or deduction from any such  payment or other
sum payment hereunder to Investor, Guarantor hereby covenants and agrees
that the amount due from Guarantor with respect to such payment or other sum
payable hereunder will be increased to the extent necessary to ensure that,
after the making of such required withholding or deduction, Investor receives a net sum equal to the sum
which it would have received had no withholding or deduction been required and
Guarantor shall pay the full amount withheld or deducted to the relevant
governmental authority.  Guarantor will, upon request, furnish
Investor with proof
satisfactory to Investor
indicating that Guarantor has made such withholding payment, provided, however,
that Guarantor need not make any withholding payment if the amount or validity
of such withholding payment is contested in good faith by appropriate and timely
proceedings and as to which payment in full is bonded or reserved against by
Guarantor.  The agreements and obligations of Guarantor contained in
this Section shall survive the termination of this Guaranty.

     

    Section
6.                      No Waiver;
Amendments.  No failure on the part of Investor to exercise, no
delay in exercising and no course of dealing with respect to, any right
hereunder shall operate as a waiver thereof; nor shall any single or partial
exercise of any right hereunder preclude any other or further exercise thereof
or the exercise of any other right.  The remedies herein provided are
cumulative and not exclusive of any remedies provided by law.  This
Guaranty may not be amended or modified except by written agreement between
Guarantor and Investor, and no consent or waiver hereunder shall be valid unless
in writing and signed by Investor.

     

    
      
        
        

      

      
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    Section
7.                      Compromise and
Settlement.  No compromise, settlement, release, renewal,
extension, indulgence, change in, waiver or modification of any of the
Obligations or the release or discharge of Borrower from the performance of any
of the Obligations shall release or discharge Guarantor from this Guaranty or
the performance of the obligations hereunder.

     

    Section
8.                      Notice.  Any notice
or other communication herein required or permitted to be given shall be in
writing and may be delivered in person or sent by facsimile transmission,
overnight courier, or by United States mail, registered or certified, return
receipt requested, postage prepaid and addressed as follows:

     

    
      
        	
                If to
      Guarantor:

              	 	 	 
	 	 	 	 
	 	 	 	 
	If to
      Investor:  	 	 	 
	 	 	 	 
	 	 	 	 
	 	 	 	 
	 	 	 	 

      

       

    

     

    or at such other address as may be
substituted by notice given as herein provided.  Every notice, demand,
request, consent, approval, declaration or other communication hereunder shall
be deemed to have been duly given or served on the date on which personally
delivered or sent by facsimile transmission or three (3) business days after the
same shall have been deposited in the United States mail.  If
sent by overnight courier service, the date of delivery shall be deemed to be
the next business day after deposited with such service.

     

    Section
9.                      Entire
Agreement.  This Guaranty constitute and contain the entire
agreement of the parties and supersedes any and all prior and contemporaneous
agreements, negotiations, correspondence, understandings and communications
between Guarantor and Investor, whether written or oral, respecting the subject
matter hereof and thereof.

     

    Section
10.                     Severability.  If
any provision of this Guaranty is held to be unenforceable under applicable law
for any reason, it shall be adjusted, if possible, rather than voided in order
to achieve the intent of Guarantor and Investor to the extent
possible.  In any event, all other provisions of this Guaranty shall
be deemed valid and enforceable to the full extent possible under applicable
law.

     

    Section
11.                     Assignment; Governing
Law.  This
Guaranty shall be binding upon and inure to the benefit of Guarantor and
Investor and their respective successors and
assigns, except that Guarantor shall not have the right to assign its rights
hereunder or any interest herein without the prior written consent of
Investor, which may be
granted or withheld in Investor’s sole discretion.  Any such purported
assignment by Guarantor without Investor’s written consent
shall be
void.  This Guaranty shall be governed by, and construed in
accordance with, the laws of the State of California without regard to principles thereof
regarding conflict of laws.

     

    
      [SIGNATURE
PAGE FOLLOWS]

    

    
    

     

    
      
        
        

      

      
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    IN
WITNESS WHEREOF, the undersigned has executed this Guaranty as of the day and
year first written above.

     

    
      
        	 	GUARANTOR:	 
	 	 	 
	 	SAIL
      VENTURE PARTNERS, L.P.	 
	 	 	 	 
	
                 

              	
                By:
      

              	 	 
	 	 	Name:	 
	 	 	
                Title:

              	 

      

    

     

     

    
      
        
        

      

      
        5

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