Document:

Exhibit 4.3

CERTIFICATE
NO. 144

NEITHER
THIS WARRANT NOR THE SECURITIES ISSUABLE UPON EXERCISE HEREOF HAVE BEEN
REGISTERED WITH THE UNITED STATES SECURITIES AND EXCHANGE COMMISSION OR THE
SECURITIES COMMISSION OF ANY STATE OR UNDER THE SECURITIES ACT OF 1933, AS
AMENDED (THE "SECURITIES ACT"). THIS WARRANT AND THE UNDERLYING SECURITIES ARE
RESTRICTED AND MAY NOT BE EXERCISED, OFFERED, RESOLD, PLEDGED OR TRANSFERRED
EXCEPT AS PERMITTED APPLICABLE FEDERAL (UNITED STATES), STATE AND FOREIGN
SECURITIES LAWS, PURSUANT TO EITHER AN EFFECTIVE REGISTRATON STATEMENT OR AN
EXEMPTION FROM SUCH REGISTRATION REQUIREMENTS.

HOUSE
OF BRUSSELS CHOCOLATES INC.

A
NEVADA CORPORATION

COMMON
STOCK PURCHASE WARRANT CERTIFICATE

November
6, 2003

	
      1.
	
      Issuance

THIS
IS TO CERTIFY THAT, for value
received, Fiserv
Cust FBO SDIRA Norena P. Walker of
13835
Crossing Way West, Edmond, OK 73013 (the
"Holder"), shall have the right to purchase from HOUSE
OF BRUSSELS CHOCOLATES INC., a
Nevada corporation (the "Corporation"), Three
Hundred Sixty-Five Thousand (365,000) fully
paid and nonassessable shares of the Corporation's Common Stock (the "Common
Stock") at an exercise price equal to $0.65
per share
(the "Exercise Price"), subject to further adjustment as set forth in Section 6
hereof, at any time from the
6th
day of November, 2004 until 5:00 P.M., Pacific time, on the
6th
day of November, 2007 (the "Expiration Date").

	
      2.
	
      Exercise
      of Warrants

This
Warrant is exercisable in whole or in partial allotments of no less than 1,000
shares at the Exercise Price per share of Common Stock payable hereunder,
payable in cash or by certified or official bank check. Upon surrender of this
Warrant Certificate with the annexed Notice of Exercise Form duly executed,
together with payment of the Exercise Price for the shares of Common Stock
purchased, the Holder shall be entitled to receive a certificate or certificates
for the shares of Common Stock so purchased. No fractional shares shall be
issued in connection with any exercise of this Warrant. In lieu of the issuance
of any fractional share, the Corporation shall make a cash payment equal to the
then fair market value of such fractional share as determined by the
Corporation's Board of Directors.

	
      3.
	
      Reservation
      of Shares

The
Corporation hereby agrees that at all times during the term of this Warrant
there shall be reserved for issuance upon exercise of this Warrant such number
of shares of its Common Stock as shall be required for issuance upon exercise of
this Warrant (the "Warrant Shares").

	
      4.
	
      Mutilation
      or Loss of Warrant

Upon
receipt by the Corporation of evidence satisfactory to it of the loss, theft,
destruction or mutilation of this Warrant, and (in the case of loss, theft or
destruction) receipt of reasonably satisfactory indemnification, and (in the
case of mutilation) upon surrender and cancellation of this Warrant, the
Corporation will execute and deliver a new Warrant of like tenor and date and
any such lost, stolen, destroyed or mutilated Warrant shall thereupon become
void.

 

 

	
      5.
	
      Rights
      of the Holder

The
Holder shall not, by virtue hereof, be entitled to any rights of a stockholder
in the Corporation, either at law or equity, and the rights of the Holder are
limited to those expressed in this Warrant and are not enforceable against the
Corporation except to the extent set forth herein.

	
      6.
	
      Protection
      Against Dilution

The
Exercise Price and the number of shares which can be purchased by the Holder
upon the exercise of this Warrant shall be subject to adjustment in the events
and in the manner following:

	 	
      (1)
	
      If
      and whenever the shares at any time outstanding shall be subdivided into a
      greater or consolidated into a lesser number of shares, the Exercise Price
      shall be decreased or increased proportionately as the case may be; upon
      any such subdivision or consolidation, the number of shares which can be
      purchased upon the exercise of this warrant certificate shall be increased
      or decreased proportionately as the case may
be.

	 	
      (2)
	
      In
      case of any capital reorganization or of any reclassification of the
      capital of the Corporation or in case of the consolidation, merger or
      amalgamation of the Corporation with or into any other company, this
      Warrant shall after such capital reorganization, reclassification of
      capital, consolidation, merger of amalgamation confer the right to
      purchase the number of shares or other securities of the Corporation or of
      the Corporation resulting from such capital reorganization,
      reclassification, consolidation, merger or amalgamation, as the case may
      be, to which the Holder of the shares deliverable at the time of such
      capital reorganization, reclassification of capital, consolidation, merger
      or amalgamation, upon the exercise of this Warrant would have been
      entitled. On such capital reorganization, reclassification, consolidation,
      merger of amalgamation appropriate adjustments shall be made in the
      application of the provisions set forth herein with respect to the rights
      and interest thereafter of the Holder of this Warrant so that the
      provisions set forth herein shall thereafter be applicable as nearly as
      may reasonably be in relation to any shares or other securities thereafter
      deliverable on the exercise of this
Warrant.

	 	
      (3)
	
      The
      rights of the Holder evidenced hereby are to purchase shares prior to or
      on the date set out on the face of this Warrant. If there shall, prior to
      the exercise of any of the rights evidenced hereby, be any reorganization
      of the authorized capital of the Corporation by way of consolidation,
      merger, subdivision, amalgamation or otherwise, or the payment of any
      stock dividends, then there shall automatically be an adjustment in either
      or both of the number of shares which may be purchased pursuant hereto or
      the price at which such shares may be purchased so that the rights
      evidenced hereby shall thereafter as reasonably as possible be equivalent
      to those originally granted hereby. The Corporation shall have the sole
      and exclusive power to make such adjustments as it considers necessary and
      desirable.

	 	
      (4)
	
      The
      adjustments provided for herein in the subscription rights represented by
      this Warrant are cumulative.

	
      7.
	
      Transfer
      to Comply with the Securities Act

This
Warrant and the Warrant Shares have not been registered under the Securities Act
of 1933, as amended, (the "Act") and has been issued to the Holder for
investment purposes and not with a view to the distribution of either the
Warrant or the Warrant Shares. Neither this Warrant nor any of the Warrant
Shares or any other security issued or issuable upon exercise of this Warrant
may be sold, transferred, pledged or hypothecated in the absence of an effective
registration statement under the Act relating to such security or an opinion of
counsel reasonably satisfactory to the Corporation that registration is not
required under the Act. Each certificate for the Warrant, the Warrant Shares and
any other security issued or issuable upon exercise of this Warrant shall
contain a legend on the face thereof, in form and substance satisfactory to
counsel for the Corporation, setting forth the restrictions on transfer
contained in this Section. The Holder understands that this Warrant and the
stock purchasable hereunder constitute "restricted securities" under federal
securities laws and acknowledges that Rule 144 of the Securities and Exchange
Commission is not now, and may not in the future be, available for resales of
this Warrant and/or the stock purchasable hereunder.

 

Page 2 of
5

 

All
certificates representing the Warrant Shares will be endorsed with the following
legend:

 

	
      "THE SECURITIES REPRESENTED BY THIS
      CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 (THE
      "ACT"), AND HAVE BEEN OFFERED AND SOLD IN RELIANCE UPON EXEMPTIONS FROM
      THE REGISTRATION REQUIREMENTS OF THE ACT. SUCH SECURITIES MAY NOT BE
      OFFERED FOR SALE, TRANSFERRED, PLEDGED OR RESOLD OR OTHERWISE TRANSFERRED
      UNLESS THEY ARE REGISTERED UNDER THE APPLICABLE PROVISIONS OF THE ACT OR
      ARE EXEMPT FROM SUCH REGISTRATION REQUIREMENTS."
	 

 

	
      8.
	
      Payment
      of Taxes

The
Corporation shall not be required to pay any tax or other charge imposed in
connection with the exercise of this Warrant or a permissible transfer involved
in the issuance of any certificate for shares issuable under this Warrant in the
name other than that of the Holder, and in any such case, the Corporation shall
not be required to issue or deliver any stock certificate until such tax or
other charge has been paid or it has been established to the Corporation's
satisfaction that no such tax or other charge is due.

	
      9.
	
      Notices

Any
notice required or permitted hereunder shall be given in writing and shall be
deemed effectively given upon, (a) by personal delivery or telecopy, or (ii) one
business day after deposit with a nationally recognized overnight delivery
service such as Federal Express, with postage and fees prepaid, addressed to
each of the other parties thereunto entitled at the following addresses, or at
such other addresses as a party may designate by written notice to each of the
other parties hereto.

	
      COMPANY:
	
      HOUSE
      OF BRUSSELS CHOCOLATES INC.

	
      
	
      Attention:
      Mr. L. Evan Baergen, Director

	
      
	
      Suite
      208, 750 Terminal Avenue

	
      
	
      Vancouver,
      British Columbia

	
      
	
      Canada
      V6A 2M5

	
      
	
      FAX:
      (604) 484-4945

	
      HOLDER:
	
      At
      the address set forth above

	
      10.
	
      Governing
      Law

This
Warrant shall be deemed to be a contract made under the laws of the State of
Nevada and for all purposes shall be governed by and construed in accordance
with the laws of such State applicable to contracts to be made and performed
entirely within such State.

IN
WITNESS WHEREOF, the
Corporation has caused this Warrant to be duly executed and delivered and its
seal placed hereon by its duly authorized officer.

HOUSE
OF BRUSSELS CHOCOLATES INC.

by its
authorized signatory:

 

	
      /s/
      L. Evan Baergen         
      
	
       

	
      L.
      Evan Baergen
	
       

	
      President
      and Director
	
       

 

Page 3 of
5

SUBSCRIPTION
FORM

	
      TO:
      
	
      HOUSE
      OF BRUSSELS CHOCOLATES INC.

	
      
	
      A
      Nevada Corporation

Dear
Sirs:

The
undersigned (the "Subscriber") hereby exercises the right to purchase and hereby
subscribes for _______________ common
shares in the capital stock of House of Brussels Chocolates Inc. (the "Shares")
referred to in the Warrant Certificate surrendered herewith according to the
terms and conditions thereof and herewith makes payment by cash, certified check
or bank draft of the purchase price in full for the said shares in accordance
with the Warrant.

Please
issue a certificate for the shares being purchased as follows in the name of the
Subscriber:

 

	NAME:
	
                  
      

	
       
	
              (Please
      Print)

	
       
	
       

	ADDRESS:
	
                 
      

	
       
	
       

	 
	
                
      

 

The
Subscriber represents and warrants to the Company that:

	 	
      (a)
	
      the
      Subscriber has not offered or sold the Shares within the meaning of the
      United States Securities
      Act of 1933
      (the "Securities Act");

	 	
      (b)
	
      the
      Subscriber is acquiring the Shares for its own account for investment,
      with no present intention of dividing its interest with others or of
      reselling or otherwise disposing of all or any portion of the
      same;

	 	
      (c)
	
      the
      Subscriber does not intend any sale of the Shares either currently or
      after the passage of a fixed or determinable period of time or upon the
      occurrence or non-occurrence of any predetermined event or
      circumstance;

	 	
      (d)
	
      the
      Subscriber has no present or contemplated agreement, undertaking,
      arrangement, obligation, indebtedness or commitment providing for or which
      is likely to compel a disposition of
Shares;

	 	
      (e)
	
      the
      Subscriber is not aware of any circumstances presently in existence which
      are likely in the future to prompt a disposition of the
      Shares;

	 	
      (f)
	
      the
      Shares were offered to the Subscriber in direct communication between the
      Subscriber and the Company and not through any advertisement of any
      kind;

	 	
      (g)
	
      the
      Subscriber has the financial means to bear the economic risk of the
      investment which it hereby agrees to make;

	 	
      (h)
	
      This
      subscription form will also confirm the Subscriber's understanding as
      follows:

	 	
      (i)
	
      the
      Shares have not been registered under the Securities Act or applicable
      state "Blue Sky" laws and, therefore, the Shares may not be resold,
      transferred or hypothecated without the registration of the Shares, or an
      opinion of counsel satisfactory to the Company to the effect that such
      registration is not necessary.

	 	
      (ii)
	
      Only
      the Company can take action to register the Shares under the Securities
      Act or applicable state securities law or to comply with the requirements
      for an exemption under the Securities Act or applicable state securities
      law, and the Company is under no obligation to do so, and does not propose
      to attempt to do so.

 

Page 4 of
5

 

	 	
      (iii)
	
      The
      following certificates representing the Shares will be endorsed with the
      following legend:

 

	
      "THE
      SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER
      THE SECURITIES ACT OF 1933 (THE "ACT"), AND HAVE BEEN OFFERED AND SOLD IN
      RELIANCE UPON EXEMPTIONS FROM THE REGISTRATION REQUIREMENTS OF THE ACT.
      SUCH SECURITIES MAY NOT BE OFFERED FOR SALE, TRANSFERRED, PLEDGED OR
      RESOLD OR OTHERWISE TRANSFERRED UNLESS THEY ARE REGISTERED UNDER THE
      APPLICABLE PROVISIONS OF THE ACT OR ARE EXEMPT FROM SUCH REGISTRATION
      REQUIREMENTS."
	 

	 	
      (i)
	
      the
      Subscriber is an "accredited investor", as defined in Rule 501 of
      Regulation D of the Securities Act.

Please
deliver a warrant certificate in respect of the common shares referred to in the
warrant certificate surrendered herewith but not presently subscribed for, to
the Subscriber.

DATED
this _____________________ day of
_____________________,
___________.

 

	Signature
      of Subscriber:
	
                
      

	
       
	
       

	Name
      of Subscriber:
	
                
      

	
       
	
       

	Address
      of Subscriber:
	
                
      

 

Page 5
of 5Exhibit 4.4

CERTIFICATE
NO. 145

NEITHER
THIS WARRANT NOR THE SECURITIES ISSUABLE UPON EXERCISE HEREOF HAVE BEEN
REGISTERED WITH THE UNITED STATES SECURITIES AND EXCHANGE COMMISSION OR THE
SECURITIES COMMISSION OF ANY STATE OR UNDER THE SECURITIES ACT OF 1933, AS
AMENDED (THE "SECURITIES ACT"). THIS WARRANT AND THE UNDERLYING SECURITIES ARE
RESTRICTED AND MAY NOT BE EXERCISED, OFFERED, RESOLD, PLEDGED OR TRANSFERRED
EXCEPT AS PERMITTED APPLICABLE FEDERAL (UNITED STATES), STATE AND FOREIGN
SECURITIES LAWS, PURSUANT TO EITHER AN EFFECTIVE REGISTRATON STATEMENT OR AN
EXEMPTION FROM SUCH REGISTRATION REQUIREMENTS.

HOUSE
OF BRUSSELS CHOCOLATES INC.

A
NEVADA CORPORATION

COMMON
STOCK PURCHASE WARRANT CERTIFICATE

November
6, 2003

	
      1.
	
      Issuance

THIS
IS TO CERTIFY THAT, for value
received, Fiserv
Cust FBO SDIRA William K. Walker of
13835
Crossing Way West, Edmond, OK 73013 (the
"Holder"), shall have the right to purchase from HOUSE
OF BRUSSELS CHOCOLATES INC., a
Nevada corporation (the "Corporation"), One
Hundred Eighty-Two Thousand (182,000) fully
paid and nonassessable shares of the Corporation's Common Stock (the "Common
Stock") at an exercise price equal to $0.65
per share
(the "Exercise Price"), subject to further adjustment as set forth in Section 6
hereof, at any time from the
6th
day of November, 2004 until 5:00 P.M., Pacific time, on the
6th
day of November, 2007 (the "Expiration Date").

	
      2.
	
      Exercise
      of Warrants

This
Warrant is exercisable in whole or in partial allotments of no less than 1,000
shares at the Exercise Price per share of Common Stock payable hereunder,
payable in cash or by certified or official bank check. Upon surrender of this
Warrant Certificate with the annexed Notice of Exercise Form duly executed,
together with payment of the Exercise Price for the shares of Common Stock
purchased, the Holder shall be entitled to receive a certificate or certificates
for the shares of Common Stock so purchased. No fractional shares shall be
issued in connection with any exercise of this Warrant. In lieu of the issuance
of any fractional share, the Corporation shall make a cash payment equal to the
then fair market value of such fractional share as determined by the
Corporation's Board of Directors.

	
      3.
	
      Reservation
      of Shares

The
Corporation hereby agrees that at all times during the term of this Warrant
there shall be reserved for issuance upon exercise of this Warrant such number
of shares of its Common Stock as shall be required for issuance upon exercise of
this Warrant (the "Warrant Shares").

	
      4.
	
      Mutilation
      or Loss of Warrant

Upon
receipt by the Corporation of evidence satisfactory to it of the loss, theft,
destruction or mutilation of this Warrant, and (in the case of loss, theft or
destruction) receipt of reasonably satisfactory indemnification, and (in the
case of mutilation) upon surrender and cancellation of this Warrant, the
Corporation will execute and deliver a new Warrant of like tenor and date and
any such lost, stolen, destroyed or mutilated Warrant shall thereupon become
void.

 

 

	
      5.
	
      Rights
      of the Holder

The
Holder shall not, by virtue hereof, be entitled to any rights of a stockholder
in the Corporation, either at law or equity, and the rights of the Holder are
limited to those expressed in this Warrant and are not enforceable against the
Corporation except to the extent set forth herein.

	
      6.
	
      Protection
      Against Dilution

The
Exercise Price and the number of shares which can be purchased by the Holder
upon the exercise of this Warrant shall be subject to adjustment in the events
and in the manner following:

	 	
      (1)
	
      If
      and whenever the shares at any time outstanding shall be subdivided into a
      greater or consolidated into a lesser number of shares, the Exercise Price
      shall be decreased or increased proportionately as the case may be; upon
      any such subdivision or consolidation, the number of shares which can be
      purchased upon the exercise of this warrant certificate shall be increased
      or decreased proportionately as the case may
be.

	 	
      (2)
	
      In
      case of any capital reorganization or of any reclassification of the
      capital of the Corporation or in case of the consolidation, merger or
      amalgamation of the Corporation with or into any other company, this
      Warrant shall after such capital reorganization, reclassification of
      capital, consolidation, merger of amalgamation confer the right to
      purchase the number of shares or other securities of the Corporation or of
      the Corporation resulting from such capital reorganization,
      reclassification, consolidation, merger or amalgamation, as the case may
      be, to which the Holder of the shares deliverable at the time of such
      capital reorganization, reclassification of capital, consolidation, merger
      or amalgamation, upon the exercise of this Warrant would have been
      entitled. On such capital reorganization, reclassification, consolidation,
      merger of amalgamation appropriate adjustments shall be made in the
      application of the provisions set forth herein with respect to the rights
      and interest thereafter of the Holder of this Warrant so that the
      provisions set forth herein shall thereafter be applicable as nearly as
      may reasonably be in relation to any shares or other securities thereafter
      deliverable on the exercise of this
Warrant.

	 	
      (3)
	
      The
      rights of the Holder evidenced hereby are to purchase shares prior to or
      on the date set out on the face of this Warrant. If there shall, prior to
      the exercise of any of the rights evidenced hereby, be any reorganization
      of the authorized capital of the Corporation by way of consolidation,
      merger, subdivision, amalgamation or otherwise, or the payment of any
      stock dividends, then there shall automatically be an adjustment in either
      or both of the number of shares which may be purchased pursuant hereto or
      the price at which such shares may be purchased so that the rights
      evidenced hereby shall thereafter as reasonably as possible be equivalent
      to those originally granted hereby. The Corporation shall have the sole
      and exclusive power to make such adjustments as it considers necessary and
      desirable.

	 	
      (4)
	
      The
      adjustments provided for herein in the subscription rights represented by
      this Warrant are cumulative.

	
      7.
	
      Transfer
      to Comply with the Securities Act

This
Warrant and the Warrant Shares have not been registered under the Securities Act
of 1933, as amended, (the "Act") and has been issued to the Holder for
investment purposes and not with a view to the distribution of either the
Warrant or the Warrant Shares. Neither this Warrant nor any of the Warrant
Shares or any other security issued or issuable upon exercise of this Warrant
may be sold, transferred, pledged or hypothecated in the absence of an effective
registration statement under the Act relating to such security or an opinion of
counsel reasonably satisfactory to the Corporation that registration is not
required under the Act. Each certificate for the Warrant, the Warrant Shares and
any other security issued or issuable upon exercise of this Warrant shall
contain a legend on the face thereof, in form and substance satisfactory to
counsel for the Corporation, setting forth the restrictions on transfer
contained in this Section. The Holder understands that this Warrant and the
stock purchasable hereunder constitute "restricted securities" under federal
securities laws and acknowledges that Rule 144 of the Securities and Exchange
Commission is not now, and may not in the future be, available for resales of
this Warrant and/or the stock purchasable hereunder.

 

Page 2 of
5

 

All
certificates representing the Warrant Shares will be endorsed with the following
legend:

 

	
      "THE
      SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER
      THE SECURITIES ACT OF 1933 (THE "ACT"), AND HAVE BEEN OFFERED AND SOLD IN
      RELIANCE UPON EXEMPTIONS FROM THE REGISTRATION REQUIREMENTS OF THE ACT.
      SUCH SECURITIES MAY NOT BE OFFERED FOR SALE, TRANSFERRED, PLEDGED OR
      RESOLD OR OTHERWISE TRANSFERRED UNLESS THEY ARE REGISTERED UNDER THE
      APPLICABLE PROVISIONS OF THE ACT OR ARE EXEMPT FROM SUCH REGISTRATION
      REQUIREMENTS."
	 

	
      8.
	
      Payment
      of Taxes

The
Corporation shall not be required to pay any tax or other charge imposed in
connection with the exercise of this Warrant or a permissible transfer involved
in the issuance of any certificate for shares issuable under this Warrant in the
name other than that of the Holder, and in any such case, the Corporation shall
not be required to issue or deliver any stock certificate until such tax or
other charge has been paid or it has been established to the Corporation's
satisfaction that no such tax or other charge is due.

	
      9.
	
      Notices

Any
notice required or permitted hereunder shall be given in writing and shall be
deemed effectively given upon, (a) by personal delivery or telecopy, or (ii) one
business day after deposit with a nationally recognized overnight delivery
service such as Federal Express, with postage and fees prepaid, addressed to
each of the other parties thereunto entitled at the following addresses, or at
such other addresses as a party may designate by written notice to each of the
other parties hereto.

	
      COMPANY:
	
      HOUSE
      OF BRUSSELS CHOCOLATES INC.

	
      
	
      Attention:
      Mr. L. Evan Baergen, Director

	
      
	
      Suite
      208, 750 Terminal Avenue

	
      
	
      Vancouver,
      British Columbia

	
      
	
      Canada
      V6A 2M5

	
      
	
      FAX:
      (604) 484-4945

	
      HOLDER:
	
      At
      the address set forth above

	
      10.
	
      Governing
      Law

This
Warrant shall be deemed to be a contract made under the laws of the State of
Nevada and for all purposes shall be governed by and construed in accordance
with the laws of such State applicable to contracts to be made and performed
entirely within such State.

IN
WITNESS WHEREOF, the
Corporation has caused this Warrant to be duly executed and delivered and its
seal placed hereon by its duly authorized officer.

HOUSE
OF BRUSSELS CHOCOLATES INC.

by its
authorized signatory:

 

	
      /s/
      L. Evan Baergen         
      
	
       

	
      L.
      Evan Baergen
	
       

	
      President
      and Director
	
       

Page 3 of
5

SUBSCRIPTION
FORM

	
      TO:
      
	
      HOUSE
      OF BRUSSELS CHOCOLATES INC.

	
      
	
      A
      Nevada Corporation

Dear
Sirs:

The
undersigned (the "Subscriber") hereby exercises the right to purchase and hereby
subscribes for ________________ common
shares in the capital stock of House of Brussels Chocolates Inc. (the "Shares")
referred to in the Warrant Certificate surrendered herewith according to the
terms and conditions thereof and herewith makes payment by cash, certified check
or bank draft of the purchase price in full for the said shares in accordance
with the Warrant.

Please
issue a certificate for the shares being purchased as follows in the name of the
Subscriber:

 

	NAME:
	
                  
      

	
       
	
              (Please
      Print)

	 
	
       

	ADDRESS:
	
                 
      

	
       
	
       

	 
	
                
      

 

The
Subscriber represents and warrants to the Company that:

	 	
      (a)
	
      the
      Subscriber has not offered or sold the Shares within the meaning of the
      United States Securities
      Act of 1933
      (the "Securities Act");

	 	
      (b)
	
      the
      Subscriber is acquiring the Shares for its own account for investment,
      with no present intention of dividing its interest with others or of
      reselling or otherwise disposing of all or any portion of the
      same;

	 	
      (c)
	
      the
      Subscriber does not intend any sale of the Shares either currently or
      after the passage of a fixed or determinable period of time or upon the
      occurrence or non-occurrence of any predetermined event or
      circumstance;

	 	
      (d)
	
      the
      Subscriber has no present or contemplated agreement, undertaking,
      arrangement, obligation, indebtedness or commitment providing for or which
      is likely to compel a disposition of
Shares;

	 	
      (e)
	
      the
      Subscriber is not aware of any circumstances presently in existence which
      are likely in the future to prompt a disposition of the
      Shares;

	 	
      (f)
	
      the
      Shares were offered to the Subscriber in direct communication between the
      Subscriber and the Company and not through any advertisement of any
      kind;

	 	
      (g)
	
      the
      Subscriber has the financial means to bear the economic risk of the
      investment which it hereby agrees to make;

	 	
      (h)
	
      This
      subscription form will also confirm the Subscriber's understanding as
      follows:

	 	
      (i)
	
      the
      Shares have not been registered under the Securities Act or applicable
      state "Blue Sky" laws and, therefore, the Shares may not be resold,
      transferred or hypothecated without the registration of the Shares, or an
      opinion of counsel satisfactory to the Company to the effect that such
      registration is not necessary.

	 	
      (ii)
	
      Only
      the Company can take action to register the Shares under the Securities
      Act or applicable state securities law or to comply with the requirements
      for an exemption under the Securities Act or applicable state securities
      law, and the Company is under no obligation to do so, and does not propose
      to attempt to do so.

 

Page 4 of
5

 

	 	
      (iii)
	
      The
      following certificates representing the Shares will be endorsed with the
      following legend:

 

	
      "THE SECURITIES REPRESENTED BY THIS
      CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 (THE
      "ACT"), AND HAVE BEEN OFFERED AND SOLD IN RELIANCE UPON EXEMPTIONS FROM
      THE REGISTRATION REQUIREMENTS OF THE ACT. SUCH SECURITIES MAY NOT BE
      OFFERED FOR SALE, TRANSFERRED, PLEDGED OR RESOLD OR OTHERWISE TRANSFERRED
      UNLESS THEY ARE REGISTERED UNDER THE APPLICABLE PROVISIONS OF THE ACT OR
      ARE EXEMPT FROM SUCH REGISTRATION REQUIREMENTS."
	 

 

	 	
      (i)
	
      the
      Subscriber is an "accredited investor", as defined in Rule 501 of
      Regulation D of the Securities Act.

Please
deliver a warrant certificate in respect of the common shares referred to in the
warrant certificate surrendered herewith but not presently subscribed for, to
the Subscriber.

DATED
this ________________ day of
____________________,
__________.

	Signature
      of Subscriber:
	
                
      

	
       
	
       

	Name
      of Subscriber:
	
                
      

	
       
	
       

	Address
      of Subscriber:
	
                
      

 

 

Page 5
of 5

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00083-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00083-of-00352.parquet"}]]