Document:

Exhibit 10.21

 

FORM OF AMENDED AND RESTATED 

REGISTRATION RIGHTS AGREEMENT

 

THIS AMENDED AND RESTATED
REGISTRATION RIGHTS AGREEMENT (this “Agreement”) is entered into as of [______________], 2014, by and
among [MergeWorthRx Corp.], a Delaware corporation (the “Company”), and the undersigned parties listed
as Investors on the signature page hereto (each, an “Investor” and collectively, the “Investors”).

 

WHEREAS, the Company
and certain of the Investors (the “Original Investors”) are parties to that certain Registration Rights
Agreement, dated June 26, 2013 (the “Prior Agreement”);

 

WHEREAS, the Original
Investors currently hold (i) shares of Common Stock issued by the Company prior to the consummation of the Company’s initial
public offering (the “Founders’ Shares”) and (ii) shares of Common Stock issued by the Company
simultaneously with the consummation of the Company’s initial public offering (the “Sponsors’ Shares”);

 

WHEREAS, certain of
the Investors are acquiring, on or about the date hereof, shares of Common Stock pursuant to that certain Agreement and Plan of
Merger and Reorganization (the “Merger Agreement”), dated as of October 14, 2014, by and among the Company,
Anvil Merger Sub, Inc., a Delaware corporation and wholly-owned subsidiary of the Company, AeroCare Holdings, Inc., a Delaware
corporation, and FFC Aerocare SR, LLC, a Delaware limited liability company (the “Merger Shares”); and

 

WHEREAS, the parties
to the Prior Agreement desire to amend and restate the Prior Agreement to provide for the terms and conditions included herein
and to include certain of the recipients of Common Stock pursuant to the Merger Agreement.

 

NOW, THEREFORE, in
consideration of the mutual covenants and agreements set forth herein, and for other good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, the parties hereto agree as follows:

 

1.      
    DEFINITIONS. The following capitalized terms used herein have the following
meanings:

 

“Agreement”
means this Agreement, as amended, restated, supplemented, or otherwise modified from time to time.

 

“Commission”
means the Securities and Exchange Commission, or any other Federal agency then administering the Securities Act or the Exchange
Act.

 

“Common
Stock” means the common stock, par value $0.0001 per share, of the Company.

 

“Company”
is defined in the preamble to this Agreement.

 

“Demand
Registration” is defined in Section 2.2.1.

 

    	 

    	 

    

 

“Demand
Takedown” is defined in Section 2.1.5(a).

 

“Demanding
Holder” is defined in Section 2.2.1.

 

“Earn-Out
Shares” means the shares of Common Stock of the Company issued or issuable from time to time to Investors after the
date hereof pursuant to Section 1.13 of the Merger Agreement.

 

“Effectiveness
Period” is defined in Section 3.1.3.

 

“Exchange
Act” means the Securities Exchange Act of 1934, as amended, and the rules and regulations of the Commission promulgated
thereunder, all as the same shall be in effect at the time.

 

“Form S-3”
is defined in Section 2.3.4.

 

“Founders’
Shares” is defined in the preamble to this Agreement.

 

“Indemnified
Party” is defined in Section 4.3.

 

“Indemnifying
Party” is defined in Section 4.3.

 

“Investor”
is defined in the preamble to this Agreement.

 

“Investor
Indemnified Party” is defined in Section 4.1.

 

“Maximum
Number of Shares” is defined in Section 2.2.4.

 

“Merger
Shares” is defined in the preamble to this Agreement.

 

“New Registration
Statement” is defined in Section 2.2.4.

 

“Notices”
is defined in Section 6.3.

 

“Option
Securities” is defined in Section 2.2.4.

 

“Original
Investors” is defined in the preamble to this Agreement.

 

“Piggy-Back
Registration” is defined in Section 2.3.1.

 

“Pro Rata”
is defined in Section 2.2.4.

 

“Register,”
“Registered” and “Registration” mean a registration effected by preparing and
filing a registration statement or similar document in compliance with the requirements of the Securities Act, and the applicable
rules and regulations promulgated thereunder, and such registration statement becoming effective.

 

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“Registrable
Securities” means (i) the Founders’ Shares and the Sponsors’ Shares, (ii) the Merger Shares and, following
their issuance, the Earn-Out Shares, (iii) any Working Capital Shares, and (iv) all shares of Common Stock issued to any holder
with respect to the securities referred to in clauses (i), (ii), and (iii) above by way of any stock split, stock dividend or other
distribution, recapitalization, share exchange, share reconstruction, amalgamation, contractual control arrangement or similar
event. As to any particular Registrable Securities, such securities shall cease to be Registrable Securities when: (a) a Registration
Statement with respect to the sale of such securities shall have become effective under the Securities Act and such securities
shall have been sold, transferred, disposed of or exchanged in accordance with such Registration Statement; (b) such securities
shall have been otherwise transferred, new certificates for them not bearing a legend restricting further transfer shall have been
delivered by the Company and subsequent public distribution of them shall not require registration under the Securities Act; (c)
such securities shall have ceased to be outstanding, or (d) such securities are eligible for resale under Rule 144 without volume
limitations.

 

“Registration
Statement” means a registration statement filed by the Company with the Commission in compliance with the Securities
Act and the rules and regulations promulgated thereunder for a public offering and sale of equity securities, or securities or
other obligations exercisable or exchangeable for, or convertible into, equity securities (other than a registration statement
on Form S-4 or Form S-8, or their successors, or any registration statement covering only securities proposed to be issued in exchange
for securities or assets of another entity).

 

“Release
Date” means the date on which Founders’ Shares are disbursed from escrow pursuant to Section 3 of that certain
Stock Escrow Agreement dated as of June 26, 2013 by and among certain of the Investors and Continental Stock Transfer & Trust
Company.

 

“Resale
Shelf Registration Statement” is defined in Section 2.1.1.

 

“Requesting
Holder” is defined in Section 2.1.4(a).

 

“SEC Guidance”
is defined in Section 2.2.4.

 

“Securities
Act” means the Securities Act of 1933, as amended, and the rules and regulations of the Commission promulgated thereunder,
all as the same shall be in effect at the time.

 

“Selling
Holders” is defined in Section 2.1.5(a)(ii).

 

“Sponsors’
Shares” is defined in the preamble to this Agreement.

 

“Underwriter”
means a securities dealer who purchases any Registrable Securities as principal in an underwritten offering and not as part of
such dealer’s market-making activities.

 

“Underwritten
Takedown” shall mean an underwritten public offering of Registrable Securities pursuant to the Resale Shelf Registration
Statement, as amended or supplemented.

 

“Working
Capital Shares” means any shares of Common Stock issued or issuable upon the exercise of any equity security of the
Company or upon conversion of any working capital loans made to the Company by any holder of Registrable Securities.

 

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2.          REGISTRATION
RIGHTS.

 

2.1         Resale
Shelf Registration Rights.

 

2.1.1           Registration
Statement Covering Resale of Registrable Securities. The Company shall prepare and file or cause to be prepared and filed with
the Commission, no later than thirty (30) days following the date of this Agreement, a Registration Statement for an offering to
be made on a continuous basis pursuant to Rule 415 of the Securities Act registering the resale from time to time by Investors
of all of the Registrable Securities held by Investors and the Option Securities (the “Resale Shelf Registration Statement”).
The Resale Shelf Registration Statement shall be on Form S-3 or another appropriate form permitting Registration of such Registrable
Securities for resale by such Investors. The Company shall use reasonable best efforts to cause the Resale Shelf Registration Statement
to be declared effective as soon as possible after filing, and once effective, to keep the Resale Shelf Registration Statement
continuously effective under the Securities Act at all times until the expiration of the Effectiveness Period.

 

2.1.2           Notification
and Distribution of Materials. The Company shall notify the Investors in writing of the effectiveness of the Resale Shelf Registration
Statement and shall furnish to them, without charge, such number of copies of the Resale Shelf Registration Statement (including
any amendments, supplements and exhibits), the Prospectus contained therein (including each preliminary prospectus and all related
amendments and supplements) and any documents incorporated by reference in the Resale Shelf Registration Statement or such other
documents as the Investors may reasonably request in order to facilitate the sale of the Registrable Securities in the manner described
in the Resale Shelf Registration Statement.

 

2.1.3           Amendments
and Supplements. Subject to the provisions of Section 2.1.1 above, the Company shall promptly prepare and file with
the Commission from time to time such amendments and supplements to the Resale Shelf Registration Statement and Prospectus used
in connection therewith (i) as may be necessary to keep the Resale Shelf Registration Statement effective and to comply with the
provisions of the Securities Act with respect to the disposition of all the Registrable Securities during the Effectiveness Period
and (ii) to include the registration for resale from time to time by Investors any Earn-Out Shares as soon as reasonably practicable
following issuance thereof.

 

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2.1.4        Notwithstanding
the registration obligations set forth in this Section 2.1, in the event the Commission informs the Company that all of
the Registrable Securities cannot, as a result of the application of Rule 415, be registered for resale as a secondary offering
on a single registration statement, the Company agrees to promptly (i) inform each of the holders thereof and use its commercially
reasonable efforts to file amendments to the Resale Shelf Registration Statement as required by the Commission and/or (ii) withdraw
the Resale Shelf Registration Statement and file a new registration statement (a “New Registration Statement”),
in either case covering the maximum number of Registrable Securities permitted to be registered by the Commission, on Form S-3
or such other form available to register for resale the Registrable Securities as a secondary offering; provided, however,
that prior to filing such amendment or New Registration Statement, the Company shall be obligated to use its commercially reasonable
efforts to advocate with the Commission for the registration of all of the Registrable Securities in accordance with any publicly-available
written or oral guidance, comments, requirements or requests of the Commission staff (the “SEC Guidance”),
including without limitation, the Manual of Publicly Available Telephone Interpretations D.29. Notwithstanding any other provision
of this Agreement, if any SEC Guidance sets forth a limitation of the number of Registrable Securities permitted to be registered
on a particular Registration Statement as a secondary offering (and notwithstanding that the Company used diligent efforts to advocate
with the Commission for the registration of all or a greater number of Registrable Securities), unless otherwise directed in writing
by a Holder as to its Registrable Securities, the number of Registrable Securities to be registered on such Registration Statement
will first be reduced by Registrable Securities other than the Sponsors’ Shares (applied on a pro rata basis based on the
total number of Registrable Securities held by such Investors, subject to a determination by the Commission that certain Investors
must be reduced first based on the number of Registrable Securities held by such Investors) and second by Registrable Securities
represented by the Sponsors’ Shares (applied on a pro rata basis based on the total number of Sponsors’ Shares held
by such Investors, subject to a determination by the Commission that certain Investors must be reduced first based on the number
of Registrable Securities held by such Investors). In the event the Company amends the Resale Shelf Registration Statement or files
a New Registration Statement, as the case may be, under clauses (i) or (ii) above, the Company will use its commercially reasonable
efforts to file with the Commission, as promptly as allowed by Commission or SEC Guidance provided to the Company or to registrants
of securities in general, one or more registration statements on Form S-3 or such other form available to register for resale those
Registrable Securities that were not registered for resale on the Resale Shelf Registration Statement, as amended, or the New Registration
Statement.

 

2.1.5        Notice
of Certain Events. The Company shall promptly notify the Investors in writing of any request by the Commission for any amendment
or supplement to, or additional information in connection with, the Resale Shelf Registration Statement required to be prepared
and filed hereunder (or Prospectus relating thereto). The Company shall promptly notify each Investor in writing of the filing
of the Resale Shelf Registration Statement or any Prospectus, amendment or supplement related thereto or any post-effective amendment
to the Resale Shelf Registration Statement and the effectiveness of any post-effective amendment.

 

(a)          If
the Company shall receive a request from (x) the holders of at least 2,000,000 shares of Registrable Securities, provided that
the estimated market value of the Registrable Securities is at least $20,000,000 (the requesting holder(s) shall be referred to
herein as the “Requesting Holder”) that the Company effect the Underwritten Takedown of all or any portion
of the Requesting Holder’s Registrable Securities, and specifying the intended method of disposition thereof, then the Company
shall promptly give notice of such requested Underwritten Takedown (each such request shall be referred to herein as a “Demand
Takedown”) at least ten (10) Business Days prior to the anticipated filing date of the prospectus or supplement relating
to such Demand Takedown to the other Holders and thereupon shall use its reasonable best efforts to effect, as expeditiously as
possible, the offering in such Underwritten Takedown of:

 

(i)          subject
to the restrictions set forth in Section 2.2.4, all Registrable Securities for which the Requesting Holder has requested
such offering under Section 2.1.4(a), and

 

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(ii)         subject
to the restrictions set forth in Section 2.2.4, all other Registrable Securities that any holders of Registrable Securities
(all such holders, together with the Requesting Holder, the “Selling Holders”) have requested the Company
to offer by request received by the Company within seven Business Days after such holders receive the Company’s notice of
the Demand Takedown, all to the extent necessary to permit the disposition (in accordance with the intended methods thereof as
aforesaid) of the Registrable Securities so to be offered.

 

(b)          Promptly
after the expiration of the seven-Business Day-period referred to in Section 2.1.4(a)(ii), the Company will notify
all Selling Holders of the identities of the other Selling Holders and the number of shares of Registrable Securities requested
to be included therein.

 

(c)          The
Company shall only be required to effectuate one Underwritten Takedown within any six-month period

 

(d)          If
the managing underwriter in an Underwritten Takedown advises the Company and the Requesting Holder that, in its view, the number
of shares of Registrable Securities requested to be included in such underwritten offering exceeds the largest number of shares
that can be sold without having an adverse effect on such offering, including the price at which such shares can be sold, the shares
included in such Underwritten Takedown will be reduced by the Registrable Securities held by the Selling Holders (applied on a
pro rata basis based on the total number of Registrable Securities held by such Investors, subject to a determination by the Commission
that certain Investors must be reduced first based on the number of Registrable Securities held by such Investors).

 

2.1.6           Selection
of Underwriters. Selling Holders holding a majority in interest of the Registrable Securities
requested to be sold in an Underwritten Takedown shall have the right to select an Underwriter or Underwriters in connection with
such Underwritten Takedown, which Underwriter or Underwriters shall be reasonably acceptable to the Company. In connection with
an Underwritten Takedown, the Company shall enter into customary agreements (including an underwriting agreement in customary form)
and take such other actions as are reasonably required in order to expedite or facilitate the disposition of the Registrable Securities
in such Underwritten Takedown, including, if necessary, the engagement of a “qualified independent underwriter” in
connection with the qualification of the underwriting arrangements with the Financial Industry Regulatory Authority, Inc.

 

2.1.7           Registrations
effected pursuant to this Section 2.1 shall not be counted as Demand Registrations effected pursuant to Section 2.1.

 

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2.2         Demand
Registration.

 

2.2.1           Request
for Registration. At any time and from time to time with respect to the Sponsors’ Shares and Working Capital Shares or
three months prior to the initial Release Date with respect to all other Registrable Securities of the Original Investors, the
holders of a majority-in-interest of such Sponsors’ Shares or other Registrable Securities, as the case may be, may make
a written demand for Registration under the Securities Act of all or any portion of their Sponsors’ Shares or other Registrable
Securities on Form S-1 or any similar long-form Registration or, if, then available, on Form S-3. Each registration requested pursuant
to this Section 2.2.1 is referred to herein as a “Demand Registration”. Any demand for a Demand
Registration shall specify the number of shares of Registrable Securities proposed to be sold and the intended method(s) of distribution
thereof. The Company will notify all Original Investors that are holders of Registrable Securities of the demand, and each such
holder of Registrable Securities who wishes to include all or a portion of such holder’s Registrable Securities in the Demand
Registration (each such holder including shares of Registrable Securities in such registration, a “Demanding Holder”)
shall so notify the Company within fifteen (15) days after the receipt by the holder of the notice from the Company. Upon any such
request, the Demanding Holders shall be entitled to have their Registrable Securities included in the Demand Registration, subject
to Section 2.2.4 and the provisos set forth in Section 3.1.1. The Company shall not be obligated to effect more than
an aggregate of two (2) Demand Registrations under this Section 2.2.1 in respect of all Registrable Securities.

 

2.2.2           Effective
Registration. A Registration will not count as a Demand Registration until the Registration Statement filed with the Commission
with respect to such Demand Registration has been declared effective and the Company has complied with all of its obligations under
this Agreement with respect thereto; provided, however, that if, after such Registration Statement has been declared effective,
the offering of Registrable Securities pursuant to a Demand Registration is interfered with by any stop order or injunction of
the Commission or any other governmental agency or court, the Registration Statement with respect to such Demand Registration will
be deemed not to have been declared effective, unless and until, (i) such stop order or injunction is removed, rescinded or otherwise
terminated, and (ii) a majority-in-interest of the Demanding Holders thereafter elect to continue the offering; provided, further,
that the Company shall not be obligated to file a second Registration Statement until a Registration Statement that has been filed
is counted as a Demand Registration or is terminated.

 

2.2.3           Underwritten
Offering. If a majority-in-interest of the Demanding Holders so elect and such holders so advise the Company as part of their
written demand for a Demand Registration, the offering of such Registrable Securities pursuant to such Demand Registration shall
be in the form of an underwritten offering. In such event, the right of any holder to include its Registrable Securities in such
registration shall be conditioned upon such holder’s participation in such underwriting and the inclusion of such holder’s
Registrable Securities in the underwriting to the extent provided herein. All Demanding Holders proposing to distribute their Registrable
Securities through such underwriting shall enter into an underwriting agreement in customary form with the Underwriter or Underwriters
selected for such underwriting by a majority-in-interest of the holders initiating the Demand Registration, and subject to the
approval of the Company.

 

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2.2.4           Reduction
of Offering. If the managing Underwriter or Underwriters for a Demand Registration that is to be an underwritten offering advises
the Company and the Demanding Holders in writing that the dollar amount or number of shares of Registrable Securities which the
Demanding Holders desire to sell, taken together with all other shares of Common Stock or other securities which the Company desires
to sell and the shares of Common Stock, if any, as to which registration has been requested pursuant to written contractual piggy-back
registration rights held by other stockholders of the Company who desire to sell, exceeds the maximum dollar amount or maximum
number of shares that can be sold in such offering without adversely affecting the proposed offering price, the timing, the distribution
method, or the probability of success of such offering (such maximum dollar amount or maximum number of shares, as applicable,
the “Maximum Number of Shares”), then the Company shall include in such registration: (i) first, the
Registrable Securities as to which Demand Registration has been requested by the Demanding Holders (pro rata in accordance with
the number of shares that each such Person has requested be included in such registration, regardless of the number of shares held
by each such Person (such proportion is referred to herein as "Pro Rata")) that can be sold without exceeding
the Maximum Number of Shares; (ii) second, to the extent that the Maximum Number of Shares has not been reached under the foregoing
clause (i), the shares of Common Stock or other securities that the Company desires to sell that can be sold without exceeding
the Maximum Number of Shares; (iii) third, to the extent that the Maximum Number of Shares has not been reached under the foregoing
clauses (i) and (ii), the shares of Common Stock or other securities registrable pursuant to the terms of the Purchase Option issued
to EarlyBirdCapital, Inc. or its designees in connection with the Company’s initial public offering (the “Purchase
Options” and such registrable securities, the “Option Securities”) and (iv) fourth, the
shares of Common Stock or other securities for the account of other persons that the Company is obligated to register pursuant
to written contractual arrangements with such persons, as to which “piggy-back” registration has been requested by
the holders thereof, Pro Rata, that can be sold without exceeding the Maximum Number of Shares.

 

2.2.5           Withdrawal.
If a majority-in-interest of the Demanding Holders disapprove of the terms of any underwriting or are not entitled to include all
of their Registrable Securities in any offering, such majority-in-interest of the Demanding Holders may elect to withdraw from
such offering by giving written notice to the Company and the Underwriter or Underwriters of their request to withdraw prior to
the effectiveness of the Registration Statement filed with the Commission with respect to such Demand Registration. If the majority-in-interest
of the Demanding Holders withdraws from a proposed offering relating to a Demand Registration, then either the Demanding Holders
shall reimburse the Company for the costs associated with the withdrawn registration (in which case such registration shall not
count as a Demand Registration provided for in Section 2.1) or the withdrawn registration shall count as a Demand Registration
provided for in Section 2.1.

 

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2.3         Piggy-Back
Registration.

 

2.3.1           Piggy-Back
Rights. If at any time the Company proposes to file a Registration Statement under the Securities Act with respect to an offering
of equity securities, or securities or other obligations exercisable or exchangeable for, or convertible into, equity securities,
by the Company for its own account or for shareholders of the Company for their account (or by the Company and by shareholders
of the Company including, without limitation, pursuant to Section 2.1), other than a Registration Statement (i) filed in
connection with any employee stock option or other benefit plan, (ii) for an exchange offer or offering of securities solely to
the Company’s existing shareholders, (iii) for an offering of debt that is convertible into equity securities of the Company
or (iv) for a dividend reinvestment plan, then the Company shall (x) give written notice of such proposed filing to the holders
of Registrable Securities as soon as practicable but in no event less than ten (10) days before the anticipated filing date, which
notice shall describe the amount and type of securities to be included in such offering, the intended method(s) of distribution,
and the name of the proposed managing Underwriter or Underwriters, if any, of the offering, and (y) offer to the holders of Registrable
Securities in such notice the opportunity to register the sale of such number of shares of Registrable Securities as such holders
may request in writing within five (5) days following receipt of such notice (a “Piggy-Back Registration”).
The Company shall cause such Registrable Securities to be included in such registration and shall use its best efforts to cause
the managing Underwriter or Underwriters of a proposed underwritten offering to permit the Registrable Securities requested to
be included in a Piggy-Back Registration on the same terms and conditions as any similar securities of the Company and to permit
the sale or other disposition of such Registrable Securities in accordance with the intended method(s) of distribution thereof.
All holders of Registrable Securities proposing to distribute their securities through a Piggy-Back Registration that involves
an Underwriter or Underwriters shall enter into an underwriting agreement in customary form with the Underwriter or Underwriters
selected for such Piggy-Back Registration.

 

2.3.2        Reduction
of Offering. If the managing Underwriter or Underwriters for a Piggy-Back Registration that is to be an underwritten offering
advises the Company and the holders of Registrable Securities in writing that the dollar amount or number of shares of Common Stock
which the Company desires to sell, taken together with shares of Common Stock, if any, as to which registration has been demanded
pursuant to written contractual arrangements with persons other than the holders of Registrable Securities hereunder and the Registrable
Securities as to which registration has been requested under this Section 2.3, exceeds the Maximum Number of Shares, then
the Company shall include in any such registration:

 

(a)          If
the registration is undertaken for the Company’s account: (A) first, the shares of Common Stock or other securities that
the Company desires to sell that can be sold without exceeding the Maximum Number of Shares; and (B) second, to the extent that
the Maximum Number of Shares has not been reached under the foregoing clause (A), the shares of Common Stock or other securities,
if any, comprised of Registrable Securities and Option Securities, as to which registration has been requested pursuant to the
terms hereof, that can be sold without exceeding the Maximum Number of Shares, Pro Rata; and (C) third, to the extent that the
Maximum Number of shares has not been reached under the foregoing clauses (A) and (B), the shares of Common Stock or other securities
for the account of other persons that the Company is obligated to register pursuant to written contractual piggy-back registration
rights with such persons and that can be sold without exceeding the Maximum Number of Shares; and

 

(b)          If
the registration is a “demand” registration undertaken at the demand of holders of Option Securities, (A) first, the
shares of Common Stock or other securities for the account of the demanding persons, Pro Rata, that can be sold without exceeding
the Maximum Number of Shares; (B) second, to the extent that the Maximum Number of Shares has not been reached under the foregoing
clause (A), the shares of Common Stock or other securities that the Company desires to sell that can be sold without exceeding
the Maximum Number of Shares; (C) third, to the extent that the Maximum Number of Shares has not been reached under the foregoing
clauses (A) and (B), the shares of Registrable Securities, Pro Rata, as to which registration has been requested pursuant to the
terms hereof, that can be sold without exceeding the Maximum Number of Shares; and (D) fourth, to the extent that the Maximum Number
of Shares has not been reached under the foregoing clauses (A), (B) and (C), the shares of Common Stock or other securities for
the account of other persons that the Company is obligated to register pursuant to written contractual arrangements with such persons,
that can be sold without exceeding the Maximum Number of Shares; and

 

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(c)          If
the registration is a “demand” registration undertaken at the demand of persons other than either the holders of Registrable
Securities or the Option Securities, (A) first, the shares of Common Stock or other securities for the account of the demanding
persons that can be sold without exceeding the Maximum Number of Shares; (B) second, to the extent that the Maximum Number of Shares
has not been reached under the foregoing clause (A), the shares of Common Stock or other securities that the Company desires to
sell that can be sold without exceeding the Maximum Number of Shares; (C) third, to the extent that the Maximum Number of Shares
has not been reached under the foregoing clauses (A) and (B), the shares of Common Stock or other securities, if any, comprised
of Registrable Securities and Option Securities, Pro Rata, as to which registration has been requested pursuant to the terms hereof
and of the Purchase Options, as applicable, that can be sold without exceeding the Maximum Number of Shares; and (D) fourth, to
the extent that the Maximum Number of Shares has not been reached under the foregoing clauses (A), (B) and (C), the shares of Common
Stock or other securities for the account of other persons that the Company is obligated to register pursuant to written contractual
arrangements with such persons, that can be sold without exceeding the Maximum Number of Shares.

 

2.3.3           Withdrawal.
Any holder of Registrable Securities may elect to withdraw such holder’s request for inclusion of Registrable Securities
in any Piggy-Back Registration by giving written notice to the Company of such request to withdraw prior to the effectiveness of
the Registration Statement. The Company (whether on its own determination or as the result of a withdrawal by persons making a
demand pursuant to written contractual obligations) may withdraw a Registration Statement at any time prior to the effectiveness
of such Registration Statement. Notwithstanding any such withdrawal, the Company shall pay all expenses incurred by the holders
of Registrable Securities in connection with such Piggy-Back Registration as provided in Section 3.3.

 

2.3.4           Registrations
on Form S-3. The holders of Registrable Securities may at any time and from time to time, but not more often than one time
per calendar year, request in writing that the Company register the resale of any or all of such Registrable Securities on Form
S-3 or any similar short-form registration which may be available at such time (“Form S-3”); provided,
however, that the Company shall not be obligated to effect such request through an underwritten offering. Upon receipt of such
written request, the Company will promptly give written notice of the proposed registration to all other holders of Registrable
Securities, and, as soon as practicable thereafter, effect the registration of all or such portion of such holder’s or Registrable
Securities as are specified in such request, together with all or such portion of the Registrable Securities or other securities
of the Company, if any, of any other holder or holders joining in such request as are specified in a written request given within
fifteen (15) days after receipt of such written notice from the Company; provided, however, that the Company shall not be obligated
to effect any such registration pursuant to this Section 2.3.4: (i) if Form S-3 is not available for such offering; or (ii)
if the holders of the Registrable Securities, together with the holders of any other securities of the Company entitled to inclusion
in such registration, propose to sell Registrable Securities and such other securities (if any) at any aggregate price to the public
of less than $500,000. Registrations effected pursuant to this Section 2.3.4 shall not be counted as Demand Registrations
effected pursuant to Section 2.1.

 

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3.            REGISTRATION
PROCEDURES.

 

3.1           Filings;
Information. Whenever the Company is required to effect the registration of any Registrable Securities pursuant to Section
2, the Company shall use its reasonable best efforts to effect the registration and sale of such Registrable Securities in
accordance with the intended method(s) of distribution thereof as expeditiously as practicable, and in connection with any such
request:

 

3.1.1           Filing
Registration Statement. The Company shall use its reasonable best efforts to, as expeditiously as possible after receipt of
a request for a Demand Registration pursuant to Section 2.1, prepare and file with the Commission a Registration Statement
on any form for which the Company then qualifies or which counsel for the Company shall deem appropriate and which form shall be
available for the sale of all Registrable Securities to be registered thereunder in accordance with the intended method(s) of distribution
thereof, and shall use its reasonable best efforts to cause such Registration Statement to become effective and use its reasonable
best efforts to keep it effective for the Effectiveness Period; provided, however, that the Company shall have the right to defer
any Demand Registration for up to ninety (90) days, and any Piggy-Back Registration for such period as may be applicable to deferment
of any Demand Registration to which such Piggy-Back Registration relates, in each case if the Company shall furnish to the holders
a certificate signed by the President or Chairman of the Company stating that, in the good faith judgment of the Board of Directors
of the Company, it would be materially detrimental to the Company and its shareholders for such Registration Statement to be effected
at such time; provided further, however, that the Company shall not have the right to exercise the right set forth in the immediately
preceding proviso for more than a total of ninety (90) days in any 365-day period in respect of a Demand Registration hereunder.

 

3.1.2           Copies.
The Company shall, prior to filing a Registration Statement or prospectus, or any amendment or supplement thereto, furnish without
charge to the holders of Registrable Securities included in such registration, and such holders’ legal counsel, copies of
such Registration Statement as proposed to be filed, each amendment and supplement to such Registration Statement (in each case
including all exhibits thereto and documents incorporated by reference therein), the prospectus included in such Registration Statement
(including each preliminary prospectus), and such other documents as the holders of Registrable Securities included in such registration
or legal counsel for any such holders may request in order to facilitate the disposition of the Registrable Securities owned by
such holders.

 

3.1.3           Amendments
and Supplements. The Company shall prepare and file with the Commission such amendments, including post-effective amendments,
and supplements to such Registration Statement and the prospectus used in connection therewith as may be necessary to keep such
Registration Statement effective and in compliance with the provisions of the Securities Act until all Registrable Securities and
other securities covered by such Registration Statement have been disposed of in accordance with the intended method(s) of distribution
set forth in such Registration Statement or such securities have been withdrawn (the “Effectiveness Period”).

 

    	11

    	 

    

 

3.1.4           Notification.
After the filing of a Registration Statement, the Company shall promptly, and in no event more than two (2) business days after
such filing, notify the holders of Registrable Securities included in such Registration Statement of such filing, and shall further
notify such holders promptly and confirm such advice in writing in all events within two (2) business days of the occurrence of
any of the following: (i) when such Registration Statement becomes effective; (ii) when any post-effective amendment to such Registration
Statement becomes effective; (iii) the issuance or threatened issuance by the Commission of any stop order (and the Company shall
take all actions required to prevent the entry of such stop order or to remove it if entered); and (iv) any request by the Commission
for any amendment or supplement to such Registration Statement or any prospectus relating thereto or for additional information
or of the occurrence of an event requiring the preparation of a supplement or amendment to such prospectus so that, as thereafter
delivered to the purchasers of the securities covered by such Registration Statement, such prospectus will not contain an untrue
statement of a material fact or omit to state any material fact required to be stated therein or necessary to make the statements
therein not misleading, and promptly make available to the holders of Registrable Securities included in such Registration Statement
any such supplement or amendment; except that before filing with the Commission a Registration Statement or prospectus or any amendment
or supplement thereto, including documents incorporated by reference, the Company shall furnish to the holders of Registrable Securities
included in such Registration Statement and to the legal counsel for any such holders, copies of all such documents proposed to
be filed sufficiently in advance of filing to provide such holders and legal counsel with a reasonable opportunity to review such
documents and comment thereon.

 

3.1.5           State
Securities Laws Compliance. The Company shall use its reasonable best efforts to (i) register or qualify the Registrable Securities
covered by the Registration Statement under such securities or “blue sky” laws of such jurisdictions in the United
States as the holders of Registrable Securities included in such Registration Statement (in light of their intended plan of distribution)
may reasonably request and (ii) take such action necessary to cause such Registrable Securities covered by the Registration Statement
to be registered with or approved by such other governmental authorities as may be necessary by virtue of the business and operations
of the Company and do any and all other acts and things that may be necessary or advisable to enable the holders of Registrable
Securities included in such Registration Statement to consummate the disposition of such Registrable Securities in such jurisdictions;
provided, however, that the Company shall not be required to qualify generally to do business in any jurisdiction where it would
not otherwise be required to qualify but for this paragraph or subject itself to taxation in any such jurisdiction.

 

3.1.6           Agreements
for Disposition. The Company shall enter into customary agreements (including, if applicable, an underwriting agreement in
customary form) and take such other actions as are reasonably required in order to expedite or facilitate the disposition of such
Registrable Securities. The representations, warranties and covenants of the Company in any underwriting agreement which are made
to or for the benefit of any Underwriters, to the extent applicable, shall also be made to and for the benefit of the holders of
Registrable Securities included in such registration statement, and the representations, warranties and covenants of the holders
of Registrable Securities included in such registration statement in any underwriting agreement which are made to or for the benefit
of any Underwriters, to the extent applicable, shall also be made to and for the benefit of the Company.

 

    	12

    	 

    

 

3.1.7           Cooperation.
The principal executive officer of the Company, the principal financial officer of the Company, the principal accounting officer
of the Company and all other officers and members of the management of the Company shall cooperate fully in any offering of Registrable
Securities hereunder, which cooperation shall include, without limitation, the preparation of the Registration Statement with respect
to such offering and all other offering materials and related documents, and participation in meetings with Underwriters, attorneys,
accountants and potential investors.

 

3.1.8           Records.
Upon execution of confidentiality agreements, the Company shall make available for inspection by the holders of Registrable Securities
included in such Registration Statement, any Underwriter participating in any disposition pursuant to such registration statement
and any attorney, accountant or other professional retained by any holder of Registrable Securities included in such Registration
Statement or any Underwriter, all financial and other records, pertinent corporate documents and properties of the Company, as
shall be necessary to enable them to exercise their due diligence responsibility, and cause the Company’s officers, directors
and employees to supply all information requested by any of them in connection with such Registration Statement.

 

3.1.9           Earnings
Statement. The Company shall comply with all applicable rules and regulations of the Commission and the Securities Act, and
make available to its shareholders, as soon as practicable, an earnings statement covering a period of twelve (12) months, which
earnings statement shall satisfy the provisions of Section 11(a) of the Securities Act and Rule 158 thereunder.

 

3.1.10         Listing.
The Company shall use its reasonable best efforts to cause all Registrable Securities included in any Registration Statement to
be listed on such exchanges or otherwise designated for trading in the same manner as similar securities issued by the Company
are then listed or designated.

 

3.2          Obligation
to Suspend Distribution. Upon receipt of any notice from the Company of the happening of any event of the kind described in
Section 3.1.4(iv), or, upon any suspension by the Company, pursuant to a written insider trading compliance program adopted
by the Company’s Board of Directors, of the ability of all “insiders” covered by such program to transact in
the Company’s securities because of the existence of material non-public information, each holder of Registrable Securities
included in any registration shall immediately discontinue disposition of such Registrable Securities pursuant to the Registration
Statement covering such Registrable Securities until such holder receives the supplemented or amended prospectus contemplated by
Section 3.1.4(iv) or the restriction on the ability of “insiders” to transact in the Company’s securities
is removed, as applicable, and, if so directed by the Company, each such holder will deliver to the Company all copies, other than
permanent file copies then in such holder’s possession, of the most recent prospectus covering such Registrable Securities
at the time of receipt of such notice.

 

    	13

    	 

    

 

3.3           Registration
Expenses. The Company shall bear all costs and expenses incurred in connection with the Resale Shelf Registration Statement
pursuant to Section 2.1, any Demand Registration pursuant to Section 2.1, any Demand Takedown pursuant to Section
2.1.4(a)(i), any Piggy-Back Registration pursuant to Section 2.3, and any registration on Form S-3 effected pursuant
to Section 2.3, and all expenses incurred in performing or complying with its other obligations under this Agreement, whether
or not the Registration Statement becomes effective, including, without limitation: (i) all registration and filing fees; (ii)
fees and expenses of compliance with securities or “blue sky” laws (including fees and disbursements of counsel in
connection with blue sky qualifications of the Registrable Securities); (iii) printing expenses; (iv) the Company’s internal
expenses (including, without limitation, all salaries and expenses of its officers and employees); (v) the fees and expenses incurred
in connection with the listing of the Registrable Securities as required by Section 3.1.10; (vi) Financial Industry Regulatory
Authority fees; (vii) fees and disbursements of counsel for the Company and fees and expenses for independent certified public
accountants retained by the Company; (viii) the fees and expenses of any special experts retained by the Company in connection
with such registration and (ix) the fees and expenses of one legal counsel selected by the holders of a majority-in-interest of
the Registrable Securities included in such registration. The Company shall have no obligation to pay any underwriting discounts
or selling commissions attributable to the Registrable Securities being sold by the holders thereof, which underwriting discounts
or selling commissions shall be borne by such holders. Additionally, in an underwritten offering, all selling shareholders and
the Company shall bear the expenses of the Underwriter pro rata in proportion to the respective amount of shares each is selling
in such offering.

 

3.4           Information.
The holders of Registrable Securities shall promptly provide such information as may reasonably be requested by the Company, or
the managing Underwriter, if any, in connection with the preparation of any Registration Statement, including amendments and supplements
thereto, in order to effect the registration of any Registrable Securities under the Securities Act and in connection with the
Company’s obligation to comply with Federal and applicable state securities laws.

 

4.          INDEMNIFICATION
AND CONTRIBUTION.

 

4.1           Indemnification
by the Company. The Company agrees to indemnify and hold harmless each Investor and each other holder of Registrable Securities,
and each of their respective officers, employees, affiliates, directors, partners, members, attorneys and agents, and each person,
if any, who controls an Investor and each other holder of Registrable Securities (within the meaning of Section 15 of the Securities
Act or Section 20 of the Exchange Act) (each, an “Investor Indemnified Party”), from and against any
expenses, losses, judgments, claims, damages or liabilities, whether joint or several, arising out of or based upon any untrue
statement (or allegedly untrue statement) of a material fact contained in any Registration Statement under which the sale of such
Registrable Securities was registered under the Securities Act, any preliminary prospectus, final prospectus or summary prospectus
contained in the Registration Statement, or any amendment or supplement to such Registration Statement, or arising out of or based
upon any omission (or alleged omission) to state a material fact required to be stated therein or necessary to make the statements
therein not misleading, or any violation by the Company of the Securities Act or any rule or regulation promulgated thereunder
applicable to the Company and relating to action or inaction required of the Company in connection with any such registration;
and the Company shall promptly reimburse the Investor Indemnified Party for any legal and any other expenses reasonably incurred
by such Investor Indemnified Party in connection with investigating and defending any such expense, loss, judgment, claim, damage,
liability or action; provided, however, that the Company will not be liable in any such case to the extent that any such expense,
loss, claim, damage or liability arises out of or is based upon any untrue statement or allegedly untrue statement or omission
or alleged omission made in such Registration Statement, preliminary prospectus, final prospectus, or summary prospectus, or any
such amendment or supplement, in reliance upon and in conformity with information furnished to the Company, in writing, by such
selling holder expressly for use therein, or is based on any selling holder’s violation of the federal securities laws (including
Regulation M) or failure to sell the Registrable Securities in accordance with the plan of distribution contained in the prospectus.

 

    	14

    	 

    

 

4.2           Indemnification
by Holders of Registrable Securities. Each selling holder of Registrable Securities will, in the event that any registration
is being effected under the Securities Act pursuant to this Agreement of any Registrable Securities held by such selling holder,
indemnify and hold harmless the Company, each of its directors and officers, and each other selling holder and each other person,
if any, who controls another selling holder within the meaning of the Securities Act, against any losses, claims, judgments, damages
or liabilities, whether joint or several, insofar as such losses, claims, judgments, damages or liabilities (or actions in respect
thereof) arise out of or are based upon any untrue statement or allegedly untrue statement of a material fact contained in any
Registration Statement under which the sale of such Registrable Securities was registered under the Securities Act, any preliminary
prospectus, final prospectus or summary prospectus contained in the Registration Statement, or any amendment or supplement to the
Registration Statement, or arise out of or are based upon any omission or the alleged omission to state a material fact required
to be stated therein or necessary to make the statement therein not misleading, if the statement or omission was made in reliance
upon and in conformity with information furnished in writing to the Company by such selling holder expressly for use therein, or
is based on any selling holder’s violation of the federal securities laws (including Regulation M) or failure to sell the
Registrable Securities in accordance with the plan of distribution contained in the prospectus, and shall reimburse the Company,
its directors and officers, and each other selling holder or controlling person for any legal or other expenses reasonably incurred
by any of them in connection with investigation or defending any such loss, claim, damage, liability or action. Each selling holder’s
indemnification obligations hereunder shall be several and not joint and shall be limited to the amount of any net proceeds actually
received by such selling holder.

 

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4.3           Conduct
of Indemnification Proceedings. Promptly after receipt by any person of any notice of any loss, claim, damage or liability
or any action in respect of which indemnity may be sought pursuant to Sections 4.1 or 4.2, such person (the “Indemnified
Party”) shall, if a claim in respect thereof is to be made against any other person for indemnification hereunder,
notify such other person (the “Indemnifying Party”) in writing of the loss, claim, judgment, damage,
liability or action; provided, however, that the failure by the Indemnified Party to notify the Indemnifying Party shall not relieve
the Indemnifying Party from any liability which the Indemnifying Party may have to such Indemnified Party hereunder, except and
solely to the extent the Indemnifying Party is actually prejudiced by such failure. If the Indemnified Party is seeking indemnification
with respect to any claim or action brought against the Indemnified Party, then the Indemnifying Party shall be entitled to participate
in such claim or action, and, to the extent that it wishes, jointly with all other Indemnifying Parties, to assume control of the
defense thereof with counsel satisfactory to the Indemnified Party. After notice from the Indemnifying Party to the Indemnified
Party of its election to assume control of the defense of such claim or action, the Indemnifying Party shall not be liable to the
Indemnified Party for any legal or other expenses subsequently incurred by the Indemnified Party in connection with the defense
thereof other than reasonable costs of investigation; provided, however, that in any action in which both the Indemnified Party
and the Indemnifying Party are named as defendants, the Indemnified Party shall have the right to employ separate counsel (but
no more than one such separate counsel, which counsel is reasonably acceptable to the Indemnifying Party) to represent the Indemnified
Party and its controlling persons who may be subject to liability arising out of any claim in respect of which indemnity may be
sought by the Indemnified Party against the Indemnifying Party, with the fees and expenses of such counsel to be paid by such Indemnifying
Party if, based upon the written opinion of counsel of such Indemnified Party, representation of both parties by the same counsel
would be inappropriate due to actual or potential differing interests between them. No Indemnifying Party shall, without the prior
written consent of the Indemnified Party, consent to entry of judgment or effect any settlement of any claim or pending or threatened
proceeding in respect of which the Indemnified Party is or could have been a party and indemnity could have been sought hereunder
by such Indemnified Party, unless such judgment or settlement includes an unconditional release of such Indemnified Party from
all liability arising out of such claim or proceeding.

 

4.4         Contribution.

 

4.4.1           If
the indemnification provided for in the foregoing Sections 4.1, 4.2 and 4.3 is unavailable to any Indemnified Party
in respect of any loss, claim, damage, liability or action referred to herein, then each such Indemnifying Party, in lieu of indemnifying
such Indemnified Party, shall contribute to the amount paid or payable by such Indemnified Party as a result of such loss, claim,
damage, liability or action in such proportion as is appropriate to reflect the relative fault of the Indemnified Parties and the
Indemnifying Parties in connection with the actions or omissions which resulted in such loss, claim, damage, liability or action,
as well as any other relevant equitable considerations. The relative fault of any Indemnified Party and any Indemnifying Party
shall be determined by reference to, among other things, whether the untrue or alleged untrue statement of a material fact or the
omission or alleged omission to state a material fact relates to information supplied by such Indemnified Party or such Indemnifying
Party and the parties’ relative intent, knowledge, access to information and opportunity to correct or prevent such statement
or omission.

 

4.4.2           The
parties hereto agree that it would not be just and equitable if contribution pursuant to this Section 4.4.2 were determined
by pro rata allocation or by any other method of allocation which does not take account of the equitable considerations referred
to in the immediately preceding Section 4.4.1.

 

4.4.3           The
amount paid or payable by an Indemnified Party as a result of any loss, claim, damage, liability or action referred to in the immediately
preceding paragraph shall be deemed to include, subject to the limitations set forth above, any legal or other expenses incurred
by such Indemnified Party in connection with investigating or defending any such action or claim. Notwithstanding the provisions
of this Section 4.4, no holder of Registrable Securities shall be required to contribute any amount in excess of the dollar
amount of the net proceeds (after payment of any underwriting fees, discounts, commissions or taxes) actually received by such
holder from the sale of Registrable Securities which gave rise to such contribution obligation. No person guilty of fraudulent
misrepresentation (within the meaning of Section 11(f) of the Securities Act) shall be entitled to contribution from any person
who was not guilty of such fraudulent misrepresentation.

 

    	16

    	 

    

 

5.        
  UNDERWRITING AND DISTRIBUTION.

 

5.1           Rule
144. The Company covenants that it shall file any reports required to be filed by it under the Securities Act and the Exchange
Act and shall take such further action as the holders of Registrable Securities may reasonably request, all to the extent required
from time to time to enable such holders to sell Registrable Securities without registration under the Securities Act within the
limitation of the exemptions provided by Rule 144 under the Securities Act, as such Rules may be amended from time to time, or
any similar rule or regulation hereafter adopted by the Commission.

 

6.         
 MISCELLANEOUS.

 

6.1           Other
Registration Rights. Except with respect to the securities issued or issuable upon exercise of the Purchase Options, the Company
represents and warrants that no person, other than a holder of the Registrable Securities, has any right to require the Company
to register any shares of the Company’s capital stock for sale or to include shares of the Company’s capital stock
in any registration filed by the Company for the sale of shares of capital stock for its own account or for the account of any
other person.

 

6.2          Assignment;
No Third Party Beneficiaries. This Agreement and the rights, duties and obligations of the Company hereunder may not be assigned
or delegated by the Company in whole or in part. This Agreement and the rights, duties and obligations of the holders of Registrable
Securities hereunder may be freely assigned or delegated by such holder of Registrable Securities in conjunction with and to the
extent of any permitted transfer of Registrable Securities by any such holder. This Agreement and the provisions hereof shall be
binding upon and shall inure to the benefit of each of the parties hereto and their respective successors and assigns and the holders
of Registrable Securities and their respective successors and permitted assigns. This Agreement is not intended to confer any rights
or benefits on any persons that are not party hereto other than as expressly set forth in Section 4 and this Section
6.2. The rights of a holder of Registrable Securities under this Agreement may be transferred by such a holder to a transferee
who acquires or holds Registrable Securities equal to at least five percent (5%) of the Registrable Securities held by the holders
of Registrable Securities on the date hereof; provided, however, that such transferee has executed and delivered to the Company
a properly completed agreement to be bound by the terms of this Agreement substantially in form attached hereto as Exhibit A
(an “Addendum Agreement”), and the transferor shall have delivered to the Company no later than thirty
(30) days following the date of the transfer, written notification of such transfer setting forth the name of the transferor, the
name and address of the transferee, and the number of Registrable Securities so transferred. The execution of an Addendum Agreement
shall constitute a permitted amendment of this Agreement.

 

    	17

    	 

    

 

6.3           Notices.
All notices, demands, requests, consents, approvals or other communications (collectively, “Notices”)
required or permitted to be given hereunder or which are given with respect to this Agreement shall be in writing and shall be
personally served, delivered by reputable air courier service with charges prepaid, or transmitted by facsimile or email, addressed
as set forth below, or to such other address as such party shall have specified most recently by written notice. Notice shall be
deemed given (i) on the date of service or transmission if personally served or transmitted by telegram, telex or facsimile; provided,
that if such service or transmission is not on a business day or is after normal business hours, then such notice shall be deemed
given on the next business day (ii) one business day after being deposited with a reputable courier service with an order for next-day
delivery, to the parties as follows:

 

If to the Company:

 

[MergeWorthRx Corp.]

[address]

Attn:

Facsimile: [·]

Email:

 

with a copy to:

 

[·]

Attn:

Facsimile:

Email:

 

If to an Investor, to the address
set forth opposite such Investor’s name on Exhibit B attached hereto.

 

6.4           Severability.
This Agreement shall be deemed severable, and the invalidity or unenforceability of any term or provision hereof shall not affect
the validity or enforceability of this Agreement or of any other term or provision hereof. Furthermore, in lieu of any such invalid
or unenforceable term or provision, the parties hereto intend that there shall be added as a part of this Agreement a provision
as similar in terms to such invalid or unenforceable provision as may be possible that is valid and enforceable.

 

6.5           Counterparts.
This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, and all of which taken together
shall constitute one and the same instrument.

 

6.6           Entire
Agreement. This Agreement (including all agreements entered into pursuant hereto and all certificates and instruments delivered
pursuant hereto and thereto) constitute the entire agreement of the parties with respect to the subject matter hereof and supersede
all prior and contemporaneous agreements, representations, understandings, negotiations and discussions between the parties, whether
oral or written.

 

[Signature Page Follows]

 

    	18

    	 

    

 

IN WITNESS WHEREOF,
the parties have caused this Amended and Restated Registration Rights Agreement to be executed and delivered by their duly authorized
representatives as of the date first written above.

 

	 	COMPANY:
	 	 
	 	[MERGEWORTHRX CORP.]
	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:
	 	 	 
	 	INVESTORS:
	 	 
	 	 
	 	Charles F. Fistel
	 	 
	 	 
	 	Stephen B. Cichy
	 	 
	 	 
	 	Anthony Minnuto
	 	 
	 	 
	 	John J. Delucca
	 	 
	 	 
	 	Jeffrey A. Rein
	 	 
	 	 
	 	Robert G. Savage
	 	 
	 	 
	 	Howard I. Schwartz, M.D.

 

[Signature Page Continues]

 

Signature
Page to Amended and Restated Registration Rights Agreement

 

    	 

    	 

    

 

EXHIBIT A

 

Addendum Agreement

 

This Addendum Agreement (“Addendum
Agreement”) is executed on __________________, 20___, by the undersigned (the “New Holder”) pursuant
to the terms of that certain Amended and Restated Registration Rights Agreement dated as of [_____], 2014 (the “Agreement”),
by and among the Company and the Investors identified therein, as such Agreement may be amended, supplemented or otherwise modified
from time to time. Capitalized terms used but not defined in this Addendum Agreement shall have the respective meanings ascribed
to such terms in the Agreement. By the execution of this Addendum Agreement, the New Holder agrees as follows:

 

1.1           Acknowledgment.
New Holder acknowledges that New Holder is acquiring certain shares of the Common Stock of the Company (the “Stock”)
[or other equity securities of the Company that are convertible, exercisable or exchangeable for shares of Common Stock of the
Company (the “Convertible Securities”)] as a transferee of such Stock [or Convertible Securities] from a party
in such party’s capacity as a holder of Registrable Securities under the Agreement, and after such transfer, New Holder shall
be considered a “Investor” and a holder of Registrable Securities for all purposes under the Agreement.

 

1.2           Agreement.
New Holder hereby (a) agrees that the Stock [or Convertible Securities] shall be bound by and subject to the terms of the Agreement
and (b) adopts the Agreement with the same force and effect as if the New Holder were originally a party thereto.

 

1.3           Notice.
Any notice required or permitted by the Agreement shall be given to New Holder at the address or facsimile number listed below
New Holder’s signature below.

 

	NEW HOLDER:	 	ACCEPTED AND AGREED:
	 	 	 
	Print Name:	 	 	MERGEWORTHRX CORP.

  

	By:	 	 	By:	 
	 	 	 	 	 
	Name:		 	Name:	 
	 	 	 	 	 
	Title:	 	 	Title:	
	 	 	 	 	 
	Address:	 	 	 	 
	 	 	 	 	 
	 	 	 	 

 

	Facsimile Number:	 	 	 	 

 

    	 

    	 

    

 

EXHIBIT B1

 

	Name	 	Address
	 	 	 
	Stephen Cichy	 	
	 	 	
	 	 	 
	John J. Delucca	 	
	 	 	
	 	 	 
	Charles Fistel	 	
	 	 	
	 	 	 
	Anthony Minnuto	 	
	 	 	
	 	 	 
	Jeffrey A. Rein	 	
	 	 	
	 	 	 
	Robert G. Savage	 	
	 	 	
	 	 	 
	Howard I. Schwartz	 	
	 	 	
	 	 	

 

 

1
NTD: Agreement to include as Investors all Aerocare executive officers and directors and each of the Major Stockholders
(as defined in the Merger Agreement) and any other 5% or greater stockholders of AeroCare.EX-10.21(F)

 Exhibit 10.21F 

QLIK TECHNOLOGIES INC. 2010 OMNIBUS EQUITY
INCENTIVE PLAN 
 NOTICE OF STOCK OPTION
GRANT 
 You have been granted an Option to purchase Common Shares of Qlik Technologies Inc. (the “Company”). The specific
details of the Option are set forth in the electronic representation of the Notice of Stock Option Grant (the “Notice”) provided to you by the Company or a third party authorized by the Company to administer its Plan 

 

			
	Vesting Schedule:	  	Provided you are in Service, this Option becomes vested and exercisable with respect to the number of Common Shares subject to this Option set forth in Notice on the dates set forth in the Notice.
		
	Expiration Date:	  	This Option expires earlier if your Service terminates earlier, as described in the Stock Option Agreement.

 You and the Company agree that this Option is granted under and governed by the terms and conditions of the 2010 Omnibus
Equity Incentive Plan (the “Plan”), the Stock Option Agreement including the appendix, which includes any applicable country-specific provisions (together, the “Agreement”), all of which are attached to and made a part of this
document. 
 You further agree to accept by email all documents relating to the Company, the Plan or this Option and all other documents that the Company is
required to deliver to its security holders (including, without limitation, disclosures that may be required by the U.S. Securities and Exchange Commission). You also agree that the Company may deliver these documents by posting them on a website
maintained by the Company or by a third party under contract with the Company. If the Company posts these documents on a website, it will notify you by email. In addition, you agree to participate in the Plan through an on-line or electronic system
established and maintained by the Company or a third party under contract with the Company. You acknowledge that you may incur costs in connection with electronic delivery and participation, including the cost of accessing the internet and printing
fees, and that an interruption of internet access may interfere with your ability to access the documents. This consent will remain in effect until you give the Company written notice that it should deliver paper documents. 

Capitalized terms used but not defined herein shall have the meanings set forth in the Plan. 

  

 You further agree to comply with the Company’s Securities Trading Policy when selling Common Shares acquired
under the Plan. 
  

					
	OPTIONEE:	  	QLIK TECHNOLOGIES INC.
			
		  	Name:	  	Lars Björk
			
		  	Title:	  	President and Chief Executive Officer

  
 2 

 QLIK TECHNOLOGIES INC. 2010 OMNIBUS EQUITY INCENTIVE PLAN 

STOCK OPTION AGREEMENT 

 

			
	Grant of Option	  	Pursuant to your Notice of Stock Option Grant (“Notice”) and this Stock Option Agreement including the appendix which includes any applicable country-specific provisions (together, the “Agreement”), Qlik
Technologies Inc. (the “Company”) has granted you an Option under the 2010 Omnibus Equity Incentive Plan (the “Plan”) to purchase the number of Common Shares indicated in the Notice at the Exercise Price indicated in the Notice.
Capitalized terms used but not defined herein shall have the meanings set forth in the Plan.
		
	Tax Treatment	  	This Option is intended to be an incentive stock option under Section 422 of the Internal Revenue Code or a nonstatutory stock option, as provided in the Notice.
		
	Vesting	  	 This Option becomes vested and exercisable in installments, as shown in the Notice.

 
 This Option will in no event become exercisable for additional Common Shares after your
Service has terminated for any reason.

		
	Term	  	This Option expires in any event at the close of business at Company headquarters on the day before the 10th anniversary of the date of grant, as shown in the Notice (the
“Date of Grant”). (It will expire earlier if your Service terminates, as described below.)
		
	Regular Termination	  	If your Service terminates for any reason except death or total and permanent disability, then this Option will expire at the close of business at Company headquarters on the date three months after your termination date. The
Company determines when your Service terminates for this purpose.
		
	Death	  	If you die before your Service terminates, then this Option will expire at the close of business at Company headquarters on the date 12 months after the date of death.
		
	Disability	  	 If your Service terminates because of your total and permanent disability, then this Option will expire at the close of business at
Company headquarters on the date 12 months after your termination date.
  
 For all
purposes under this Agreement, “total and permanent disability” means that you are unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result
in death or which has lasted, or can be expected to last, for a continuous period of not less than one year.

  
 3 

			
	Leaves of Absence and Part-Time Work	  	 For purposes of this Option, your Service does not terminate when you go on a military leave, a sick leave or another bona fide leave of
absence, if the leave was approved by the Company in writing and if continued crediting of Service is required by the terms of the leave or by applicable law. But your Service terminates when the approved leave ends, unless you immediately return to
actively providing Service.
  
 If you go on a leave of absence, then the vesting
schedule specified in the Notice may be adjusted in accordance with the Company’s leave of absence policy or the terms of your leave. If you commence working on a part-time basis, then the vesting schedule specified in the Notice may be
adjusted in accordance with the Company’s part-time work policy or the terms of an agreement between you and the Company pertaining to your part-time schedule.

		
	Restrictions on Exercise	  	The Company will not permit you to exercise this Option if the issuance of Common Shares at that time would violate any law or regulation.
		
	Notice of Exercise	  	 When you wish to exercise this Option, you must notify the Company by filing the proper “Notice of Exercise” in the manner and
form authorized by the Company. Your notice must specify how many Common Shares you wish to purchase. Your notice must also specify how your Common Shares should be registered. The notice will be effective when the Company receives it.

 
 However, if you wish to exercise this Option by executing a same-day sale (as described
below), you must follow the instructions of the Company and the broker who will execute the sale.
  

If someone else wants to exercise this Option after your death, that person must prove to the Company’s satisfaction that he or she is entitled to do
so.

		
	Form of Payment	  	 When you submit your Notice of Exercise, you must include payment of the Exercise Price for the Common Shares that you are purchasing. To
the extent permitted by applicable law, payment may be made in one (or a combination of two or more) of the following forms:
  

•     By delivering your personal check, a cashier’s check or a money order.

 
 •     By delivering
certificates for Common Shares that you own, along with any forms needed to effect a transfer of those shares to the Company. The value of such shares, determined as of the effective date of the Option exercise, will be applied to the Exercise
Price. Instead of surrendering Common Shares, you may attest to the

  
 4 

			
		  	 ownership of such shares on a form provided by the Company or its designee and have the same number of shares
subtracted from the Common Shares issued to you.
  

•     By giving to a securities broker approved by the Company irrevocable directions to
sell all or part of the Common Shares acquired at exercise of the Option and to deliver to the Company, from the sale proceeds, an amount sufficient to pay the Exercise Price and any Tax-Related Items (as defined in the “Withholding Taxes”
paragraph below). (The balance of the sale proceeds, if any, will be delivered to you.) The directions must be given in accordance with the instructions of the Company and the broker. This exercise method is sometimes called a “same-day
sale.”

		
	Withholding Taxes	  	 You acknowledge that, regardless of any action taken by the Company or, if different, your employer (the “Employer”), the
ultimate liability for all income tax, social insurance, payroll tax, fringe benefits tax, payment on account or other tax-related items related to your participation in the Plan and legally applicable to you (“Tax-Related Items”), is and
remains your responsibility and may exceed the amount actually withheld by the Company or the Employer. You further acknowledge that the Company and/or the Employer (i) make no representations or undertakings regarding the treatment of any
Tax-Related Items in connection with any aspect of the Option, including, but not limited to, the grant, vesting or exercise of the Option, the subsequent sale of any Common Shares acquired pursuant to such exercise and the receipt of any dividends;
and (ii) do not commit to and are under no obligation to structure the terms of the grant or any aspect of the Option to reduce or eliminate your liability for Tax-Related Items or achieve any particular tax result. Further, if you are subject to
Tax-Related Items in more than one jurisdiction between the Date of Grant and the date of any relevant taxable or tax withholding event, as applicable, you acknowledge that the Company and/or the Employer (or former employer, as applicable) may be
required to withhold or account for Tax-Related Items in more than one jurisdiction.
  

Prior to any relevant taxable or tax withholding event, as applicable, you agree to make adequate arrangements satisfactory to the Company and/or the Employer
to satisfy all Tax-Related Items. You will not be allowed to exercise this Option unless you make such arrangements.
  

In this regard, you authorize the Company and/or the Employer, or their respective agents, at their discretion, to satisfy the obligations with regard to all
Tax-Related Items by one or a combination of the following: (a) withholding from the proceeds of the sale of Common Shares acquired at exercise through a Company-approved broker as arranged by the Company (on your behalf pursuant to this
authorization without further

  
 5 

			
		  	 consent), (b) withholding Common Shares that otherwise would be issued to you when you exercise this Option, or (c) withholding
cash from any compensation or payments owed to you.
  
 Depending on the withholding
method, the Company may withhold or account for Tax-Related Items by considering applicable minimum statutory withholding amounts or other applicable withholding rates, including maximum applicable rates, in which case you will receive a refund of
any over-withheld amount in cash and will have no entitlement to the equivalent amount in Common Shares.
  

Finally, you agree to pay to the Company 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 your participation in the Plan that cannot be satisfied by the means previously described. The Company may refuse to issue or deliver the Common Shares or the proceeds from the sale of the Common Shares if you fail to
comply with your obligations in connection with Tax-Related Items.

		
	Restrictions on Resale	  	You agree not to sell any Common Shares acquired upon exercise of the Option at a time when applicable laws, Company policies or an agreement between the Company and its underwriters prohibit a sale. This restriction will apply
as long as your Service continues and for such period of time after the termination of your Service as the Company may specify.
		
	Transfer of Option	  	 Prior to your death, only you may exercise this Option. You cannot transfer or assign this Option. For instance, you may not sell this
Option or use it as security for a loan. If you attempt to do any of these things, this Option will immediately become invalid. You may, however, dispose of this Option in your will or, if permitted by the Company, a beneficiary designation.

 
 Regardless of any marital property settlement agreement, the Company is not obligated to
honor a Notice of Exercise from your former spouse, nor is the Company obligated to recognize your former spouse’s interest in your Option in any other way.

		
	Retention Rights	  	Your Option grant and your participation in the Plan shall not create a right to be retained by or be interpreted as forming a Service contract with the Company, the Employer or any Subsidiary or Affiliate, and shall not
interfere with the ability of the Company, the Employer, or any Subsidiary or Affiliate to terminate your Service at any time, with or without cause.

  
 6 

			
	Stockholder Rights	  	You, or your estate or heirs, have no rights as a stockholder of the Company until you have exercised this Option by giving the required Notice of Exercise to the Company and paying the Exercise Price. No adjustments are made for
dividends or other rights if the applicable record date occurs before you exercise this Option, except as described in the Plan.
		
	Adjustments	  	In the event of a stock split, a stock dividend or a similar change in Company stock, the number of Common Shares covered by this Option and the Exercise Price per Common Share will be adjusted pursuant to the Plan.
		
	Nature of Grant	  	In accepting the Option, you acknowledge, understand and agree that: (1) the Plan is established voluntarily by the Company, it is discretionary in nature, and may be amended, suspended or terminated by the Company at any time,
to the extent permitted by the Plan; (2) the grant of the Option is voluntary and occasional and does not create any contractual or other right to receive future grants of Options, or benefits in lieu of Options, even if Options have been granted in
the past; (3) all decisions with respect to future Option or other grants, if any, will be at the sole discretion of the Company; (4) you are voluntarily participating in the Plan; (5) the Option and any Common Shares acquired under the Plan are not
intended to replace any pension rights or compensation; (6) the Option and any Common Shares acquired under the Plan and the income and value of same, are not part of normal or expected compensation for purposes of calculating any severance,
resignation, termination, redundancy, dismissal, end-of-service payments, bonuses, long-service awards, pension or retirement or welfare benefits or similar payments; (7) the future value of the Common Shares underlying the Option is unknown,
indeterminable, and cannot be predicted with certainty; (8) if the underlying Common Shares do not increase in value, the Option will have no value; (9) if you exercise the Option and acquire Common Shares, the value of such Common Shares may
increase or decrease in value, even below the Exercise Price; (10) no claim or entitlement to compensation or damages shall arise from forfeiture of the Option resulting from the termination of your Service (for any reason whatsoever, whether or not
later found to be invalid or in breach of employment laws in the jurisdiction where you provide Service or the terms of your Service agreement, if any), and in consideration of the grant of the Option to which you are otherwise not entitled, you
irrevocably agree never to institute any claim against the Company, any Subsidiary or Affiliate or the Employer, waive your ability, if any, to bring any such claim, and release the Company, any Subsidiaries or Affiliates and the Employer from any
such claim; if, notwithstanding the foregoing, any such claim is allowed by a court of competent jurisdiction, then, by participating in the Plan, you shall be

  
 7 

			
		  	deemed irrevocably to have agreed not to pursue such claim and agree to execute any and all documents necessary to request dismissal or withdrawal of such claim; (11) for purposes of the Option, your Service will be considered
terminated as of the date you are no longer actively providing Service to the Company or one of its Subsidiaries or Affiliates (regardless of the reason for such termination and whether or not later found to be invalid or in breach of employment
laws in the jurisdiction where you provide Service or the terms of your Service agreement, if any), and unless otherwise expressly provided in this Agreement or determined by the Company, (a) your right to vest in the Option under the Plan, if any,
will terminate as of such date and will not be extended by any notice period (e.g., your period of Service would not include any contractual notice period or any period of “garden leave” or similar period mandated under employment laws in
the jurisdiction where you provide Service or the terms of your Service agreement, if any); and (ii) the period (if any) during which you may exercise the Option after such termination of your employment or Service relationship will
commence on the date you cease to actively provide Service and will not be extended by any notice period mandated under employment laws in the jurisdiction where you provide Service or the terms of your Service agreement, if any); as provided
in the “Regular Termination” paragraph above, the Company shall have the exclusive discretion to determine when you are no longer actively providing Service for purposes of your Option grant (including whether you may still be considered
to be providing Service while on a leave of absence); (12) unless otherwise provided in the Plan or by the Company in its discretion, the Option and the benefits evidenced by this Agreement do not create any entitlement to have the Option or any
such benefits transferred to, or assumed by, another company nor to be exchanged, cashed out or substituted for, in connection with any Corporate Transaction affecting the shares of the Company; and (13) the following provisions apply only if you
are providing Service outside the United States: (a) the Option and the Common Shares subject to the Option are not part of normal or expected compensation or salary for any purpose; and (b) neither the Company, the Employer nor any Subsidiary or
Affiliate shall be liable for any foreign exchange rate fluctuation between your local currency and the United States Dollar that may affect the value of the Option or of any amounts due to you pursuant to the exercise of the Option or the
subsequent sale of any Common Shares acquired upon exercise.
		
	No Advice Regarding Grant	  	The Company is not providing any tax, legal or financial advice, nor is the Company making any recommendations regarding your participation in the Plan, or your acquisition or sale of the Common Shares. You are hereby advised to
consult with your own personal tax, legal and financial advisors regarding your participation in the Plan before taking any action related to the Plan.

  
 8 

			
	Data Privacy	  	 You hereby explicitly and unambiguously consent to the collection, use and transfer, in electronic or other form, of your personal
data as described in this Agreement and any other Option grant materials by and among, as applicable, the Employer, the Company and any Subsidiary or Affiliate for the exclusive purpose of implementing, administering and managing your participation
in the Plan.
  
 You understand that the Company and the Employer may hold
certain personal information about you, including, but not limited to, your name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any stock or directorships
held in the Company, details of all Options or any other entitlement to stock awarded, canceled, exercised, vested, unvested or outstanding in your favor (“Data”), for the exclusive purpose of implementing, administering and managing the
Plan.
  
 You understand that Data will be transferred to Morgan Stanley or
such other stock plan service provider as may be selected by the Company in the future, which is assisting the Company with the implementation, administration and management of the Plan. You understand that the recipients of the Data may be located
in the United States or elsewhere, and that the recipient’s country (e.g., the United States) may have different data privacy laws and protections than your country. You understand that if you reside outside the United States, you may request a
list with the names and addresses of any potential recipients of the Data by contacting your local human resources representative. You authorize the Company, Morgan Stanley and any other possible recipients which may assist the Company (presently or
in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purposes of implementing, administering and managing your participation in the
Plan. You understand that Data will be held only as long as is necessary to implement, administer and manage your participation in the Plan. You understand that if you reside outside the United States, you may, at any time, view Data, request
additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing your local human resources representative.
Further, you understand that you are providing the consents herein on a purely voluntary basis. If you do not consent, or if you later seek to revoke your consent, your Service and career with the Employer will not be adversely
affected;

  
 9 

			
		  	the only adverse consequence of refusing or withdrawing your consent is that the Company would not be able to grant you Options or other equity awards or administer or maintain such awards. Therefore, you understand that
refusing or withdrawing your consent may affect your ability to participate in the Plan. For more information on the consequences of your refusal to consent or withdrawal of consent, you understand that you may contact your local human resources
representative.
		
	Applicable Law; Choice of Venue	  	 This Agreement will be interpreted and enforced under the laws of the State of Delaware (without regard to their choice-of-law
provisions).
  
 For purposes of litigating any dispute that arises under this grant or
this Agreement, the parties hereby submit to and consent to the jurisdiction of the State of Pennsylvania, agree that such litigation shall be conducted in the courts of Delaware County, Pennsylvania, or the federal courts for the United States for
the Eastern District of Pennsylvania, where this grant is made and/or to be performed.

		
	Language	  	If you have received this Agreement, or any other document related to the Option and/or the Plan translated into a language other than English and if the meaning of the translated version is different than the English version,
the English version will control.
		
	Severability	  	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.
		
	Imposition of Other Requirements	  	The Company reserves the right to impose other requirements on your participation in the Plan, on the Option and on any Common Shares purchased upon exercise of the Option, to the extent the Company determines it is necessary or
advisable for legal or administrative reasons, and to require you to sign any additional agreements or undertakings that may be necessary to accomplish the foregoing.
		
	Appendix	  	Notwithstanding any provisions in this Stock Option Agreement, the Option grant shall be subject to any special terms and conditions set forth in any appendix to this Stock Option Agreement for your country (the
“Appendix”). Moreover, if you relocate to one of the countries included in the Appendix, the special terms and conditions for such country will apply to you, to the extent the Company determines that the application of such terms and
conditions is necessary or advisable for legal or administrative reasons. The Appendix constitutes part of this Stock Option Agreement.

  
 10 

			
	Waiver	  	You acknowledge that a waiver by the Company of breach of any provision of this Agreement shall not operate or be construed as a waiver of any other provision of this Agreement, or of any subsequent breach of this
Agreement.
		
	The Plan and Other Agreements	  	This Agreement and the Plan constitute the entire understanding between you and the Company regarding this Option. Any prior agreements, commitments or negotiations concerning this Option are superseded. This Agreement may be
amended only by another written agreement between the parties.

 BY SIGNING THE NOTICE ATTACHED
TO THIS STOCK OPTION AGREEMENT, YOU 

AGREE TO ALL OF THE TERMS AND
CONDITIONS DESCRIBED ABOVE AND IN THE PLAN 

AND TO ANY COUNTRY-SPECIFIC TERMS
AND CONDITIONS FOR YOUR COUNTRY 
 INCLUDED
IN THE APPENDIX. 

  
 11 

 APPENDIX 

TO THE 

STOCK OPTION AGREEMENT 

Terms and Conditions 
 This Appendix includes additional
country-specific terms that apply to residents in the countries listed below. This Appendix is part of the Stock Option Agreement. Unless otherwise provided below, capitalized terms used but not defined herein shall have the same meanings assigned
to them in the Plan and the Stock Option Agreement. 
 Notifications 

This Appendix also includes information of which you should be aware with respect to your participation in the Plan. The information is based on the
securities, exchange control and other laws in effect in the respective countries as of February 2013. Such laws are often complex and change frequently, and certain individual exchange control reporting requirements may apply upon exercise of the
Option and/or sale of Common Shares. As a result, the Company strongly recommends that you do not rely on the information noted herein as the only source of information relating to the consequences of your participation in the Plan because the
information may be out of date at the time you exercise the Option, or you sell Common Shares acquired under the Plan. 
 In addition, the information is
general in nature and may not apply to your particular situation, and the Company is not in a position to assure you of any particular result. Accordingly, you are advised to seek appropriate professional advice as to how the relevant laws in your
country may apply to your situation. 
 Finally, if you are a citizen or resident of a country other than the one in which you currently are working,
transfer employment after the Option is granted to you, or are considered a resident of another country for local law purposes, the information contained herein may not be applicable to you, and the Company shall, in its discretion, determine to
what extent the terms and conditions contained herein shall be applicable to you. 
 AUSTRALIA 

Terms and Conditions 
 Exercise of Option. The
following supplements the “Notice of Exercise” paragraph of the Stock Option Agreement: 

  
 12 

 If the Option vests when the Fair Market Value per Common Share is equal to or less than the Exercise Price for
the Option, you will not be permitted to exercise the vested Option. The vested Option may be exercised only starting on the business day following the first day on which the Fair Market Value per Common Share exceeds the Exercise Price for the
Option. For the avoidance of doubt, this provision applies equally to any unvested Option held by a Participant who transfers to Australia after the grant of the Option, unless otherwise determined by the Company in its sole discretion. 

Notifications 
 Securities Law Notification. If you
exercise the Option and subsequently offer the Common Shares purchased upon exercise for sale to a person or entity resident in Australia, the offer may be subject to disclosure requirements under Australian law and you should obtain legal advice
regarding any applicable disclosure obligations prior to making any such offer. 
 AUSTRIA 

Notifications 
 Exchange Control Notification. If
you hold Common Shares acquired under the Plan outside of Austria, you must submit a report to the Austrian National Bank. An exemption applies if the value of the shares as of any given quarter does not exceed €30,000,000 or if the value
of the shares in any given year as of December 31 does not exceed €5,000,000. If the former threshold is exceeded, quarterly obligations are imposed, whereas if the latter threshold is exceeded, annual reports must be given. The
annual reporting date is December 31 and the deadline for filing the annual report is January 31 of the following year. 
 A separate reporting
requirement applies when you sell Common Shares acquired under the Plan. In that case, there may be exchange control obligations if the cash proceeds are held outside of Austria. If the transaction volume of all accounts abroad exceeds
€3,000,000, the movements and balances of all accounts must be reported monthly, as of the last day of the month, on or before the 15th day of the following month, on the prescribed form (Meldungen SI-Forderungen und/oder SI-Verpflichtungen).

 BELGIUM 
 Notifications 

Taxation of the Option. If you choose to accept the Option, the timing of the taxation of the Option depends upon when you accept the Option. Based on
the current interpretation of Belgian tax law by the Belgian Minister of Finance, if you accept the Option within 60 days from the offer date, you will be taxed at the time of offer, or if you accept the Option after 60 days from the offer
date, you will be taxed at the time of exercise. Neither the Company or 

  
 13 

 
any Subsidiary or Affiliate nor the Employer may be held liable for damages, if any, that you may incur should the Minister of Finance’s interpretation not be upheld (with respect to
taxation at exercise for Options accepted after 60 days following the offer date). 
 You are strongly encouraged to consult your personal tax advisor in
deciding if and when to accept the Option. 
 Tax Reporting Requirement. You are required to report any bank accounts opened and maintained outside
Belgium on your annual tax return. 
 BRAZIL 

Terms and Conditions 
 Compliance with Law. By
accepting the Option, you acknowledge that you agree to comply with applicable Brazilian laws and pay any and all applicable taxes associated with the exercise of the Option and the sale of Common Shares acquired under the Plan.

Notifications 
 Exchange Control Notification. If
you are resident or domiciled in Brazil, you will be required to submit annually a declaration of assets and rights held outside of Brazil to the Central Bank of Brazil if the aggregate value of such assets and rights equals or exceeds
US$100,000. Assets and rights that must be reported include the following: (i) bank deposits; (ii) loans; (iii) financing transactions; (iv) leases; (v) direct investments; (vi) portfolio investments, including
Common Shares acquired under the Plan; (vii) financial derivatives investments; and (viii) other investments, including real estate and other assets. Please note that foreign individuals holding Brazilian visas are considered
Brazilian residents for purposes of this reporting requirement and must declare at least the assets held abroad that were acquired subsequent to the date of admittance as a resident of Brazil. Individuals holding assets and rights outside
Brazil valued at less than US$100,000 are not required to submit a declaration. 
 CANADA 

Terms and Conditions 
 Form of Payment. The
following supplements the “Form of Payment” paragraph in the Stock Option Agreement: 
 Notwithstanding anything to the contrary in the Stock
Option Agreement, you are prohibited from surrendering Common Shares that you already own or attesting to the ownership of Common Shares to pay the Exercise Price or any Tax-Related Items in connection with the Option. 

  
 14 

 Termination of Employment. This provision replaces subparagraph 11 of the “Nature of Grant”
paragraph in the Stock Option Agreement: 
 for purposes of the Option, your Service will be considered terminated as of the date that is the earlier of
(1) the date you are no longer actively providing Service or, at the discretion of the Company, (2) the date you receive notice of termination of Service from the Employer (regardless of the reason for such termination and whether or not
later found to be invalid or in breach of employment laws in the jurisdiction where you provide Service or the terms of your Service agreement, if any), and unless otherwise expressly provided in this Agreement or determined by the Company,
(a) your right to vest in the Option under the Plan, if any, will terminate as of such date and will not be extended by any notice period (e.g., your period of Service would not include any notice period or period of pay in lieu of notice or
similar period mandated under employment laws in the jurisdiction where you provide Service or the terms of your Service agreement, if any (including, but not limited to statutory law, regulatory law and/or common law)); and (ii) the period (if
any) during which you may exercise the Option after such termination of your employment or Service relationship will commence as of such date will not be extended by any notice period mandated under employment laws in the jurisdiction where you
provide Service or terms of your Service agreement, if any (including, but not limited to statutory law, regulatory law and/or common law)); as provided in the “Regular Termination” paragraph above, the Company shall have the exclusive
discretion to determine when you are no longer actively providing Service for purposes of your Option grant (including whether you may still be considered to be providing Service while on a leave of absence); 

The following provisions apply if you are resident in Quebec: 

Language Consent. The parties acknowledge that it is their express wish that this Agreement, as well as all documents, notices and legal proceedings
entered into, given or instituted pursuant hereto or relating directly or indirectly hereto, be provided to them in English. 
 Consentement relatif
à la langue utilisée. Les parties reconnaissent avoir exigé la rédaction en anglais de cette convention, ainsi que de tous documents, avis et procédures judiciaires, exécutés, donnés ou
intentés en vertu de, ou liés directement ou indirectement à, la présente convention. 
 Data Privacy. This provision
supplements the “Data Privacy” paragraph in the Stock Option Agreement: 
 You hereby authorize the Company, the Employer and their
representatives to discuss with and obtain all relevant information from all personnel, professional or not, involved in the administration and operation of the Plan. You further authorize the Company and its Subsidiaries or Affiliates to disclose
and discuss the Plan with their advisors. You further authorize the Company and its Subsidiaries or Affiliates to record such information and to keep such information in your employee file. 

  
 15 

 Notifications 

Securities Law Notification. You acknowledge and agree that you will only sell Common Shares acquired through participation in the Plan outside of
Canada through the facilities of a stock exchange on which the Common Shares are listed. Currently, the Common Shares are listed on the NASDAQ. 

COLOMBIA 
 Notifications 

Exchange Control Notification. Investments in assets located outside of Colombia (including Common Shares) are subject to registration with the Central
Bank (Banco de la República) if the aggregate value of such investments is US$500,000 or more (as of December 31 of the applicable calendar year). Further, upon the sale of any Common Shares that you have registered with the Central
Bank, you must cancel the registration by March 31 of the following year. You may be subject to fines if you fail to cancel such registration. 

DENMARK 
 Terms and Conditions 

Stock Option Act. You acknowledge that you have received an Employer Statement in Danish. 

Notifications 
 Securities/Tax Reporting
Notification. If you hold Common Shares acquired under the Plan in a brokerage account with a broker or bank outside Denmark, you are required to inform the Danish Tax Administration about the account. For this purpose, you must file a Form V
(Erklaering V) with the Danish Tax Administration. In the event that the applicable broker or bank with which the account is held does not also sign the Form V, you acknowledge that you are solely responsible for providing certain details
regarding the foreign brokerage or bank account and any Common Shares acquired at exercise and held in such account to the Danish Tax Administration as part of your annual income tax return. By signing the Form V, you authorize the Danish Tax
Administration to examine the account. 
 In addition, if you open a brokerage account (or a deposit account with a U.S. bank) for the purpose of holding
cash outside Denmark, you are required to inform the Danish Tax Administration about this account. To do so, you must file a Form K (Erklaering K) with the Danish Tax Administration. The Form K must be signed both by you and by the applicable broker
or bank where the account is held. By signing the Form K, the broker/bank undertakes an obligation, without further request each year, to forward information to the Danish Tax Administration concerning the content of the account. In the event that
the applicable broker or bank with which 

  
 16 

 
the account is held does not wish to, or, pursuant to the laws of the country in question, is not allowed to assume such obligation to report, you acknowledge that you are solely responsible for
providing certain details regarding the foreign brokerage or bank account to the Danish Tax Administration as part of your annual income tax return. By signing the Form K, you authorize the Danish Tax Administration to examine the account. 

FINLAND 
 There are no country-specific
provisions. 
 FRANCE 
 Terms and
Conditions 
 Language Consent. By accepting the grant, you confirm that you have read and understood the documents relating to the
Option (the Plan and this Agreement) which were provided to you in the English language. You accept the terms of these documents accordingly. 

Consentement Relatif à la Langue Utilisée. En acceptant l’attribution, vous confirmez avoir lu et compris les
documents relatifs à l’Option (le Plan et la présente Convention) qui vous ont été communiqués en langue anglaise. Vous en acceptez les dispositions en connaissance de cause. 

Notifications 
 Exchange Control Notification. If
you hold Common Shares outside of France or maintain a foreign bank account, you are required to report such to the French tax authorities when filing your annual tax return. 

GERMANY 
 Notifications 

Exchange Control Notification. Cross-border payments in excess of €12,500 must be reported monthly to the German Federal Bank. In the event that
you make or receive a payment in excess of this amount, you are solely responsible for obtaining the appropriate form from a German federal bank and complying with applicable reporting requirements. 

  
 17 

 HONG KONG 

Terms and Conditions 
 Restriction on Sale of
Shares. In the event that the Option vests and is exercised within six months of the Date of Grant, you agree that you will not dispose of the Common Shares acquired upon exercise prior to the six-month anniversary of the Date of Grant. 

Notifications 
 Securities Law Notice.
WARNING: The Option and any Common Shares issued at exercise do not constitute a public offering of securities under Hong Kong law and are available only to Employees of the Company or its Subsidiaries or Affiliates. This Agreement, the Plan and
other incidental communication materials have not been prepared in accordance with and are not intended to constitute a “prospectus” for a public offering of securities under the applicable securities legislation in Hong Kong, nor have the
documents been reviewed by any regulatory authority in Hong Kong. The Option is intended only for the personal use of each eligible Employee of the Employer, the Company or any Subsidiary or Affiliate and may not be distributed to any other person.
If you are in any doubt about any of the contents of this Agreement or the Plan, you should obtain independent professional advice. 
 Nature of
Scheme. The Corporation specifically intends that the Plan will not be an occupational retirement scheme for purposes of the Occupational Retirement Schemes Ordinance. 

INDIA 
 Terms and Conditions 

Form of Payment. The following supplements the “Form of Payment” paragraph in the Stock Option Agreement: 

You understand and agree that, if you elect to pay the Exercise Price by means of a same-day sale, you will not be permitted to engage in a “cashless
sell-to-cover” exercise whereby a portion of exercised Common Shares are sold at exercise to cover the Exercise Price, Tax-Related Items and brokerage fees. The Company reserves the right to permit this procedure for payment of the Exercise
Price in the future, depending on the development of local law. 
 Notifications 

Exchange Control Notification. If you remit funds outside of India to exercise the Option, it is your responsibility to comply with any applicable
exchange control regulations in India. In particular, you will be responsible for determining whether approval from the Reserve Bank of India is required prior to exercise or whether you have exhausted your investment limit for the relevant fiscal
year. Further, you must repatriate the proceeds from the sale of Common Shares acquired upon exercise of the Option to India within 90 days after receipt. You must retain the foreign inward remittance certificate received from the bank where the
foreign currency is deposited in the event that the Reserve Bank of India or the Employer requests proof of repatriation. It is your responsibility to comply with these requirements. 

  
 18 

 Foreign Assets Reporting Notification. You are required to declare foreign bank accounts and any foreign
financial assets (including Common Shares held outside India) in your annual tax return. It is your responsibility to comply with this reporting obligation and you should consult your personal tax advisor in this regard. 

IRELAND 
 Notifications 

Director Notification Requirement. If you are a director, shadow director (i.e., an individual who is not on the board of directors but who has
sufficient control so that the board of directors acts in accordance with the “directions and instructions” of the individual) or secretary of an Irish Subsidiary or Affiliate, you are subject to certain notification requirements under the
Companies Act. Among these requirements is an obligation to notify the Irish Subsidiary or Affiliate in writing when you receive an interest (e.g., Options, Common Shares) in the Company and the number and class of shares or rights to which
the interest relates within five business days of the acquisition or disposal of such Common Shares or within five business days of becoming aware of the event giving rise to the notification. These notification requirements also apply to any rights
or Common Shares acquired by your spouse or children under the age of 18. 
 ITALY 

Terms and Conditions 
 Method of
Exercise. This provision supplements the “Form of Payment” paragraph in the Stock Option Agreement: 
 Due to local
regulatory requirements, you will be restricted to a “same-day sale” method of exercise similar to that described in the “Form of Payment” paragraph of the Stock Option Agreement. To complete a “same-day sale,” you
understand that you will be required to give a securities broker approved by the Company irrevocable directions to sell all of the Common Shares acquired at exercise of the Option and to deliver to the Company, from the sale proceeds, an
amount sufficient to pay the Exercise Price and any Tax-Related Items. (The balance of the sale proceeds, if any, will be delivered to you.) The directions must be given in accordance with the instructions of the Company and the broker. You
will not be permitted to hold Common Shares after exercise. Depending on the development of local laws in your country of residence, the Company reserves the right to modify the methods of exercising the Option and, in its sole discretion, to
permit any other methods of exercise and payment of Tax-Related Items permitted under the Plan.

  
 19 

 Data Privacy Notice. The following provision replaces the “Data
Privacy” paragraph in the Stock Option Agreement: 
 You understand that the Employer, the Company and any Subsidiary or Affiliate may
hold certain personal information about you including, without limitation, your name, home address and telephone number, date of birth, social insurance or other identification number, salary, nationality, job title, any stock or directorships held
in the Company or any Subsidiary or Affiliate, details of all Options or any other entitlement to stock awarded, canceled, exercised, vested, unvested or outstanding in your favor (“Data”), for the exclusive purpose of implementing,
managing and administering the Plan. 
 You also understand that providing the Company with Data is necessary for the performance of the Plan
and that your refusal to provide such Data would make it impossible for the Company to perform its contractual obligations and may affect your ability to participate in the Plan. The Controller of personal data processing is Qlik Technologies
Inc. 150 N. Radnor Chester Road, Suite E220, Radnor, PA, 19087, United States of America, and, pursuant to Legislative Decree no. 196/2003, its representative in Italy is Xavier Massey, Qlik, 93 avenue Charles de Gaulle, 92200 Neuilly sur Seine.

 You understand that Data will not be publicized, but it may be transferred to Morgan Stanley or such other stock plan service provider as
may be selected by the Committee in the future (any such entity, “Broker”), or other third parties involved in the management and administration of the Plan. You understand that Data may also be transferred to the independent
registered public accounting firm engaged by the Company. You further understand that the Company and/or any Subsidiary or Affiliate will transfer Data among themselves as necessary for the purpose of implementing, administering and managing
your participation in the Plan, and that the Company or any Subsidiary or Affiliate may each further transfer Data to third parties assisting the Company in the implementation, administration, and management of the Plan, including any requisite
transfer of Data to the Broker or other third party with whom you may elect to deposit any Common Shares acquired upon exercise of the Option. Such recipients may receive, possess, use, retain, and transfer Data in electronic or other form, for
the purposes of implementing, administering, and managing your participation in the Plan. You understand that these recipients may be located in or outside the European Economic Area, such as in the United States or elsewhere. Should the
Company exercise its discretion in suspending all necessary legal obligations connected with the management and administration of the Plan, it will delete Data as soon as it has completed all the necessary legal obligations connected with the
management and administration of the Plan. 
 You understand that Data processing related to the purposes specified above shall take place
under automated or non-automated conditions, anonymously when possible, that comply with the purposes for which Data is collected and with confidentiality and security provisions, as set forth by applicable Italian data privacy laws and regulations,
with specific reference to Legislative Decree no. 196/2003. 

  
 20 

 The processing activity, including communication, the transfer of Data abroad, including outside of the
European Economic Area, as herein specified and pursuant to applicable Italian data privacy laws and regulations, does not require your consent thereto, as the processing is necessary to performance of contractual obligations related to
implementation, administration, and management of the Plan. You understand that, pursuant to Section 7 of the Legislative Decree no. 196/2003, you have the right to, without limitation, access, delete, update, correct, or terminate, for
legitimate reason, the Data processing.
 Furthermore, you are aware that Data will not be used for direct-marketing purposes. In
addition, Data provided can be reviewed and questions or complaints can be addressed by contacting your local human resources representative. 

Grant Terms Acknowledgment. In accepting the Option, you acknowledge that you have received a copy of the Plan and the Agreement and have reviewed
the Plan and the Agreement, in their entirety and you fully understand and accept all provisions of the Plan and the Agreement. 
 You further acknowledge
having read and specifically approve the following paragraphs of the Agreement: Withholding Taxes; Nature of Grant; Applicable Law; Choice of Venue; Language; and the “Data Privacy Notice” paragraph set forth above. 

Notifications 
 Exchange Control
Notification. You are required to report in your annual tax return: (a) any transfers of cash or shares to or from Italy exceeding €10,000 or the equivalent amount in U.S. dollars, (b) any foreign investments or investments
held outside of Italy at the end of the calendar year exceeding €10,000 if such investments (vested Options, cash or Common Shares) may result in taxable income in Italy, and (c) the amount of the transfers to and from abroad that have had
an impact on your foreign investments or investments held outside of Italy during the calendar year. Under certain circumstances, you may be exempt from the requirement in (a) above if the transfer or investment is made through an
authorized broker resident in Italy. 
 JAPAN 

Notifications 
 Exchange Control Notification. If
you remit more than ¥30 million for the purchase of Common Shares in a single transaction, you must file a Payment Report with the Ministry of Finance (through the Bank of Japan or the bank carrying out the transaction). The precise
reporting requirements vary depending on whether the relevant payment is made through a bank in Japan. If you intend to acquire Common Shares whose value exceeds ¥100 million in a single transaction, you must also file a Report Concerning
Acquisition of Shares (“Securities Acquisition Report”) with the Ministry of Finance through the Bank of Japan within 20 days of acquiring the shares. The forms to make these reports can be acquired from the Bank of Japan. 

  
 21 

 A Payment Report is required independently from a Securities Acquisition Report. Therefore, if the total amount
that you pay upon a one-time transaction for exercising the Option and acquiring Common Shares exceeds ¥100 million, you must file both a Payment Report and a Securities Acquisition Report. 

Offshore Assets Reporting. Pursuant to a new law, you will be required to report details of any assets held outside of Japan as of December 31st
(including Common Shares acquired under the Plan), to the extent such assets have a total net fair market value exceeding ¥50 million. Such report will be due by March 15th each year. You should consult with your personal tax advisor as to
whether the reporting obligation applies to you and whether you will be required to report details of your outstanding Options, as well as Common Shares, in the report. 

MEXICO 
 Terms and Conditions 

No Entitlement or Claims for Compensation/Policy Statement. In accepting the Option, you expressly recognize that the Company, with offices at 150 N.
Radnor Chester Road, Suite E220, Radnor, PA, 19087, U.S.A., is solely responsible for the administration of the Plan and that your participation in the Plan and acquisition of Common Shares does not constitute an employment relationship between you
and the Company since you are participating in the Plan on a wholly commercial basis and your sole employer is QlikTech Mexico, S. de R.L. de C.V. (“Qlik-Mexico”), not the Company in the United States. Based on the foregoing, you expressly
recognize that the Plan and the benefits that you may derive from participation in the Plan do not establish any rights between you and your employer, Qlik-Mexico, and do not form part of the employment conditions and/or benefits provided by
Qlik-Mexico and any modification of the Plan or its termination shall not constitute a change or impairment of the terms and conditions of your employment. 

You further understand that your participation in the Plan is as a result of a unilateral and discretionary decision of the Company; therefore, the Company
reserves the absolute right to amend and/or discontinue your participation at any time without any liability to you. 
 Finally, you hereby declare that you
do not reserve to yourself any action or right to bring any claim against the Company for any compensation or damages regarding any provision of the Plan or the benefits derived under the Plan, and you therefore grant a full and broad release to the
Company and any Subsidiaries or Affiliates, the Company’s shareholders, officers, agents or legal representatives with respect to any claim that may arise. 

Aceptando este Premio1, usted reconoce que la Compañía, con oficinas registradas en 150 N. Radnor Chester Road, Suite E220, Radnor, PA,
19087, U.S.A., es la única responsable de la 
  

	1 	El término “Premio” se refiere a la palabra “Option” 

  
 22 

 administración del Plan y que la participación de usted en el mismo y la adquisición de
Acciones no constituye de ninguna manera una relación laboral entre usted y la Compañía, toda vez que su participación en el Plan deriva únicamente de una relación comercial con la Compañía,
reconociendo expresamente que su único empleador lo es QlikTech Mexico, S. de R.L. de C.V. (“Qlik-Mexico”), no la Compañía en los Estados Unidos. Derivado de lo anterior, usted expresamente reconoce que el Plan y los
beneficios que pudieran derivar del mismo no crean ningún derecho entre usted y su empleador, Qlik-México, y no forman parte de las condiciones laborales y/o prestaciones otorgadas por Qlik-México, y expresamente usted reconoce
que cualquier modificación al Plan o la terminación del mismo, no deberá ser interpretada como una modificación de las condiciones de su trabajo. 

Asimismo, usted reconoce que su participación en el Plan es consecuencia de una decisión unilateral y discrecional de la
Compañía; por lo tanto, la Compañía se reserva el derecho para modificar y/o terminar su participación en cualquier momento, sin responsabilidad alguna. 

Finalmente, usted manifiesta que no se reserva ninguna acción o derecho en contra de la Compañía, por cualquier compensación o
daños y perjuicios en relación con cualquier disposición del Plan o de los beneficios derivados del mismo, y en consecuencia usted libera amplia y completamente de toda responsabilidad a la Compañía, sus
Subsidiarias o Afiliadas, sus accionistas, directivos, agentes o representantes, en relación con cualquier demanda que pudiera surgir. 

NETHERLANDS 
 Notifications 

Insider Trading Notification. You should be aware of Dutch insider trading rules that may impact the sale of Common Shares acquired under the Plan. In
particular, you may be prohibited from effecting certain transactions if you have insider information regarding the Company. 
 By accepting the grant of
the Option and participating in the Plan, you acknowledge having read and understood this Insider Trading Notification and further acknowledge that it is your responsibility to comply with the following Dutch insider trading rules. 

Under Article 5:56 of the Dutch Financial Supervision Act, anyone who has “inside information” related to an issuing company is prohibited from
effectuating a transaction in securities in or from the Netherlands. “Inside information” is defined as knowledge of details concerning the issuing company to which the securities relate that is not public and which, if published, would
reasonably be expected to affect the stock price, regardless of the development of the price. The insider could be any Employee in the Netherlands who has inside information as described herein. 

  
 23 

 Given the broad scope of the definition of inside information, certain Employees working in the Netherlands
(including a Participant in the Plan) may have inside information and, thus, would be prohibited from effectuating a transaction in securities in the Netherlands at a time when in possession of such inside information. If you are uncertain whether
the insider trading rules apply to you, you should consult with your personal legal advisor. 
 NORWAY 

There are no country-specific provisions. 

POLAND 
 Notifications 

Exchange Control Information. Polish residents holding foreign securities (including Common Shares) and maintaining accounts abroad must report
information to the National Bank of Poland. Specifically, if the aggregate value of shares and cash held in such foreign accounts exceeds PLN 7 million, Polish residents must file reports on the transactions and balances of the accounts on a
quarterly basis. If required, the reports are due on a quarterly basis and must be filed on special forms available on the website of the National Bank of Poland. In addition, Polish residents are required to transfer funds through a bank
account in Poland if the transferred amount in any single transaction exceeds a specified threshold (currently €15,000). You must store all documents connected with any foreign exchange transactions you engage in for a period of five
years. 
 PORTUGAL 
 Terms and
Conditions 
 Consent to Receive Information in English. You hereby expressly declare that you have full knowledge of the English language and
have read, understood and fully accept and agreed with the terms and conditions established in the Plan and Agreement. 
 Conhecimento da
Lingua. Por meio do presente, eu declaro expressamente que tem pleno conhecimento da língua inglesa e que li, compreendi e livremente aceitei e concordei com os termos e condições estabelecidas no Plano e no Acordo.

 Notifications 
 Exchange Control
Notification. If you do not hold the Common Shares acquired under the Plan with a Portuguese financial intermediary, you will need to file a report with the Portuguese Central Bank. If the Common Shares are held by a Portuguese financial
intermediary, it will file the report for you. 

  
 24 

 RUSSIA 

Notifications 
 U.S. Transaction. Any Common Shares
issued upon exercise of the Option shall be delivered to you through a brokerage account in the U.S. You may hold Common Shares in your brokerage account in the U.S.; however, in no event will shares issued to you and/or share certificates or other
instruments be delivered to you in Russia. You are not permitted to make any public advertising or announcements regarding the Option or Common Shares in Russia, or promote these shares to other Russian legal entities or individuals, and you are not
permitted to sell or otherwise dispose of Common Shares directly to other Russian legal entities or individuals. You are permitted to sell Common Shares only on the NASDAQ and only through a U.S. broker. 

Securities Law Notification. These materials do not constitute advertising or an offering of securities in Russia nor do they constitute placement of
the Common Shares in Russia. The issuance of Common Shares pursuant to the Option described herein has not and will not be registered in Russia and hence, the Common Shares described herein may not be admitted or used for offering, placement or
public circulation in Russia. 
 Exchange Control Notification. If you wish to exercise the Option using the cash exercise method, you must
remit the funds from a foreign currency account at an authorized bank in Russia. This requirement does not apply if you use a same-day sale method of exercise, such that there is no remittance of funds out of Russia. 

You acknowledge that you must repatriate the proceeds from the sale of Common Shares in relation to the Option within a reasonably short time of receipt. Such
amounts must be initially credited to you through a foreign currency account opened in your name at an authorized bank in Russia. After the funds are initially received in Russia, they may be further remitted to foreign banks subject to the
following limitations: (i) the foreign account may be opened only for individuals; (ii) the foreign account may not be used for business activities; and (iii) you must give notice to the Russian tax authorities about the
opening/closing of each foreign account within one month of the account opening/closing. 
 You should consult your personal tax advisor before remitting
any sale proceeds to Russia, as exchange control requirements may change. 

  
 25 

 SINGAPORE 

Notifications 
 Securities Law Notification. The
grant of the Option under the Plan is being made pursuant to the “Qualifying Person” exemption under section 273(1)(f) of the Securities and Futures Act (Chapter 289, 2006 Ed.) (“SFA”). The Plan has not been lodged or registered
as a prospectus with the Monetary Authority of Singapore. You should note that the Option is subject to section 257 of the SFA and that you will not be able to make (i) any subsequent sale of Common Shares in Singapore or (ii) any offer of
such subsequent sale of Common Shares subject to the Option in Singapore, unless such sale or offer is made pursuant to the exemptions under Part XIII Division (1) Subdivision (4) (other than section 280) of the SFA. 

Director Notification Obligation. If you are a director of a Singapore Subsidiary or Affiliate, you must notify the Singapore Subsidiary or Affiliate
in writing within two business days of: (i) receiving or disposing of an interest (e.g., Options, Common Shares) in the Company or any related companies (ii) any change in a previously disclosed interest (e.g., exercise of
Options, Common Shares, etc.) or (iii) becoming a director if such an interest exists at the time. This notification requirement also applies to an associate director and to a shadow director (i.e., an individual who is not on the board
of directors but who has sufficient control so that the board of directors acts in accordance with the “directions and instructions” of the individual) of a Singapore Subsidiary or Affiliate. 

Insider Trading Notification. You should be aware of the Singapore insider trading rules, which may impact the acquisition or disposal of Common Shares
or Options under the Plan. Under the Singapore insider trading rules, you are prohibited from selling Common Shares when you are in possession of information which is not generally available and which you know or should know will have a material
effect on the price of Common Shares once such information is generally available. 
 SPAIN 

Terms and Conditions 
 Nature of Grant. The
following supplements the “Nature of Grant” paragraph of the Stock Option Agreement: 
 In accepting the Option, you consent to participate in the
Plan and acknowledge having received and read a copy of the Plan. 
 Further, you understand that the Company has unilaterally, gratuitously and in its sole
discretion decided to grant an Option under the Plan to individuals who may be Employees of the Company or its Subsidiaries or Affiliates throughout the world. The decision is a limited 

  
 26 

 
decision that is entered into upon the express assumption and condition that any grant will not bind the Company or any Subsidiary or Affiliate. Consequently, you understand that the Option is
granted on the assumption and condition that such Option and any Common Shares acquired upon exercise of the Option shall not become a part of any employment contract (either with the Company or any Subsidiary or Affiliate) and shall not be
considered a mandatory benefit, salary for any purposes (including severance compensation) or any other right whatsoever. In addition, you understand that the Option would not be granted but for the assumptions and conditions referred to above;
thus, you acknowledge and freely accept that should any or all of the assumptions be mistaken or should any of the conditions not be met for any reason, then the grant of the Option shall be null and void. 

Further, the vesting of the Option is expressly conditioned on your active Service, such that if your Service terminates for any reason whatsoever, the Option
ceases vesting immediately effective on the date of termination of your Service. This will be the case, for example, even if you (1) are considered to be unfairly dismissed without good cause; (2) are dismissed for disciplinary or
objective reasons or due to a collective dismissal; (3) terminate Service due to a change of work location, duties or any other employment or contractual condition; (4) terminate Service due to the Company’s or any Subsidiary’s
or Affiliate’s unilateral breach of contract; or (5) are terminated from Service for any other reason whatsoever. Consequently, upon your termination of Service for any of the above reasons, you may automatically lose any rights to the
Option that were unvested on the date of termination. 
 Notifications 

Securities Law Notification. No “offer of securities to the public,” as defined under Spanish law, has taken place or will take place in the
Spanish territory. The Agreement has not been nor will it be registered with the Comisión Nacional del Mercado de Valores, and does not constitute a public offering prospectus. 

Exchange Control Notification. The acquisition of Common Shares and the sale of Common Shares must be declared for statistical purposes to the
Dirección General de Comercio e Inversiones (the “DGCI”). Because you will not purchase or sell the Common Shares through the use of a Spanish financial institution, you must make the declaration yourself by filing a D-6 form with
the DGCI. Generally, the D-6 form must be filed each January while the shares are owned or to report the sale of Common Shares. 
 When receiving foreign
currency payments derived from the ownership of Common Shares (e.g., dividends or sale proceeds) exceeding €50,000, you must inform the financial institution receiving the payment of the basis upon which such payment is made. You will need to
provide the institution with the following information: (i) your name, address, and fiscal identification number; (ii) the name and corporate domicile of the Company; (iii) the amount of the payment; (iv) the currency used;
(v) the country of origin; (vi) the reasons for the payment; and (vii) any further information that may be required. 

  
 27 

 Foreign Assets Reporting Notification. Effective January 1, 2013, you are required to
declare electronically to the Bank of Spain any securities accounts (including brokerage accounts held abroad), as well as the Common Shares held in such accounts if the value of the transactions during the prior tax year or the balances
in such accounts as of December 31 of the prior tax year exceed €1,000,000. 
 Further, effective January 1, 2013, to the extent that you
hold Common Shares and/or have bank accounts outside Spain with a value in excess of €50,000 (for each type of asset) as of December 31 each year, you will be required to report information on such assets in your tax return (tax form 720)
for such year. 
 SWEDEN 
 There are no
country-specific provisions. 
 SWITZERLAND 

Securities Law Notification. The offering of the Plan is considered a private offering in Switzerland; therefore, it is not subject to registration in
Switzerland. 
 UNITED ARAB EMIRATES 

Notifications 
 Securities Law Notification. The
Plan is only being offered to qualified Employees and is in the nature of providing equity incentives to Employees of the Company or its Subsidiaries or Affiliates in the United Arab Emirates (“UAE”). Any documents related to the Plan,
including the Plan, Plan prospectus and other grant documents (“Plan Documents”), are intended for distribution only to such Employees and must not be delivered to, or relied on by, any other person. The securities to which this summary
relates may be illiquid and/or subject to restrictions on their resale. You should conduct your own due diligence on the securities. If you do not understand the contents of the Plan Documents, you should consult an authorized financial adviser.

 The relevant securities authorities have no responsibility for reviewing or verifying any Plan Documents. UAE securities or financial/economic
authorities have not approved the Plan Documents, nor taken steps to verify the information set out in them, and thus, are not responsible for their content. 

  
 28 

 UNITED KINGDOM 

Terms and Conditions 
 Withholding Taxes. The
following supplements the “Withholding Taxes” paragraph of the Stock Option Agreement: 
 You agree that, if you do not pay or the Employer or the
Company does not withhold from you the full amount of income tax that you owe at exercise of the Option, or the release or assignment of the Option for consideration, or the receipt of any other benefit in connection with the Option (the
“Taxable Event”) within 90 days after the Taxable Event, or such other period specified in Section 222(1)(c) of the U.K. Income Tax (Earnings and Pensions) Act 2003, then the amount of income tax that should have been withheld shall
constitute a loan owed by you to the Employer, effective 90 days after the Taxable Event. You agree that the loan will bear interest at Her Majesty’s Revenue & Customs’ (“HMRC”) official rate and will be immediately due
and repayable by you, and the Company and/or the Employer may recover it at any time thereafter by any of the means set forth in the “Withholding Taxes” paragraph of the Stock Option Agreement. You also authorize the Company to delay the
issuance of any Common Shares unless and until the loan is repaid in full. 
 Notwithstanding the foregoing, if you are an officer or executive director (as
within the meaning of Section 13(k) of the Exchange Act), the terms of the immediately foregoing provision will not apply. In the event that you are an officer or executive director and the income tax that is due is not collected from or paid
by you within 90 days of the Taxable Event, the amount of any uncollected income tax may constitute a benefit to you on which additional income tax and National Insurance contributions (“NICs”) may be payable. You will be responsible for
reporting and paying any income tax due on this additional benefit directly to the HMRC under the self-assessment regime and for reimbursing the Employer or the Company, as applicable, for the value of any NICs due on this additional benefit. 

Joint Election. As a condition of participation in the Plan and the exercise of the Option, you agree to accept any liability for secondary Class 1
National Insurance contributions (the “Employer NICs”) that may be payable by the Company, the Employer, a Subsidiary or Affiliate in connection with the Option and any event giving rise to Tax-Related Items. Without prejudice to the
foregoing, you agree to execute a joint election with the Company, the form of such joint election (the “Joint Election”) having been approved formally by HMRC, and any other required consent or election. You further agree to execute such
other joint elections as may be required between you and any successor to the Company, the Employer, a Subsidiary or Affiliate. You further agree that the Company, the Employer, a Subsidiary or Affiliate may collect the Employer NICs from you by any
of the means set forth in the “Withholding Taxes” paragraph of the Stock Option Agreement. 
 If you do not enter into a Joint Election prior to
exercise of the Option, you will not be entitled to exercise the Option unless and until you enter into a Joint Election and no Common Shares will be issued to you under the Plan, without any liability to the Company, the Employer, a Subsidiary or
Affiliate. 

  
 29

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