Document:

Exhibit

AMENDMENT NO. 12 TO SHAREHOLDER RIGHTS AGREEMENT

This Amendment No. 12 to Shareholder Rights Agreement (the “Amendment”), dated as of January 27, 2020, by and between NeuroMetrix, Inc., a Delaware corporation (the “Company”), and American Stock Transfer & Trust Company,  LLC (the “Rights Agent”), amends that certain Shareholder Rights Agreement, dated as of March 7, 2007, as previously amended, between the Company and the Rights Agent (as so amended, the “Rights Agreement”).
WHEREAS, the Company and the Rights Agent are parties to the Rights Agreement; and

WHEREAS, the Company desires to extend the term of the Final Expiration Date (as defined in the Rights Agreement) by an additional year;
WHEREAS, pursuant to Section 27 of the Rights Agreement, the Company and the Rights Agent may from time to time supplement or amend the Rights Agreement subject to the terms of the Rights Agreement; and
WHEREAS, the Board of Directors of the Company has determined that an amendment to the Rights Agreement as set forth herein is necessary and desirable in connection with the foregoing and the Company and the Rights Agent desire to evidence such amendment in writing.
NOW, THEREFORE, in consideration of these premises and mutual agreements set forth herein, the parties agree as follows:
1.         Amendment to Section 7. Section 7(a) of the Rights Agreement is amended by striking

Section 7(a) thereof in its entirety and replacing it with the following:

“(a) Subject to Section 7(e) hereof, the registered holder of any Right Certificate may exercise the Rights evidenced thereby (except as otherwise provided herein) in whole or in part at any time after the Distribution Date upon surrender of the Right Certificate, with the form of election to purchase and the certificate on the reverse side thereof duly executed, to the Rights Agent at the office or offices of the Rights Agent designated for such purpose, together with payment of the aggregate Exercise Price for the total number of one ten-thousandths of a share of Preferred Stock (or other securities, cash or other assets, as the case may be) as to which such surrendered Rights 

are then exercised, at or prior to the earlier of (i) the Close of Business on the fourteenth anniversary of the

Record Date (the “Final Expiration Date”), (ii) the time at which the Rights are redeemed as provided in Section 23 hereof (the “Redemption Date”) or (iii) the time at which such Rights are exchanged as provided in Section 24 hereof (the “Exchange Date”) (the earliest of (i), (ii) or (iii) being herein referred to as the “Expiration Date”). Except as set forth in Section 7(e) hereof and notwithstanding any other provision of this Agreement, any Person who prior to the Distribution Date becomes a record holder of shares of Common Stock of the Company may exercise all of the rights of a registered holder of a Right Certificate with respect to the Rights associated with such shares of Common Stock of the Company in accordance with the provisions of this Agreement, as of the date such Person becomes a record holder of shares of Common Stock of the Company.”
2.         Amendment to Section 26.  Section 26 of the Rights Agreement is amended by deleting the notice and demand address for the Rights Agent set forth therein and inserting the following notice and demand addresses in its place:

“American Stock Transfer & Trust Company, LLC
6201 15th Avenue
Brooklyn, NY
Attention: Corporate Trust Department
Telephone: (718) 921-8334

With a copy to:
American Stock Transfer & Trust Company, LLC
48 Wall Street, 22nd Floor
New York, NY 10005
Attention: Legal Department
Email: legalteamAST@astfinancial.com”

3.         Ratification.  The parties hereby ratify and confirm in all respects the Agreement, as amended by this Amendment.
4.         Governing Law.  This Amendment shall be deemed to be a contract made under the laws of the State of Delaware and for all purposes shall be governed by and construed in accordance with the laws of such State applicable to contracts to be made and performed entirely within such State.

5.         Counterparts.  This Amendment may be executed in any number of counterparts and each of such counterparts shall for all purposes be deemed to be an original, and all such counterparts shall together constitute but one and the same instrument.
6.       Descriptive Headings.  Descriptive headings of the several Sections of this Amendment are inserted for convenience only and shall not control or affect the meaning or construction of any of the provisions hereof.

[remainder left intentionally blank]

IN  WITNESS  WHEREOF,  the  parties  have  entered  into  this  Amendment  No.  12  to

Shareholder Rights Agreement as of the date first stated above.

By:
Name:  Thomas T. Higgin
Title:    Senior Vice President, Chief Financial Officer, Treasurer and Principal Accounting Officer

AMERICAN STOCK  TRANSFER & TRUST  COMPANY, LLC
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By:
Name:   Michael A Nespoli
Title:     Executive  DirectorExhibit

TWELFTH MODIFICATION TO LOAN  AND  SECURITY AGREEMENT

This Twelfth Modification  to Loan and Security Agreement  (this "Modification") dated June 21, 2019, is entered  into  by and between  Neurometrix,  Inc.,  a Delaware  corporation  ("Borrower"),  and Comerica Bank  ("Bank").

RECITALS

Bank  and Borrower previously  entered  into  a Loan  and  Security  Agreement  dated  March  5, 2010,  as amended by the following:

the First Modification  to Loan and Security Agreement  dated March 1, 2011,
the Second Modification  to Loan and Security Agreement  dated February  15, 2012, the Third Modification to Loan and Security Agreement  dated April  19, 2012,
the Fourth Modification  to Loan and Security Agreement  dated January 28, 2013, the Fifth Modification  to Loan and Security Agreement dated January 31, 2014, the Sixth Modification to Loan and Security Agreement dated January 23, 2015,
the Seventh Modification  to Loan and Security Agreement  dated January  14, 2016,
the Eighth Modification to Loan and Security Agreement  dated December  29, 2016, the Ninth Modification  to Loan and Security Agreement  dated January  17, 2018,
the Tenth Modification  to Loan and Security Agreement  dated January  14, 2019, and
the Eleventh Modification  to Loan and Security Agreement  dated March 25, 2019 (collectively
"Agreetnent").

NOW,  THEREFORE,   for  good  and  valuable  consideration,  the  receipt and  sufficiency  of which  are hereby acknowledged,  the parties agree as set forth below.

AGREEMENT

I.          Incorporation  by Reference.  The Recitals and the documents  referred to therein are incorporated herein by this reference.   Except as otherwise noted, the terms not defined herein shall have the meanings set forth in the Agreement.

2.          Modification  to the Agreement.   Subject to the satisfaction of the conditions precedent as set forth in Section 3 hereof, the Agreement  is hereby modified as set forth below.

(a)         The following defined term, which is set forth in Exhibit A of the Agreement,  is given the following amended definition:

"'Revolving Maturity Date' means September 30, 2019."

3.          Legal Effect.

(a)         Except  as expressly  set  forth herein,  the  execution,  delivery,  and performance  of this Modification  shall not operate as a waiver of, or as an amendment  of, any light, power, or remedy of Bank  under  the  Agreement,   as  in  effect prior  to  the  date  hereof.    Borrower  ratifies  and reaffirms the continuing  effectiveness of all promissory  notes,  guaranties,  security  agreements, environmental  agreements,  and all other instruments, documents  and agreements  entered  into in connection with the Agreement.

(b)         Borrower represents  and warrants that the representations  and warranties contained in the Agreement  are trne and correct as of the date of this Modification,  and that no Event of Default has occurred and is continuing.

(c)         The  effectiveness  of this  Modification  and  each  of the  documents,   instruments  and agreements entered into in connection with this Modification  is conditioned  upon receipt by Bank of:

(i)          this Modification  and any other documents  which Bank may require to carry out the terms hereof; and

(ii)        payment of any Bank expenses  incurred through the date of this Modification.

4.          No  Other  Changes.   Except  as specifically  provided  in this Modification,  it  does not  vary  the terms  and  provisions  of any  of the  Loan  Documents.    This  Modification  shall  not  impair  the rights, remedies,  and security given in and by the Loan Documents.   The terms of this Modification  shall control any conflict between its terms and those of the Agreement.

5.            Integration.   This   is  an  integrated  Modification   and  supersedes  all  prior  negotiations  and agreements regarding the subject matter hereof.  All amendments hereto must be in writing and signed by the parties.

6.          Release   and   Waiver.      Borrower  waives,   discharges,   and   forever  releases   Bank,   Bank's employees,  officers,  directors,  attorneys, stockholders,  and their successors  and assigns, from  and of any and all claims, causes of action, allegations  or assertions  that Borrower  has or may have had at any time up through  and including  the date of this Amendment,  against  any or all of the foregoing,  regardless  of whether  any such  claims,  causes  of action,  allegations  or assertions  are known  to Borrower  or whether any such claims,  causes  of action, allegations  or assertions  arose as result  of Bank's actions or omissions in connection with the Loan Agreement, any other Loan Document, any amendments, extensions or modifications  thereto,  or Bank's  administration of the Indebtedness  or otherwise. It is further understood and agreed that any and all rights  under the provisions  of Section  1542  of the California Civil Code are expressly waived by Borrower.   Section  1542 of the California Civil Code provides as follows:

A  GENERAL RELEASE DOES   NOT  EXTEND TO  CLAIMS THAT   THE  CREDITOR OR RELEASING PARTY DOES  NOT  KNOW OR SUSPECT TO EXIST  IN HIS  OR HER FAVOR AT THE  TIME  OF EXECUTING THE  RELEASE AND  THAT,  IF KNOWN BY HIM   OR  HER,   WOULD  HAVE   MATERIALLY  AFFECTED  HIS  OR  HER SETTLEMENT WITH THE  DEBTOR OR RELEASED PARTY.

7.          Counterpaits.    This Modification  may be executed  in one or more  counterparts,  each  of which shall be deemed an original but all of which taken together shall constitute one and the same Agreement, and shall become effective when one or more counterparts  have been signed by each of the parties hereto and delivered to the other party.

[end of Modification; signature page follows]

IN  WITNESS  WHEREOF,  the patties  have  agreed  to this  Twelfth  Modification  to Loan and Security
Agreement  as of the date first set forth above.

BANK:

Comerica Bank
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Its:         Vice President
 
BORROWER:

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