Document:

Exhibit 4.1

 

EXHIBIT A TO NOTE CONVERSION AGREEMENT
REPLACEMENT NOTE

 

THE SECURITIES WHOSE
ISSUANCE AND SALE IS REPRESENTED BY THIS DOCUMENT HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR APPLICABLE
STATE SECURITIES LAWS. THE SECURITIES MAY NOT BE OFFERED FOR SALE, SOLD, TRANSFERRED OR ASSIGNED (I) IN THE ABSENCE OF (A) AN EFFECTIVE
REGISTRATION STATEMENT FOR THE SECURITIES UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR (B) AN OPINION OF COUNSEL, IN A GENERALLY
ACCEPTABLE FORM, THAT REGISTRATION IS NOT REQUIRED UNDER SAID ACT OR (II) UNLESS SOLD PURSUANT TO RULE 144 OR RULE 144A UNDER SAID
ACT.

 

PROMISSORY NOTE

 

	[                  ] , 2020	$[            ]

FOR VALUE RECEIVED, [], Inc., a [] corporation (the “Company”), hereby unconditionally promises
to pay to the order of [] whose address is [], or its successors or assigns (the “Holder”), the principal
amount of [] (USD $[]) on or prior to 18 months anniversary (for purpose of this Note 18 months shall consist of
540 days) from the date of the closing of the merger (the “Merger Closing Date”) by and among Canfield Medical
Supply, Inc., a Colorado corporation, SBG Acquisition, Inc., a Nevada corporation, and Splash Beverage Group, Inc. the Nevada corporation,
(the “Maturity Date”), and to pay interest on the unpaid principal balance hereof at the rate of twelve percent
(12%) per annum (the “Applicable Rate”) commencing six months after the Merger Closing Date. This promissory
note (the “Note”) is one of several promissory notes (and all modifications, extensions, future advances, supplements,
and renewals thereof, and any substitutions therefor of this Note or other promissory notes issued pursuant to the Note Conversion
Agreement (the “Other Notes”)) issued pursuant to Promissory Note Conversion Agreement (the “Note Conversion
Agreement”), is subject to the terms and conditions contained in the Note Conversion Agreement and shall be payable in
accordance with the terms set forth below.

 

    	 	1	 

     

    

 

1.                       
Payments of Principal and Interest.

 

(a)                                  
Payment of Principal. The principal amount of this promissory note (the “Note”) shall be paid
to the Holder on or prior to the Maturity Date.

 

(b)                                 
Payment of Interest. Interest on the unpaid principal balance of this Note shall accrue at the Applicable Rate commencing
on the Merger Closing Date. Interest shall be computed on the basis of a 360-day year and paid for the actual number of days elapsed.
Interest shall be payable in 15 installments commencing on the 90th day from the Merger Closing Date and each 30 days
thereafter until the Note is paid in full with interest that accrued over the first 90 days following the Merger Closing Date payable
pro rata over 15 installments. By way of example, if interest accrued over the first 90 days amounts to $15 and the note is repaid
in 15 installments, then each payment of accrued and unpaid interest shall equal the interest amount accrued over preceding 30
days plus $1.

 

(c)                                  
Payment of Default Interest. Any amount of principal or interest on this Note which is not paid within five Business
Days of when due shall bear interest from the date due until such past due amount is paid at a rate of interest equal to the Applicable
Rate plus three percent (3%) per annum (the “Default Rate”).

 

(d)                                 
General Payment Provisions. All payments of principal of, interest on and other amounts due under this Note shall
be made in lawful money of the United States of America by certified bank check or wire transfer to such account as the Holder
may designate by written notice to the Company in accordance with the provisions of this Note. Whenever any amount expressed to
be due by the terms of this Note is due on any day which is not a Business Day, the same shall instead be due on the next succeeding
Business Day. For purposes of this Note, “Business Day” shall mean any day other than a Saturday, Sunday, or a day
on which commercial banks in the States of California are authorized or required by law or executive order to remain closed.

 

(e)                                  
No Breach. The Company represents and warrants to the Holder that execution, delivery and performance by the Company
of this Note will not (i) conflict with or result in a breach of, or require any consent (which has not
been obtained and is in full force and effect) under (x) any organizational document of the Company or any of its subsidiaries
or (y) any applicable requirement of law or (z) any order, writ, injunction or decree of any governmental authority binding on
the Company or any of its subsidiaries, or (ii) result in a breach of, or require termination of, any term or provision of any
contractual obligation of the Company or any of its subsidiaries or (iii) constitute (with due notice or lapse of time or both)
a default under any such contractual obligation or (iv) result in or require the creation or imposition of any lien upon any property
of the Company or any of its subsidiaries pursuant to the terms of any such contractual obligation.

 

(f)                                   
Prepayment. At any time prior to the Maturity Date, the Company may pre-pay this Note in full or in part without
penalty. Upon prepayment of this Note in full, the Holder shall have no further rights under this Note (except for such rights
that may specifically survive the payment of the Note).

 

	 	2.	Defaults and Remedies.

 

 

    	 	2	 

     

    

 

(a)                                  
Events of Default. The occurrence of any of the following events shall constitute an “Event of Default”
hereunder: (i) the Company shall fail to pay any installment of interest, principal or other sums due under this Note when any
such payment shall be due and payable; (ii) the Company makes an assignment for the benefit of creditors; (iii) any order or decree
is rendered by a court which appoints or requires the appointment of a receiver, liquidator or trustee for the Company, and the
order or decree is not vacated within sixty (60) days from the date of entry thereof; (iv) any order or decree is rendered by a
court adjudicating the Company insolvent, and the order or decree is not vacated within sixty (60) days from the date of entry
thereof; (v) the Company files a petition in bankruptcy under the provisions of any Debtor Relief Law; (vi) the Company admits,
in writing, its inability to pay its debts as they become due (provided, however, that receipt by the Company of an audit letter
from its accountants questioning the viability of the Company as a going concern shall not, in and of itself, be construed as an
admission by the Company of its inability to pay its debts as they become due); (vii) a proceeding or petition in bankruptcy is
filed against the Company and such proceeding or petition is not dismissed within ninety (90) days from the date it is filed; (viii)
the Company files a petition or answer seeking reorganization or arrangement under any Debtor Relief Law or similar law of any
other foreign country; (ix) the Company shall fail to perform, comply with or abide by any of the stipulations, agreements, conditions
and/or covenants contained in this Note or the Note Conversion Agreement on the part of the Company to be performed complied with
or abided by (other than a payment covered by clause (i) above), and such failure is not cured within thirty (30) days after written
notice of such failure is delivered by Holder to the Company, (x) the Company or any of its subsidiaries shall fail to pay any
indebtedness (excluding indebtedness evidenced by this Note or by the Other Notes) having a principal amount outstanding in excess
of $100,000 (“Materiality Amount”), or any payment of principal, interest or premium thereon, when due (whether by
scheduled maturity, required prepayment, acceleration, demand or otherwise) and such failure shall continue after the applicable
grace period, if any, specified in the agreement or instrument relating to such indebtedness or if the effect of such default or
event is to accelerate, or to permit the acceleration of, the maturity of such indebtedness provided that such indebtedness in
the aggregate exceeds the Materiality Amount (xi) any representation or warranty made by the Company under this Note or the Note
Conversion Agreement shall prove to have been false or misleading when made and (xi) any Event of Default occurs with respect to
any Other Notes then outstanding. “Debtor Relief Law” means the Bankruptcy Code of the United States (Title 11), and
all other liquidation, conservatorship, bankruptcy, assignment for the benefit of creditors, moratorium, rearrangement, receivership,
insolvency, reorganization, or similar debtor relief laws of the United States or other applicable jurisdictions from time to time
in effect and affecting the rights of creditors generally.

 

(b)                                 
Notice of an Event of Default. Upon the occurrence of an Event of Default with respect to this Note or any Other
Note then outstanding, the Company shall within five (5) Business Days deliver written notice thereof via facsimile or email and
overnight courier (with next day delivery specified) (an “Event of Default Notice”) to the Holder. At any time
after the occurrence of an Event of Default, the Holder may, by notice to the Company, declare all of the Other Notes to be forthwith
due and payable, whereupon the principal and all accrued and unpaid interest thereon, plus all costs of enforcement and collection
(including court costs and reasonable attorney’s fees), shall immediately become and be forthwith due and payable, without
presentment, demand, protest or further notice of any kind, all of which are hereby expressly waived by the Company

 

(c)                                  
Reserved.

 

 

    	 	3	 

     

    

 

(d)                                 
Remedies. Ten Business days after the occurrence of one or more Events of Default, if such Event of Default has not
been cured then the Holder, at its option and without further notice, demand or presentment for payment to the Company or others,
may declare the then outstanding principal balance of this Note, together with all accrued and unpaid interest at the Default Rate
and other sums due under the Note, immediately due and payable, together with all reasonable attorneys’ fees, paralegals’
fees and costs and expenses incurred by the Holder in collecting or enforcing payment thereof (whether such reasonable fees, costs
or expenses are incurred in negotiations, all trial and appellate levels, administrative proceedings, bankruptcy proceedings or
otherwise), and all other sums due by the Company hereunder, all without any relief whatsoever from any valuation or appraisement
laws and payment thereof may be enforced and recovered in whole or in part at any time by one or more of the remedies provided
to the Holder at law, in equity, or under this Note; provided, however, that the occurrence of any Event of Default described in
clauses (iii) through (viii) above shall make this Note immediately due and payable, without any action on the part of the Holder.
The Company hereby waives all presentment for payment, demand, protest, notice of protest and notice of dishonor, and all other
notices of any kind to which they may be entitled under applicable laws or otherwise. This provision shall be in addition to, and
shall not limit, any other remedies the Holder may have at law or equity.

 

3.                  
Lost or Stolen Note. Upon notice to the Company of the loss, theft, destruction or mutilation of this Note, and, in the
case of loss, theft or destruction, of an indemnification undertaking by the Holder to the Company in a form reasonably acceptable
to the Company and customary for similar circumstances in commercial lender/borrower circumstances, and, in the case of mutilation,
upon surrender and cancellation of the Note, the Company shall execute and deliver a new Note of like tenor and date and in substantially
the same form as this Note.

 

4.                  
Cancellation. After all principal, accrued interest and all other sums at any time owed on this Note have been paid in full,
this Note shall automatically be deemed canceled, shall be surrendered to the Company for cancellation and shall not be re-issued.

 

5.                 
Governing Law. This Note shall be construed and enforced in accordance with, and all questions concerning the construction,
validity, interpretation and performance of this Note shall be governed by, the laws of the State of Nevada, without giving effect
to provisions thereof regarding conflict of laws. The Company hereby irrevocably submits to the non-exclusive jurisdiction of the
state and federal courts sitting in Clark County in the State of Nevada for the adjudication of any dispute hereunder or in connection
herewith or with any transaction contemplated hereby or discussed herein, and hereby irrevocably waives, and agrees not to assert
in any suit, action or proceeding, any claim that it is not personally subject to the jurisdiction of any such court, that such
suit, action or proceeding is brought in an inconvenient forum or that the venue of such suit, action or proceeding is improper,
provided, however, nothing contained herein shall limit the Holder’s ability to bring suit or enforce this Note in any other
jurisdiction. Each party hereto hereby irrevocably waives personal service of process and consents to process being served in any
such suit, action or proceeding by sending by certified mail or overnight courier a copy thereof to such party at the address indicated
in the preamble hereto and agrees that such service shall constitute good and sufficient service of process and notice thereof.
Nothing contained herein shall be deemed to limit in any way any right to serve process in any manner permitted by law.

 

6.                 
Remedies, Characterizations, Other Obligations, Breaches and Injunctive Relief. The remedies of the Holder as provided herein
shall be cumulative and concurrent and may be pursued singly, successively or together, at the sole discretion of the Holder, and
may be exercised as often as occasion therefor shall occur; and the failure to exercise any such right or remedy shall in no event
be construed as a waiver or release thereof.

 

7.                 
Specific Shall Not Limit General; Construction. No specific provision contained in this Note shall limit or modify any more
general provision contained herein. This Note shall be deemed to be jointly drafted by the Company and the Holder and shall not
be construed against any person as the drafter hereof.

 

    	 	4	 

     

    

 8.               Failure or Indulgence Not Waiver. Holder shall not be deemed, by any act of omission or commission, to have waived any
of its rights or remedies hereunder, unless such waiver is in writing and signed by Holder, and then only to the extent specifically
set forth in the writing. A waiver on one event shall not be construed as continuing or as a bar to or waiver of any right or
remedy to a subsequent event. No failure to exercise and no delay in exercising on the part of the Holder, of any right, remedy,
power or privilege hereunder shall operate as a waiver thereof; nor shall any single or partial exercise of any right, remedy,
power or privilege hereunder preclude any other or further exercise thereof or the exercise of any other right, remedy, power
or privilege.

 

9.                Notice. Notice shall be given to each party at the address indicated in the preamble hereto or at such other address as
provided to the other party in writing.

 

10.             
Usury Savings Clause. Notwithstanding any provision in this Note, the total liability for payments of interest and payments
in the nature of interest, including, without limitation, all charges, fees, exactions, or other sums which may at any time be
deemed to be interest, shall not exceed the limit imposed by the usury laws of the jurisdiction governing this Note or any other
applicable law. In the event the total liability of payments of interest and payments in the nature of interest, including, without
limitation, all charges, fees, exactions or other sums which may at any time be deemed to be interest, shall, for any reason whatsoever,
result in an effective rate of interest, which for any month or other interest payment period exceeds the limit imposed by the
usury laws of the jurisdiction governing this Note, all sums in excess of those lawfully collectible as interest for the period
in question shall, without further agreement or notice by, between, or to any party hereto, be applied to the reduction of the
outstanding principal balance of this Note immediately upon receipt of such sums by the Holder hereof, with the same force and
effect as though the Company had specifically designated such excess sums to be so applied to the reduction of such outstanding
principal balance and the Holder hereof had agreed to accept such sums as a penalty-free payment of principal; provided, however,
that the Holder of this Note may, at any time and from time to time, elect, by notice in writing to the Company, to waive, reduce,
or limit the collection of any sums in excess of those lawfully collectible as interest rather than accept such sums as a prepayment
of the outstanding principal balance. It is the intention of the parties that the Company does not intend or expect to pay nor
does the Holder intend or expect to charge or collect any interest under this Note greater than the highest non-usurious rate of
interest that may be charged under applicable law.

 

11.             
Binding Effect. This Note shall be binding upon the Company and the successors and assigns of the Company and shall inure
to the benefit of Holder and the successors and assigns of Holder.

 

12.             
Severability. In the event any one or more of the provisions of this Note shall for any reason be held to be invalid, illegal,
or unenforceable, in whole or in part, in any respect, or in the event that any one or more of the provisions of this Note operates
or would prospectively operate to invalidate this Note, then and in any of those events, only such provision or provisions shall
be deemed null and void and shall not affect any other provision of this Note. The remaining provisions of this Note shall remain
operative and in full force and effect and shall in no way be affected, prejudiced, or disturbed thereby.

 

 

    	 	5	 

     

    

 

13.             
Assignability. Upon the written consent of the Company, which shall not be unreasonably withheld, Holder may sell or assign,
in whole or in part, or grant participations in this Note and/or the obligations evidenced hereby. The holder of any such sale,
assignment or participation, if the applicable agreement between Holder and such holder so provides, shall be: (a) entitled to
all of the rights, obligations and benefits of Holder (to the extent of such holder’s interest or participation); and (b)
deemed to hold and may exercise the rights of setoff or banker’s lien with respect to any and all obligations of such holder
to the Company (to the extent of such holder’s interest or participation) set forth herein through paragraph 14 below; in
each case as fully as though the Company was directly indebted to such holder.

 

14.             
Amendments. The provisions of this Note may be changed only by a written agreement executed by the Company and Holder.

 

[Signature page follows]

 

    	 	6Exhibit 10.1

 

Canfield
Medical Supply, Inc.

4120
Boardman-Canfield Road

Canfield,
Ohio 44406

Re: Canfield Medical Supply, Inc.—Splash Beverage Group Inc. Shares Lock-up

Ladies
and Gentlemen:

This
agreement is being delivered to you, as an officer, director, employee, consultant or beneficial owner of more than 10% of outstanding
shares of Splash Beverage Group, Inc., a Nevada corporation (“Company”), in connection with the Agreement and
Plan of Merger dated December 31, 2019 (the “Merger Agreement”) among the Company, Canfield Medical Supply,
Inc., a Colorado corporation, (“Canfield”) and SBG Acquisition, Inc. a Nevada corporation (“Merger
Sub”).

In
order to induce Canfield and the Company to enter into the Merger Agreement and the transactions contemplated thereby and
pursuant to which the Company will merge with Sub and become a wholly owned subsidiary of Canfield (the “Merger”),
and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the undersigned agrees
that for a period commencing from the date which follows the date of the Merger and ending 180 days after that date (the “Lock-Up
Period”) the undersigned will not directly or indirectly:

 

	 	(i)	offer,
    pledge, sell, contract to sell, sell any option or contract to purchase, purchase any option or contract to sell, grant any
    option, right or warrant to purchase, lend or otherwise transfer or dispose of any shares of common stock of Canfield which
    the undersigned  receives or may receive in connection with the Merger whether as a shareholder of the Company or
     any securities convertible into or exercisable or exchangeable for shares of Canfield common stock, now owned or hereafter
    acquired by the undersigned or with respect to which the undersigned has or hereafter acquires the power of disposition (collectively,
    the “Lock-up Securities”);

 

	 	(ii)	enter into any swap
    or other agreement, arrangement or transaction that transfers to another, in whole or in part, directly or indirectly, any
    of the economic consequences of ownership of the Lock-up Securities or any securities convertible into or exercisable or exchangeable
    for any Common Stock, whether any such transaction described in clause (i) or (ii) above is to be settled by delivery of Lock-Up
    Securities, in cash or otherwise;

	 	(iii)	make any demand for
    or exercise any right with respect to the registration of any Lock-up Securities; or

	 	(iv)	publicly disclose the intention to make any offer, sale, pledge or disposition, or to enter into any transaction, swap, hedge
or other arrangement relating to any Lock-Up Securities.

Moreover,
if:

 

    	 	1	 

     

    

 

	 	(1)	during the last
    17 days of the Lock-Up Period, the Company issues an earnings release or material news or a material event relating to the
    Company occurs, or

 

	 	(2)	prior to the expiration
    of the Lock-Up Period, the Company announces that it will release earnings results during the 16-day period beginning on the
    last day of the Lock-Up Period,

the
Lock-Up Period shall be extended and the restrictions imposed by this agreement shall continue to apply until the expiration of
the 18-day period beginning on the date of issuance of the earnings release or the occurrence of the material news or material
event, as the case may be, unless the board of directors of Canfield unanimously waives in writing such extension.

Leak-Out
Period

Upon
termination of the Lock-up Period the undersigned may release from the sale restrictions herein contained up to twenty-five percent
(25%) of the Lock-up Securities during ninety (90) days after expiration of Lock Up Period and (ii) release from the sale restrictions
herein contained all remaining Lock-up Securities six months after the Lock Up Period (collectively these six months are, the
“Leak-Out Period”).

Notwithstanding
anything contained above to the contrary, the, Lock-up Securities may be released from the sale restrictions herein contained
at any time following the Lock-up Period (the “Early L/U Release”) when both (a) the volume of Canfield shares
traded are at least 50,000 shares of common stock per day (the “Volume Condition”) and (b) the closing price
per share determined on a volume weighted average price basis equals not less than 300% of deemed value per share (the “Price
Condition”) for 20 consecutive trading days (the “Trading Term Condition”) have been met. For purposes
hereof “deemed value per share” shall equal the aggregate Canfield enterprise value post-Merger divided by the total
number of shares outstanding but in any event shall be not less than $1.00 per share (before giving effect to a proposed reverse
stock split currently contemplated to be on a one-for-3.5 shares basis). By way of illustrating an Early Leak-Out Release where
both the Volume Condition and the Price Condition are met, if a share of Canfield has a deemed value of $1 upon completion of
the Merger then the closing price per share(before giving effect to a reverse stock split,) must be at least $3 on a volume weighted
average price basis and trading volume of the common stock must be at least 50,000 shares over each of the 20 consecutive trading
days. If either of Volume Condition or the Price Condition is not met over the Trading Term Period then Early Leak-Out Release
shall not be available. Notwithstanding the foregoing those shareholders who are not officers of Splash and who have invested
$500,000 or more at least six months prior to the Merger shall not be required to enter into the foregoing Lock-up/Leak-out Period
agreements.

During
the Leak-Out Period, Lock-up Securities may only be sold at or above the lowest "offer" or "ask" prices stated
or quoted by the relevant market maker for Canfield’s common stock on the OTC Markets or any nationally recognized exchange
on which Canfield’s common stock is publicly traded. The undersigned further agrees that (a) no sales will be made at the
"bid" prices for the Common Stock. and that (b) it will not engage in any short selling of the Common Stock during the
Lock-Up/Leak-Out Period.

    	 	2	 

     

    

Permitted
Transfers During the Lock-Up/Leak-Out Period

 

Notwithstanding
the provisions set forth elsewhere in this letter agreement, the undersigned may, without the prior written consent of Canfield
and the Company:

 

(1) if
common stock is owned in the name of a limited liability company (“LLC”) (a) make a pro-rata distribution of the common
stock to the members of the LLC, and (b) instruct Canfield’s transfer agent to retitle such common stock on a pro-rata basis
in the names of the LLC’s members, and to thereafter hold such distributed common stock either in book entry or certificate
form in the names of the LLC members; or

 

(2)
transfer any common stock or any securities convertible into or exchangeable or exercisable for common stock as a bona fide gift
or gifts, or by will or intestacy, to any member of the immediate family (as defined below) of the undersigned or to a trust the
beneficiaries of which are exclusively the undersigned or members of the undersigned’s immediate family or to a charity
or educational institution; 

 

provided, however,
that it shall be a condition to such permitted transfers referenced above that

 

(A) the
transferee executes and delivers to Canfield not later than one business day prior to such transfer, a written agreement, in substantially
the form of this agreement and otherwise satisfactory in form and substance to Canfield, and

 

(B) if
the undersigned is required to file a report under Section 16(a) of the Securities Exchange Act of 1934, as amended, reporting
a reduction or other change in beneficial ownership of Common Stock or any securities convertible into or exercisable or exchangeable
for Common Stock by the undersigned during the Lock-Up Period (as the same may be extended as described above), the undersigned
shall include a statement in such report to the effect that such transfer or distribution is not a transfer for value and that
such transfer is being made as a gift or by will or intestacy, as the case may be; or

 

For
purposes of this paragraph, “immediate family” shall mean a spouse, child, grandchild or other lineal descendant (including
by adoption), father, mother, brother or sister of the undersigned.

 

(3) exercise
or convert currently outstanding warrants, options and convertible debentures, as applicable, and exercise options under an acceptable
stock option plan, so long as the undersigned agrees that the shares of common stock received from any such exercise or conversion
will be subject to this agreement.

The
undersigned further agrees that (i) it will not, during the Lock-Up Period (as the same may be extended as described above),
make any demand for or exercise any right with respect to any registration under the Securities Act of 1933, as amended (the “1933
Act”), of any Common Stock or any securities convertible into or exercisable or exchangeable for common stock, including
under any current or future registration rights agreement or similar agreement to which the undersigned is a party or under which
the undersigned is entitled to any right or benefit to have any securities included in a registration statement filed by the Canfield
or the Company for resale or other transaction, and (ii) Canfield and the Company may, with respect to any common stock or
any securities convertible into or exercisable or exchangeable for common stock owned or held (of record or beneficially) by the
undersigned, cause the transfer agent or other registrar to enter stop transfer instructions and implement stop transfer procedures
with respect to such securities during the Lock-Up Period (as the same may be extended as described above).

    	 	3	 

     

    

In
addition, the undersigned hereby waives any and all notice requirements and rights with respect to the registration of any securities
pursuant to any current or future agreement, instrument, understanding or otherwise, including any registration rights agreement
or similar agreement, to which the undersigned is a party or under which the undersigned is entitled to any right or benefit and
any tag-along rights or other similar rights to have any securities (debt or equity) included in the offering contemplated by
Canfield.

The
undersigned hereby represents and warrants that the undersigned has full power and authority to enter into this agreement and
that this agreement has been duly executed and delivered by the undersigned and is a valid and binding agreement of the undersigned.
This agreement and all authority herein conferred are irrevocable and shall survive the death or incapacity of the undersigned
and shall be binding upon the heirs, personal representatives, successors and assigns of the undersigned.

The
undersigned agrees that, prior to engaging in any transaction or taking any other action that is subject to the terms of this
lock-up agreement during the period from the date hereof to and including the 4th day following the expiration of the Lock-Up
Period, the undersigned will give notice thereof to Canfield (a “Transaction Notice”) and will not consummate any
such transaction or take any such action unless it has received written confirmation from Canfield that the Lock-Up Period (as
may have been extended as described above) has expired (the “Lock-Up Expiration Notice”), provided that if 180 days
have elapsed from the date of Merger and Canfield has not forwarded the Lock-Up Expiration Notice to the undersigned within seven
days of receipt of a Transaction Notice then the Lock-up Period shall be deemed to have expired. It is further expressly agreed
that the restrictions, terms and provisions of this letter do not extend to any participation which the undersigned may undertake,
alone or with, others in any bridge or other financing completed from the date of Merger through the end of the Lock-Up/Leak Out
Period, it being understood and agreed that the transaction documents of those financings will govern all participants as may
therein be set forth.

For
avoidance of doubt the Lock-Up Period shall not extend beyond twenty one days after its original termination date after which
time such Lock-Up Period shall no longer be in force and effect; and the leak-out term shall not extend beyond twelve months from
the date of the Merger after which time such leak-out term shall no longer be in force or effect. .

The
undersigned understands and acknowledges that the Company and Canfield are relying upon this lockup agreement in proceeding toward
consummation of the Merger.

 

    	 	4	 

     

    

 

 

 

 

 

IN
WITNESS WHEREOF, the undersigned has executed and delivered this agreement as of the date first set forth below.

 

	 
	Yours
    very truly,
	 
	 
	 
	Print Name:                                   
                                     

    

    Dated:                        ,
    2019

Signature
Page — Lock Up Letter to Canfield Medical Supply, Inc.

 

    	 	5

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