Document:

Exhibit 4.10

   

  Kronos
        Bio, Inc.

        

        and

        

        _____________, As Warrant Agent

   

  Form
        of Debt Securities

        Warrant Agreement

        

        Dated As Of __________

   

  
     

    
      

    

  

   

  Exhibit
    4.10

   

  Kronos Bio, Inc.

   

  Form of Debt Securities
    Warrant Agreement

   

  This
        Debt Securities Warrant Agreement (this “Agreement”), dated as of [●], between Kronos
        Bio, Inc., a Delaware corporation (the “Company”), and [●], a [corporation] [national
    banking association] organized and existing under the laws of [●] and having a corporate trust office in [●], as warrant
    agent (the “Warrant Agent”).

   

  WHEREAS, the
    Company has entered into an indenture dated as of [●] (the “Indenture”), with [●], as trustee
    (such trustee, and any successors to such trustee, herein called the “Trustee”), providing for the issuance
    from time to time of its debt securities, to be issued in one or more series as provided in the Indenture (the “Debt
        Securities”);

   

  Whereas,
    the Company proposes to sell [If Warrants are sold with other securities —[title of such other securities
    being offered] (the “Other Securities”) with] warrant certificates evidencing one or more warrants (the
    “Warrants” or, individually, a “Warrant”) representing the right to purchase
    [title of Debt Securities purchasable through exercise of Warrants] (the “Warrant Debt Securities”),
    such warrant certificates and other warrant certificates issued pursuant to this Agreement being herein called the “Warrant
        Certificates”; and

   

  Whereas,
      the Company desires the Warrant Agent to act on behalf of the Company, and the Warrant Agent is willing so to act, in
    connection with the issuance, registration, transfer, exchange, exercise and replacement of the Warrant Certificates, and in this
    Agreement wishes to set forth, among other things, the form and provisions of the Warrant Certificates and the terms and conditions
    on which they may be issued, registered, transferred, exchanged, exercised and replaced.

   

  Now
        Therefore, in consideration of the premises and of the mutual agreements herein contained, the parties hereto agree
    as follows:

   

  Article
    1

    

    ISSUANCE OF WARRANTS AND EXECUTION AND

    DELIVERY OF WARRANT CERTIFICATES

   

  1.1          Issuance of Warrants. [If Warrants alone — Upon
    issuance, each Warrant Certificate shall evidence
    one or more Warrants.] [If Other Securities and Warrants — Warrant Certificates will be issued in connection
    with the issuance of the Other Securities but shall be separately transferable and each Warrant Certificate shall evidence one
    or more Warrants.] Each Warrant evidenced thereby shall represent the right, subject to the provisions contained herein and therein,
    to purchase one Warrant Debt Security. [If Other Securities and Warrants — Warrant Certificates will be issued
    with the Other Securities and each Warrant Certificate will evidence [●] Warrants for each [$[●] principal amount]
    [[●] shares] of Other Securities issued.]

   

  1.2          Execution and Delivery of Warrant Certificates. Each Warrant
    Certificate, whenever issued, shall be in registered form
    substantially in the form set forth in Exhibit A hereto, shall be dated the date of its countersignature by the Warrant
    Agent and may have such letters, numbers, or other marks of identification or designation and such legends or endorsements printed,
    lithographed or engraved thereon as the officers of the Company executing the same may approve (execution thereof to be conclusive
    evidence of such approval) and as are not inconsistent with the provisions of this Agreement, or as may be required to comply with
    any law or with any rule or regulation made pursuant thereto or with any rule or regulation of any securities exchange on which
    the Warrants may be listed, or to conform to usage. The Warrant Certificates shall be signed on behalf of the Company by any of
    its present or future chief executive officers, presidents, senior vice presidents, vice presidents, chief financial officers,
    chief legal officers, treasurers, assistant treasurers, controllers, assistant controllers, secretaries or assistant secretaries
    under its corporate seal reproduced thereon. Such signatures may be manual or facsimile signatures of such authorized officers
    and may be imprinted or otherwise reproduced on the Warrant Certificates. The seal of the Company may be in the form of a facsimile
    thereof and may be impressed, affixed, imprinted or otherwise reproduced on the Warrant Certificates.

   

  
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  No Warrant Certificate
    shall be valid for any purpose, and no Warrant evidenced thereby shall be exercisable, until such Warrant Certificate has been
    countersigned by the manual signature of the Warrant Agent. Such signature by the Warrant Agent upon any Warrant Certificate executed
    by the Company shall be conclusive evidence that the Warrant Certificate so countersigned has been duly issued hereunder.

   

  In case any officer
    of the Company who shall have signed any of the Warrant Certificates either manually or by facsimile signature shall cease to be
    such officer before the Warrant Certificates so signed shall have been countersigned and delivered by the Warrant Agent, such Warrant
    Certificates may be countersigned and delivered notwithstanding that the person who signed such Warrant Certificates ceased to
    be such officer of the Company; and any Warrant Certificate may be signed on behalf of the Company by such persons as, at the actual
    date of the execution of such Warrant Certificate, shall be the proper officers of the Company, although at the date of the execution
    of this Agreement any such person was not such officer.

   

  The term “holder”
    or “holder of a Warrant Certificate” as used herein shall mean any person in whose name at the time any
    Warrant Certificate shall be registered upon the books to be maintained by the Warrant Agent for that purpose.

   

  1.3          Issuance of Warrant Certificates. Warrant Certificates
    evidencing the right to purchase Warrant Debt Securities may
    be executed by the Company and delivered to the Warrant Agent upon the execution of this Agreement or from time to time thereafter.
    The Warrant Agent shall, upon receipt of Warrant Certificates duly executed on behalf of the Company, countersign such Warrant
    Certificates and shall deliver such Warrant Certificates to or upon the order of the Company.

   

  Article
    2

    

    WARRANT PRICE, DURATION AND EXERCISE OF WARRANTS

   

  2.1          Warrant Price. During the period specified in Section 2.2,
    each Warrant shall, subject to the terms of this Agreement
    and the applicable Warrant Certificate, entitle the holder thereof to purchase the principal amount of Warrant Debt Securities
    specified in the applicable Warrant Certificate at an exercise price of [●]% of the principal amount thereof [plus accrued
    amortization, if any, of the original issue discount of the Warrant Debt Securities] [plus accrued interest, if any, from the most
    recent date from which interest shall have been paid on the Warrant Debt Securities or, if no interest shall have been paid on
    the Warrant Debt Securities, from the date of their initial issuance.] [The original issue discount ($[●] for each $1,000
    principal amount of Warrant Debt Securities) will be amortized at a [●]% annual rate, computed on a[n] [semi-] annual basis
    [using a 360-day year consisting of twelve 30-day months].] Such purchase price for the Warrant Debt Securities is referred to
    in this Agreement as the “Warrant Price.

   

  
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  2.2          Duration of Warrants. Each Warrant may be exercised in whole
    or in part at any time, as specified herein, on or after
    [the date thereof] [●] and at or before [●] p.m., [City] time, on [●] or such later date as the Company may designate
    by notice to the Warrant Agent and the holders of Warrant Certificates mailed to their addresses as set forth in the record books
    of the Warrant Agent (the “Expiration Date”). Each Warrant not exercised at or before [●] p.m.,
    [City] time, on the Expiration Date shall become void, and all rights of the holder of the Warrant Certificate evidencing such
    Warrant under this Agreement shall cease.

   

  2.3          Exercise of Warrants.

   

  (a)          During the period specified in Section 2.2, the Warrants may be
    exercised to purchase a whole number of Warrant Debt
    Securities in registered form by providing certain information as set forth on the reverse side of the Warrant Certificate and
    by paying in full, in lawful money of the United States of America, [in cash or by certified check or official bank check in New
    York Clearing House funds] [by bank wire transfer in immediately available funds] the Warrant Price for each Warrant Debt Security
    with respect to which a Warrant is being exercised to the Warrant Agent at its corporate trust office, provided that such exercise
    is subject to receipt within five business days of such payment by the Warrant Agent of the Warrant Certificate with the form of
    election to purchase Warrant Debt Securities set forth on the reverse side of the Warrant Certificate properly completed and duly
    executed. The date on which payment in full of the Warrant Price is received by the Warrant Agent shall, subject to receipt of
    the Warrant Certificate as aforesaid, be deemed to be the date on which the Warrant is exercised; provided, however, that if, at
    the date of receipt of such Warrant Certificates and payment in full of the Warrant Price, the transfer books for the Warrant Debt
    Securities purchasable upon the exercise of such Warrants shall be closed, no such receipt of such Warrant Certificates and no
    such payment of such Warrant Price shall be effective to constitute the person so designated to be named as the holder of record
    of such Warrant Debt Securities on such date, but shall be effective to constitute such person as the holder of record of such
    Warrant Debt Securities for all purposes at the opening of business on the next succeeding day on which the transfer books for
    the Warrant Debt Securities purchasable upon the exercise of such Warrants shall be opened, and the certificates for the Warrant
    Debt Securities in respect of which such Warrants are then exercised shall be issuable as of the date on such next succeeding day
    on which the transfer books shall next be opened, and until such date the Company shall be under no duty to deliver any certificate
    for such Warrant Debt Securities. The Warrant Agent shall deposit all funds received by it in payment of the Warrant Price in an
    account of the Company maintained with it and shall advise the Company by telephone at the end of each day on which a payment for
    the exercise of Warrants is received of the amount so deposited to its account. The Warrant Agent shall promptly confirm such telephone
    advice to the Company in writing.

   

  (b)          The Warrant Agent shall, from time to time, as promptly as
    practicable, advise the Company of (i) the number of Warrant
    Debt Securities with respect to which Warrants were exercised, (ii) the instructions of each holder of the Warrant Certificates
    evidencing such Warrants with respect to delivery of the Warrant Debt Securities to which such holder is entitled upon such exercise,
    (iii) delivery of Warrant Certificates evidencing the balance, if any, of the Warrants for the remaining Warrant Debt Securities
    after such exercise, and (iv) such other information as the Company or the Trustee shall reasonably require.

   

  (c)          As soon as practicable after the exercise of any Warrant, the
    Company shall issue pursuant to the Indenture, in authorized
    denominations, to or upon the order of the holder of the Warrant Certificate evidencing such Warrant the Warrant Debt Securities
    to which such holder is entitled, in fully registered form, registered in such name or names as may be directed by such holder.
    If fewer than all of the Warrants evidenced by such Warrant Certificate are exercised, the Company shall execute, and an authorized
    officer of the Warrant Agent shall manually countersign and deliver, a new Warrant Certificate evidencing Warrants for the number
    of Warrant Debt Securities remaining unexercised.

   

  
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  (d)          The Company shall not be required to pay any stamp or other tax
    or other governmental charge required to be paid in
    connection with any transfer involved in the issue of the Warrant Debt Securities, and in the event that any such transfer is involved,
    the Company shall not be required to issue or deliver any Warrant Debt Securities until such tax or other charge shall have been
    paid or it has been established to the Company’s satisfaction that no such tax or other charge is due.

   

  (e)          Prior to the issuance of any Warrants there shall have been
    reserved, and the Company shall at all times through the
    Expiration Date keep reserved, out of its authorized but unissued Warrant Debt Securities, a number of shares sufficient to provide
    for the exercise of the Warrants.

   

  Article
    3

    

    OTHER PROVISIONS RELATING TO RIGHTS OF HOLDERS OF

    WARRANT CERTIFICATES

   

  3.1          No Rights as Holder of Warrant Debt Securities Conferred by
      Warrants or Warrant Certificates. No Warrant Certificate
    or Warrant evidenced thereby shall entitle the holder thereof to any of the rights of a holder of Warrant Debt Securities, including,
    without limitation, the right to receive the payment of principal of (or premium, if any) or interest, if any, on the Warrant Debt
    Securities or to enforce any of the covenants in the Indenture.

   

  3.2          Lost, Stolen, Mutilated or Destroyed Warrant Certificates. Upon
    receipt by the Warrant Agent of evidence reasonably
    satisfactory to it and the Company of the ownership of and the loss, theft, destruction or mutilation of any Warrant Certificate
    and/or indemnity reasonably satisfactory to the Warrant Agent and the Company and, in the case of mutilation, upon surrender of
    the mutilated Warrant Certificate to the Warrant Agent for cancellation, then, in the absence of notice to the Company or the Warrant
    Agent that such Warrant Certificate has been acquired by a bona fide purchaser, the Company shall execute, and an authorized officer
    of the Warrant Agent shall manually countersign and deliver, in exchange for or in lieu of the lost, stolen, destroyed or mutilated
    Warrant Certificate, a new Warrant Certificate of the same tenor and evidencing Warrants for a like principal amount of Warrant
    Debt Securities. Upon the issuance of any new Warrant Certificate under this Section 3.2, the Company may require the payment of
    a sum sufficient to cover any tax or other governmental charge that may be imposed in relation thereto and any other expenses (including
    the fees and expenses of the Warrant Agent) in connection therewith. Every substitute Warrant Certificate executed and delivered
    pursuant to this Section 3.2 in lieu of any lost, stolen or destroyed Warrant Certificate shall represent an additional contractual
    obligation of the Company, whether or not the lost, stolen or destroyed Warrant Certificate shall be at any time enforceable by
    anyone, and shall be entitled to the benefits of this Agreement equally and proportionately with any and all other Warrant Certificates
    duly executed and delivered hereunder. The provisions of this Section 3.2 are exclusive and shall preclude (to the extent lawful)
    all other rights and remedies with respect to the replacement of mutilated, lost, stolen or destroyed Warrant Certificates.

   

  3.3          Holder of Warrant Certificate May Enforce Rights.
    Notwithstanding any of the provisions of this Agreement, any holder
    of a Warrant Certificate, without the consent of the Warrant Agent, , the Trustee, the holder of any Warrant Debt Securities or
    the holder of any other Warrant Certificate, may, in such holder’s own behalf and for such holder’s own benefit, enforce,
    and may institute and maintain any suit, action or proceeding against the Company suitable to enforce, or otherwise in respect
    of, such holder’s right to exercise the Warrants evidenced by such holder’s Warrant Certificate in the manner provided
    in such holder’s Warrant Certificates and in this Agreement.

   

  
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  3.4          Merger, Sale, Conveyance or Lease. In case of (a) any share
    exchange, merger or similar transaction of the Company with
    or into another person or entity (other than a share exchange, merger or similar transaction in which the Company is the acquiring
    or surviving corporation) or (b) the sale, exchange, lease, transfer or other disposition of all or substantially all of the properties
    and assets of the Company as an entirety (in any such case, a “Reorganization Event”), then, as a condition
    of such Reorganization Event, lawful provisions shall be made, and duly executed documents evidencing the same from the Company’s
    successor shall be delivered to the holders of the Warrants, so that such successor shall succeed to and be substituted for the
    Company, and assume all the Company’s obligations under, this Agreement and the Warrants. The Company shall thereupon be
    relieved of any further obligation hereunder or under the Warrants, and the Company as the predecessor corporation may thereupon
    or at any time thereafter be dissolved, wound up or liquidated. Such successor or assuming entity thereupon may cause to be signed,
    and may issue either in its own name or in the name of the Company, any or all of the Warrants issuable hereunder which heretofore
    shall not have been signed by the Company, and may execute and deliver securities in its own name, in fulfillment of its obligations
    to deliver Warrant Debt Securities upon exercise of the Warrants. All the Warrants so issued shall in all respects have the same
    legal rank and benefit under this Agreement as the Warrants theretofore or thereafter issued in accordance with the terms of this
    Agreement as though all of such Warrants had been issued at the date of the execution hereof. In any case of any such Reorganization
    Event, such changes in phraseology and form (but not in substance) may be made in the Warrants thereafter to be issued as may be
    appropriate. The Warrant Agent may receive a written opinion of legal counsel as conclusive evidence that any such Reorganization
    Event complies with the provisions of this Section 3.4.

   

  3.5          Notice to Warrantholders. In case the Company shall (a)
    effect any Reorganization Event or (b) make any distribution
    on or in respect of the [title of Warrant Debt Securities] in connection with the dissolution, liquidation or winding up of the
    Company, then the Company shall mail to each holder of Warrants at such holder’s address as it shall appear on the books
    of the Warrant Agent, at least ten days prior to the applicable date hereinafter specified, a notice stating the date on which
    such Reorganization Event, dissolution, liquidation or winding up is expected to become effective, and the date as of which it
    is expected that holders of [title of Warrant Debt Securities] of record shall be entitled to exchange their shares of [title of
    Warrant Debt Securities] for securities or other property deliverable upon such Reorganization Event, dissolution, liquidation
    or winding up. No failure to mail such notice nor any defect therein or in the mailing thereof shall affect any such transaction.

   

  Article
    4

    

    EXCHANGE AND TRANSFER OF WARRANT CERTIFICATES

   

  4.1          Exchange and Transfer of Warrant Certificates. Upon surrender
    at the corporate trust office of the Warrant Agent, Warrant
    Certificates evidencing Warrants may be exchanged for Warrant Certificates in other denominations evidencing such Warrants or the
    transfer thereof may be registered in whole or in part; provided that such other Warrant Certificates evidence Warrants for the
    same aggregate principal amount of Warrant Debt Securities as the Warrant Certificates so surrendered. The Warrant Agent shall
    keep, at its corporate trust office, books in which, subject to such reasonable regulations as it may prescribe, it shall register
    Warrant Certificates and exchanges and transfers of outstanding Warrant Certificates, upon surrender of the Warrant Certificates
    to the Warrant Agent at its corporate trust office for exchange or registration of transfer, properly endorsed or accompanied by
    appropriate instruments of registration of transfer and written instructions for transfer, all in form satisfactory to the Company
    and the Warrant Agent. No service charge shall be made for any exchange or registration of transfer of Warrant Certificates, but
    the Company may require payment of a sum sufficient to cover any stamp or other tax or other governmental charge that may be imposed
    in connection with any such exchange or registration of transfer. Whenever any Warrant Certificates are so surrendered for exchange
    or registration of transfer, an authorized officer of the Warrant Agent shall manually countersign and deliver to the person or
    persons entitled thereto a Warrant Certificate or Warrant Certificates duly authorized and executed by the Company, as so requested.
    The Warrant Agent shall not be required to effect any exchange or registration of transfer which will result in the issuance of
    a Warrant Certificate evidencing a Warrant for a fraction of a Warrant Debt Security or a number of Warrants for a whole number
    of Warrant Debt Securities and a fraction of a Warrant Debt Security. All Warrant Certificates issued upon any exchange or registration
    of transfer of Warrant Certificates shall be the valid obligations of the Company, evidencing the same obligations and entitled
    to the same benefits under this Agreement as the Warrant Certificate surrendered for such exchange or registration of transfer.

   

  
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  4.2          Treatment of Holders of Warrant Certificates. The Company,
    the Warrant Agent and all other persons may treat the registered
    holder of a Warrant Certificate as the absolute owner thereof for any purpose and as the person entitled to exercise the rights
    represented by the Warrants evidenced thereby, any notice to the contrary notwithstanding.

   

  4.3          Cancellation of Warrant Certificates. Any Warrant Certificate
    surrendered for exchange, registration of transfer or
    exercise of the Warrants evidenced thereby shall, if surrendered to the Company, be delivered to the Warrant Agent and all Warrant
    Certificates surrendered or so delivered to the Warrant Agent shall be promptly canceled by the Warrant Agent and shall not be
    reissued and, except as expressly permitted by this Agreement, no Warrant Certificate shall be issued hereunder in exchange therefor
    or in lieu thereof. The Warrant Agent shall deliver to the Company from time to time or otherwise dispose of canceled Warrant Certificates
    in a manner satisfactory to the Company.

   

  Article
    5

    

    CONCERNING THE WARRANT AGENT

   

  5.1          Warrant Agent. The Company hereby appoints [●] as Warrant
    Agent of the Company in respect of the Warrants and
    the Warrant Certificates upon the terms and subject to the conditions herein set forth, and [●] hereby accepts such appointment.
    The Warrant Agent shall have the powers and authority granted to and conferred upon it in the Warrant Certificates and hereby and
    such further powers and authority to act on behalf of the Company as the Company may hereafter grant to or confer upon it. All
    of the terms and provisions with respect to such powers and authority contained in the Warrant Certificates are subject to and
    governed by the terms and provisions hereof.

   

  5.2          Conditions of Warrant Agent’s Obligations. The Warrant Agent
    accepts its obligations herein set forth upon the
    terms and conditions hereof, including the following to all of which the Company agrees and to all of which the rights hereunder
    of the holders from time to time of the Warrant Certificates shall be subject:

   

  (a)          Compensation and Indemnification. The Company agrees promptly
    to pay the Warrant Agent the compensation to be agreed
    upon with the Company for all services rendered by the Warrant Agent and to reimburse the Warrant Agent for reasonable out-of-pocket
    expenses (including reasonable counsel fees) incurred without negligence, bad faith or willful misconduct by the Warrant Agent
    in connection with the services rendered hereunder by the Warrant Agent. The Company also agrees to indemnify the Warrant Agent
    for, and to hold it harmless against, any loss, liability or expense incurred without negligence, bad faith or willful misconduct
    on the part of the Warrant Agent, arising out of or in connection with its acting as Warrant Agent hereunder, including the reasonable
    costs and expenses of defending against any claim of such liability.

   

  
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  (b)          Agent for the Company. In acting under this Agreement and in
    connection with the Warrant Certificates, the Warrant Agent
    is acting solely as agent of the Company and does not assume any obligations or relationship of agency or trust for or with any
    of the holders of Warrant Certificates or beneficial owners of Warrants.

   

  (c)          Counsel. The Warrant Agent may consult with counsel
    satisfactory to it, which may include counsel for the Company, and
    the written advice of such counsel shall be full and complete authorization and protection in respect of any action taken, suffered
    or omitted by it hereunder in good faith and in accordance with the advice of such counsel.

   

  (d)          Documents. The Warrant Agent shall be protected and shall incur
    no liability for or in respect of any action taken or
    omitted by it in reliance upon any Warrant Certificate, notice, direction, consent, certificate, affidavit, statement or other
    paper or document reasonably believed by it to be genuine and to have been presented or signed by the proper parties.

   

  (e)          Certain Transactions. The Warrant Agent, and its officers,
    directors and employees, may become the owner of, or acquire
    any interest in, Warrants, with the same rights that it or they would have if it were not the Warrant Agent hereunder, and, to
    the extent permitted by applicable law, it or they may engage or be interested in any financial or other transaction with the Company
    and may act on, or as depositary, trustee or agent for, any committee or body of holders of Warrant Debt Securities or other obligations
    of the Company as freely as if it were not the Warrant Agent hereunder. Nothing in this Agreement shall be deemed to prevent the
    Warrant Agent from acting as trustee under any indenture to which the Company is a party, including, without limitation, as Trustee
    under the Indenture.

   

  (f)           No Liability for Interest. Unless otherwise agreed with the
    Company, the Warrant Agent shall have no liability for interest
    on any monies at any time received by it pursuant to any of the provisions of this Agreement or of the Warrant Certificates.

   

  (g)          No Liability for Invalidity. The Warrant Agent shall have no
    liability with respect to any invalidity of this Agreement
    or any of the Warrant Certificates (except as to the Warrant Agent’s countersignature thereon).

   

  (h)          No Responsibility for Representations. The Warrant Agent shall
    not be responsible for any of the recitals or representations
    herein or in the Warrant Certificates (except as to the Warrant Agent’s countersignature thereon), all of which are made
    solely by the Company.

   

  (i)           No Implied Obligations. The Warrant Agent shall be obligated
    to perform only such duties as are herein and in the Warrant
    Certificates specifically set forth and no implied duties or obligations shall be read into this Agreement or the Warrant Certificates
    against the Warrant Agent. The Warrant Agent shall not be under any obligation to take any action hereunder which may tend to involve
    it in any expense or liability, the payment of which within a reasonable time is not, in its reasonable opinion, assured to it.
    The Warrant Agent shall not be accountable or under any duty or responsibility for the use by the Company of any of the Warrant
    Certificates authenticated by the Warrant Agent and delivered by it to the Company pursuant to this Agreement or for the application
    by the Company of the proceeds of the Warrant Certificates. The Warrant Agent shall have no duty or responsibility in case of any
    default by the Company in the performance of its covenants or agreements contained herein or in the Warrant Certificates or in
    the case of the receipt of any written demand from a holder of a Warrant Certificate with respect to such default, including, without
    limiting the generality of the foregoing, any duty or responsibility to initiate or attempt to initiate any proceedings at law
    or otherwise or, except as provided in Section 6.2 hereof, to make any demand upon the Company.

   

  
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  5.3          Resignation, Removal and Appointment of Successors.

   

  (a)          The Company agrees, for the benefit of the holders from time to
    time of the Warrant Certificates, that there shall at
    all times be a Warrant Agent hereunder until all the Warrants have been exercised or are no longer exercisable.

   

  (b)          The Warrant Agent may at any time resign as agent by giving
    written notice to the Company of such intention on its part,
    specifying the date on which its desired resignation shall become effective; provided that such date shall not be less than three
    months after the date on which such notice is given unless the Company otherwise agrees. The Warrant Agent hereunder may be removed
    at any time by the filing with it of an instrument in writing signed by or on behalf of the Company and specifying such removal
    and the intended date when it shall become effective. Such resignation or removal shall take effect upon the appointment by the
    Company, as hereinafter provided, of a successor Warrant Agent (which shall be a bank or trust company authorized under the laws
    of the jurisdiction of its organization to exercise corporate trust powers) and the acceptance of such appointment by such successor
    Warrant Agent. The obligation of the Company under Section 5.2(a) shall continue to the extent set forth therein notwithstanding
    the resignation or removal of the Warrant Agent.

   

  (c)          In case at any time the Warrant Agent shall resign, or shall be
    removed, or shall become incapable of acting, or shall
    be adjudged a bankrupt or insolvent, or shall commence a voluntary case under the Federal bankruptcy laws, as now or hereafter
    constituted, or under any other applicable Federal or state bankruptcy, insolvency or similar law or shall consent to the appointment
    of or taking possession by a receiver, custodian, liquidator, assignee, trustee, sequestrator (or other similar official) of the
    Warrant Agent or its property or affairs, or shall make an assignment for the benefit of creditors, or shall admit in writing its
    inability to pay its debts generally as they become due, or shall take corporate action in furtherance of any such action, or a
    decree or order for relief by a court having jurisdiction in the premises shall have been entered in respect of the Warrant Agent
    in an involuntary case under the Federal bankruptcy laws, as now or hereafter constituted, or any other applicable Federal or state
    bankruptcy, insolvency or similar law, or a decree or order by a court having jurisdiction in the premises shall have been entered
    for the appointment of a receiver, custodian, liquidator, assignee, trustee, sequestrator (or similar official) of the Warrant
    Agent or of its property or affairs, or any public officer shall take charge or control of the Warrant Agent or of its property
    or affairs for the purpose of rehabilitation, conservation, winding up or liquidation, a successor Warrant Agent, qualified as
    aforesaid, shall be appointed by the Company by an instrument in writing, filed with the successor Warrant Agent. Upon the appointment
    as aforesaid of a successor Warrant Agent and acceptance by the successor Warrant Agent of such appointment, the Warrant Agent
    shall cease to be Warrant Agent hereunder.

   

  (d)          Any successor Warrant Agent appointed hereunder shall execute,
    acknowledge and deliver to its predecessor and to the
    Company an instrument accepting such appointment hereunder, and thereupon such successor Warrant Agent, without any further act,
    deed or conveyance, shall become vested with all the authority, rights, powers, trusts, immunities, duties and obligations of such
    predecessor with like effect as if originally named as Warrant Agent hereunder, and such predecessor, upon payment of its charges
    and disbursements then unpaid, shall thereupon become obligated to transfer, deliver and pay over, and such successor Warrant Agent
    shall be entitled to receive, all monies, securities and other property on deposit with or held by such predecessor, as Warrant
    Agent hereunder.

   

  (e)          Any corporation into which the Warrant Agent hereunder may be
    merged or converted or any corporation with which the
    Warrant Agent may be consolidated, or any corporation resulting from any merger, conversion or consolidation to which the Warrant
    Agent shall be a party, or any corporation to which the Warrant Agent shall sell or otherwise transfer all or substantially all
    the assets and business of the Warrant Agent, provided that it shall be qualified as aforesaid, shall be the successor Warrant
    Agent under this Agreement without the execution or filing of any paper or any further act on the part of any of the parties hereto.

   

  
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  Article
    6

    

    MISCELLANEOUS

   

  6.1          Amendment. This Agreement may be amended by the parties
    hereto, without the consent of the holder of any Warrant Certificate,
    for the purpose of curing any ambiguity, or of curing, correcting or supplementing any defective provision contained herein, or
    making any other provisions with respect to matters or questions arising under this Agreement as the Company and the Warrant Agent
    may deem necessary or desirable; provided that such action shall not materially adversely affect the interests of the holders of
    the Warrant Certificates.

   

  6.2          Notices and Demands to the Company and Warrant Agent. If the
    Warrant Agent shall receive any notice or demand addressed
    to the Company by the holder of a Warrant Certificate pursuant to the provisions of the Warrant Certificates, the Warrant Agent
    shall promptly forward such notice or demand to the Company.

   

  6.3          Addresses. Any communication from the Company to the Warrant
    Agent with respect to this Agreement shall be addressed
    to [●], Attention: [●] and any communication from the Warrant Agent to the Company with respect to this Agreement shall
    be addressed to Kronos Bio, Inc., 1300 So. El Camino Real, Suite 400, San Mateo, California 94402, Attention: [●] (or such
    other address as shall be specified in writing by the Warrant Agent or by the Company).

   

  6.4          Governing Law. This Agreement and each Warrant Certificate
    issued hereunder shall be governed by and construed in accordance
    with the laws of the State of New York.

   

  6.5          Delivery of Prospectus. The Company shall furnish to the
    Warrant Agent sufficient copies of a prospectus meeting the
    requirements of the Securities Act of 1933, as amended, relating to the Warrant Debt Securities deliverable upon exercise of the
    Warrants (the “Prospectus”), and the Warrant Agent agrees that upon the exercise of any Warrant, the
    Warrant Agent will deliver to the holder of the Warrant Certificate evidencing such Warrant, prior to or concurrently with the
    delivery of the Warrant Debt Securities issued upon such exercise, a Prospectus. The Warrant Agent shall not, by reason of any
    such delivery, assume any responsibility for the accuracy or adequacy of such Prospectus.

   

  6.6          Obtaining of Governmental Approvals. The Company will from
    time to time take all action which may be necessary to obtain
    and keep effective any and all permits, consents and approvals of governmental agencies and authorities and securities act filings
    under United States Federal and state laws (including without limitation a registration statement in respect of the Warrants and
    Warrant Debt Securities under the Securities Act of 1933, as amended), which may be or become requisite in connection with the
    issuance, sale, transfer, and delivery of the Warrant Debt Securities issued upon exercise of the Warrants, the issuance, sale,
    transfer and delivery of the Warrants or upon the expiration of the period during which the Warrants are exercisable.

   

  6.7          Persons Having Rights Under the Agreement. Nothing in this
    Agreement shall give to any person other than the Company,
    the Warrant Agent and the holders of the Warrant Certificates any right, remedy or claim under or by reason of this Agreement.

   

  
    9

    
      

    

  

   

  6.8          Headings. The descriptive headings of the several Articles
    and Sections of this Agreement are inserted for convenience
    only and shall not control or affect the meaning or construction of any of the provisions hereof.

   

  6.9          Counterparts. This Agreement may be executed in any number of
    counterparts, each of which as so executed shall be deemed
    to be an original, but such counterparts shall together constitute but one and the same instrument.

   

  6.10        Inspection of Agreement. A copy of this Agreement shall be
    available at all reasonable times at the principal corporate
    trust office of the Warrant Agent for inspection by the holder of any Warrant Certificate. The Warrant Agent may require such holder
    to submit such holder’s Warrant Certificate for inspection by it.

   

  
    10

    
      

    

  

   

  Exhibit
      4.10

   

  In
        Witness Whereof, the parties hereto have caused this Agreement to be duly executed as of the day and year first above
    written.

   

  

  	 	Kronos Bio, Inc., as Company
	 	 	 
	 	By:	    
	 	Name:	   
	 	Title:	 

   

  

  	 	Attest: 	        
	 	 	   
	 	 	 
	 	Countersigned
	 	 	 
	 	[●], as Warrant Agent
	 	 	 
	 	By:	 
	 	Name:	 
	 	Title:	 
	 	 	 
	 	Attest: 	 
	 	 	 

   

  

  [Signature Page to Kronos
      Bio, Inc. Debt Securities Warrant Agreement]

  

   

  
     

    
      

    

  

   

  Exhibit
        4.10

   

  Exhibit
        A

   

  FORM OF WARRANT CERTIFICATE

  

  [FACE OF WARRANT CERTIFICATE]

  

  	 	 
	[Form of Legend if Warrants are not immediately exercisable.]	[Prior to [●], Warrants evidenced by this Warrant Certificate cannot be exercised.]	 
	 	 	 	 

  EXERCISABLE ONLY IF COUNTERSIGNED BY THE
    WARRANT AGENT AS PROVIDED HEREIN

   

  VOID AFTER [●] P.M., [City] time,
    ON [●].

   

  
     

    
      

    

  

   

  Kronos
        Bio, Inc.

   

  

    WARRANT CERTIFICATE REPRESENTING

    WARRANTS TO PURCHASE

    [TITLE OF WARRANT DEBT SECURITIES]

   

  

  	No. [●] 	[●] Warrants

   

  This certifies that [●] or registered
    assigns is the registered owner of the above indicated number of Warrants, each Warrant entitling such owner to purchase, at any
    time [after [●] p.m., [City] time, [on [●] and] on or before [●] p.m., [City] time, on [●], $[●]
    principal amount of [TITLE OF WARRANT DEBT SECURITIES] (the “Warrant Debt Securities”), of Kronos Bio,
    Inc. (the “Company”) issued or to be issued under the Indenture (as hereinafter defined), on the following
    basis: during the period from [●], through and including [●], each Warrant shall entitle the Holder thereof, subject
    to the provisions of this Agreement, to purchase the principal amount of Warrant Debt Securities stated in the Warrant Certificate
    at the warrant price (the “Warrant Price”) of [●]% of the principal amount thereof [plus accrued
    amortization, if any, of the original issue discount of the Warrant Debt Securities] [plus accrued interest, if any, from the most
    recent date from which interest shall have been paid on the Warrant Debt Securities or, if no interest shall have been paid on
    the Warrant Debt Securities, from the date of their original issuance]. [The original issue discount ($[●] for each $1,000
    principal amount of Warrant Debt Securities) will be amortized at a [●]% annual rate, computed on a[n] [semi-]annual basis
    [using a 360-day year consisting of twelve 30-day months]. The Holder may exercise the Warrants evidenced hereby by providing certain
    information set forth on the back hereof and by paying in full, in lawful money of the United States of America, [in cash or by
    certified check or official bank check in New York Clearing House funds] [by bank wire transfer in immediately available funds],
    the Warrant Price for each Warrant Debt Security with respect to which this Warrant is exercised to the Warrant Agent (as hereinafter
    defined) and by surrendering this Warrant Certificate, with the purchase form on the back hereof duly executed, at the corporate
    trust office of [name of Warrant Agent], or its successor as warrant agent (the “Warrant Agent”), which
    is, on the date hereof, at the address specified on the reverse hereof, and upon compliance with and subject to the conditions
    set forth herein and in the Warrant Agreement (as hereinafter defined).

   

  The term “Holder”
    as used herein shall mean the person in whose name at the time this Warrant Certificate shall be registered upon the books to be
    maintained by the Warrant Agent for that purpose pursuant to Section 4 of the Warrant Agreement.

   

  The Warrants evidenced
    by this Warrant Certificate may be exercised to purchase Warrant Debt Securities in the principal amount of $1,000 or any integral
    multiple thereof in registered form. Upon any exercise of fewer than all of the Warrants evidenced by this Warrant Certificate,
    there shall be issued to the Holder hereof a new Warrant Certificate evidencing Warrants for the aggregate principal amount of
    Warrant Debt Securities remaining unexercised.

   

  This Warrant Certificate
    is issued under and in accordance with the Warrant Agreement dated as of [●] (the “Warrant Agreement”),
    between the Company and the Warrant Agent and is subject to the terms and provisions contained in the Warrant Agreement, to all
    of which terms and provisions the Holder of this Warrant Certificate consents by acceptance hereof. Copies of the Warrant Agreement
    are on file at the above-mentioned office of the Warrant Agent.

   

  
     

    
      

    

  

   

  The Warrant Debt Securities to be issued
    and delivered upon the exercise of Warrants evidenced by this Warrant Certificate will be issued under and in accordance with an
    Indenture, dated as of [●] (the “Indenture”), between the Company and [●], as trustee (such
    trustee, and any successors to such trustee, the “Trustee”)] and will be subject to the terms and provisions
    contained in the Warrant Debt Securities and in the Indenture. Copies of the Indenture, including the form of the Warrant Debt
    Securities, are on file at the corporate trust office of the Trustee.

   

  Transfer of this Warrant
    Certificate may be registered when this Warrant Certificate is surrendered at the corporate trust office of the Warrant Agent by
    the registered owner or such owner’s assigns, in the manner and subject to the limitations provided in the Warrant Agreement.

   

  After countersignature
    by the Warrant Agent and prior to the expiration of this Warrant Certificate, this Warrant Certificate may be exchanged at the
    corporate trust office of the Warrant Agent for Warrant Certificates representing Warrants for the same aggregate principal amount
    of Warrant Debt Securities.

   

  This Warrant Certificate
    shall not entitle the Holder hereof to any of the rights of a holder of the Warrant Debt Securities, including, without limitation,
    the right to receive payments of principal of (and premium, if any) or interest, if any, on the Warrant Debt Securities or to enforce
    any of the covenants of the Indenture.

   

  Reference is hereby made
    to the further provisions of this Warrant Certificate set forth on the reverse hereof, which further provisions shall for all purposes
    have the same effect as if set forth at this place.

   

  This Warrant Certificate
    shall not be valid or obligatory for any purpose until countersigned by the Warrant Agent.

   

  In
        Witness Whereof, the Company has caused this Warrant to be executed in its name and on its behalf by the facsimile signatures
    of its duly authorized officers.

   

  

  	Dated:	
        	 	 
	
           

        	 	 
	Kronos Bio, Inc., as Company	 
	 	 	 
	By:	 	 
	Name:	 	 
	Title:	 	 
	 	 	 
	ATTEST:	 	 
	 	 	 
	 	 

   

  
     

    
      

    

  

   

  	
           COUNTERSIGNED

           

          [●], as Warrant Agent

          

        	 
	 	 	 
	By:	 	 
	Name:	 	 
	Title:	 	 
	 	 	 
	ATTEST:	 	 
	 	 	 
	 	 	 	 

   

  
     

    
      

    

  

   

  [REVERSE OF WARRANT CERTIFICATE]

   

  (Instructions for Exercise of Warrant)

   

  To exercise any Warrants
    evidenced hereby for Warrant Debt Securities (as hereinafter defined), the Holder must pay, in lawful money of the United States
    of America, [in cash or by certified check or official bank check in New York Clearing House funds] [by bank wire transfer in immediately
    available funds], the Warrant Price in full for Warrants exercised, to [●] [address of Warrant Agent], Attention: [●],
    which payment must specify the name of the Holder and the number of Warrants exercised by such Holder. In addition, the Holder
    must complete the information required below and present this Warrant Certificate in person or by mail (certified or registered
    mail is recommended) to the Warrant Agent at the appropriate address set forth above. This Warrant Certificate, completed and duly
    executed, must be received by the Warrant Agent within five business days of the payment.

   

  (To be executed upon exercise of Warrants)

   

  The undersigned hereby
    irrevocably elects to exercise ______ Warrants, evidenced by this Warrant Certificate, to purchase _______ $[●] principal
    amount of the [TITLE OF WARRANT DEBT SECURITIES] (the “Warrant Debt Securities”), of Kronos Bio, Inc.
    and represents that the undersigned has tendered payment for such Warrant Debt Securities, in lawful money of the United States
    of America, [in cash or by certified check or official bank check in New York Clearing House funds] [by bank wire transfer in immediately
    available funds], to the order of Kronos Bio, Inc., c/o [insert name and address of Warrant Agent], in the amount of $_________
    in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Debt Securities be in fully
    registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the
    instructions set forth below.

   

  If the number of Warrants
    exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate evidencing
    the Warrants for the aggregate principal amount of Warrant Debt Securities remaining unexercised be issued and delivered to the
    undersigned unless otherwise specified in the instructions below.

   

  

  	Dated:	 	 	 	Name: 	 
	 	 	 	 		Please Print

   

  Address:

   

  

  
  
     

  

  
  

  (Insert Social Security or Other Identifying Number

    of Holder)

   

  

  	Signature Guaranteed:  	 	 
	 	Signature	 

   

  (Signature must conform in all respects
    to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a FINRA member firm).

   

  This Warrant may be exercised at the following
    addresses: By hand at:

   

  [●]

   

  
     

    
      

    

  

   

  By mail at:

   

  [Instructions as to form and delivery of
    Warrant Debt Securities and, if applicable, Warrant Certificates evidencing Warrants for the number of Warrant Debt Securities
    remaining unexercised—complete as appropriate.]

   

  
     

    
      

    

  

   

  ASSIGNMENT

   

  [Form of assignment to be executed if Warrant
    Holder desires to transfer Warrant]

   

  For
        Value Received, ______________ hereby sells, assigns and transfers unto:

   

  

  	 	 	 	 
	(Please print name and address
          including zip code)	 	Please print Social Security or other identifying number

  

  

   

  the right represented by the within Warrant
    to purchase ________ aggregate principal amount of [Title of Warrant Debt Securities] of Kronos Bio, Inc. to which the within Warrant
    relates and appoints ____________________ attorney to transfer such right on the books of the Warrant Agent with full power of
    substitution in the premises.

   

  

  	Dated:	 	 	 	Name: 	 
	 	 	 	 		Signature

   

  (Signature must conform
    in all respects to name of holder as specified on the face of the Warrant)

   

  Signature GuaranteedExhibit 10.1 

   

  STRICTLY CONFIDENTIAL

   

  SUPPORT AGREEMENT

   

  This SUPPORT AGREEMENT (this “Agreement”), is dated as of November [●], 2021, by and among Independence

      Holding Company, a Delaware corporation (the “Company”) and the stockholder listed on Annex A hereto (the “Stockholder”).

   

  WHEREAS, concurrently with the execution and delivery of this Agreement, the Company, Geneve Holdings, Inc.,
    a Delaware corporation (“Parent”), and Geneve Acquisition Corp., a Delaware corporation and a direct, wholly owned subsidiary of Parent (“Merger Sub”), are entering into an Agreement and Plan of Merger, dated as of the date hereof (as it
    may be amended, supplemented or otherwise modified from time to time in accordance with its terms, the “Merger Agreement”), pursuant to which, among other things, Merger Sub will be merged with and into the Company (the “Merger”);

   

  WHEREAS, capitalized terms used but not otherwise defined herein shall have the respective meanings set forth in the Merger Agreement;

   

  WHEREAS, as of the date hereof, the Stockholder is the beneficial owner (as defined in Rule 13d-3 under the Exchange Act) of such number of shares
    of the Company’s common stock, par value $1.00 per share (“Company Common Stock”), as is set forth next to the Stockholder’s name on Annex A (such shares, together with all other shares of Company Common Stock acquired, beneficially or
    of record, by the Stockholder after the date hereof and prior to the termination of this Agreement, the “Shares”);

   

  WHEREAS, as a condition and inducement to the willingness of the Company to enter into the Merger Agreement and to proceed with the transactions
    contemplated thereby, including the Merger, the Company and the Stockholder are entering into this Agreement; and

   

  WHEREAS, the Stockholder acknowledges that the Company is entering into the Merger Agreement in reliance on the representations, warranties,
    covenants and other agreements of the Stockholder set forth in this Agreement and would not enter into the Merger Agreement if the Stockholder did not enter into this Agreement.

   

  NOW, THEREFORE, in consideration of the representations, warranties, covenants and other agreements contained in this Agreement and other good and
    valuable consideration, the receipt and sufficiency of which are hereby acknowledged, and intending to be legally bound hereby, the parties agree as follows:

   

  Article I

    

    Voting Agreement

   

  Section 1.01          Voting
        Agreement.

   

  (a)           During the term of this Agreement, the Stockholder
    hereby agrees, at every meeting of the stockholders of the Company called, and at every adjournment or postponement thereof, and on every action or approval by written consent of the stockholders of the Company:

   

  (i)      to appear at such meeting or otherwise cause all of the Stockholder’s Shares to be present
    thereat for purposes of establishing a quorum; and

   

  
     

    
      
 

  

   

  (ii)      to vote or, as applicable, cause or direct to be voted all of the Stockholder’s Shares (i) in
    favor of the adoption and approval of the Merger Agreement and the other transactions contemplated thereby, (ii) against any Acquisition Proposal and any action, agreement or transaction that would reasonably be expected to materially impede, interfere
    with, delay or postpone the consummation of the Merger and (iii) in favor of any other matter necessary to the consummation of the transactions contemplated by the Merger Agreement and considered and voted upon by the stockholders of the Company.

   

  (b)           

  Any vote required to be cast or
    consent required to be executed pursuant to this Section 1.01 shall be cast (or consent shall be given) by the Stockholder in accordance with such procedures relating thereto so as to ensure that it is duly counted, including for purposes of
    determining whether a quorum is present.

   

  Section 1.02          Grant of
        Proxy.

   

  (a)           

  In furtherance of the agreements contained in Section 1.01 of this Agreement, the Stockholder hereby irrevocably appoints the Company, each member of the Special
      Committee and any other designees of the Company and Special Committee, as applicable (collectively, the “Proxyholders”), and each of them individually, as the Stockholder’s sole and exclusive attorneys-in-fact and proxies, for and in the
      name, place and stead of the Stockholder, with full power of substitution and resubstitution, to appear and be counted for quorum purposes, vote, grant a consent or approval in respect of, or execute and deliver a proxy to vote the Stockholder’s
      Shares in accordance with Section 1.01 of this Agreement if, and only to the extent that, the Stockholder fails to take any action required by Section 1.01.

   

  (b)           

  The

      Stockholder hereby revokes any proxies heretofore given by it in respect of the Stockholder’s Shares to the extent inconsistent with the authority of the Proxyholders granted pursuant to this Section 1.02.

   

  (c)           

  The

      Stockholder hereby affirms that the irrevocable proxy set forth in this Section 1.02 is given in connection with the execution of the Merger Agreement, and that such irrevocable proxy is given to secure the performance of the duties of the
      Stockholder under this Agreement. The Stockholder hereby further affirms that the irrevocable proxy is coupled with an interest, is intended to be irrevocable in accordance with the provisions of Section 212 of the DGCL, and may under no
      circumstances be revoked. The irrevocable proxy granted by the Stockholder herein is a durable power of attorney and shall survive the dissolution, bankruptcy or incapacity of the Stockholder.

   

  (d)           

  The

      Proxyholders may not exercise this irrevocable proxy on any matter except as provided above in this Section 1.02. The Stockholder may vote the Shares on all other matters. 

   

  
    2 

    
      
 

  

   

  (e)           The Company, upon
      the prior approval of the Special Committee, may terminate this proxy with respect to the Stockholder at any time by written notice to the Stockholder.

   

  Article II

    

    Representations and Warranties of THE Stockholder

   

  The Stockholder represents and warrants to the Company that:

   

  Section 2.01           Authorization.

   

  The Stockholder has all requisite right, capacity, power and authority to execute and deliver this Agreement, to consummate the transactions
    contemplated by this Agreement and to comply with the provisions of this Agreement. The execution and delivery of this Agreement by the Stockholder, the consummation by the Stockholder of the transactions contemplated by this Agreement and the
    compliance by the Stockholder with the provisions of this Agreement have been duly authorized by all necessary action on the part of the Stockholder. This Agreement has been duly executed and delivered by the Stockholder and, assuming its due execution
    and delivery by the Company, constitutes a valid and binding obligation of the Stockholder, enforceable against the Stockholder in accordance with its terms (except insofar as such enforceability may be limited by the Bankruptcy and Equity Exception).

   

  Section 2.02          No
        Conflicts.

   

  (a)           

  No

      authorization, consent or approval of any other Person is necessary for the execution, delivery and performance of this Agreement by the Stockholder.

   

  (b)           

  None

      of the execution and delivery of this Agreement by the Stockholder, the consummation by the Stockholder of the transactions contemplated hereby or compliance by the Stockholder with any of the provisions hereof shall (i) result in, or give rise to, a
      violation or breach of or a default under any of the terms of any material contract, agreement or other instrument or obligation to which the Stockholder is a party or by which the Stockholder or any of the Stockholder’s Shares is bound or (ii)
      violate any applicable order, writ, injunction, decree, judgment, statute, rule or regulation, except for any of the foregoing as would not reasonably be expected to impair the Stockholder’s ability to perform its obligations under this Agreement.
      There is no legal or administrative proceeding, claim, suit or action pending against the Stockholder or, to the knowledge of the Stockholder, threatened against the Stockholder that impairs or would reasonably be expected to impair the Stockholder’s
      ability to perform its obligations under this Agreement. 

   

  Section 2.03          Ownership
        of Shares.

   

  The Stockholder has (except as otherwise permitted by this Agreement) sole voting power and sole dispositive power with respect to the
    Stockholder’s Shares, free and clear of any Encumbrance, except pursuant to applicable federal securities Laws. None of the Stockholder’s Shares is subject to any voting trust or other agreement or arrangement with respect to the voting of such Shares.

   

  
    3 

    
      
 

  

   

  Section 2.04          Total
        Shares.

   

  Except for the Stockholder’s Shares set forth on Annex A, as of the date hereof, the Stockholder does not beneficially own any (i) shares
    of capital stock or voting securities of the Company, (ii) securities of the Company convertible into or exchangeable for shares of capital stock or voting securities of the Company or (iii) other rights to acquire from the Company any capital stock,
    voting securities or securities convertible into or exchangeable for capital stock or voting securities of the Company.

   

  Section 2.05          Reliance
        by the Company .

   

  The Stockholder understands and acknowledges that the Company is entering into the Merger Agreement in reliance upon the Stockholder’s execution
    and delivery of this Agreement.

   

  Article III

    

    Representations and Warranties of THE COMPANY

   

  The Company represents and warrants to the Stockholder that:

   

  Section 3.01          Authority;
        Execution and Delivery; Enforceability. 

   

  The Company has all requisite power and authority to execute and deliver this Agreement, to consummate the
      transactions contemplated by this Agreement and to comply with the provisions of this Agreement. The execution and delivery of this Agreement by the Company, the consummation by the Company of the transactions contemplated by this Agreement and the
      compliance by the Company with the provisions of this Agreement have been duly authorized by all necessary action on the part of the Company. This Agreement has been duly executed and delivered by the Company and, assuming its due execution and
      delivery by the Stockholder, constitutes a valid and binding obligation of the Company, enforceable against the Company in accordance with its terms (except insofar as such enforceability may be limited by the Bankruptcy and Equity Exception).

   

  Section 3.02          No
        Conflicts.

   

  (a)           

  No

      authorization, consent or approval of any other Person is necessary for the execution, delivery and performance of this Agreement by the Company.

   

  (b)           

  None

      of the execution and delivery of this Agreement by the Company, the consummation by the Company of the transactions contemplated hereby or compliance by the Company with any of the provisions hereof shall (i) result in, or give rise to, a violation
      or breach of or a default under any of the terms of any material contract, agreement or other instrument or obligation to which the Company is a party or by which the Company is bound or (ii) violate any applicable order, writ, injunction, decree,
      judgment, statute, rule or regulation, except for any of the foregoing as would not reasonably be expected to impair the Company’s ability to perform its obligations under this Agreement.

   

  
    4 

    
      
 

  

   

  Article IV

      

      Covenants of the Stockholder

   

  During the term of this Agreement, the Stockholder hereby covenants and agrees that:

   

  Section 4.01          No
        Proxies for or Encumbrances on Shares.

   

  (a)           Except as
      permitted by the terms of this Agreement, the Stockholder shall not, directly or indirectly, without the prior written consent of the Company (upon the approval of the Special Committee), (i) grant any proxies, powers of attorney, or other such
      authorization, or enter into any voting trust or other agreement or arrangement with respect to the voting of any of the Stockholder’s Shares, (ii) offer for sale, sell (constructively or otherwise), pledge, transfer, assign, gift, tender in any
      tender or exchange offer, pledge, grant, encumber, hypothecate or similarly dispose of (by testamentary disposition, operation of Law or otherwise) (collectively, “Transfer”), or enter into any contract, option or other arrangement with
      respect to the Transfer of, any such Shares, or any interest therein, including, without limitation, any swap transaction, option, warrant, forward purchase or sale transaction, futures transaction, cap transaction, floor transaction, collar
      transaction or any other similar transaction (including any option with respect to any such transaction) or combination of any such transactions, in each case, involving any such Shares, (iii) knowingly take any action that would have the effect of
      preventing or delaying the Stockholder from performing any of its obligations under this Agreement, or (iv) agree or commit (whether or not in writing) to take any of the actions referred to in the foregoing sections (i) through (iii). 

   

  (b)           The Stockholder
      may effect a Transfer of any of the Stockholder’s Shares to a Permitted Transferee of the Stockholder; provided, that the Stockholder, prior to and as a condition to the effectiveness of such Transfer, causes each such Permitted Transferee to
      execute a counterpart signature page to this Agreement and deliver the same to the Company, pursuant to which such Permitted Transferee agrees to be a “Stockholder” pursuant to, and to be bound by, this Agreement with respect to such Shares that are
      the subject of such Transfer. “Permitted Transferee” means, with respect to the Stockholder, (i) an Affiliate of the Stockholder or (ii) any corporation, limited liability company or partnership, the stockholders, members or general or limited
      partners of which include only the Stockholder, or one or more of its Affiliates Transfers of Shares to Permitted Transferees made pursuant to this Section 4.01(b) shall not be a breach of this Agreement.

   

  (c)           Any Transfer of
      Shares not effected in accordance with the terms and conditions of this Section 4.01 shall be null and void ab initio. 

   

  Section 4.02           Waiver
        of Appraisal Rights.

   

  The Stockholder hereby waives, to the full extent of the law, and agrees not to assert any appraisal rights pursuant to Section 262 of the DGCL or
    otherwise in connection with the Merger with respect to the Stockholder’s Shares.

   

  
    5 

    
      
 

  

   

  Section 4.03           Proxy
        Statement.

   

  The Stockholder hereby agrees to permit the Company to publish and disclose in the Proxy Statement or any other disclosure document required in
    connection with the Merger Agreement or the Transactions contemplated thereby (including, without limitation, the Schedule 13E-3) the Stockholder’s identity and beneficial ownership of the Shares and the nature of the Stockholder’s commitments under
    this Agreement to the extent required by applicable Law.

   

  Section 4.04          Acquisition
        of Additional Shares.

   

  During the term of this Agreement, the Stockholder shall notify the Company promptly in writing of the direct or indirect acquisition of record or
    beneficial ownership of additional shares of Company Common Stock by the Stockholder after the date hereof (including pursuant to a stock split, reverse stock split, stock dividend or distribution or any change in Company Common Stock by reason of any
    recapitalization, reorganization, combination, reclassification, exchange of shares or similar transaction), all of which shall be considered Shares and be subject to the terms of this Agreement as though owned by such acquiring Stockholder on the date
    hereof.

   

  Section 4.05          Further
        Assurances.

   

  From time to time and without additional consideration, the Stockholder shall execute and deliver, or cause to be executed and delivered, such
    additional instruments, and shall take such further actions, as the Company may reasonably request for the purpose of carrying out the intent of this Agreement.

   

  Article V

    

    Miscellaneous

   

  Section 5.01          Amendments
        and Waivers; Termination.

   

  (a)           

  Neither

      this Agreement nor any term hereof may be amended or otherwise modified other than by an instrument in writing signed by the Company, and the Stockholder. Any failure of any of the parties to comply with any obligation, covenant, agreement or
    condition in this Agreement may be waived by any of the parties entitled to the benefit thereof only by a written instrument signed by each such party granting such waiver and, in the case of the Company, the Special Committee. No failure or delay by
    any party in exercising any right, power or privilege hereunder shall operate as a waiver thereof nor shall any single or partial exercise thereof preclude any other or further exercise thereof or the exercise of any other right, power or privilege.
    The rights and remedies herein provided shall be cumulative and not exclusive of any rights or remedies provided by applicable Law or in equity.

   

  (b)          

  This

      Agreement, and all rights and obligations of the parties contained herein (including, without limitation, the proxy granted pursuant to Section 1.02), shall automatically terminate without any further action required by any Person upon the
      earliest to occur of (i) the mutual agreement of the parties hereto to terminate this Agreement, (ii) the Effective Time, (iii) a Change of Recommendation and (iv) the termination of the Merger Agreement in accordance with its terms. Upon termination
      of this Agreement, no party shall have any further obligations or liabilities under this Agreement.

   

  
    6 

    
      
 

  

   

  Section 5.02          Expenses.

   

  All costs and expenses incurred in connection with this Agreement and the transactions contemplated hereby shall be paid by the party incurring
    such expenses.

   

  Section 5.03          Successors
        and Assigns; No Third Party Beneficiaries.

   

  The provisions of this Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors, heirs,
    legal representatives, beneficiaries, executors and permitted assigns; provided that, other than as permitted by Section 4.01(b), no party may assign, delegate or otherwise transfer any of its rights or obligations under this Agreement
    without the prior written consent of the other parties hereto. Nothing in this Agreement shall be construed as giving any Person, other than the parties hereto and their successors and permitted assigns, any right, remedy or claim under or in respect
    of this Agreement or any provision hereof.

   

  Section 5.04          Governing
        Law; Submission to Jurisdiction; Waivers.

   

  This Agreement, and any dispute, claim, legal action, suit, proceeding or controversy arising out of or in any way relating hereto or any of the
    transactions contemplated hereby, shall be governed by, and construed in accordance with, the Laws of the State of Delaware applicable to contracts executed in and to be performed in that state without regard to the conflict of laws rules thereof.

   

  Section 5.05          Submission
        to Jurisdiction; Service.

   

  Each party to this agreement irrevocably (a) consents to submit to the exclusive jurisdiction of the Delaware Court of Chancery (the “Court of
      Chancery”) and any state appellate court therefrom located in the state of Delaware (or, only if the Court of Chancery declines to accept jurisdiction over a particular matter, any state or federal court sitting in the State of Delaware) in any
    action relating to this Agreement or the transactions contemplated hereby, (b) waives any objection to the laying of venue of any such action brought in such Court, (c) waives and agrees not to plead or claim in any such Court that any such action
    brought in any such Court has been brought in an inconvenient forum and (d) agrees that service of process or of any other papers upon such party in the manner specified for notices under Section 5.08 of this Agreement or any other manner
    permitted by applicable Law shall be deemed good, proper and effective service upon such party.

   

  Section 5.06           WAIVER
        OF JURY TRIAL.

   

  EACH PARTY ACKNOWLEDGES AND AGREES THAT ANY CONTROVERSY WHICH MAY ARISE UNDER THIS AGREEMENT IS LIKELY TO INVOLVE COMPLICATED AND DIFFICULT ISSUES
    AND, THEREFORE, EACH SUCH PARTY IRREVOCABLY AND UNCONDITIONALLY WAIVES ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LEGAL ACTION DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY.
    EACH PARTY TO THIS AGREEMENT CERTIFIES AND ACKNOWLEDGES THAT (A) NO REPRESENTATIVE OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT SEEK TO ENFORCE THE FOREGOING WAIVER IN THE EVENT OF A LEGAL ACTION, (B) SUCH
    PARTY HAS CONSIDERED AND UNDERSTANDS THE IMPLICATIONS OF THIS WAIVER, (C) SUCH PARTY MAKES THIS WAIVER VOLUNTARILY AND (D) SUCH PARTY HAS BEEN INDUCED TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION
      5.06.

   

  
    7 

    
      
 

  

   

  Section 5.07          Specific
        Performance.

   

  The parties to this Agreement agree that irreparable damage would occur if any of the provisions of this Agreement were not performed in
    accordance with their specific terms or were otherwise breached. It is accordingly agreed that the parties to this Agreement shall be entitled to an injunction or injunctions to prevent breaches or threatened breaches of this Agreement and to enforce
    specifically the terms and provisions of this Agreement in the Court of Chancery (or, only if the Court of Chancery declines to accept jurisdiction over a particular matter, any state or federal court sitting in the State of Delaware), this being in
    addition to any other remedy at law or in equity, and the parties to this Agreement hereby waive any requirement for the posting of any bond or similar collateral in connection therewith. Each party hereto agrees that it will not oppose the granting of
    an injunction, specific performance and other equitable relief on the basis that (a) the other party has an adequate remedy at law or (b) an award of specific performance is not an appropriate remedy for any reason at law or equity.

   

  Section 5.08          

  Notices.

   

  

  All notices, requests, demands and
    other communications under this Agreement shall be in writing and shall be deemed to have been duly given when delivered in accordance with Section 10.2 of the Merger Agreement. If to the Stockholder, to the address for notice set forth on Schedule
      A hereto, with a copy (which will not constitute notice) to:

   

  [__________________]

    [__________________]

    

    Email:         [_______________]

  

  Attention:    [_______________]

   

  Section 5.09          

  Headings.

   

  

  The section headings contained in
    this Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this Agreement.

   

  Section 5.10          

  Counterparts.

   

  This Agreement may be executed in one or more counterparts, each of which shall be deemed an original but all of which together will constitute
    one and the same instrument.

   

  
    8 

    
      
 

  

   

  Section 5.11          Severability.

   

  Any term or provision of this Agreement that is invalid or unenforceable in any situation in any jurisdiction shall not affect the validity or
    enforceability of the remaining terms and provisions hereof or the validity or enforceability of the offending term or provision in any other situation or in any other jurisdiction.

   

  Section 5.12          Capacity.

   

  The Stockholder is signing this Agreement solely in its capacity as a stockholder of the Company and not in any other capacity, and this Agreement
    shall not limit or otherwise affect any actions taken, or required or permitted to be taken, by any Stockholder or any Affiliate or Representative of any Stockholder or any of its Affiliates in any other capacity, including, if applicable, as an
    officer or director of the Company or any of the Company’s Subsidiaries, and any actions taken (whatsoever), or failure to take any actions (whatsoever), by any of the foregoing Persons in such capacity as a director or officer of the Company or any of
    the Company’s Subsidiaries shall not be deemed to constitute a breach of this Agreement.

   

  Section 5.13          Entire
        Agreement.

   

  This Agreement (together with the Merger Agreement, the other applicable Transaction documents in connection therewith) constitute the entire
    agreement among the parties hereto with respect to the subject matter hereof, and supersedes all other prior agreements and understandings, both written and oral, among the parties, with respect to the subject matter hereof.

   

  Section 5.14          No
        Ownership Interest. 

   

  Nothing contained in this Agreement shall be deemed to vest the Company any direct or indirect ownership or incidence of ownership of or with
    respect to the Shares. All rights, ownership and economic benefits of and relating to the Shares of the Stockholder shall remain vested in and belong to the Stockholder, and the Company shall have no authority to direct the Stockholder in the voting or
    disposition of any of the Shares, except as otherwise provided herein. Nothing in this Agreement shall be interpreted as creating or forming a “group” with any other Person for the purposes of Rule 13d-5(b)(1) of the Exchange Act or for any other
    similar provision of applicable Law.

   

  Section 5.15          Special
        Committee Approval. 

   

  Notwithstanding anything to the contrary herein, no amendment or waiver of any provision of this Agreement and no action shall be taken by or on
    behalf of the Company under or with respect to this Agreement without first obtaining the approval of the Special Committee.

   

  [Signature page follows]

   

  
    9 

    
      
 

  

   

  IN WITNESS WHEREOF, the parties hereto have caused this Support Agreement to be duly executed as of the day and year first above written.

  

  	 	 	 
	 	INDEPENDENCE HOLDING COMPANY
	 	 	 
	 	By:	 
	 		Name: Teresa A. Herbert
	 		Title: President
	 	 	 
	 	[STOCKHOLDER]
	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:

   

  [Signature Page to Support Agreement]

   

  
     

    
      
 

  

   

  Annex A

   

  	Stockholder Name	Address	Total Shares
	[●]	[●]	[●]

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