Document:

Form of February 2007 Note

 Exhibit 4.3 
  

THIS NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR ANY STATE SECURITIES
LAWS. THIS NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT AS TO THIS NOTE UNDER SAID ACT AND ANY APPLICABLE STATE
SECURITIES LAWS OR AN OPINION OF COUNSEL REASONABLY SATISFACTORY TO PAINCARE HOLDINGS, INC. THAT SUCH REGISTRATION IS NOT REQUIRED. 
  
 SECURED CONVERTIBLE TERM NOTE 
  
 FOR VALUE RECEIVED, PAINCARE HOLDINGS, INC., a Florida corporation (the “Borrower”), hereby promises to pay to LAURUS MASTER FUND, LTD.,
c/o Ironshore Corporate Services Ltd., P.O. Box 1234 G.T., Queensgate House, South Church Street, Grand Cayman, Cayman Islands, Fax: 345-949-9877 (the “Holder”) or its registered assigns or successors in interest, on order, the sum
of Five Million Dollars ($5,000,000), together with any accrued and unpaid interest hereon, on February 24, 2007 (the “Maturity Date”) if not sooner paid. 
  
 Capitalized terms used herein without definition shall have the meanings ascribed to such terms in that certain Securities
Purchase Agreement dated as of the date hereof between the Borrower and the Holder (the “Purchase Agreement”). 
  
 The following terms shall apply to this Note: 
  
 ARTICLE I 
 INTEREST &
AMORTIZATION 
  
 1.1 Interest Rate and Payment. (a)
Subject to Sections 4.10 and 5.6 hereof, interest payable on this Note shall accrue at a rate per annum (the “Interest Rate”) equal to the “prime rate” published in The Wall Street Journal from time to time, plus two
percent (2%). Initially, the Interest Rate shall be 6.0% per annum. The Interest Rate shall be increased or decreased as the case may be for each increase or decrease in the prime rate in an amount equal to such increase or decrease in the prime
rate; each change to be effective as of the day of the change in such rate. The Interest Rate shall not be less than six percent (6.00%) unless the Company shall be in compliance with Section 2.2 hereof. If the Company has satisfied the requirements
of Section 2.2 hereof, the Interest Rate will be subject to adjustment as set forth in Section 1.1(b) In no event, however, shall the Interest Rate on this Note be less than zero percent ( 0 .00%). Interest shall be payable monthly in arrears
commencing on March 1, 2004, on the first day of each consecutive calendar month thereafter (each, a “Repayment Date”), and on the Maturity Date, whether by acceleration or otherwise. 
  
 1.1 (b) On the last business day of each month hereafter until the Maturity
Date (each a “Determination Date”), the Interest Rate for the immediately succeeding calendar month shall be determined as set forth in Section 1.1(a). Such Interest Rate, however, shall be subject to adjustment 
  

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 if (i) the Company shall have registered the shares of the Company’s common stock underlying the conversion of the
Note and that certain warrant issued to Holder on a registration statement declared effective by the SEC, and (ii) the volume weighted average price of the Common Stock as reported by Bloomberg, L.P. on the principal market for the five (5) trading
days immediately preceding a Determination Date (“VWAP”) exceeds the then applicable Fixed Conversion Price, the Interest Rate for the succeeding calendar month shall automatically be reduced by 25 basis points (0.25%) for each incremental
twenty five percent (25%) increase in the VWAP of the Common Stock above the then applicable Fixed Conversion Price.  
  
 1.2 Minimum Monthly Principal Payments. Amortizing payments of the aggregate principal amount outstanding under this Note at any time (the
“Principal Amount”) shall begin on June 1, 2004 and shall recur on the first calendar day of each succeeding month thereafter until the Maturity Date (each, an “Amortization Date”) as set forth in the table below:

  

							
	Date

	 	Principal
Amount

	 	Date

	 	Principal
Amount

	  6/1/04	 	$  50,000	 	  9/1/05	 	$150,000
	  7/1/04	 	$  50,000	 	10/1/05	 	$150,000
	  8/1/04	 	$  70,000	 	11/1/05	 	$150,000
	  9/1/04	 	$  70,000	 	12/1/05	 	$150,000
	10/1/04	 	$  70,000	 	  1/1/06	 	$150,000
	11/1/04	 	$  70,000	 	  2/1/06	 	$181,667
	12/1/04	 	$  70,000	 	  3/1/06	 	$181,667
	  1/1/05	 	$  70,000	 	  4/1/06	 	$181,667
	  2/1/05	 	$150,000	 	  5/1/06	 	$181,667
	  3/1/05	 	$150,000	 	  6/1/06	 	$181,667
	  4/1/05	 	$150,000	 	  7/1/06	 	$181,667
	  5/1/05	 	$150,000	 	  8/1/06	 	$181,667
	  6/1/05	 	$150,000	 	  9/1/06	 	$181,667
	  7/1/05	 	$150,000	 	10/1/06	 	$181,667
	  8/1/05	 	$150,000	 	11/1/06	 	$181,667
	 	 	 	 	12/1/06	 	$181,667
	 	 	 	 	  1/1/07	 	$181,667
	 	 	 	 	  2/1/07	 	$500,000

  

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 Subject to Section 3 below, beginning on the first Amortization Date, the Borrower shall make monthly
payments to the Holder on each Repayment Date, each in the amount set forth above, together with any accrued and unpaid interest to date on such portion of the Principal Amount plus any and all other amounts which are then owing under this Note but
have not been paid (collectively, the “Monthly Amount”). 
  
 ARTICLE II 
 BORROWER PAYMENT OPTIONS 
  
 2.1 (a) Payment of Monthly Amount in Cash or Common Stock. Subject to
the terms hereof, the Borrower shall have the option to determine whether to satisfy payment of the Monthly Amount on each Repayment Date either in cash or in shares of Common Stock (as defined in the Purchase Agreement), or a combination of both.
Each month by the twentieth (20th) day of such month, the Borrower shall deliver to the Holder a written irrevocable
notice in the form of Exhibit B attached hereto electing to pay the Monthly Amount payable on the next Repayment Date in either cash or Common Stock, or a combination of both (each, a “Repayment Election Notice”) (the date by which
such notice is required to be given being hereinafter referred to as the “Notice Date”). If a Repayment Election Notice is not delivered to the Holder by the applicable Notice Date for such Repayment Date, then the Monthly Amount
due on such Repayment Date shall be paid in cash. Any portion of the Monthly Amount paid in cash on a Repayment Date, shall be paid to the Holder an amount equal to (x) 102% of the principal portion of the Monthly Amount plus (y) any accrued and
unpaid interest in satisfaction of such obligation. If the Borrower repays all or a portion of the Monthly Amount in shares of Common Stock, the number of such shares to be issued for such Repayment Date shall be the number determined by dividing
(x) the portion of the Monthly Amount to be paid in shares of Common Stock, by (y) the Fixed Conversion Price. For purposes hereof, the “Fixed Conversion Price” means $3.39 (which has been determined on the date of this Note as an
amount equal to 105% of the average closing price for the ten (10) trading days immediately prior to the date of this Note). 
  
 (b) Monthly Amount Common Stock Payment Guidelines. Subject to Sections 2.1(a) 
  

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 and 2.2 hereof, if the Borrower has elected to pay all or a portion of the Monthly Amount due on such Repayment Date in
shares of Common Stock and the closing price of the Common Stock as reported by Bloomberg, L.P. on the Principal Market (as defined in Section 4.7 hereof) for any of the ten (10) trading days preceding a Repayment Date was less than 120% of the
Fixed Conversion Price, then the Borrower shall pay in cash instead. Any part of the Monthly Amount due on such Repayment Date that the Borrower did not elect to pay in shares of Common Stock shall be paid by the Borrower in cash on such Repayment
Date. Any part of the Monthly Amount due on such Repayment Date which the Borrower elected to pay in shares of Common Stock but which must be paid in cash (as a result of the closing price of the Common Stock on one or more of the five (5) trading
days preceding the applicable Repayment Date was less than 120% of the Fixed Conversion Price) shall be paid within three (3) business days of the applicable Repayment Date. 
  
 2.2 No Effective Registration. Notwithstanding anything to the contrary herein, the Borrower shall not repay any part
of its obligations to the Holder hereunder in Common Stock if (i) there fails to exist an effective current Registration Statement (as defined in the Registration Rights Agreement) covering the shares of Common Stock to be issued in connection with
such payment, or (ii) an Event of Default hereunder exists and is continuing, unless such Event of Default is cured within any applicable cure period or is otherwise waived in writing by the Holder in whole or in part at the Holder’s option.

  
 Any amounts converted by theBorrower pursuant to this Section
2 shall be deemed to constitute payments of outstanding principal applying to Monthly Amounts for the remaining Repayment Dates in chronological order. 
  
 2.3 Optional Redemption in Cash. The Borrower will have the option of prepaying this Note (“Optional Redemption”) by paying to the
Holder a sum of money equal to: (a)one hundred twenty percent (120%)(if the redemption occurs before the first anniversary hereof), or (b) one hundred fifteen percent (115%)(if the redemption occurs after the first anniversary hereof, but before the
second anniversary hereof) or (c) one hundred ten percent (110%)(if the redemption occurs after the second anniversary) of the principal amount of this Note together with accrued but unpaid interest thereon and any and all other sums due, accrued or
payable to the Holder arising under this Note, the Security Agreement, or any Ancillary Agreement (as defined in the Security Agreement) (the “Redemption Amount”) outstanding on the day written notice of redemption (the
“Notice of Redemption”) is given to the Holder. The Notice of Redemption shall specify the date for such Optional Redemption (the “Redemption Payment Date”) which date shall be seven (7) days after the date of the
Notice of Redemption (the “Redemption Period”). A Notice of Redemption shall not be effective with respect to any portion of this Note for which the Holder has a pending election to convert pursuant to Section 3.1, or for
conversions elected to be made by the Holder pursuant to Section 3.1 during the Redemption Period. The Redemption Amount shall be determined as if such Holder’s conversion elections had been completed immediately prior to the 
  

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 date of the Notice of Redemption. On the Redemption Payment Date, the Redemption Amount must be paid in good funds to the
Holder. In the event the Borrower fails to pay the Redemption Amount on the Redemption Payment Date, then such Redemption Notice will be null and void. 
  
 2.4 Optional Prepayments in Common Stock. Subject to Section 2.2 hereof, if the average closing price of the Common Stock on the Principal Market
is greater than 150% of the VWAP for a period of at least five (5) consecutive trading days, then the Borrower may, at its sole option, provide the Holder written notice (a “Prepayment Call Notice”) requiring the conversion
at the then applicable Fixed Conversion Price of all or a portion of the outstanding principal, interest and fees outstanding under this Note (subject to compliance with Section 2.3 and 3.2), together with accrued interest on the amount being
prepaid, as of the date set forth in such Prepayment Call Notice (the “Prepayment Call Date”). The Prepayment Call Date shall be at least ten (10) trading days following the date of the Prepayment Call Notice On the Prepayment Call
Date, the Borrower shall deliver to the Holder certificates evidencing the shares of Common Stock issued in satisfaction of the principal and interest being prepaid. Notwithstanding the foregoing, the Borrower’s right to issue shares of Common
Stock in satisfaction of its obligations under this Note shall be subject to the limitation that the number of shares of Common Stock issued in connection with any Prepayment Call Notice shall not exceed 25% of the aggregate dollar trading volume of
the Common Stock for the ten (10) trading days immediately preceding the Prepayment Call Date (as such volume is reported by Bloomberg L.P.). If the price of the Common Stock falls below 150% of the then applicable Fixed Conversion Price during the
ten (10) trading day period immediately preceding the Prepayment Call Date, then the Holder will then be required to convert only such amount of the Note as shall equal twenty five percent (25%) of the aggregate dollar trading volume (as such volume
is reported by Bloomberg L.P.) for each day that the Common Stock has exceeded 150% of the then applicable VWAP. 
  
 The Borrower shall not be permitted to give the Holder more than one Prepayment Call Notice under this Note during any 22-day period. 
  
 Any principal amount of this Note which is prepaid pursuant to this Section
2.5 shall be deemed to constitute payments of outstanding principal applying to Monthly Amounts for the remaining Repayment Dates in chronological order. 
  
 ARTICLE III 
 HOLDER CONVERSION RIGHTS

  
 3.1. Holder’s Conversion Rights. The Holder
shall have the right, but not the obligation, to convert all or any portion of the then aggregate outstanding principal amount of this Note, together with interest and fees accrued thereon, into shares of Common Stock subject to the terms and
conditions set forth in this Article III. The Holder may exercise such right by delivery to the 
  

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 Borrower of a written notice of conversion not less than one (1) day prior to the date upon which such conversion shall
occur. The date upon which such conversion shall occur is (the “Conversion Date”). 
  
 3.2 Conversion Limitation. Notwithstanding anything contained herein to the contrary, the Holder shall not be entitled to convert pursuant to the
terms of this Note an amount that would be convertible into that number of Conversion Shares which would exceed the difference between the number of shares of Common Stock beneficially owned by such Holder or issuable upon exercise of warrants held
by such Holder and 4.99% of the outstanding shares of Common Stock of the Borrower. For the purposes of the immediately preceding sentence, beneficial ownership shall be determined in accordance with Section 13(d) of the Exchange Act and Regulation
13d-3 thereunder. The Holder may void the Conversion Share limitation described in the first sentence of Section 3.2 upon 70 days prior notice to the Borrower or without any notice requirement upon an Event of Default. If the Company has not
obtained Shareholder Approval (as defined below), if required by the applicable rules and regulations of the Principal Market (or any successor entity), then the Company may not issue upon conversion of the Note, in the aggregate, in excess of (1)
19.999% of the number of shares of Common Stock outstanding on the trading day immediately preceding the original issue date, (2) less any shares of Common Stock issued as payment of interest or upon exercise of the Warrants issued to the Holder of
the Note on the original issue date pursuant to this Agreement (such number of shares, the “Issuable Maximum”).”Shareholder Approval” means such approval as may be required by the applicable rules and regulations of the Principal
Market (or any successor entity) from the shareholders of the Company with respect to the transactions contemplated by this Agreement, including the issuance of all of the Underlying Shares and shares of Common Stock issuable upon exercise of the
Warrants in excess of 19.9% of the Company’s issued and outstanding Common Stock on the Closing Date. 
  
 3.3 Mechanics of Holder’s Conversion. (a) In the event that the Holder elects to convert this Note into Common Stock, the Holder shall give
notice of such election by delivering an executed and completed notice of conversion (“Notice of Conversion”) to the Borrower and such Notice of Conversion shall provide a breakdown in reasonable detail of the Principal Amount,
accrued interest and fees being converted. On each Conversion Date (as hereinafter defined) and in accordance with its Notice of Conversion, the Holder shall make the appropriate reduction to the Principal Amount, accrued interest and fees as
entered in its records and shall provide written notice thereof to the Borrower within two (2) business days after the Conversion Date. Each date on which a Notice of Conversion is delivered or telecopied to the Borrower in accordance with the
provisions hereof shall be deemed a Conversion Date (the “Conversion Date”). A form of Notice of Conversion to be employed by the Holder is annexed hereto as Exhibit A. 
  
 (b) Pursuant to the terms of the Notice of Conversion, the Borrower will issue instructions to the transfer agent
accompanied by an opinion of counsel within one (1) business day of the date of the delivery to Borrower of the Notice of Conversion and shall cause the transfer agent to transmit the certificates representing the Conversion Shares to the Holder by
crediting the account of the 
  

 6 

 Holder’s designated broker with the Depository Trust Corporation (“DTC”) through its Deposit
Withdrawal Agent Commission (“DWAC”) system within three (3) business days after receipt by the Borrower of the Notice of Conversion (the “Delivery Date”). In the case of the exercise of the conversion rights set
forth herein the conversion privilege shall be deemed to have been exercised and the Conversion Shares issuable upon such conversion shall be deemed to have been issued upon the date of receipt by the Borrower of the Notice of Conversion. The Holder
shall be treated for all purposes as the record holder of such Common Stock, unless the Holder provides the Borrower written instructions to the contrary. 
  
 3.4 Conversion Mechanics. 
  
 (a) The number of shares of Common Stock to be issued upon each conversion of this Note shall be determined by dividing that portion of the principal and
interest and fees to be converted, if any, by the then applicable Fixed Conversion Price. In the event of any conversions of outstanding principal amount under this Note in part pursuant to this Article III, such conversions shall be deemed to
constitute conversions of outstanding principal amount applying to Monthly Amounts for the remaining Repayment Dates in chronological order. 
  
 (b) The Fixed Conversion Price and number and kind of shares or other securities to be issued upon conversion is subject to adjustment from time to time
upon the occurrence of certain events, as follows: 
  
 A. Stock
Splits, Combinations and Dividends. If the shares of Common Stock are subdivided or combined into a greater or smaller number of shares of Common Stock, or if a dividend is paid on the Common Stock in shares of Common Stock, the Fixed Conversion
Price or the Conversion Price, as the case may be, shall be proportionately reduced in case of subdivision of shares or stock dividend or proportionately increased in the case of combination of shares, in each such case by the ratio which the total
number of shares of Common Stock outstanding immediately after such event bears to the total number of shares of Common Stock outstanding immediately prior to such event. 
  
 B. During the period the conversion right exists, the Borrower will reserve from its authorized and unissued Common Stock a
sufficient number of shares to provide for the issuance of Common Stock upon the full conversion of this Note. The Borrower represents that upon issuance, such shares will be duly and validly issued, fully paid and non-assessable. The Borrower
agrees that its issuance of this Note shall constitute full authority to its officers, agents, and transfer agents who are charged with the duty of executing and issuing stock certificates to execute and issue the necessary certificates for shares
of Common Stock upon the conversion of this Note. 
  
 C. Share
Issuances. Subject to the provisions of this Section 3.4, if the Borrower shall at any time prior to the conversion or repayment in full of the Principal Amount issue any shares of Common Stock to a person other than the Holder (except (i)
pursuant to Subsections A or B above; (ii) pursuant to options, warrants, or other obligations to issue shares outstanding on the date hereof 
  

 7 

 as disclosed to Holder in writing; or (iii) pursuant to options that may be issued to officers, directors, employees and
consultants under any employee incentive stock option and/or any stock option plan adopted by the Borrower or (iv) in connection with acquisition of physician practices or businesses in the ordinary course of business for the Company, for a
consideration per share (the “Offer Price”) less than the Fixed Conversion Price in effect at the time of such issuance, then the Fixed Conversion Price shall be immediately reset pursuant to the formula below. For purposes hereof, the
issuance of any security of the Borrower convertible into or exercisable or exchangeable for Common Stock shall result in an adjustment to the Fixed Conversion Price at the time of issuance of such securities. 
  
 If the Corporation issues any additional shares pursuant to
Section 3.4 above then, and thereafter successively upon each such issue, the Fixed Conversion Price shall be adjusted by multiplying the then applicable Fixed Conversion Price by the following fraction: 
  
                     A +
B                     
 (A + B) + [((C – D) x B) / C] 
  
 A
= Actual shares outstanding prior to such offering 
  
 B = Actual shares sold in the offering 
  
 C = Fixed Conversion Price 
  
 D =
Offering price] 
  
 D. Reclassification, etc. If the
Borrower at any time shall, by reclassification or otherwise, change the Common Stock into the same or a different number of securities of any class or classes, this Note, as to the unpaid Principal Amount and accrued interest thereon, shall
thereafter be deemed to evidence the right to purchase an adjusted number of such securities and kind of securities as would have been issuable as the result of such change with respect to the Common Stock immediately prior to such reclassification
or other change. 
  
 3.5 Issuance of New Note. Upon any
partial conversion of this Note, a new Note containing the same date and provisions of this Note shall, at the request of the Holder, be issued by the Borrower to the Holder for the principal balance of this Note and interest which shall not have
been converted or paid. The Borrower will pay no costs, fees or any other consideration to the Holder for the production and issuance of a new Note. 
  

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 ARTICLE IV 
 EVENTS OF DEFAULT 
  
 Upon
the occurrence and continuance of an Event of Default beyond any applicable grace period, the Holder may make all sums of principal, interest and other fees then remaining unpaid hereon and all other amounts payable hereunder due and payable within
five (5) days after written notice from Holder to Borrower (each occurrence being a “Default Notice Period”). In the event of such an acceleration, the amount due and owing to the Holder shall be 125% of the outstanding principal
amount of the Note (plus accrued and unpaid interest and fees, if any). If, with respect to any Event of Default other than a payment default described in Section 4.1 below, within the Default Notice Period the Borrower cures the Event of Default,
the Event of Default will be deemed to no longer exist and any rights and remedies of Holder pertaining to such Event of Default will be of no further force or effect. 
  
 The occurrence of any of the following events is an “Event of Default”: 
  
 4.1 Failure to Pay Principal, Interest or other Fees. The Borrower
fails to pay when due any installment of principal, interest or other fees hereon in accordance herewith, or the Borrower fails to pay when due any amount due under any other promissory note issued by Borrower. 
  
 4.2 Breach of Covenant. The Borrower breaches any material covenant or
other term or condition of this Note or the Purchase Agreement in any material respect and such breach, if subject to cure, continues for a period of thirty (30) days after the occurrence thereof. 
  
 4.3 Breach of Representations and Warranties. Any representation or
warranty of the Borrower made herein, in the Purchase Agreement, or in any Related Agreement(as defined in the Purchase Agreement) shall be materially false or misleading and have a material adverse effect on the Company’s performance of its
obligations to the Purchaser, or the practical realization by the Purchaser of any benefit or remedy it may have under the Note or the Related Agreements, that shall not be cured for a period of fifteen (15) days after the occurrence thereof.

  
 4.4 Receiver or Trustee. The Borrower shall make an
assignment for the benefit of creditors, or apply for or consent to the appointment of a receiver or trustee for it or for a substantial part of its property or business; or such a receiver or trustee shall otherwise be appointed. 
  
 4.5 Judgments. Any money judgment, writ or similar final process shall
be entered or filed against the Borrower or any of its property or other assets for more than $250,000, and shall remain unvacated, unbonded or unstayed for a period of ninety (90) days. 
  
 4.6 Bankruptcy. Bankruptcy, insolvency, reorganization or liquidation proceedings or other proceedings or relief
under any bankruptcy law or any law for the relief of debtors shall be instituted by or against the Borrower which remains undismissed for a period of sixty (60) days. 
  
 4.7 Stop Trade. An SEC stop trade order or Principal Market trading suspension of the Common Stock shall be in effect
for 10 consecutive days or 10 days during a period of 30 consecutive days, excluding in all cases a suspension of all trading on a Principal Market, provided that the Borrower shall not have been able to cure such trading suspension within 45
days of the 
  

 9 

 notice thereof or list the Common Stock on another Principal Market within 60 days of such notice. The “Principal
Market” for the Common Stock shall include the NASD OTC Bulletin Board, NASDAQ SmallCap Market, NASDAQ National Market System, American Stock Exchange, or New York Stock Exchange (whichever of the foregoing is at the time the principal trading
exchange or market for the Common Stock, or any securities exchange or other securities market on which the Common Stock is then being listed or traded. 
  
 4.8 Failure to Deliver Common Stock or Replacement Note. The Borrower’s failure to timely deliver Common Stock to the Holder pursuant to and
in the form required by this Note, and Section 9 of the Purchase Agreement, if such failure to timely deliver Common Stock shall not be cured within two (2) days. If Borrower is required to issue a replacement Note to Holder and Borrower shall fail
to deliver such replacement Note within seven (7) Business Days. 
  
 4.9 Default Under Related Agreements. The occurrence and continuance of any Event of Default as defined in the Related Agreements, other than a payment default, that remains uncured for a period of fifteen (15) days after the
occurrence thereof. 
  
 DEFAULT RELATED PROVISIONS

  
 4.10 Payment Grace Period. The Borrower shall have
a three (3) business day grace period to pay any monetary amounts due under this Note or the Purchase Agreement or any Related Document, after which grace period a default interest rate of two percent (2%) per month shall apply to the monetary
amounts due hereunder. 
  
 4.11 Conversion Privileges. The
conversion privileges set forth in Article III shall remain in full force and effect immediately from the date hereof and until this Note is paid in full. 
  
 4.12 Cumulative Remedies. The remedies under this Note shall be cumulative. 
  
 ARTICLE V 
 MISCELLANEOUS 
  
 5.1 Failure or Indulgence Not
Waiver. No failure or delay on the part of the Holder hereof in the exercise of any power, right or privilege hereunder shall operate as a waiver thereof, nor shall any single or partial exercise of any such power, right or privilege preclude
other or further exercise thereof or of any other right, power or privilege. All rights and remedies existing hereunder are cumulative to, and not exclusive of, any rights or remedies otherwise available. 
  
 5.2 Notices. Any notice herein required or permitted to be given shall
be in writing and shall be deemed effectively given: (a) upon personal delivery to the party notified, (b) when sent by confirmed telex or facsimile if sent during normal business hours of the recipient, if not, then on the next business day, (c)
five days after having been sent by registered or certified mail, return receipt requested, postage prepaid, or (d) one day after deposit with a nationally recognized overnight courier, specifying next day delivery, with written verification of
receipt. All communications shall 
  

 10 

 be sent to the Borrower at the address provided in the Purchase Agreement executed in connection herewith, and to the
Holder at the address provided in the Purchase Agreement for such Holder, with a copy to John E. Tucker, Esq., 825 Third Avenue, 14th Floor, New York, New York 10022, facsimile number (212) 541-4434, or at such other address as the Borrower or the Holder may designate by ten days advance written notice to the other parties hereto. A Notice of Conversion shall be
deemed given when made to the Borrower pursuant to the Purchase Agreement. 
  
 5.3 Amendment Provision. The term “Note” and all reference thereto, as used throughout this instrument, shall mean this instrument as originally executed, or if later amended or supplemented, then as
so amended or supplemented, and any successor instrument issued pursuant to Section 3.5 hereof, as it may be amended or supplemented. 
  
 5.4 Assignability. This Note shall be binding upon the Borrower and its successors and assigns, and shall inure to the benefit of the Holder and
its successors and assigns, and may be assigned by the Holder in accordance with the requirements of the Purchase Agreement. 
  
 5.5 Governing Law. This Note shall be governed by and construed in accordance with the laws of the State of New York, without regard to principles
of conflicts of laws. Any action brought by either party against the other concerning the transactions contemplated by this Agreement shall be brought only in the state courts of New York or in the federal courts located in the state of New York.
Both parties and the individual signing this Note on behalf of the Borrower agree to submit to the jurisdiction of such courts. The prevailing party shall be entitled to recover from the other party its reasonable attorney’s fees and costs. In
the event that any provision of this Note is invalid or unenforceable under any applicable statute or rule of law, then such provision shall be deemed inoperative to the extent that it may conflict therewith and shall be deemed modified to conform
with such statute or rule of law. Any such provision which may prove invalid or unenforceable under any law shall not affect the validity or unenforceability of any other provision of this Note. Nothing contained herein shall be deemed or operate to
preclude the Holder from bringing suit or taking other legal action against the Borrower in any other jurisdiction to collect on the Borrower’s obligations to Holder, to realize on any collateral or any other security for such obligations, or
to enforce a judgment or other court in favor of the Holder. 
  
 5.6 Maximum Payments. Nothing contained herein shall be deemed to establish or require the payment of a rate of interest or other charges in excess of the maximum permitted by applicable law. In the event that the rate of interest
required to be paid or other charges hereunder exceed the maximum permitted by such law, any payments in excess of such maximum shall be credited against amounts owed by the Borrower to the Holder and thus refunded to the Borrower. 
  
 5.7 Security Interest. The holder of this Note has been granted a
security interest in certain assets of the Borrower more fully described in a Security Agreement dated as of February     , 2004. 
  
 5.8 Construction. Each party acknowledges that its legal counsel participated in the preparation of this Note and, therefore, stipulates that the
rule of construction that ambiguities are to 
  

 11 

 be resolved against the drafting party shall not be applied in the interpretation of this Note to favor any party against
the other. 
  
 5.9 Cost of Collection. If default is made
in the payment of this Note, the borrower shall pay to Holder reasonable costs of collection, including reasonable attorney’s fees. 
  
 [Balance of page intentionally left blank; signature page follows.] 
  

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 IN WITNESS WHEREOF, Borrower has caused this Convertible Term Note to be signed in its name
effective as of this 24 day of February, 2004. 
  

			
	PAINCARE HOLDINGS, INC.
		
	By:	 	 
	 	 	

	Name:	 	 
	 	 	

	Title:	 	 
	 	 	

  
  
  

	
	WITNESS:
	
	  
	

  

 13Form of March 2007 Note

 Exhibit 4.4 
  

THIS NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR ANY STATE SECURITIES
LAWS. THIS NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT AS TO THIS NOTE UNDER SAID ACT AND ANY APPLICABLE STATE
SECURITIES LAWS OR AN OPINION OF COUNSEL REASONABLY SATISFACTORY TO PAINCARE HOLDINGS, INC. THAT SUCH REGISTRATION IS NOT REQUIRED. 
  
 SECURED CONVERTIBLE TERM NOTE 
  
 FOR VALUE RECEIVED, PAINCARE HOLDINGS, INC., a Florida corporation (the “Borrower”), hereby promises to pay to LAURUS MASTER FUND, LTD.,
c/o Ironshore Corporate Services Ltd., P.O. Box 1234 G.T., Queensgate House, South Church Street, Grand Cayman, Cayman Islands, Fax: 345-949-9877 (the “Holder”) or its registered assigns or successors in interest, on order, the sum
of Five Million Dollars ($5,000,000), together with any accrued and unpaid interest hereon, on March 22, 2007 (the “Maturity Date”) if not sooner paid. 
  
 Capitalized terms used herein without definition shall have the meanings ascribed to such terms in that certain Securities
Purchase Agreement dated as of the date hereof between the Borrower and the Holder (the “Purchase Agreement”). 
  
 The following terms shall apply to this Note: 
  
 ARTICLE I 
 INTEREST &
AMORTIZATION 
  
 1.1 Interest Rate and Payment. (a)
Subject to Sections 4.10 and 5.6 hereof, interest payable on this Note shall accrue at a rate per annum (the “Interest Rate”) equal to the “prime rate” published in The Wall Street Journal from time to time, plus two
percent (2%). Initially, the Interest Rate shall be 6.0% per annum. The Interest Rate shall be increased or decreased as the case may be for each increase or decrease in the prime rate in an amount equal to such increase or decrease in the prime
rate; each change to be effective as of the day of the change in such rate. The Interest Rate shall not be less than six percent (6.00%) unless the Company shall be in compliance with Section 2.2 hereof. If the Company has satisfied the requirements
of Section 2.2 hereof, the Interest Rate will be subject to adjustment as set forth in Section 1.1(b) In no event, however, shall the Interest Rate on this Note be less than zero percent ( 0 .00%). Interest shall be payable monthly in arrears
commencing on May 1, 2004, on the first day of each consecutive calendar month thereafter (each, a “Repayment Date”), and on the Maturity Date, whether by acceleration or otherwise. 
  
 1.1 (b) On the last business day of each month hereafter until the Maturity
Date (each a “Determination Date”), the Interest Rate for the immediately succeeding calendar month shall be determined as set forth in Section 1.1(a). Such Interest Rate, however, shall be subject to adjustment 

  

 1 

 
if (i) the Company shall have registered the shares of the Company’s common stock underlying the conversion of the Note and that certain warrant issued
to Holder on a registration statement declared effective by the SEC, and (ii) the volume weighted average price of the Common Stock as reported by Bloomberg, L.P. on the principal market for the five (5) trading days immediately preceding a
Determination Date (“VWAP”) exceeds the then applicable Fixed Conversion Price, the Interest Rate for the succeeding calendar month shall automatically be reduced by 25 basis points (0.25%) for each incremental twenty five percent (25%)
increase in the VWAP of the Common Stock above the then applicable Fixed Conversion Price.  
  
 1.2 Minimum Monthly Principal Payments. Amortizing payments of the aggregate principal amount outstanding under this Note at any time (the
“Principal Amount”) shall begin on July 1, 2004 and shall recur on the first calendar day of each succeeding month thereafter until the Maturity Date (each, an “Amortization Date”) as set forth in the table below:

  

									
	Date

	 	Principal Amount

	 	Date

	 	Principal Amount

	  7/1/04	 	$	50,000	 	10/1/05	 	$	150,000
	  81/04	 	$	50,000	 	11/1/05	 	$	150,000
	  9/1/04	 	$	70,000	 	12/1/05	 	$	150,000
	10/1/04	 	$	70,000	 	1/1/06	 	$	150,000
	11/1/04	 	$	70,000	 	2/1/06	 	$	150,000
	12/1/04	 	$	70,000	 	3/1/06	 	$	181,667
	  1/1/05	 	$	70,000	 	4/1/06	 	$	181,667
	  2/1/05	 	$	70,000	 	5/1/06	 	$	181,667
	  3/1/05	 	$	150,000	 	6/1/06	 	$	181,667
	  4/1/05	 	$	150,000	 	7/1/06	 	$	181,667
	  5/1/05	 	$	150,000	 	8/1/06	 	$	181,667
	  6/1/05	 	$	150,000	 	9/1/06	 	$	181,667
	  7/1/05	 	$	150,000	 	10/1/06	 	$	181,667
	  8/1/05	 	$	150,000	 	11/1/06	 	$	181,667
	  9/1/05	 	$	150,000	 	12/1/06	 	$	181,667
	 	 	 	 	 	1/1/06	 	$	181,667
	 	 	 	 	 	  2/1/07	 	$	181,667
	 	 	 	 	 	  3/1/07	 	$	500,000

  

 2 

 Subject to Section 3 below, beginning on the first Amortization Date, the Borrower shall make monthly
payments to the Holder on each Repayment Date, each in the amount set forth above, together with any accrued and unpaid interest to date on such portion of the Principal Amount plus any and all other amounts which are then owing under this Note but
have not been paid (collectively, the “Monthly Amount”). 
  
 ARTICLE II 
 BORROWER PAYMENT OPTIONS 
  
 2.1 (a) Payment of Monthly Amount in Cash or Common Stock. Subject to
the terms hereof, the Borrower shall have the option to determine whether to satisfy payment of the Monthly Amount on each Repayment Date either in cash or in shares of Common Stock (as defined in the Purchase Agreement), or a combination of both.
Each month by the twentieth (20th) day of such month, the Borrower shall deliver to the Holder a written irrevocable
notice in the form of Exhibit B attached hereto electing to pay the Monthly Amount payable on the next Repayment Date in either cash or Common Stock, or a combination of both (each, a “Repayment Election Notice”) (the date by which
such notice is required to be given being hereinafter referred to as the “Notice Date”). If a Repayment Election Notice is not delivered to the Holder by the applicable Notice Date for such Repayment Date, then the Monthly Amount
due on such Repayment Date shall be paid in cash. Any portion of the Monthly Amount paid in cash on a Repayment Date, shall be paid to the Holder an amount equal to (x) 102% of the principal portion of the Monthly Amount plus (y) any accrued and
unpaid interest in satisfaction of such obligation. If the Borrower repays all or a portion of the Monthly Amount in shares of Common Stock, the number of such shares to be issued for such Repayment Date shall be the number determined by dividing
(x) the portion of the Monthly Amount to be paid in shares of Common Stock, by (y) the Fixed Conversion Price. For purposes hereof, the “Fixed Conversion Price” means $2.88 (which has been determined on the date of this Note as an
amount equal to the average closing price for the ten (10) trading days immediately prior to the date of this Note). 
  
 (b) Monthly Amount Common Stock Payment Guidelines. Subject to Sections 2.1(a) 

  

 3 

 
and 2.2 hereof, if the Borrower has elected to pay all or a portion of the Monthly Amount due on such Repayment Date in shares of Common Stock and the
closing price of the Common Stock as reported by Bloomberg, L.P. on the Principal Market (as defined in Section 4.7 hereof) for any of the ten (10) trading days preceding a Repayment Date was less than 120% of the Fixed Conversion Price, then the
Borrower shall pay in cash instead. Any part of the Monthly Amount due on such Repayment Date that the Borrower did not elect to pay in shares of Common Stock shall be paid by the Borrower in cash on such Repayment Date. Any part of the Monthly
Amount due on such Repayment Date which the Borrower elected to pay in shares of Common Stock but which must be paid in cash (as a result of the closing price of the Common Stock on one or more of the five (5) trading days preceding the applicable
Repayment Date was less than 120% of the Fixed Conversion Price) shall be paid within three (3) business days of the applicable Repayment Date. 
  
 2.2 No Effective Registration. Notwithstanding anything to the contrary herein, the Borrower shall not repay any part of its obligations to the
Holder hereunder in Common Stock if (i) there fails to exist an effective current Registration Statement (as defined in the Registration Rights Agreement) covering the shares of Common Stock to be issued in connection with such payment, or (ii) an
Event of Default hereunder exists and is continuing, unless such Event of Default is cured within any applicable cure period or is otherwise waived in writing by the Holder in whole or in part at the Holder’s option. 
  
 Any amounts converted by the Borrower pursuant to this Section 2 shall be
deemed to constitute payments of outstanding principal applying to Monthly Amounts for the remaining Repayment Dates in chronological order. 
  
 2.3 Optional Redemption in Cash. The Borrower will have the option of prepaying this Note (“Optional Redemption”) by paying to the
Holder a sum of money equal to: (a)one hundred twenty percent (120%)(if the redemption occurs before the first anniversary hereof), or (b) one hundred fifteen percent (115%)(if the redemption occurs after the first anniversary hereof, but before the
second anniversary hereof) or (c) one hundred ten percent (110%)(if the redemption occurs after the second anniversary) of the principal amount of this Note together with accrued but unpaid interest thereon and any and all other sums due, accrued or
payable to the Holder arising under this Note, the Security Agreement, or any Ancillary Agreement (as defined in the Security Agreement) (the “Redemption Amount”) outstanding on the day written notice of redemption (the
“Notice of Redemption”) is given to the Holder. The Notice of Redemption shall specify the date for such Optional Redemption (the “Redemption Payment Date”) which date shall be seven (7) days after the date of the
Notice of Redemption (the “Redemption Period”). A Notice of Redemption shall not be effective with respect to any portion of this Note for which the Holder has a pending election to convert pursuant to Section 3.1, or for
conversions elected to be made by the Holder pursuant to Section 3.1 during the Redemption Period. The Redemption Amount shall be determined as if such Holder’s conversion elections had been completed immediately prior to the 

  

 4 

 
date of the Notice of Redemption. On the Redemption Payment Date, the Redemption Amount must be paid in good funds to the Holder. In the event the Borrower
fails to pay the Redemption Amount on the Redemption Payment Date, then such Redemption Notice will be null and void. 
  
 2.4 Optional Prepayments in Common Stock. Subject to Section 2.2 hereof, if the VWAP of the Common Stock on the Principal Market is greater than
150% of the Fixed Conversion Price for a period of at least five (5) consecutive trading days, then the Borrower may, at its sole option, provide the Holder written notice (a “Prepayment Call Notice”) requiring the conversion at the then
applicable Fixed Conversion Price of all or a portion of the outstanding principal, interest and fees outstanding under this Note (subject to compliance with Section 2.3 and 3.2), together with accrued interest on the amount being prepaid, as of the
date set forth in such Prepayment Call Notice (the “Prepayment Call Date”). The Prepayment Call Date shall be at least ten (10) trading days following the date of the Prepayment Call Notice On the Prepayment Call Date, the Borrower
shall deliver to the Holder certificates evidencing the shares of Common Stock issued in satisfaction of the principal and interest being prepaid. Notwithstanding the foregoing, the Borrower’s right to issue shares of Common Stock in
satisfaction of its obligations under this Note shall be subject to the limitation that the number of shares of Common Stock issued in connection with any Prepayment Call Notice shall not exceed 25% of the aggregate dollar trading volume of the
Common Stock for the ten (10) trading days immediately preceding the Prepayment Call Date (as such volume is reported by Bloomberg L.P.). If the price of the Common Stock falls below 150% of the then applicable Fixed Conversion Price during the ten
(10) trading day period immediately preceding the Prepayment Call Date, then the Holder will then be required to convert only such amount of the Note as shall equal twenty five percent (25%) of the aggregate dollar trading volume (as such volume is
reported by Bloomberg L.P.) for each day that the Common Stock has exceeded 150% of the then applicable VWAP. 
  
 The Borrower shall not be permitted to give the Holder more than one Prepayment Call Notice under this Note during any 22-day period. 
  
 Any principal amount of this Note which is prepaid pursuant to this Section
2.5 shall be deemed to constitute payments of outstanding principal applying to Monthly Amounts for the remaining Repayment Dates in chronological order. 
  
 ARTICLE III 
 HOLDER CONVERSION RIGHTS

  
 3.1. Holder’s Conversion Rights. The Holder
shall have the right, but not the obligation, to convert all or any portion of the then aggregate outstanding principal amount of this Note, together with interest and fees accrued thereon, into shares of Common Stock subject to the terms and
conditions set forth in this Article III. The Holder may exercise such right by delivery to the 

  

 5 

 
Borrower of a written notice of conversion not less than one (1) day prior to the date upon which such conversion shall occur. The date upon which such
conversion shall occur is (the “Conversion Date”). 
  
 3.2 Conversion Limitation. Notwithstanding anything contained herein to the contrary, the Holder shall not be entitled to convert pursuant to the terms of this Note an amount that would be convertible into that number of Conversion
Shares which would exceed the difference between the number of shares of Common Stock beneficially owned by such Holder or issuable upon exercise of warrants held by such Holder and 4.99% of the outstanding shares of Common Stock of the Borrower.
For the purposes of the immediately preceding sentence, beneficial ownership shall be determined in accordance with Section 13(d) of the Exchange Act and Regulation 13d-3 thereunder. The Holder may void the Conversion Share limitation described in
the first sentence of Section 3.2 upon 70 days prior notice to the Borrower or without any notice requirement upon an Event of Default. If the Company has not obtained Shareholder Approval (as defined below), if required by the applicable rules and
regulations of the Principal Market (or any successor entity), then the Company may not issue upon conversion of the Note, in the aggregate, in excess of (1) 19.999% of the number of shares of Common Stock outstanding on the trading day immediately
preceding the original issue date, (2) less any shares of Common Stock issued as payment of interest or upon exercise of the Warrants issued to the Holder of the Note on the original issue date pursuant to this Agreement (such number of shares, the
“Issuable Maximum”).”Shareholder Approval” means such approval as may be required by the applicable rules and regulations of the Principal Market (or any successor entity) from the shareholders of the Company with respect to the
transactions contemplated by this Agreement, including the issuance of all of the Underlying Shares and shares of Common Stock issuable upon exercise of the Warrants in excess of 19.9% of the Company’s issued and outstanding Common Stock on the
Closing Date. 
  
 3.3 Mechanics of Holder’s
Conversion. (a) In the event that the Holder elects to convert this Note into Common Stock, the Holder shall give notice of such election by delivering an executed and completed notice of conversion (“Notice of Conversion”) to
the Borrower and such Notice of Conversion shall provide a breakdown in reasonable detail of the Principal Amount, accrued interest and fees being converted. On each Conversion Date (as hereinafter defined) and in accordance with its Notice of
Conversion, the Holder shall make the appropriate reduction to the Principal Amount, accrued interest and fees as entered in its records and shall provide written notice thereof to the Borrower within two (2) business days after the Conversion Date.
Each date on which a Notice of Conversion is delivered or telecopied to the Borrower in accordance with the provisions hereof shall be deemed a Conversion Date (the “Conversion Date”). A form of Notice of Conversion to be employed
by the Holder is annexed hereto as Exhibit A. 
  
 (b) Pursuant to
the terms of the Notice of Conversion, the Borrower will issue instructions to the transfer agent accompanied by an opinion of counsel within one (1) business day of the date of the delivery to Borrower of the Notice of Conversion and shall cause
the transfer agent to transmit the certificates representing the Conversion Shares to the Holder by crediting the account of the 
  

 6 

 Holder’s designated broker with the Depository Trust Corporation (“DTC”) through its Deposit
Withdrawal Agent Commission (“DWAC”) system within three (3) business days after receipt by the Borrower of the Notice of Conversion (the “Delivery Date”). In the case of the exercise of the conversion rights set
forth herein the conversion privilege shall be deemed to have been exercised and the Conversion Shares issuable upon such conversion shall be deemed to have been issued upon the date of receipt by the Borrower of the Notice of Conversion. The Holder
shall be treated for all purposes as the record holder of such Common Stock, unless the Holder provides the Borrower written instructions to the contrary. 
  
 3.4 Conversion Mechanics. 
  
 (a) The number of shares of Common Stock to be issued upon each conversion of this Note shall be determined by dividing that portion of the principal and
interest and fees to be converted, if any, by the then applicable Fixed Conversion Price. In the event of any conversions of outstanding principal amount under this Note in part pursuant to this Article III, such conversions shall be deemed to
constitute conversions of outstanding principal amount applying to Monthly Amounts for the remaining Repayment Dates in chronological order. 
  
 (b) The Fixed Conversion Price and number and kind of shares or other securities to be issued upon conversion is subject to adjustment from time to time
upon the occurrence of certain events, as follows: 
  
 A. Stock
Splits, Combinations and Dividends. If the shares of Common Stock are subdivided or combined into a greater or smaller number of shares of Common Stock, or if a dividend is paid on the Common Stock in shares of Common Stock, the Fixed Conversion
Price or the Conversion Price, as the case may be, shall be proportionately reduced in case of subdivision of shares or stock dividend or proportionately increased in the case of combination of shares, in each such case by the ratio which the total
number of shares of Common Stock outstanding immediately after such event bears to the total number of shares of Common Stock outstanding immediately prior to such event. 
  
 B. During the period the conversion right exists, the Borrower will reserve from its authorized and unissued Common Stock a
sufficient number of shares to provide for the issuance of Common Stock upon the full conversion of this Note. The Borrower represents that upon issuance, such shares will be duly and validly issued, fully paid and non-assessable. The Borrower
agrees that its issuance of this Note shall constitute full authority to its officers, agents, and transfer agents who are charged with the duty of executing and issuing stock certificates to execute and issue the necessary certificates for shares
of Common Stock upon the conversion of this Note. 
  
 C. Share
Issuances. Subject to the provisions of this Section 3.4, if the Borrower shall at any time prior to the conversion or repayment in full of the Principal Amount issue any shares of Common Stock to a person other than the Holder (except (i)
pursuant to Subsections A or B above; (ii) pursuant to options, warrants, or other obligations to issue shares outstanding on the date hereof 

  

 7 

 
as disclosed to Holder in writing; or (iii) pursuant to options that may be issued to officers, directors, employees and consultants under any employee
incentive stock option and/or any stock option plan adopted by the Borrower or (iv) in connection with acquisition of physician practices or businesses in the ordinary course of business for the Company, for a consideration per share (the
“Offer Price”) less than the Fixed Conversion Price in effect at the time of such issuance, then the Fixed Conversion Price shall be immediately reset pursuant to the formula below. For purposes hereof, the issuance of any security of the
Borrower convertible into or exercisable or exchangeable for Common Stock shall result in an adjustment to the Fixed Conversion Price at the time of issuance of such securities. 
  
 If the Corporation issues any additional shares pursuant to Section 3.4 above then, and thereafter
successively upon each such issue, the Fixed Conversion Price shall be adjusted by multiplying the then applicable Fixed Conversion Price by the following fraction: 
  
                     A
+ B                     
 (A + B) +
[((C – D) x B) / C] 
  
 A = Actual shares outstanding prior
to such offering 
  
 B = Actual shares sold in the offering

  
 C = Fixed Conversion Price 
  
 D = Offering price] 
  
 D. Reclassification, etc. If the Borrower at any time shall, by
reclassification or otherwise, change the Common Stock into the same or a different number of securities of any class or classes, this Note, as to the unpaid Principal Amount and accrued interest thereon, shall thereafter be deemed to evidence the
right to purchase an adjusted number of such securities and kind of securities as would have been issuable as the result of such change with respect to the Common Stock immediately prior to such reclassification or other change. 
  
 3.5 Issuance of New Note. Upon any partial conversion of this Note, a
new Note containing the same date and provisions of this Note shall, at the request of the Holder, be issued by the Borrower to the Holder for the principal balance of this Note and interest which shall not have been converted or paid. The Borrower
will pay no costs, fees or any other consideration to the Holder for the production and issuance of a new Note. 
  

 8 

 ARTICLE IV 
 EVENTS OF DEFAULT 
  
 Upon
the occurrence and continuance of an Event of Default beyond any applicable grace period, the Holder may make all sums of principal, interest and other fees then remaining unpaid hereon and all other amounts payable hereunder due and payable within
five (5) days after written notice from Holder to Borrower (each occurrence being a “Default Notice Period”). In the event of such an acceleration, the amount due and owing to the Holder shall be 125% of the outstanding principal
amount of the Note (plus accrued and unpaid interest and fees, if any). If, with respect to any Event of Default other than a payment default described in Section 4.1 below, within the Default Notice Period the Borrower cures the Event of Default,
the Event of Default will be deemed to no longer exist and any rights and remedies of Holder pertaining to such Event of Default will be of no further force or effect. 
  
 The occurrence of any of the following events is an “Event of Default”: 
  
 4.1 Failure to Pay Principal, Interest or other Fees. The Borrower
fails to pay when due any installment of principal, interest or other fees hereon in accordance herewith, or the Borrower fails to pay when due any amount due under any other promissory note issued by Borrower. 
  
 4.2 Breach of Covenant. The Borrower breaches any material covenant or
other term or condition of this Note or the Purchase Agreement in any material respect and such breach, if subject to cure, continues for a period of thirty (30) days after the occurrence thereof. 
  
 4.3 Breach of Representations and Warranties. Any representation or
warranty of the Borrower made herein, in the Purchase Agreement, or in any Related Agreement(as defined in the Purchase Agreement) shall be materially false or misleading and have a material adverse effect on the Company’s performance of its
obligations to the Purchaser, or the practical realization by the Purchaser of any benefit or remedy it may have under the Note or the Related Agreements, that shall not be cured for a period of fifteen (15) days after the occurrence thereof.

  
 4.4 Receiver or Trustee. The Borrower shall make an
assignment for the benefit of creditors, or apply for or consent to the appointment of a receiver or trustee for it or for a substantial part of its property or business; or such a receiver or trustee shall otherwise be appointed. 
  
 4.5 Judgments. Any money judgment, writ or similar final process shall
be entered or filed against the Borrower or any of its property or other assets for more than $250,000, and shall remain unvacated, unbonded or unstayed for a period of ninety (90) days. 
  
 4.6 Bankruptcy. Bankruptcy, insolvency, reorganization or liquidation proceedings or other proceedings or relief
under any bankruptcy law or any law for the relief of debtors shall be instituted by or against the Borrower which remains undismissed for a period of sixty (60) days. 
  
 4.7 Stop Trade. An SEC stop trade order or Principal Market trading suspension of the Common Stock shall be in effect
for 10 consecutive days or 10 days during a period of 30 consecutive days, excluding in all cases a suspension of all trading on a Principal Market, provided that the Borrower shall not have been able to cure such trading suspension within 45
days of the 

  

 9 

 
notice thereof or list the Common Stock on another Principal Market within 60 days of such notice. The “Principal Market” for the Common Stock
shall include the NASD OTC Bulletin Board, NASDAQ SmallCap Market, NASDAQ National Market System, American Stock Exchange, or New York Stock Exchange (whichever of the foregoing is at the time the principal trading exchange or market for the Common
Stock, or any securities exchange or other securities market on which the Common Stock is then being listed or traded. 
  
 4.8 Failure to Deliver Common Stock or Replacement Note. The Borrower’s failure to timely deliver Common Stock to the Holder pursuant to and
in the form required by this Note, and Section 9 of the Purchase Agreement, if such failure to timely deliver Common Stock shall not be cured within two (2) days. If Borrower is required to issue a replacement Note to Holder and Borrower shall fail
to deliver such replacement Note within seven (7) Business Days. 
  
 4.9 Default Under Related Agreements. The occurrence and continuance of any Event of Default as defined in the Related Agreements, other than a payment default, that remains uncured for a period of fifteen (15) days after the
occurrence thereof. 
  
 DEFAULT RELATED PROVISIONS

  
 4.10 Payment Grace Period. The Borrower shall have
a three (3) business day grace period to pay any monetary amounts due under this Note or the Purchase Agreement or any Related Document, after which grace period a default interest rate of two percent (2%) per month shall apply to the monetary
amounts due hereunder. 
  
 4.11 Conversion Privileges. The
conversion privileges set forth in Article III shall remain in full force and effect immediately from the date hereof and until this Note is paid in full. 
  
 4.12 Cumulative Remedies. The remedies under this Note shall be cumulative. 
  
 ARTICLE V 
 MISCELLANEOUS 
  
 5.1 Failure or Indulgence Not
Waiver. No failure or delay on the part of the Holder hereof in the exercise of any power, right or privilege hereunder shall operate as a waiver thereof, nor shall any single or partial exercise of any such power, right or privilege preclude
other or further exercise thereof or of any other right, power or privilege. All rights and remedies existing hereunder are cumulative to, and not exclusive of, any rights or remedies otherwise available. 
  
 5.2 Notices. Any notice herein required or permitted to be given shall
be in writing and shall be deemed effectively given: (a) upon personal delivery to the party notified, (b) when sent by confirmed telex or facsimile if sent during normal business hours of the recipient, if not, then on the next business day, (c)
five days after having been sent by registered or certified mail, return receipt requested, postage prepaid, or (d) one day after deposit with a nationally recognized overnight courier, specifying next day delivery, with written verification of
receipt. All communications shall 

  

 10 

 
be sent to the Borrower at the address provided in the Purchase Agreement executed in connection herewith, and to the Holder at the address provided in the
Purchase Agreement for such Holder, with a copy to John E. Tucker, Esq., 825 Third Avenue, 14th Floor, New York, New
York 10022, facsimile number (212) 541-4434, or at such other address as the Borrower or the Holder may designate by ten days advance written notice to the other parties hereto. A Notice of Conversion shall be deemed given when made to the Borrower
pursuant to the Purchase Agreement. 
  
 5.3 Amendment
Provision. The term “Note” and all reference thereto, as used throughout this instrument, shall mean this instrument as originally executed, or if later amended or supplemented, then as so amended or supplemented, and any successor
instrument issued pursuant to Section 3.5 hereof, as it may be amended or supplemented. 
  
 5.4 Assignability. This Note shall be binding upon the Borrower and its successors and assigns, and shall inure to the benefit of the Holder and its successors and assigns, and may be assigned by the Holder in
accordance with the requirements of the Purchase Agreement. 
  
 5.5 Governing Law. This Note shall be governed by and construed in accordance with the laws of the State of New York, without regard to principles of conflicts of laws. Any action brought by either party against the other concerning
the transactions contemplated by this Agreement shall be brought only in the state courts of New York or in the federal courts located in the state of New York. Both parties and the individual signing this Note on behalf of the Borrower agree to
submit to the jurisdiction of such courts. The prevailing party shall be entitled to recover from the other party its reasonable attorney’s fees and costs. In the event that any provision of this Note is invalid or unenforceable under any
applicable statute or rule of law, then such provision shall be deemed inoperative to the extent that it may conflict therewith and shall be deemed modified to conform with such statute or rule of law. Any such provision which may prove invalid or
unenforceable under any law shall not affect the validity or unenforceability of any other provision of this Note. Nothing contained herein shall be deemed or operate to preclude the Holder from bringing suit or taking other legal action against the
Borrower in any other jurisdiction to collect on the Borrower’s obligations to Holder, to realize on any collateral or any other security for such obligations, or to enforce a judgment or other court in favor of the Holder. 
  
 5.6 Maximum Payments. Nothing contained herein shall be deemed to
establish or require the payment of a rate of interest or other charges in excess of the maximum permitted by applicable law. In the event that the rate of interest required to be paid or other charges hereunder exceed the maximum permitted by such
law, any payments in excess of such maximum shall be credited against amounts owed by the Borrower to the Holder and thus refunded to the Borrower. 
  
 5.7 Security Interest. The holder of this Note has been granted a security interest in certain assets of the Borrower more fully described in a
Security Agreement dated as of March 22, 2004. 
  
 5.8
Construction. Each party acknowledges that its legal counsel participated in the preparation of this Note and, therefore, stipulates that the rule of construction that ambiguities are to 

  

 11 

 
be resolved against the drafting party shall not be applied in the interpretation of this Note to favor any party against the other. 
  
 5.9 Cost of Collection. If default is made in the payment of this
Note, the borrower shall pay to Holder reasonable costs of collection, including reasonable attorney’s fees. 
  
 [Balance of page intentionally left blank; signature page follows.] 
  

 12 

 IN WITNESS WHEREOF, Borrower has caused this Convertible Term Note to be signed in its name
effective as of this 22nd day of March, 2004. 
  

			
	PAINCARE HOLDINGS, INC.
		
	By:	 	 
	 	 	

	 Name:
	 	  

	 Title:
	 	  

  

	
	
	WITNESS
	
	  
	

  

 13

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