Document:

Exhibit
4.1

 

THE
SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES
ACT”). THESE SECURITIES MAY BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED ONLY (A) TO THE COMPANY, (B) OUTSIDE THE
UNITED STATES IN COMPLIANCE WITH RULE 904 OF REGULATION S UNDER THE SECURITIES ACT, (C) IN COMPLIANCE WITH RULE 144 OR 144A THEREUNDER,
IF AVAILABLE, AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS, (D) PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT, OR
(E) IN A TRANSACTION THAT DOES NOT REQUIRE REGISTRATION UNDER THE SECURITIES ACT OR ANY APPLICABLE STATE SECURITIES LAWS, AND
THE HOLDER HAS, PRIOR TO SUCH SALE, FURNISHED TO THE COMPANY AN OPINION OF COUNSEL OR OTHER EVIDENCE OF EXEMPTION, IN EITHER CASE
REASONABLY SATISFACTORY TO THE COMPANY. HEDGING TRANSACTIONS INVOLVING THESE SECURITIES MAY NOT BE CONDUCTED UNLESS IN COMPLIANCE
WITH THE SECURITIES ACT.

 

5%
UNSECURED CONVERTIBLE PROMISSORY NOTE

 

PUREBASE
CORPORATION

 

DUE:
__________ __, 20__

 

This
Unsecured Convertible Promissory Note (the “Note”) is a duly authorized and issued convertible promissory note
(the “Note”) of PUREBASE CORPORATION, a Nevada corporation (the “Company”). The Note has
been issued in accordance with exemptions from registration under the Securities Act of 1933, as amended (the “Securities
Act”), pursuant to a Securities Purchase Agreement, dated March 17, 2021, effective as of November 25, 2020 (the “Purchase
Agreement”), between the Company and the Holder (as defined below). Capitalized terms not otherwise defined herein shall
have the meanings ascribed to them in the Purchase Agreement.

 

Article
I.

 

Section
1.01 Principal and Interest. FOR VALUE RECEIVED, the Company hereby promises to pay to the order of ________________,
a __________ corporation (together with its permitted assigns, the “Holder”), in lawful money of the United
States of America and in immediately available funds the principal sum of _________________________ Dollars (US$__________)
on __________ __, 20__ (the “Maturity Date”).

 

The
Company further promises to pay interest in cash on the unpaid principal amount of this Note at a rate per annum equal to five
percent (5%), commencing to accrue on the date hereof and payable on the Maturity Date or earlier prepayment as provided herein.
Interest will be computed on the basis of a 360- day year of twelve 30-day months for the actual number of days elapsed.

 

Section
1.02 Conversion. At any time, the Holder may, in its sole discretion, determine to convert (each, a “Conversion”)
all or part of the outstanding principal amount of this Note, together with accrued and unpaid interest due thereon, into shares
of common stock (“Common Stock”) of the Company, par value $0.001 per share (the “Conversion Shares”)
at a conversion price of $0.088 per share (the “Conversion Price”). The Company shall not issue any
fraction of a Conversion Share upon any such conversion. If the issuance would result in the issuance of a fraction of a Conversion
Share, the Company shall round such fraction of a Conversion Share up to the nearest whole Conversion Share. The number of Conversion
Shares issuable upon a Conversion shall be determined by the quotient obtained by dividing (i) the outstanding principal amount
of this Note being converted plus accrued but unpaid interest thereon on the conversion date for the Conversion by (ii) the Conversion
Price. The calculation by the Company of the number of Conversion Shares to be received by the Holder upon conversion hereof,
shall be conclusive absent manifest error. To convert any portion of the unpaid principal of this Note into Conversion Shares
on any date (an “Conversion Date”), the Holder shall (i) transmit by facsimile (or otherwise deliver), for
receipt on or prior to 12:00 noon., New York time, on such date, a copy of an executed notice of conversion in the form attached
hereto as Exhibit A (the “ Conversion Notice”) to the Company and (ii) return this Note to the Company
via a nationally recognized overnight delivery service (or provide an indemnification undertaking with respect to this Note in
the case of its loss, theft or destruction). On or before the fifth trading day for the Company’s Common Stock following
the date of receipt of an Conversion Notice, the Company shall cause the Company’s transfer agent to issue and deliver to
the Holder at the address as specified in the Conversion Notice, a certificate, registered in the name of the Holder, for the
number of Conversion Shares to which the Holder shall be entitled. If the outstanding principal amount of this Note is greater
than the principal portion being converted, then the Company shall as soon as practicable after receipt of this Note, at its own
expense, issue and deliver to the Holder a new Note representing the outstanding principal amount not converted. Such new Note
(i) shall be of like tenor with this Note, (ii) shall represent, as indicated on the face of such new Note, the principal amount
remaining outstanding, (iii) shall have an issuance date, as indicated on the face of such new Note, which is the same as the
date of this Note, and (iv) shall have the same rights and conditions as this Note.

 

    	 

    	 

    

 

Section
1.01 Absolute Obligation. Except as expressly provided herein, no provision of this Note shall alter or impair
the obligation of the Company, which is absolute and unconditional, to pay the principal of, and liquidated damages (if any) on,
this Note at the time, place, and rate, and in the coin or currency, herein prescribed. This Note is a direct debt obligation
of the Company.

 

Section
1.02 Different Denominations. This Note is exchangeable for an equal aggregate principal amount of Notes of different
authorized denominations, as requested by the Holder surrendering the same.

 

Section
1.03 Reliance on Note Register. Prior to due presentment to the Company for permitted transfer or conversion of
this Note, the Company and any agent of the Company may treat the name in which this Note is duly registered as the owner hereof
for the purpose of receiving payment as herein provided and for all other purposes, whether or not this Note is overdue, and neither
the Company nor any such agent shall be affected by notice to the contrary.

 

Section
1.04 Paying Agent and Registrar. Initially, the Company will act as paying agent and registrar. The Company may
change any paying agent, registrar, or Company-registrar by giving the Holder not less than five (5) business days’ written
notice of its election to do so, specifying the name, address, telephone number and facsimile number of the paying agent or registrar.
The Company may act in any such capacity.

 

Section
1.05 Investment Representations. This Note has been issued subject to certain investment representations of the
original Holder set forth in the Purchase Agreement and may be transferred or exchanged only in compliance with the Purchase Agreement
and applicable federal and state securities laws and regulations.

 

Section
1.06 Security; Other Rights. The obligations of the Company to the Holder under this Note are unsecured. However,
in addition to the rights and remedies given it by this Note and the Purchase Agreement, the Holder shall have all those rights
and remedies allowed by applicable law.

 

Section
1.07 Reservation of Common Stock. The Company shall reserve and keep available out of its authorized but unissued
shares of Common Stock, solely for the purpose of conversion of this Note, that number of shares of Common Stock equal to the
number of Conversion Shares into which the Note is convertible based upon the Conversion Price.

 

    	2

    	 

    

 

Article
II.

 

Section
2.01 Events of Default. Each of the following events shall constitute a default under this Note (each an “Event
of Default”):

 

	 	(a)	failure
    by the Company to pay any principal amount or interest due hereunder within ten (10) business days of the date such payment
    is due;
	 	 	 
	 	(b)	the
    Company or any subsidiary of the Company shall: (i) make a general assignment for the benefit of its creditors; (ii) apply
    for or consent to the appointment of a receiver, trustee, assignee, custodian, sequestrator, liquidator or similar official
    for itself or any of its assets and properties; (iii) commence a voluntary case for relief as a debtor under the United States
    Bankruptcy Code; (iv) file with or otherwise submit to any governmental authority any petition, answer or other document seeking:
    (A) reorganization, (B) an arrangement with creditors or (C) to take advantage of any other present or future applicable law
    respecting bankruptcy, reorganization, insolvency, readjustment of debts, relief of debtors, dissolution or liquidation; (v)
    file or otherwise submit any answer or other document admitting or failing to contest the material allegations of a petition
    or other document filed or otherwise submitted against it in any proceeding under any such applicable law, or (vi) be adjudicated
    a bankrupt or insolvent by a court of competent jurisdiction;
	 	 	 
	 	(c)	any
    case, proceeding or other action shall be commenced against the Company or any subsidiary of the Company for the purpose of
    effecting, or an order, judgment or decree shall be entered by any court of competent jurisdiction approving (in whole or
    in part) anything specified in Section 2.01(b) hereof, or any receiver, trustee, assignee, custodian, sequestrator, liquidator
    or other official shall be appointed with respect to the Company, or shall be appointed to take or shall otherwise acquire
    possession or control of all or a substantial part of the assets and properties of the Company, and any of the foregoing shall
    continue unstayed and in effect for any period of sixty (60) days;
	 	 	 
	 	(d)	any
    material breach by the Company of any of its representations or warranties contained in this Note; or
	 	 	 
	 	(e)	any
    default, whether in whole or in part, shall occur in the due observance or performance of any obligations or other covenants,
    terms or provisions to be performed by the Company under this Note which is not cured within ten (10) business days after
    receipt of written notice thereof.

 

Section
2.02 If any Event of Default specified in Section 2.01(b) or Section 2.01(c) occurs, then the full principal amount of this
Note, together with any other amounts owing in respect thereof, to the date of the Event of Default, shall become immediately
due and payable without any action on the part of the Holder, and if any other Event of Default occurs, the full principal amount
of this Note, together with any other amounts owing in respect thereof, to the date of acceleration shall become, at the Holder’s
election, immediately due and payable in cash. All Notes for which the full amount hereunder shall have been paid in accordance
herewith shall promptly be surrendered to or as directed by the Company.

 

Article
III.

 

Section
3.01 Covenants. So long as this Note shall remain in effect and until any outstanding principal and interest and
all fees and all other expenses or amounts payable under this Note have been paid in full, unless the Holder shall otherwise consent
in writing (such consent not to be unreasonably withheld), the Company shall:

 

	 	(a)	Notice
    of Default. Promptly advise the Holder in writing of the occurrence of any Event of Default of which the Company is aware.
    

 

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	 	(b)	Entry
    into Certain Transactions. Not, directly or in directly, (i) liquidate, dissolve or wind up the Company; or (ii) amend,
    alter or repeal any provision of the Company’s Articles of Incorporation or Bylaws.

 

Article
IV.

 

Section
4.01 Representations of the Company. The Company hereby represents and warrants to the Holder that:

 

	 	(a)	The
    Company has the requisite corporate power and authority to enter into and perform its obligations under this Note, (ii) the
    execution and delivery of this Note by the Company and the consummation by it of the transactions contemplated hereby have
    been duly authorized by the Company’s Board of Directors, and no further consent or authorization is required by the
    Company, its Board of Directors or its stockholders, (iii) this Note has been duly executed and delivered by the Company,
    (iv) this Note constitutes the valid and binding obligation of the Company, enforceable against the Company in accordance
    with its terms, except as such enforceability may be limited by general principles of equity or applicable bankruptcy, insolvency,
    reorganization, moratorium, liquidation or similar laws relating to, or affecting generally, the enforcement of creditors’
    rights and remedies. 
	 	 	 
	 	(b)	The
    execution, delivery and performance of this Note by the Company, and the consummation by the Company of the transactions contemplated
    hereby, will not (i) result in a violation of the Articles of Incorporation or by-laws (or equivalent constitutive document)
    of the Company or (ii) violate or conflict with, or result in a breach of any provision of, or constitute a default (or an
    event which with notice or lapse of time or both would become a default) under, or give to others any rights of termination,
    amendment, acceleration or cancellation of, any agreement, indenture or instrument to which the Company is a party, or result
    in a violation of any law, rule, regulation, order, judgment or decree (including U.S. federal and state securities laws and
    regulations) applicable to the Company or by which any property or asset of the Company is bound or affected, except for those
    which could not reasonably be expected to have a material adverse effect on the assets, business, condition (financial or
    otherwise), or results of operations of the Company.
	 	 	 
	 	(c)	There
    is no action, suit, proceeding, inquiry or investigation before or by any court, public board, government agency, self-regulatory
    organization or body pending against or affecting the Company or any subsidiary, wherein an unfavorable decision, ruling or
    finding would materially adversely affect the validity or enforceability of, or the authority or ability of the Company to
    perform its obligations under, this Note.

 

Section
4.02 Representations of the Holder. The Holder hereby represents and warrants to the Company that:

 

	 	(a)	Investment
    Purpose. The Holder is acquiring this Note, and, upon conversion of this Note, the Holder will acquire the Conversion
    Shares into which this Note may be converted (the Conversion Shares together with the Note, the “Securities”),
    for its own account for investment only and not with a view towards, or for resale in connection with, the public sale or
    distribution thereof, except pursuant to sales registered or exempted under the Securities Act of 1933, as amended (the “Securities
    Act”); provided, however, that by making the representations herein, such Holder reserves the right to dispose of
    the Securities at any time in accordance with or pursuant to an effective registration statement covering such Securities,
    or an available exemption under the Securities Act. The Holder agrees not to sell, hypothecate or otherwise transfer the Securities
    unless such Securities are registered under the federal and applicable state securities laws or unless, in the opinion of
    counsel satisfactory to the Company, an exemption from such law is available.

 

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	 	(b)	Accredited
    Investor Status. The Holder meets the requirements of at least one of the suitability standards for an “Accredited
    Investor” as that term is defined in Rule 501(a)(3) of Regulation D under the Securities Act.
	 	 	 
	 	(c)	Investor
    Qualifications. The Holder was not formed for the specific purpose of acquiring this Note, is duly organized, validly
    existing and in good standing under the laws of the state of its organization, the consummation of the transactions contemplated
    hereby is authorized by, and will not result in a violation of state law or its charter or other organizational documents,
    has full power and authority carry out the provisions hereof and thereof and to purchase and hold this Note.
	 	 	 
	 	(d)	Solicitation.
    The Holder is unaware of, is in no way relying on, and did not become aware of the offering of this Note through or as a result
    of, any form of general solicitation or general advertising including, without limitation, any article, notice, advertisement
    or other communication published in any newspaper, magazine or similar media or broadcast over television or radio, in connection
    with the offering and sale of this Note and is not subscribing for this Note and did not become aware of the offering of this
    Note through or as a result of any seminar or meeting to which the Holder was invited by, or any solicitation of a subscription
    by, a person not previously known to the Holder in connection with investments in securities generally.
	 	 	 
	 	(e)	Brokerage
    Fees. The Holder has taken no action that would give rise to any claim by any person for brokerage commissions, finders’
    fees or the like relating to this Note or the transaction contemplated hereby.
	 	 	 
	 	(f)	Knowledge
    and Experience. The Holder has such knowledge and experience in financial, tax, and business matters, and, in particular,
    investments in securities, so as to enable it to utilize the information made available to it in connection with this Note
    to evaluate the merits and risks of an investment in this Note and the Company and to make an informed investment decision
    with respect thereto.
	 	 	 
	 	(g)	Liquidity.
    The Holder has adequate means of providing for such Holder’s current financial needs and foreseeable contingencies and
    has no need for liquidity of its investment in this Note for an indefinite period of time, and after purchasing this Note
    the Holder will be able to provide for any foreseeable current needs and possible personal contingencies. The Holder must
    bear and acknowledges the substantial economic risks of the investment in this Note including the risk of illiquidity and
    the risk of a complete loss of this investment.
	 	 	 
	 	(h)	High
    Risk Investment. The Holder is aware that an investment in this Note, and upon conversion of this Note, the Conversion
    Shares, involves a number of very significant risks and has carefully researched and reviewed and understands the risks of,
    and other considerations relating to, the purchase of this Note, and, upon conversion of this Note, the Conversion Shares.
	 	 	 
	 	(i)	Reliance
    on Exemptions. The Holder understands that this Note is being offered and sold to it in reliance on specific exemptions
    from the registration requirements of United States federal and state securities laws and that the Company is relying in part
    upon the truth and accuracy of, and such Holder’s compliance with, the representations, warranties, agreements, acknowledgments
    and understandings of such Holder set forth herein in order to determine the availability of such exemptions and the eligibility
    of such Holder to acquire such securities.

 

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	 	(j)	Information.
    The Holder has been furnished with all documents and materials relating to the business, finances and operations of the Company
    and its subsidiaries and information that Holder requested and deemed material to making an informed investment decision regarding
    its purchase of this Note. The Holder has been afforded the opportunity to review such documents and materials and the information
    contained therein. The Holder has been afforded the opportunity to ask questions of the Company and its management. The Holder
    understands that such discussions, as well as any written information provided by the Company, were intended to describe the
    aspects of the Company’s and its subsidiaries’ business and prospects which the Company believes to be material,
    but were not necessarily a thorough or exhaustive description, and except as expressly set forth in this Note or the Purchase
    Agreement, the Company makes no representation or warranty with respect to the completeness of such information and makes
    no representation or warranty of any kind with respect to any information provided by any entity other than the Company. Some
    of such information may include projections as to the future performance of the Company and its subsidiaries, which projections
    may not be realized, may be based on assumptions which may not be correct and may be subject to numerous factors beyond the
    Company’s and its subsidiaries’ control. Additionally, Holder understands and represents that it is purchasing
    this Note notwithstanding the fact that the Company and its subsidiaries, may disclose in the future certain material information
    Holder has not received, including the financial results of the Company and its subsidiaries for the current fiscal quarter.
    Neither such inquiries nor any other due diligence investigations conducted by such Holder shall modify, amend or affect such
    Holder’s right to rely on the Company’s representations and warranties contained herein. The Holder has sought
    such accounting, legal and tax advice as it has considered necessary to make an informed investment decision with respect
    to its investment in this Note. 
	 	 	 
	 	(k)	No
    Other Representations or Information. In evaluating the suitability of an investment in this Note, the Holder has not
    relied upon any representation or information (oral or written) with respect to the Company or its subsidiaries, or otherwise,
    other than as stated in this Note or the Purchase Agreement.
	 	 	 
	 	(l)	No
    Governmental Review. The Holder understands that no United States federal or state agency or any other government or governmental
    agency has passed on or will pass on, or has made or will make, any recommendation or endorsement of this Note (or the Conversion
    Shares), or the fairness or suitability of the investment in this Note (or the Conversion Shares), nor have such authorities
    passed upon or endorsed the merits of the offering of this Note (or the Conversion Shares). 
	 	 	 
	 	(m)	Transfer
    or Resale. The Holder understands that: (i) this Note, and, upon conversion of the Note, the Conversion Shares, have not
    been and are not being registered under the Securities Act or any state securities laws, and may not be offered for sale,
    sold, assigned or transferred unless (A) subsequently registered thereunder, or (B) such Holder shall have delivered to the
    Company an opinion of counsel, in a generally acceptable form, to the effect that such securities to be sold, assigned or
    transferred may be sold, assigned or transferred pursuant to an exemption from such registration requirements; (ii) any sale
    of such securities made in reliance on Rule 144 under the Securities Act (or a successor rule thereto) (“Rule 144”)
    may be made only in accordance with the terms of Rule 144 and further, if Rule 144 is not applicable, any resale of such securities
    under circumstances in which the seller (or the person through whom the sale is made) may be deemed to be an underwriter (as
    that term is defined in the Securities Act) may require compliance with some other exemption under the Securities Act or the
    rules and regulations of the SEC thereunder; and (iii) except as otherwise provided herein or the Purchase Agreement, neither
    the Company nor any other person is under any obligation to register such securities under the Securities Act or any state
    securities laws or to comply with the terms and conditions of any exemption thereunder. There can be no assurance that there
    will be any market for this Note or the Conversion Shares, nor can there be any assurance that this Note will be freely transferable
    at any time in the foreseeable future.

 

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	 	(n)	Legends.
    The Holder understands that the certificates representing the Conversion Shares shall bear a restrictive legend in substantially
    the following form (and a stop transfer order may be placed against transfer of such stock certificates):

 

THE
SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES
ACT”). THESE SECURITIES MAY BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED ONLY (A) TO THE COMPANY, (B) OUTSIDE THE
UNITED STATES IN COMPLIANCE WITH RULE 904 OF REGULATION S UNDER THE SECURITIES ACT, (C) IN COMPLIANCE WITH RULE 144 OR 144A THEREUNDER,
IF AVAILABLE, AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS, (D) PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT, OR
(E) IN A TRANSACTION THAT DOES NOT REQUIRE REGISTRATION UNDER THE SECURITIES ACT OR ANY APPLICABLE STATE SECURITIES LAWS, AND
THE HOLDER HAS, PRIOR TO SUCH SALE, FURNISHED TO THE COMPANY AN OPINION OF COUNSEL OR OTHER EVIDENCE OF EXEMPTION, IN EITHER CASE
REASONABLY SATISFACTORY TO THE COMPANY. HEDGING TRANSACTIONS INVOLVING THESE SECURITIES MAY NOT BE CONDUCTED UNLESS IN COMPLIANCE
WITH THE SECURITIES ACT.

 

	 	(o)	Confidentiality.
    The Holder acknowledges and agrees that certain of the information received by it in connection with the transactions contemplated
    by this Note is of a confidential nature and may be regarded as material non-public information under Regulation FD promulgated
    by the SEC and that such information has been furnished to the Holder for the sole purpose of enabling the Holder to consider
    and evaluate an investment in this Note. The Holder agrees that it will treat such information in a confidential manner, will
    not use such information for any purpose other than evaluating an investment in this Note, will not, directly or indirectly,
    trade or permit the Holder’s agents, representatives or affiliates to trade in any securities of the Company while in
    possession of such information and will not, directly or indirectly, disclose or permit the Holder’s agents, representatives
    or affiliates to disclose any of such information without the Company’s prior written consent. The Holder shall make
    its agents, affiliates and representatives aware of the confidential nature of the information contained herein and the terms
    of this section including the Holder’s agreement to not disclose such information, to not trade in the Company’s
    securities while in the possession of such information and to be responsible for any disclosure or other improper use of such
    information by such agents, affiliates or representatives. Likewise, without the Company’s prior written consent, the
    Holder will not, directly or indirectly, make any statements, public announcements or other release or provision of information
    in any form to any trade publication, to the press or to any other person or entity whose primary business is or includes
    the publication or dissemination of information related to the transactions contemplated by this Note. 
	 	 	 
	 	(p)	No
    Legal Advice from the Company. The Holder acknowledges that it has had the opportunity to review this Note and the transactions
    contemplated by this Note with its own legal counsel and investment and tax advisors. The Holder is relying solely on such
    advisors and not on any statements or representations of the Company or any of its employees, representatives or agents for
    legal, tax, economic and related considerations or investment advice with respect to this investment, the transactions contemplated
    by this Note or the securities laws of any jurisdiction.

 

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	 	(q)	No
    Group Participation. The Holder and its affiliates are not a member of any group, nor is any Holder acting in concert
    with any other person, including any other Holder, with respect to its acquisition of this Note (and the Conversion Shares).

 

Article
V.

 

Section
5.01 Registration Rights. As addressed in the Purchase Agreement, there shall be no registration rights with respect
to the Conversion Shares.

 

Article
VI.

 

Section
6.01 Conversion Price Adjustments.

 

(a)
General. The conversion price and the number of Conversion Shares issuable upon the conversion of this Note shall be subject
to adjustment from time to time upon the occurrence of certain events described in this Section 6.01.

 

	 	(i)	Subdivision
    or Combination of Stock. In case the Company shall at any time subdivide (whether by way of stock dividend, stock split
    or otherwise) its outstanding shares of Common Stock into a greater number of shares, the conversion price in effect immediately
    prior to such subdivision shall be proportionately reduced and the number of Conversion Shares shall be proportionately increased,
    and conversely, in case the outstanding shares of Common Stock of the Company shall be combined (whether by way of stock combination,
    reverse stock split or otherwise) into a smaller number of shares, the conversion price in effect immediately prior to such
    combination shall be proportionately increased and the number of Conversion Shares shall be proportionately decreased. The
    conversion price and the number of Conversion Shares issuable upon conversion, as so adjusted, shall be readjusted in the
    same manner upon the happening of any successive event or events described in this Section 6.01(a)(i).
	 	 	 
	 	(ii)	Dividends
    in Stock, Property, Reclassification. If at any time, or from time to time, the holders of Common Stock (or any shares
    of stock or other securities at the time receivable upon the conversion of this Note) shall have received or become entitled
    to receive, without payment therefor:

 

(A)
any shares of stock or other securities that are at any time directly or indirectly convertible into or exchangeable for Common
Stock, or any rights or options to subscribe for, purchase or otherwise acquire any of the foregoing by way of dividend or other
distribution, or

 

(B)
additional stock or other securities or property (including cash) by way of spin-off, split-up, reclassification, combination
of shares or similar corporate rearrangement (other than shares of Common Stock issued as a stock split or adjustments in respect
of which shall be covered by the terms of Section 6.01(a)(i) above),

 

then
and in each such case, the conversion price and the number of Conversion Shares to be issued upon conversion of this Note shall
be adjusted proportionately, and the Holder hereof shall, upon the conversion of this Note, be entitled to receive, in addition
to the number of Conversion Shares receivable thereupon, and without payment of any additional consideration therefor, the amount
of stock and other securities and property (including cash in the cases referred to above) that such Holder would hold on the
date of such exercise had such Holder been the holder of record of such Common Stock as of the date on which holders of Common
Stock received or became entitled to receive such shares or all other additional stock and other securities and property. The
conversion price and the Conversion Shares, as so adjusted, shall be readjusted in the same manner upon the happening of any successive
event or events described in this Section 6.01(a)(ii).

 

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(iii)
Reorganization, Reclassification, Consolidation, Merger or Sale. If any recapitalization, reclassification or reorganization
of the capital stock of the Company, or any consolidation or merger of the Company with another corporation, or the sale of all
or substantially all of its assets or other transaction shall be effected in such a way that holders of Common Stock shall be
entitled to receive stock, securities or other assets or property (an “Organic Change”), then lawful and adequate
provisions shall be made by the Company whereby the Holder hereof shall thereafter have the right to purchase and receive (in
lieu of the Conversion Shares of the Company immediately theretofore purchasable and receivable upon the conversion of this Note)
such shares of stock, securities or other assets or property as may be issued or payable with respect to or in exchange for a
number of outstanding shares of such Common Stock equal to the number of shares of such stock immediately theretofore purchasable
by reason of the Conversion Shares and receivable assuming the full conversion of this Note. In the event of any Organic Change,
appropriate provision shall be made by the Company with respect to the rights and interests of the Holder of this Note to the
end that the provisions hereof (including, without limitation, provisions for adjustments of the conversion price and of the number
of Conversion Shares purchasable and receivable upon the exercise of this Note) shall thereafter be applicable, in relation to
any shares of stock, securities or assets thereafter deliverable upon the exercise hereof. To the extent necessary to effect the
foregoing provisions, the successor corporation (if other than the Company) resulting from such consolidation or merger or the
corporation purchasing such assets shall assume by written instrument reasonably satisfactory in form and substance to the Holder
executed and mailed or delivered to the registered Holder hereof at the last address of such Holder appearing on the books of
the Company, the obligation to deliver to such Holder such shares of stock, securities or assets as, in accordance with the foregoing
provisions, such Holder may be entitled to purchase. In any event, the successor corporation (if other than the Company) resulting
from such consolidation or merger or the corporation purchasing such assets shall be deemed to assume such obligation to deliver
to such Holder such shares of stock, securities or assets even in the absence of a written instrument assuming such obligation
to the extent such assumption occurs by operation of law.

 

Article
VII.

 

Section
7.01 Notice. Notices regarding this Note shall be sent to the parties at the following addresses, unless a party
notifies the other parties, in writing, of a change of address:

 

	 	If
to the Company:
	Purebase
        Corporation

        8625
        State Hwy, 124

        Ione,
        CA 95640

        Attention:
        A. Scott Dockter, CEO

        Telephone:
        (888) 791-9474

	 	 	 
	 	With
    a copy to:	The
        Crone Law Group, P.C.

        500
        Fifth Avenue, Suite 938

        New
        York, New York 10110

        Attn:
        Eric Mendelson, Esq.

        Telephone:
        (917) 398-5082

        

 

    	9

    	 

    

 

	 	If
    to the Holder:	_______________

        _______________

        _______________

        Attn:
        _______________

        Telephone:
        _______________

 

Section
7.02 Governing Law; Jurisdiction. All questions concerning the construction, validity, enforcement and interpretation
of this Note shall be governed by and construed and enforced in accordance with the internal laws of the State of New York, without
regard to the principles of conflicts of law thereof. Each party agrees that all legal proceedings concerning the interpretations,
enforcement and defense of the transactions contemplated by this Note (whether brought against a party hereto or its respective
affiliates, directors, officers, shareholders, employees or agents) shall be commenced in the state and federal courts sitting
in the City of New York, Borough of Manhattan (the “New York Courts”). Each party hereto hereby irrevocably
submits to the exclusive jurisdiction of the New York Courts for the adjudication of any dispute hereunder or in connection herewith
or with any transaction contemplated hereby or discussed herein (including with respect to the enforcement of this Note), and
hereby irrevocably waives, and agrees not to assert in any suit, action or proceeding, any claim that it is not personally subject
to the jurisdiction of any such court, or such New York Courts are improper or inconvenient venue for such proceeding. Each party
hereby irrevocably waives personal service of process and consents to process being served in any such suit, action or proceeding
by mailing a copy thereof via registered or certified mail or overnight delivery (with evidence of delivery) to such party at
the address in effect for notices to it under this Note and agrees that such service shall constitute good and sufficient service
of process and notice thereof. Nothing contained herein shall be deemed to limit in any way any right to serve process in any
manner permitted by law. Each party hereto hereby irrevocably waives, to the fullest extent permitted by applicable law, any and
all right to trial by jury in any legal proceeding arising out of or relating to this Note or the transactions contemplated hereby.
If either party shall commence an action or proceeding to enforce any provisions of this Note, then the prevailing party in such
action or proceeding shall be reimbursed by the other party for its attorney’s fees and other costs and expenses incurred
with the investigation, preparation and prosecution of such action or proceeding.

 

Section
7.03 Severability. The invalidity of any of the provisions of this Note shall not invalidate or otherwise affect
any of the other provisions of this Note, which shall remain in full force and effect.

 

Section
7.04 Entire Agreement and Amendments. This Note together with the Purchase Agreement represents the entire agreement
between the parties hereto with respect to the subject matter hereof and there are no representations, warranties or commitments,
except as set forth herein. This Note may be amended only by an instrument in writing executed by the Company and the Holder.

 

[Remainder
of Page Intentionally Left Blank]

 

    	10

    	 

    

 

IN
WITNESS WHEREOF, with the intent to be legally bound hereby, the Company as executed this Note as of the date first written
above.

 

	 	PUREBASE CORPORATION
	 	 	 
	 	By:	 
	 	Name:	A.
    Scott Dockter 
	 	Title:	Chief
    Executive Officer

 

    	 

    	 

    

 

EXHIBIT
A

 

NOTICE
OF CONVERSION

 

(To
be executed by the Holder in order to convert the Note)

 

	TO:
    Purebase Corporation	 

 

The
undersigned hereby irrevocably elects to convert the unpaid principal amount and accrued interest amount indicated below of the
5% Unsecured Convertible Promissory Note due _______, 20__ (the “Note”) into Conversion Shares of Purebase Corporation,
according to the conditions stated therein, as of the Conversion Date written below.

 

	Conversion
    Date:	__________________________________________________ 
	 	 
	Applicable
    Conversion Price (per Conversion Shares):	$_________________________________________________
	 	 
	Principal
    amount of Note to be converted:	$_________________________________________________
	 	 
	Principal
    amount of Note unconverted:	$_________________________________________________
	 	 
	Interest
    amount to be converted	$_________________________________________________
	 	 
	Number
    of Conversion Shares to be issued:	__________________________________________________
	 	 
	Issue
    the Conversion Shares in the following name and to the following address:	__________________________________________________
	 	 
	Issue
    to the following account of the Holder:	__________________________________________________
	 	 
	Authorized
    Signature:	__________________________________________________
	 	 
	Name:	__________________________________________________
	 	 
	Title:	__________________________________________________
	 	 
	Telephone
    Number:	__________________________________________________Exhibit
10.1

 

SECURITIES
PURCHASE AGREEMENT

 

THIS
SECURITIES PURCHASE AGREEMENT (this “Agreement”), dated March 17, 2021, to be effective as of November 25, 2020,
entered into by and between Purebase Corporation, a Nevada corporation (the “Company”), and US Mine Corp., a Nevada
corporation, and an affiliate of the Company (the “Buyer”).

 

WITNESSETH:

 

WHEREAS,
the Company and the Buyer are executing and delivering this Agreement in reliance upon an exemption from securities registration
pursuant to Section 4(a)(2) and/or Rule 506 of Regulation D (“Regulation D”) as promulgated by the U.S. Securities
and Exchange Commission (the “SEC”) under the Securities Act of 1933, as amended (the “Securities Act”);
and

 

WHEREAS,
the parties desire that, upon the terms and subject to the conditions contained herein, the Company shall sell to the Buyer, and
the Buyer shall purchase from the Company, as provided herein, up to a maximum of $2,000,000 principal amount (the “Maximum
Amount”) at a purchase price of 100% (par) of the face value (the “Purchase Price”) of the Company’s 5%
unsecured convertible two-year promissory notes (the “Notes”) (the “Note Offering”).

 

WHEREAS,
at any time during the term of the Notes, the Buyer, or subsequent registered holder of the Note, may, in its sole discretion,
elect to convert all or a portion of the outstanding principal amount of such Note and all accrued but unpaid interest due thereon
into shares of common stock of the Company (“Conversion Shares”) at a fixed conversion price of $0.088 per Conversion
Share (the “Conversion Price”); and

 

NOW,
THEREFORE, in consideration of the mutual covenants and other agreements contained in this Agreement, the Company and the
Buyer hereby agree as follows:

 

1.
PURCHASE AND SALE OF NOTES.

 

(a)
Purchase of Notes. Subject to the satisfaction (or waiver) of the terms and conditions of this Agreement, the Buyer agrees
to purchase at each Closing (as defined below), and the Company agrees to sell and issue to the Buyer at each Closing, a Note
in principal amount set forth on the Buyer Omnibus Signature Page, attached hereto as Annex A affixed hereto (the “Subscription
Amount”). The Notes shall be substantially in the form attached as Exhibit A to this Agreement. Upon the Buyer’s
execution of this Agreement on the Buyer Omnibus Signature Page, and the Buyer’s completion of the Accredited Investor Certification,
the Investor Profile, the Anti-Money Laundering Information Form, and, if applicable, the Wire Transfer Authorization (each attached
hereto), the Buyer shall wire transfer the Subscription Amount set forth on its Buyer Omnibus Signature Page, in same-day funds,
in accordance with the instructions set forth on the Buyer Omnibus Signature Page.

 

    	 

     

    

 

(b)
Closing Date. The initial closing of the purchase and sale of the Notes (the “Closing”) shall take place at
10:00 a.m. New York time on or before the fifth (5th) business day following the satisfaction of the conditions to
the Closing set forth herein and in Sections 5 and 6 below (or such later date as is mutually agreed to by the Company and the
Buyer. There may be multiple Closings until such time as subscriptions for the sale of the Notes up to the Maximum Amount are
accepted (the date of any such Closing is hereinafter referred to as a “Closing Date”). Each Closing shall occur on
a Closing Date at the offices of The Crone Law Group, P.C., 500 Fifth Avenue, Suite 938, New York, New York 10110 (or such other
place as is mutually agreed to by the Company and the Buyer).

 

(c)
Acceptance of Subscriptions. The Buyer understands and agrees that the Company, in its sole and absolute discretion, reserves
the right to accept or reject this or any other subscription for the Notes, in whole or in part. If the subscription is rejected
in whole or the offering of the Notes is terminated, all funds received from the Buyer will be promptly returned without interest
or offset, and this subscription shall thereafter be of no further force or effect. If this subscription is rejected in part,
the funds for the rejected portion of this subscription will be returned without interest or offset, and this subscription will
continue in full force and effect to the extend this subscription was accepted.

 

(d)
Registration Rights. The Buyer understands that the Company has no obligation to register the Notes or the Conversion Shares
for resale under federal or state securities laws.

 

(e)
Offering Period. The Note Offering will be conducted for one (1) year from the date hereof and may be extended by the Company,
in its sole discretion, for up to an additional ninety (90) calendar days.

 

(f)
Right to Increase Maximum Amount. The Company, in its sole discretion, may determine to increase the Maximum Amount of
the Note Offering above the present Maximum Amount of $2,000,000.

 

2.
BUYER’S REPRESENTATIONS AND WARRANTIES.

 

The
Buyer represents and warrants that:

 

(a)
Investment Purpose. The Buyer is acquiring the Notes, and, upon conversion of the Notes, the Buyer will acquire the Conversion
Shares (the Note and Conversion Shares being hereinafter referred to collectively as the “Securities”), for its own
account for investment only and not with a view towards, or for resale in connection with, the public sale or distribution thereof,
except pursuant to sales registered or exempted under the Securities Act; provided, however, that by making the representations
herein, the Buyer reserves the right to dispose of the Securities at any time in accordance with or pursuant to an effective registration
statement covering such Securities, or an available exemption under the Securities Act. The Buyer agrees not to sell, hypothecate
or otherwise transfer the Securities unless such Securities are registered under the federal and applicable state securities laws
or unless, in the opinion of counsel satisfactory to the Company, an exemption from such law is available.

 

(b)
Residence of Buyer. The Buyer resides in the jurisdiction set forth on the Buyer Omnibus Signature Page affixed hereto.

 

    	 

     

    

 

(c)
Accredited Investor Status. The Buyer meets the requirements of at least one of the suitability standards for an “Accredited
Investor” as that term is defined in Rule 501(a)(3) of Regulation D, for the reason set forth on the Accredited Investor
Certification attached hereto.

 

(d)
Accredited Investor Qualifications. The Buyer (i) if a natural person, represents that the Buyer has reached the age of
21 and has full power and authority to execute and deliver this Agreement and all other related agreements or certificates and
to carry out the provisions hereof and thereof; (ii) if a corporation, partnership, or limited liability company or partnership,
or association, joint stock company, trust, unincorporated organization or other entity, represents that such entity was not formed
for the specific purpose of acquiring the Notes, such entity is duly organized, validly existing and in good standing under the
laws of the state of its organization, the consummation of the transactions contemplated hereby is authorized by, and will not
result in a violation of state law or its charter or other organizational documents, such entity has full power and authority
to execute and deliver this Agreement and all other related agreements or certificates and to carry out the provisions hereof
and thereof and to purchase and hold the Notes, the execution and delivery of this Agreement has been duly authorized by all necessary
action, this Agreement has been duly executed and delivered on behalf of such entity and is a legal, valid and binding obligation
of such entity; or (iii) if executing this Agreement in a representative or fiduciary capacity, represents that it has full power
and authority to execute and deliver this Agreement in such capacity and on behalf of the subscribing individual, ward, partnership,
trust, estate, corporation, or limited liability company or partnership, or other entity for whom the Buyer is executing this
Agreement, and such individual, partnership, ward, trust, estate, corporation, or limited liability company or partnership, or
other entity has full right and power to perform pursuant to this Agreement and make an investment in the Company, and represents
that this Agreement constitutes a legal, valid and binding obligation of such entity. The execution and delivery of this Agreement
will not violate or be in conflict with any order, judgment, injunction, agreement or controlling document to which the Buyer
is a party or by which it is bound.

 

(e)
Buyer Relationship with Brokers. The Buyer’s substantive relationship with a broker, if any, for the transactions
contemplated hereby or subagent thereof (collectively, “Brokers”) through which the Buyer may be subscribing for the
Notes predates such Broker’s contact with the Buyer regarding an investment in the Notes.

 

(f)
Solicitation. The Buyer is unaware of, is in no way relying on, and did not become aware of the offering of the Notes through
or as a result of, any form of general solicitation or general advertising including, without limitation, any article, notice,
advertisement or other communication published in any newspaper, magazine or similar media or broadcast over television or radio,
in connection with the offering and sale of the Notes and is not subscribing for the Notes and did not become aware of the offering
of the Notes through or as a result of any seminar or meeting to which the Buyer was invited by, or any solicitation of a subscription
by, a person not previously known to the Buyer in connection with investments in securities generally.

 

(g)
Brokerage Fees. Except as otherwise provided herein, the Buyer has taken no action that would give rise to any claim by
any person for brokerage commissions, finders’ fees or the like relating to this Agreement or the transaction contemplated
hereby.

 

    	 

     

    

 

(h)
Buyer’s Advisors. The Buyer and the Buyer’s attorney, accountant, purchaser representative and/or tax advisor,
if any (collectively, the “Advisors”), as the case may be, has such knowledge and experience in financial, tax, and
business matters, and, in particular, investments in securities, so as to enable it to utilize the information made available
to it in connection with the Notes to evaluate the merits and risks of an investment in the Notes and the Company and to make
an informed investment decision with respect thereto.

 

(i)
Buyer Liquidity. The Buyer has adequate means of providing for the Buyer’s current financial needs and foreseeable
contingencies and has no need for liquidity of its investment in the Notes for an indefinite period of time, and after purchasing
the Notes the Buyer will be able to provide for any foreseeable current needs and possible personal contingencies. The Buyer must
bear and acknowledges the substantial economic risks of the investment in the Notes including the risk of illiquidity and the
risk of a complete loss of this investment.

 

(j)
High Risk Investment. The Buyer is aware that an investment in the Notes, and upon conversion of the Notes, the Conversion
Shares, involves a number of very significant risks and has carefully researched and reviewed and understands the risks of, and
other considerations relating to, the purchase of the Notes, and upon conversion of the Notes, the Conversion Shares. Buyer acknowledges
that, among other things, the Notes are unsecured.

 

(k)
Reliance on Exemptions. The Buyer understands that the Notes are being offered and sold to it in reliance on specific exemptions
from the registration requirements of United States federal and state securities laws and that the Company is relying in part
upon the truth and accuracy of, and such Buyer’s compliance with, the representations, warranties, agreements, acknowledgments
and understandings of such Buyer set forth herein in order to determine the availability of such exemptions and the eligibility
of such Buyer to acquire the Securities.

 

(l)
Information. The Buyer and its Advisors have been furnished with all documents and materials relating to the business,
finances and operations of the Company and its subsidiaries and information that Buyer requested and deemed material to making
an informed investment decision regarding Buyer’s purchase of the Notes. The Buyer and its Advisors have been afforded the
opportunity to review such documents and materials and the information contained therein. The Buyer and its Advisors have been
afforded the opportunity to ask questions of the Company and its management. The Buyer understands that such discussions, as well
as any written information provided by the Company, were intended to describe the aspects of the Company’s business and
prospects which the Company believes to be material, but were not necessarily a thorough or exhaustive description, and except
as expressly set forth in this Agreement, the Company makes no representation or warranty with respect to the completeness of
such information and make no representation or warranty of any kind with respect to any information provided by any entity other
than the Company. Some of such information may include projections as to the future performance of the Company and its subsidiaries,
which projections may not be realized, may be based on assumptions which may not be correct and may be subject to numerous factors
beyond the Company’s and its subsidiaries’ control. Additionally, the Buyer understands and represents that Buyer
is purchasing the Notes notwithstanding the fact that the Company and its subsidiaries may disclose in the future certain material
information the Buyer has not received, including the financial results of the Company and its subsidiaries for their current
fiscal quarters. Neither such inquiries nor any other due diligence investigations conducted by the Buyer or its Advisors shall
modify, amend or affect the Buyer’s right to rely on the Company’s representations and warranties contained in Section
3 below. The Buyer has sought such accounting, legal and tax advice as it has considered necessary to make an informed investment
decision with respect to its acquisition of the Notes.

 

    	 

     

    

 

(m)
No Other Representations or Information. In evaluating the suitability of an investment in the Notes and if applicable,
the Conversion Shares, the Buyer has not relied upon any representation or information (oral or written) with respect to the Company
or its subsidiaries, or otherwise, other than as stated in this Agreement and the Notes.

 

(n)
No Governmental Review. The Buyer understands that no United States federal or state agency or any other government or
governmental agency has passed on or made any recommendation or endorsement of the Notes (or the Conversion Shares), or the fairness
or suitability of the investment in the Notes (or the Conversion Shares), nor have such authorities passed upon or endorsed the
merits of the offering of the Notes (or the Conversion Shares).

 

(o)
Transfer or Resale. The Buyer understands that: (i) the Notes and Conversion Shares have not been and may not be registered
under the Securities Act or any state securities laws, and may not be offered for sale, sold, assigned or transferred unless (A)
subsequently registered thereunder, or (B) the Buyer shall have delivered to the Company an opinion of counsel, in a generally
acceptable form, to the effect that such securities to be sold, assigned or transferred may be sold, assigned or transferred pursuant
to an exemption from such registration requirements; (ii) any sale of such securities made in reliance on Rule 144 under the Securities
Act (or a successor rule thereto) (“Rule 144”) may be made only in accordance with the terms of Rule 144 and
further, if Rule 144 is not applicable, any resale of such securities under circumstances in which the seller (or the person through
whom the sale is made) may be deemed to be an underwriter (as that term is defined in the Securities Act) may require compliance
with some other exemption under the Securities Act or the rules and regulations of the SEC thereunder; and (iii) the Company is
not, and no other person is, under any obligation to register such securities under the Securities Act or any state securities
laws or to comply with the terms and conditions of any exemption thereunder. The Company reserves the right to place stop transfer
instructions against the shares and certificates for the Conversion Shares to the extent specifically set forth under this Agreement.
There can be no assurance that there will be any market or resale for the Notes (or the Conversion Shares), nor can there be any
assurance that the Notes (or the Conversion Shares) will be freely transferable at any time in the foreseeable future.

 

    	 

     

    

 

(p)
Legends. The Buyer understands that the certificates or other instruments representing the Notes (and the Conversion Shares)
shall bear a restrictive legend in substantially the following form (and a stop transfer order may be placed against transfer
of such stock certificates):

 

THE
SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES
ACT”). THESE SECURITIES MAY BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED ONLY (A) TO THE COMPANY, (B) IN COMPLIANCE
WITH RULE 144 UNDER THE SECURITIES ACT, IF AVAILABLE, AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS, (C) PURSUANT TO
AN EFFECTIVE REGISTRATION STATEMENT, OR (D) IN A TRANSACTION THAT DOES NOT REQUIRE REGISTRATION UNDER THE SECURITIES ACT OR ANY
APPLICABLE STATE SECURITIES LAWS, AND THE HOLDER HAS, PRIOR TO SUCH SALE, FURNISHED TO THE COMPANY AN OPINION OF COUNSEL OR OTHER
EVIDENCE OF EXEMPTION, IN EITHER CASE REASONABLY SATISFACTORY TO THE COMPANY. HEDGING TRANSACTIONS INVOLVING THESE SECURITIES
MAY NOT BE CONDUCTED UNLESS IN COMPLIANCE WITH THE SECURITIES ACT.

 

(q)
Organization and Standing of Buyer. The Buyer is duly incorporated or organized, validly existing and in good standing
under the laws of the jurisdiction of its incorporation or organization.

 

(r)
Authorization, Enforcement. The Buyer has the requisite power and authority to enter into and perform under this Agreement
and the Transaction Documents and to purchase the Notes being sold to it hereunder. The execution, delivery and performance of
this Agreement and the Transaction Documents by the Buyer and the consummation by the Buyer of the transactions contemplated hereby
and thereby have been duly authorized by all necessary corporate or partnership action, and no further consent or authorization
of the Buyer or Buyer’s Board of Directors, stockholders, partners, members, as the case may be, is required. This Agreement
and the Transaction Documents (to the extent the Buyer is party thereto) have been duly authorized, executed and delivered by
the Buyer and upon execution of this Agreement and the Transaction Documents by the other parties hereto and thereto, constitute,
or shall constitute when executed and delivered, a valid and binding obligation of the Buyer enforceable against the Buyer in
accordance with the terms hereof and thereof, except as such enforceability may be limited by general principles of equity or
applicable bankruptcy, insolvency, reorganization, moratorium, liquidation and other similar laws relating to, or affecting generally,
the enforcement of applicable creditors’ rights and remedies.

 

(s)
No Conflicts. The execution, delivery and performance of this Agreement and the other Transaction Documents and the consummation
by such Buyer of the transactions contemplated hereby and thereby or relating hereto do not and will not (i) result in a violation
of such Buyer’s charter documents or bylaws or other organizational documents or (ii) conflict with, or constitute a default
(or an event which with notice or lapse of time or both would become a default) under, or give to others any rights of termination,
amendment, acceleration or cancellation of any agreement, indenture or instrument or obligation to which such Buyer is a party
or by which its properties or assets are bound, or result in a violation of any law, rule, or regulation, or any order, judgment
or decree of any court or governmental agency applicable to such Buyer or its properties (except for such conflicts, defaults
and violations as would not, individually or in the aggregate, have a material adverse effect on such Buyer). Such Buyer is not
required to obtain any consent, authorization or order of, or make any filing or registration with, any court or governmental
agency in order for it to execute, deliver or perform any of its obligations under this Agreement and the other Transaction Documents
or to purchase the Notes in accordance with the terms hereof, provided that for purposes of the representation made in this sentence,
such Buyer is assuming and relying upon the accuracy of the relevant representations and agreements of the Company herein.

 

    	 

     

    

 

(t)
Receipt of Documents. The Buyer, its counsel and/or its Advisors have received and read in their entirety: (i) this Agreement
and each representation, warranty and covenant set forth herein; and (ii) all due diligence and other information necessary to
verify the accuracy and completeness of such representations, warranties and covenants; the Buyer has received answers to all
questions such Buyer submitted to the Company regarding an investment in the Company; and the Buyer has relied on the information
contained therein and has not been furnished any other documents, literature, memorandum or prospectus.

 

(u)
Status as a Former Shell Company. The Buyer understands that the Company is a former “shell company” as
such term is defined in Rule 12b-2 under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). The
Company ceased to be a “shell company” on December 23, 2014 and filed Form 10 type information under cover of Form
8-K on December 24, 2014. Pursuant to Rule 144(i), securities issued by a current or former shell company (such as the Securities)
that otherwise meet the holding period and other requirements of Rule 144 nevertheless cannot be sold in reliance on Rule 144
until one year after such company (a) is no longer a shell company; and (b) has filed current “Form 10 information”
(as defined in Rule 144(i)) with the SEC reflecting that it is no longer a shell company, and provided that at the time of a proposed
sale pursuant to Rule 144, such company is subject to the reporting requirements of section 13 or 15(d) of the Exchange Act and
has filed all reports and other materials required to be filed by section 13 or 15(d) of the Exchange Act, as applicable, during
the preceding 12 months (or for such shorter period that the issuer was required to file such reports and materials), other than
Form 8-K reports. As a result, the restrictive legends on certificates for the securities cannot be removed except in connection
with an actual sale meeting the foregoing requirements or pursuant to an effective registration statement.

 

(v)
Confidentiality. The Buyer acknowledges and agrees that certain of the information received by it in connection with the
transactions contemplated by this Agreement is of a confidential nature and may be regarded as material non-public information
under Regulation FD promulgated by the SEC and that such information has been furnished to the Buyer for the sole purpose of enabling
the Buyer to consider and evaluate an investment in the Notes. The Buyer agrees that it will treat such information in a confidential
manner, will not use such information for any purpose other than evaluating an investment in the Notes, will not, directly or
indirectly, trade or permit the Buyer’s agents, representatives or affiliates to trade in any securities of the Company
while in possession of such information and will not, directly or indirectly, disclose or permit the Buyer’s agents, representatives
or affiliates to disclose any of such information without the Company’s prior written consent. The Buyer shall make its
agents, affiliates and representatives aware of the confidential nature of the information contained herein and the terms of this
section including the Buyer’s agreement to not disclose such information, to not trade in the Company’s securities
while in the possession of such information and to be responsible for any disclosure or other improper use of such information
by such agents, affiliates or representatives. Likewise, without the Company’s prior written consent, the Buyer will not,
directly or indirectly, make any statements, public announcements or other release or provision of information in any form to
any trade publication, to the press or to any other person or entity whose primary business is or includes the publication or
dissemination of information related to the transactions contemplated by this Agreement.

 

    	 

     

    

 

(w)
No Legal Advice from the Company. The Buyer acknowledges that it had the opportunity to review this Agreement and the transactions
contemplated by this Agreement with its own legal counsel and investment and tax Advisors. The Buyer is relying solely on such
Advisors and not on any statements or representations of the Company or any of its employees, representatives or agents for legal,
tax, economic and related considerations or investment advice with respect to this investment, the transactions contemplated by
this Agreement or the securities laws of any jurisdiction.

 

(x)
No Group Participation. The Buyer and its affiliates are not a member of any group, nor is the Buyer acting in concert
with any other person with respect to its acquisition of the Notes (and the Conversion Shares).

 

(y)
Reliance. Any information which the Buyer has heretofore furnished or is furnishing herewith to the Company or any Broker
is complete and accurate and may be relied upon by the Company and any Broker in determining the availability of an exemption
from registration under U.S. federal and state securities laws in connection with the offering of securities as described in this
Agreement. The Buyer further represents and warrants that it will notify and supply corrective information to the Company immediately
upon the occurrence of any change therein occurring prior to the Company’s issuance of the Notes. Within five (5) days after
receipt of a request from the Company or any Broker, the Buyer will provide such information and deliver such documents as may
reasonably be necessary to comply with any and all laws to which the Company or any Broker is subject.

 

(z)
Anti-Money Laundering; OFAC.

 

[The
Buyer should check the Office of Foreign Assets Control (“OFAC”) website at http://www.treas.gov/ofac before making
the following representations.] The Buyer represents that the amounts invested by it in the Company in the Notes were not
and are not directly or indirectly derived from activities that contravene U.S. federal or state or international laws and regulations,
including anti-money laundering laws and regulations. U.S. federal regulations and Executive Orders administered by OFAC prohibit,
among other things, the engagement in transactions with, and the provision of services to, certain foreign countries, territories,
entities and individuals. The lists of OFAC prohibited countries, territories, persons and entities can be found on the OFAC website
at http://www.treas.gov/ofac. In addition, the programs administered by OFAC (the “OFAC Programs”) prohibit dealing
with individuals1 or entities in certain countries regardless of whether such individuals or entities appear on the
OFAC lists;

 

 

1 These
individuals include specially designated nationals, specially designated narcotics traffickers and other parties subject to OFAC
sanctions and embargo programs.

 

    	 

     

    

 

To
the best of the Buyer’s knowledge, none of: (1) the Buyer; (2) any person controlling or controlled by the Buyer; (3) if
the Buyer is a privately-held entity, any person having a beneficial interest in the Buyer; or (4) any person for whom the Buyer
is acting as agent or nominee in connection with this investment is a country, territory, individual or entity named on an OFAC
list, or a person or entity prohibited under the OFAC Programs. Please be advised that the Company may not accept any amounts
from a prospective investor if such prospective investor cannot make the representation set forth in the preceding paragraph.
The Buyer agrees to promptly notify the Company should the Buyer become aware of any change in the information set forth in these
representations. The Buyer understands and acknowledges that, by law, the Company may be obligated to “freeze the account”
of the Buyer, either by prohibiting additional subscriptions from the Buyer, declining any redemption requests and/or segregating
the assets in the account in compliance with governmental regulations, and a Broker may also be required to report such action
and to disclose the Buyer’s identity to OFAC. The Buyer further acknowledges that the Company may, by written notice to
the Buyer, suspend the redemption rights, if any, of the Buyer if the Company reasonably deem it necessary to do so to comply
with anti-money laundering regulations applicable to the Company or any Broker or any of the Company’s other service providers.
These individuals include specially designated nationals, specially designated narcotics traffickers and other parties subject
to OFAC sanctions and embargo programs;

 

To
the best of the Buyer’s knowledge, none of: (1) the Buyer; (2) any person controlling or controlled by the Buyer; (3) if
the Buyer is a privately-held entity, any person having a beneficial interest in the Buyer; or (4) any person for whom the Buyer
is acting as agent or nominee in connection with this investment is a senior foreign political figure2, or any immediate
family3 member or close associate4 of a senior foreign political figure, as such terms are defined in
the footnotes below; and

 

If
the Buyer is affiliated with a non-U.S. banking institution (a “Foreign Bank”), or if the Buyer receives deposits
from, makes payments on behalf of, or handles other financial transactions related to a Foreign Bank, the Buyer represents and
warrants to the Company that: (1) the Foreign Bank has a fixed address, other than solely an electronic address, in a country
in which the Foreign Bank is authorized to conduct banking activities; (2) the Foreign Bank maintains operating records related
to its banking activities; (3) the Foreign Bank is subject to inspection by the banking authority that licensed the Foreign Bank
to conduct banking activities; and (4) the Foreign Bank does not provide banking services to any other Foreign Bank that does
not have a physical presence in any country and that is not a regulated affiliate.

 

 

	2	A “senior foreign political figure” is defined as a senior official in the executive, legislative, administrative, military or judicial branches of a foreign government (whether elected or not), a senior official of a major foreign political party, or a senior executive of a foreign government-owned corporation. In addition, a “senior foreign political figure” includes any corporation, business or other entity that has been formed by, or for the benefit of, a senior foreign political figure.

 

	3	“Immediate family” of a senior foreign political figure typically includes the figure’s parents, siblings, spouse, children and in-laws.

 

	4	A “close associate” of a senior foreign political figure is a person who is widely and publicly known to maintain an unusually close relationship with the senior foreign political figure, and includes a person who is in a position to conduct substantial domestic and international financial transactions on behalf of the senior foreign political figure.

 

    	 

     

    

 

3.
REPRESENTATIONS AND WARRANTIES OF THE COMPANY.

 

The
Company represents and warrants to the Buyers that:

 

(a)
Organization and Qualification. The Company is a corporation duly organized and validly existing in good standing under
the laws of the jurisdiction of its formation and has the requisite corporate power to own its properties and to carry on its
business as now being conducted. The Company is duly qualified as a foreign corporation to do business and is in good standing
in every jurisdiction in which the nature of the business conducted by it makes such qualification necessary, except to the extent
that the failure to be so qualified or be in good standing would not have a Material Adverse Effect, as defined below.

 

(b)
Authorization, Enforcement, Compliance with Other Instruments. (i) The Company, has the requisite corporate power and authority
to enter into and perform its obligations under this Agreement and the Note and all other documents and agreements to which it
is a party contemplated thereby or necessary or desirable to effect the transaction contemplated thereby (collectively the “Transaction
Documents”) and to issue the Notes in accordance with the terms hereof and thereof, (ii) the execution and delivery by the
Company of each of the Transaction Documents to which it is a party and the consummation by it of the transactions contemplated
hereby and thereby, including, without limitation, the issuance of the Notes have been duly authorized by the Company’s
Board of Directors, and no further consent or authorization is required by the Company, its Board of Directors or its stockholders,
(iii) each of the Transaction Documents will be duly executed and delivered by the Company, (iv) the Transaction Documents when
executed will constitute the valid and binding obligations of the Company enforceable against the Company in accordance with their
terms, except as such enforceability may be limited by general principles of equity or applicable bankruptcy, insolvency, reorganization,
moratorium, liquidation or similar laws relating to, or affecting generally, the enforcement of creditors’ rights and remedies.

 

    	 

     

    

 

(c)
Capitalization. The authorized capital stock of the Company consists of 520,000,000 shares of Common Stock, par value $0.001
per share and 10,000,000 shares of preferred stock, par value $0.001 per share (the “Preferred Stock”). As of the
date hereof the Company has 214,850,741 shares of Common Stock issued and outstanding and no shares of Preferred Stock issued
and outstanding. All of the outstanding shares of Common Stock of the Company have been duly authorized, validly issued and are
fully paid and nonassessable. No shares of capital stock of the Company are subject to preemptive rights or any other similar
rights or any liens or encumbrances suffered or permitted by the Company. As of the date of this Agreement except as set forth
in the Company’s filings with the SEC (the “Company SEC Filings”), (i) there are no outstanding options, warrants,
scrip, rights to subscribe to, calls or commitments of any character whatsoever relating to, or securities or rights convertible
into, any shares of capital stock of the Company, or contracts, commitments, understandings or arrangements by which the Company
is or may become bound to issue additional shares of capital stock of such Company or options, warrants, scrip, rights to subscribe
to, calls or commitments of any character whatsoever relating to, or securities or rights convertible into, any shares of capital
stock of the Company, (ii) there are no outstanding debt securities, (iii) there are no agreements or arrangements under which
the Company is obligated to register the sale of any of its securities under the Securities Act, and (iv) there are no outstanding
registration statements. Except as set forth in the Company SEC Filings, there are no securities or instruments containing anti-dilution
or similar provisions that will be triggered by the issuance of the Notes as described in this Agreement. The Notes (and the Conversion
Shares) when issued, will be free and clear of all pledges, liens, encumbrances and other restrictions (other than those arising
under applicable securities laws as a result of the issuance of the Notes). No co-sale right, right of first refusal or other
similar right exists with respect to the Notes (or the Conversion Shares) or the issuance and sale thereof. Except as set forth
in the Company SEC Filings, the issue and sale of the Notes (and the Conversion Shares) will not result in a right of any holder
of securities of the Company to adjust the exercise, exchange or reset price under such securities. The Company has made available
to the Buyer true and correct copies of the Company’s Articles of Incorporation, and as in effect on the date hereof (the
“Articles of Incorporation”), and the Company’s By-laws, as in effect on the date hereof (the “By-laws”),
and the terms of all securities exercisable for Common Stock of the Company and the material rights of the holders thereof in
respect thereto.

 

(d)
Issuance of Securities. The Notes are duly authorized and, upon issuance in accordance with the terms hereof, shall be
duly issued, fully paid and nonassessable, are free from all taxes, liens and charges with respect to the issue thereof. Upon
conversion of the Notes in accordance with the Transaction Documents, the Conversion Shares will be duly issued, fully paid and
nonassessable.

 

    	 

     

    

 

(e)
No Conflicts. The execution, delivery and performance of each of the Transaction Documents by the Company, and the consummation
by the Company of the transactions contemplated hereby and thereby will not (i) result in a violation of the Articles of Incorporation,
or the By-laws of the Company or (ii) violate or conflict with, or result in a breach of any provision of, or constitute a default
(or an event which with notice or lapse of time or both would become a default) under, or give to others any rights of termination,
amendment, acceleration or cancellation of, any agreement, indenture or instrument to which the Company is a party, or result
in a violation of any law, rule, regulation, order, judgment or decree (including U.S. federal and state securities laws and regulations)
applicable to the Company or by which any property or asset of the Company is bound or affected except for those which could not
reasonably be expected to have a material adverse effect on the assets, business, condition (financial or otherwise), results
of operations or future prospects of the Company and its subsidiaries taken as a whole (a “Material Adverse Effect”).
Except those which could not reasonably be expected to have a Material Adverse Effect, the Company is not in violation of any
term of or in default under its constitutive documents. Except those which could not reasonably be expected to have a Material
Adverse Effect, the Company is not in violation of any term of or in default under any material contract, agreement, mortgage,
indebtedness, indenture, instrument, judgment, decree or order or any statute, rule or regulation applicable to the Company. The
business of the Company is not being conducted and shall not be conducted in violation of any material law, ordinance, or regulation
of any governmental entity, except for any violation which could not reasonably be expected, individually or in the aggregate,
to have a Material Adverse Effect. Except as specifically contemplated by this Agreement and as required under the Securities
Act and any applicable state securities laws, the Company is not required to obtain any consent, authorization or order of, or
make any filing or registration with, any court or governmental agency in order for it to execute, deliver or perform any of its
obligations under or contemplated by this Agreement or the other Transaction Documents in accordance with the terms hereof or
thereof. Neither the execution and delivery by the Company of the Transaction Documents to which it is a party, nor the consummation
by the Company of the transactions contemplated hereby or thereby, will require any notice, consent or waiver under any contract
or instrument to which the Company is a party or by which the Company is bound or to which any of its assets is subject, except
for any notice, consent or waiver the absence of which would not have a Material Adverse Effect and would not adversely affect
the consummation of the transactions contemplated hereby or thereby. All consents, authorizations, orders, filings and registrations
which the Company is required to obtain pursuant to the preceding two sentences have been obtained or effected on or prior to
the date hereof. The Company is unaware of any facts or circumstance, which might give rise to any of the foregoing.

 

(f)
Absence of Litigation. Except as set forth in the Company SEC Filings, there is no action, suit, proceeding, inquiry or
investigation before or by any court, public board, government agency, self-regulatory organization or body now pending or, to
the knowledge of the Company, threatened, against or affecting the Company, wherein an unfavorable decision, ruling or finding
would (i) adversely affect the validity or enforceability of, or the authority or ability of the Company to perform its obligations
under, this Agreement or any of the other Transaction Documents, or (ii) have a Material Adverse Effect.

 

(g)
Acknowledgment Regarding Buyer’s Purchase of the Notes. The Company acknowledges and agrees that the Buyer is acting
solely in the capacity of an arm’s length purchaser with respect to the Transaction Documents and the transactions contemplated
hereby and thereby. The Company further acknowledges that the Buyer is not acting as a financial advisor or fiduciary of the Company
(or in any similar capacity) with respect to the Transaction Documents and the transactions contemplated hereby and thereby and
any advice given by the Buyer or any of their respective representatives or agents in connection with the Transaction Documents
and the transactions contemplated hereby and thereby is merely incidental to such Buyer’s purchase of the Notes (and the
Conversion Shares). The Company further represents to the Buyers that the Company’s decision to enter into the Transaction
Documents has been based solely on the independent evaluation by the Company and its representatives.

 

(h)
No General Solicitation. Neither the Company, nor any of its affiliates, nor any person acting on its or their behalf,
has engaged in any form of general solicitation or general advertising (within the meaning of Regulation D) in connection with
the offer or sale of the Notes.

 

(i)
No Integrated Offering. Neither the Company, nor any of its affiliates, nor any person acting on its or their behalf has,
directly or indirectly, made any offers or sales of any security or solicited any offers to buy any security, under circumstances
that would require registration of the Notes under the Securities Act or cause this offering of the Notes to be integrated with
prior offerings by the Company for purposes of the Securities Act.

 

    	 

     

    

 

(j)
Employee Relations. The Company is not involved in any labor dispute nor, to the knowledge of the Company, is any such
dispute threatened. The Company is not party to any collective bargaining agreement. The Company’s employees are not members
of any union, and the Company’s relationship with its employees is good.

 

(k)
Intellectual Property Rights. The Company has not received any notice of infringement of, or conflict with, the asserted
rights of others with respect to any intellectual property that it utilizes.

 

(l)
Environmental Laws.

 

(i)
The Company has complied with all applicable Environmental Laws (as defined below), except for violations of Environmental Laws
that, individually or in the aggregate, have not had and would not reasonably be expected to have a Material Adverse Effect. There
is no pending or, to the knowledge of the Company, threatened civil or criminal litigation, written notice of violation, formal
administrative proceeding, or investigation, inquiry or information request, relating to any Environmental Law involving the Company,
except for litigation, notices of violations, formal administrative proceedings or investigations, inquiries or information requests
that, individually or in the aggregate, have not had and would not reasonably be expected to have a Material Adverse Effect. For
purposes of this Agreement, “Environmental Law” means any national, state, provincial or local law, statute, rule
or regulation or the common law relating to the environment or occupational health and safety, including without limitation any
statute, regulation, administrative decision or order pertaining to (i) treatment, storage, disposal, generation and transportation
of industrial, toxic or hazardous materials or substances or solid or hazardous waste; (ii) air, water and noise pollution; (iii)
groundwater and soil contamination; (iv) the release or threatened release into the environment of industrial, toxic or hazardous
materials or substances, or solid or hazardous waste, including without limitation emissions, discharges, injections, spills,
escapes or dumping of pollutants, contaminants or chemicals; (v) the protection of wild life, marine life and wetlands, including
without limitation all endangered and threatened species; (vi) storage tanks, vessels, containers, abandoned or discarded barrels,
and other closed receptacles; (vii) health and safety of employees and other persons; and (viii) manufacturing, processing, using,
distributing, treating, storing, disposing, transporting or handling of materials regulated under any law as pollutants, contaminants,
toxic or hazardous materials or substances or oil or petroleum products or solid or hazardous waste. As used above, the terms
“release” and “environment” shall have the meaning set forth in the Comprehensive Environmental Response,
Compensation and Liability Act of 1980, as amended (“CERCLA”).

 

(ii)
To the knowledge of the Company there is no material environmental liability with respect to any solid or hazardous waste transporter
or treatment, storage or disposal facility that has been used by the Company.

 

(iii)
The Company (i) has received all permits, licenses or other approvals required of it under applicable Environmental Laws to conduct
its businesses and (ii) is in compliance with all terms and conditions of any such permit, license or approval.

 

    	 

     

    

 

(m)
Title. Except as set forth in the Company SEC Filings, the Company does not own or lease any real or personal property.

 

(n)
Internal Accounting Controls. Except as set forth in the Company SEC Filings, the Company is
in material compliance with the provisions of the Sarbanes-Oxley Act of 2002 currently applicable to the Company. Except
as set forth in the Company SEC Filings, the Company maintains a system of internal accounting controls sufficient to provide
reasonable assurance that (i) transactions are executed in accordance with management’s general or specific authorizations,
(ii) transactions are recorded as necessary to permit preparation of financial statements in conformity with generally accepted
accounting principles and to maintain asset accountability, and (iii) the recorded amounts for assets is compared with the existing
assets at reasonable intervals and appropriate action is taken with respect to any differences.

 

(o)
No Material Adverse Breaches, etc. The Company is not subject to any charter, corporate or other legal restriction, or
any judgment, decree, order, rule or regulation which in the judgment of the Company’s officers has or is expected in the
future to have a Material Adverse Effect. The Company is not in breach of any contract or agreement which breach, in the judgment
of the Company’s officers, has or is expected to have a Material Adverse Effect.

 

(p)
Tax Status. The Company has made and filed all U.S. federal and state, income and all other tax returns, reports and declarations
required by any jurisdiction to which it is subject and (unless and only to the extent that the Company or such subsidiary has
set aside on its books provisions reasonably adequate for the payment of all unpaid and unreported taxes) has paid all taxes and
other governmental assessments and charges that are material in amount, shown or determined to be due on such returns, reports
and declarations, except those being contested in good faith and has set aside on its books provision reasonably adequate for
the payment of all taxes for periods subsequent to the periods to which such returns, reports or declarations apply. There are
no unpaid taxes in any material amount claimed to be due from the Company by the taxing authority of any jurisdiction, and the
officers of the Company know of no basis for any such claim.

 

(q)
Certain Transactions. Except for arm’s length transactions pursuant to which the Company makes payments in the ordinary
course of business upon terms no less favorable than it could obtain from third parties, none of the officers, directors, or employees
of the Company is presently a party to any transaction with the Company (other than for services as employees, officers and directors),
including any contract, agreement or other arrangement providing for the furnishing of services to or by, providing for rental
of real or personal property to or from, or otherwise requiring payments to or from any officer, director or such employee or,
to the knowledge of the Company, any corporation, partnership, trust or other entity in which any officer, director, or any such
employee has a substantial interest or is an officer, director, trustee or partner.

 

(r)
Rights of First Refusal. The Company is not obligated to offer the securities offered hereunder on a right of first refusal
basis or otherwise to any third parties including, but not limited to, current or former stockholders of the Company, underwriters,
brokers, agents or other third parties.

 

    	 

     

    

 

(s)
Reliance. The Company acknowledges that the Buyer is relying on the representations and warranties made by the Company
hereunder and that such representations and warranties are a material inducement to the Buyer purchasing the Notes. The Company
further acknowledges that without such representations and warranties of the Company made hereunder, the Buyers would not enter
into this Agreement.

 

(t)
Brokers’ Fees. The Company does not have any liability or obligation to pay any fees or commissions to any Broker,
finder or agent with respect to the transactions contemplated by this Agreement.

 

4.
COVENANTS.

 

(a)
Best Efforts. Each party shall use its best efforts timely to satisfy each of the conditions to be satisfied by it as provided
in Sections 5 and 6 of this Agreement.

 

(b)
Form D. The Company agrees to file a Form D with respect to the offer and sale of the Notes as required under Regulation
D, if necessary. The Company shall, on or before the Closing Date, take such action as the Company shall reasonably determine
is necessary to qualify the Notes (and the Conversion Shares), or obtain an exemption for the Notes (and the Conversion Shares)
for sale to the Buyers at the Closing pursuant to this Agreement under applicable securities or state “Blue Sky” laws.

 

(c)
Use of Proceeds. The Company shall use the net proceeds from the sale of the Notes (after deducting fees and expenses (including
brokerage fees, if applicable, legal fees and expenses) for working capital and general corporate purposes.

 

(d)
Resales Absent Effective Registration Statement. The Buyer understands and acknowledges that (i) the Transaction Documents
will, if applicable, require the Company to issue and deliver the Conversion Shares to the Buyer with legends restricting their
transferability under the Securities Act, and (ii) the Buyer is aware that resales of such Conversion Shares may not be made unless,
at the time of resale, there is an effective registration statement under the Securities Act covering such Buyer’s resale(s)
or an applicable exemption from registration.

 

(e)
Indemnification of Buyer. In consideration of the Buyer’s execution and delivery of this Agreement and acquiring
the Notes hereunder, and in addition to all of the Company’s other obligations under this Agreement, the Company shall defend,
protect, indemnify and hold harmless the Buyer and each other holder of the Notes (and if applicable, the Conversion Shares),
and all of their officers, directors, employees and agents (including, without limitation, those retained in connection with the
transactions contemplated by this Agreement) (collectively, the “Buyer Indemnitees”) from and against any and all
actions, causes of action, suits, claims, losses, costs, penalties, fees, liabilities and damages, and expenses in connection
therewith (irrespective of whether any such Buyer Indemnitee is a party to the action for which indemnification hereunder is sought),
and including reasonable attorneys’ fees and disbursements (the “Indemnified Liabilities”), incurred by the
Buyer Indemnitees or any of them as a result of, or arising out of, or relating to (a) any actual or alleged false acknowledgment,
representation or warranty, or misrepresentation or omission to state a material fact by the Company or (b) any breach of any
covenant, agreement or obligation of the Company contained in this Agreement. To the extent that the foregoing undertaking by
the Company may be unenforceable for any reason, the Company shall make the maximum contribution to the payment and satisfaction
of each of the Indemnified Liabilities, which is permissible under applicable law. The indemnity agreements contained herein shall
be in addition to any cause of action or similar right of any Buyer Indemnitee against the Company or others, and any liabilities
the Company may be subject to pursuant to law.

 

    	 

     

    

 

5.
CONDITIONS TO THE COMPANY’S OBLIGATION TO SELL.

 

The
obligation of the Company hereunder to issue and sell the Notes to the Buyer at each Closing is subject to the satisfaction, at
or before each Closing Date, of each of the following conditions, provided that these conditions are for the Company’s sole
benefit and may be waived by the Company at any time in its sole discretion:

 

(a)
The Buyer shall have executed this Agreement and completed and executed the Accredited Investor Certification, the Investor Profile
and the Anti-Money Laundering Information Form and delivered them to the Company.

 

(b)
The Buyer shall have delivered the Purchase Price as set forth on the signature page affixed hereto by wire transfer of immediately
available funds pursuant to the wire instructions provided by the Company.

 

(c)
The representations and warranties of the Buyer contained in this Agreement shall be true and correct in all material respects
as of the date when made and as of the applicable Closing Date as though made at that time (except for representations and warranties
that speak as of a specific date), and the Buyer shall have performed, satisfied and complied in all material respects with the
covenants, agreements and conditions required by this Agreement to be performed, satisfied or complied with by the Buyer at or
prior to the applicable Closing Date.

 

6.
CONDITIONS TO THE BUYER’S OBLIGATION TO PURCHASE.

 

The
obligation of the Buyer hereunder to purchase the Notes at the Closing is subject to the satisfaction, at or before the Closing
Date, of each of the following conditions:

 

(a)
The representations and warranties of the Company contained in this Agreement and the other Transaction Documents shall be true
and correct in all material respects (except to the extent that any of such representations and warranties is already qualified
as to materiality in Section 3 above, in which case, such representations and warranties shall be true and correct without further
qualification) as of the date when made and as of the applicable Closing Date as though made at that time (except for representations
and warranties that speak as of a specific date) and the Company shall have performed, satisfied and complied in all material
respects with the covenants, agreements and conditions required by this Agreement and the other Transaction Documents to be performed,
satisfied or complied with by the Company at or prior to the applicable Closing Date.

 

(b)
The Company shall have obtained any and all consents, permits, approvals, registrations and waivers necessary or appropriate for
consummation by the Company of the purchase and sale of the Notes and the transactions contemplated hereby or under the Transaction
Documents, all of which shall be in full force and effect.

 

    	 

     

    

 

(c)
The Buyers shall have received a certificate, executed by an officer of the Company, dated as of the Closing Date, to the foregoing
effect and as to such other matters as may be reasonably requested by the Buyer.

 

(d)
The Company shall have executed and delivered to the Buyer the Note in the amount set forth on the Buyer Omnibus Signature Pages
affixed hereto.

 

(e)
The Company shall have delivered to the Buyer a certificate, executed on its behalf by an appropriate officer, dated as of the
Closing Date, certifying the resolutions adopted by its Board of Directors approving the transactions contemplated by this Agreement,
the other Transaction Documents and the issuance of the Note, certifying the current versions of its Articles of Incorporation
and By-laws (or equivalent documents) and certifying as to the signatures and authority of persons signing this Agreement on behalf
of the Company. The foregoing certificate shall only be required to be delivered on the Closing Date, unless any information contained
in the certificate has changed.

 

7.
GOVERNING LAW: MISCELLANEOUS.

 

(a)
Governing Law. This Agreement shall be governed by and interpreted in accordance with the laws of the State of New York
without regard to the principles of conflict of laws. The parties further agree that any action between them shall be heard exclusively
in federal or state court sitting in the New York County, New York, and expressly consent to the jurisdiction and venue of the
Supreme Court of New York, sitting in New York County and the United States District Court for the Southern District of New York
for the adjudication of any civil action asserted pursuant to this paragraph.

 

(b)
Irrevocable Subscription. The Buyer hereby acknowledges and agrees that the subscription hereunder is irrevocable by such
Buyer, except as required by applicable law, and that this Agreement shall survive the death or disability of the Buyer and shall
be binding upon and inure to the benefit of the parties and their heirs, executors, administrators, successors, legal representatives,
and permitted assigns.

 

(c)
Expenses. Each of the parties hereto shall pay its own fees and expenses (including the fees of any attorneys, accountants,
appraises or others engaged by such party) in connection with this Agreement and the transactions contemplated hereby whether
or not the transactions contemplated hereby are consummated.

 

(d)
Counterparts. This Agreement may be executed in several counterparts, each of which shall be deemed an original but all
of which shall constitute one and the same instrument. All of such counterparts shall be read as though one, and they shall have
the same force and effect as though all the signers had signed a single page. In the event that any signature is delivered by
facsimile transmission or by an e-mail which contains a portable document format (.pdf) file of an executed signature page, such
signature page shall create a valid and binding obligation of the party executing (or on whose behalf such signature is executed)
with the same force and effect as if such signature page were an original thereof.

 

    	 

     

    

 

(e)
Headings. The headings of this Agreement are for convenience of reference and shall not form part of, or affect the interpretation
of, this Agreement.

 

(f)
Severability. If any provision of this Agreement shall be invalid or unenforceable in any jurisdiction, such invalidity
or unenforceability shall not affect the validity or enforceability of the remainder of this Agreement in that jurisdiction or
the validity or enforceability of any provision of this Agreement in any other jurisdiction.

 

(g)
Entire Agreement, Amendments. This Agreement supersedes all other prior oral or written agreements between the Buyer, the
Company, their affiliates and persons acting on their behalf with respect to the matters discussed herein (including any term
sheet), and this Agreement, the other Transaction Documents and the instruments referenced herein contain the entire understanding
of the parties with respect to the matters covered herein and therein and, except as specifically set forth herein or therein,
neither the Company nor the Buyer makes any representation, warranty, covenant or undertaking with respect to such matters. No
provision of this Agreement may be waived or amended other than by an instrument in writing signed by the party to be charged
with enforcement.

 

(h)
Notices. Any notices, consents, waivers, or other communications required or permitted to be given under the terms of this
Agreement must be in writing and will be deemed to have been delivered (i) upon receipt, when delivered personally; (ii) upon
confirmation of receipt, when sent by facsimile; (iii) upon receipt when sent by U.S. certified mail, return receipt requested,
or (iv) one (1) day after deposit with a nationally recognized overnight delivery service, in each case properly addressed to
the party to receive the same. The addresses and facsimile numbers for such communications shall be:

 

	 	If
    to the Company:	 	Purebase
        Corporation

        8625
        State Hwy, 124

        Ione,
        CA 95640

        Attention:
        A. Scott Dockter, CEO

        Telephone:
        (888)791-9474

	 	 	 	 
	 	With
    a copy to:	 	The
        Crone Law Group, P.C.

        500
        Fifth Avenue, Suite 938

        New
        York, New York 10110

        Attn:
        Eric Mendelson, Esq.

        Telephone:
        (917) 398-5082

 

If
to the Buyer, to its address and facsimile number set forth on the Buyer Omnibus Signature Page affixed hereto. Each party shall
provide five (5) days’ prior written notice to the other party of any change in address or facsimile number.

 

(i)
Successors and Assigns. This Agreement shall be binding upon and inure to the benefit of the parties and their respective
successors and assigns. Neither the Company nor the Buyer shall assign this Agreement or any rights or obligations hereunder without
the prior written consent of the other party hereto; provided, however, that the Company may assign this Agreement and its rights
and obligations hereunder and under the Notes to an affiliated entity without the consent of the Buyer if simultaneously therewith
the affiliated entity assumes the obligations of the Company under this Agreement.

 

    	 

     

    

 

(j)
No Third-Party Beneficiaries. This Agreement is intended for the benefit of the parties hereto and their respective permitted
successors and assigns, and is not for the benefit of, nor may any provision hereof be enforced by, any other person.

 

(k)
Survival. Unless this Agreement is terminated under Section 7(n), the representations and warranties of the Company and
the Buyer contained in Sections 2 and 3, the agreements and covenants set forth in Sections 4 and 7 shall survive the Closing
for a period of twelve (12) months following the date on which all of the Notes are repaid in full or converted in their entirety
(whichever is the earliest).

 

(l)
Publicity. The Company shall have the right to approve, before issuance any press release or any other public statement
with respect to the transactions contemplated hereby made by any other party; and the Company shall be entitled, without the prior
approval of the Buyer, to issue any press release or other public disclosure with respect to such transactions required under
applicable securities or other laws or regulations or as it otherwise deems appropriate.

 

(m)
Further Assurances. Each party shall do and perform, or cause to be done and performed, all such further acts and things,
and shall execute and deliver all such other agreements, certificates, instruments and documents, as the other party may reasonably
request in order to carry out the intent and accomplish the purposes of this Agreement and the consummation of the transactions
contemplated hereby.

 

(n)
Termination. In the event that the initial Closing shall not have occurred with respect to the Buyer on or before thirty
(30) business days from the date hereof due to the Company’s or the Buyer’s failure to satisfy the conditions set
forth in Sections 5 and 6 above (and the non-breaching party’s failure to waive such unsatisfied condition(s)), the non-breaching
party shall have the option to terminate this Agreement with respect to such breaching party by providing five (5) days’
written notice to such breaching party of the non-breaching party’s intent to terminate this Agreement (and if the non-breaching
party is the Buyer, to also withdraw its subscription) at the close of business on such date without liability of any party to
any other party.

 

(o)
No Strict Construction. The language used in this Agreement will be deemed to be the language chosen by the parties to
express their mutual intent, and no rules of strict construction will be applied against any party.

 

(p)
Remedies. In addition to being entitled to exercise all rights provided herein or granted by law, including recovery of
damages, the Buyer and the Company will be entitled to specific performance under this Agreement. The parties agree that monetary
damages may not be adequate compensation for any loss incurred by reason of any breach of obligations described in the foregoing
sentence and hereby agree to waive in any action for specific performance of any such obligation the defense that a remedy at
law would be adequate).

 

    	 

     

    

 

IN
WITNESS WHEREOF, the Buyers and the Company have caused this Securities Purchase Agreement to be duly executed as of
the date first written above.

 

	 	COMPANY:
	 	 	                          
	 	PUREBASE
    CORPORATION
	 	 
	 	By:	/s/
A. Scott Dockter
	 	Name:	A.
    Scott Dockter
	 	Title:	Chief
    Executive Officer

 

	 	BUYER:
	 	 
	 	The
    Buyer executing the Omnibus Signature Page attached hereto as Annex A and the documents annexed thereto and delivering
    the same to the Company or their agents shall be deemed to have executed this Securities Purchase Agreement and agreed to
    the terms hereof.

 

    	 

     

    

 

ANNEX
A

 

Buyer
Omnibus Signature Page

to

Securities
Purchase Agreement

 

The
undersigned, desiring to: (i) enter into the Securities Purchase Agreement, dated March 17, 2021, effective as of November 25,
2020 (the “Securities Purchase Agreement”), between the undersigned and Purebase
Corporation (the “Company”), in or substantially in the form furnished to the undersigned, and (ii) purchase the Notes
of the Company as set forth below, hereby agrees to purchase such Notes from the Company and further agrees to enter into the
Securities Purchase Agreement, with all the rights and privileges appertaining thereto, and to be bound in all respects by the
terms and conditions thereof. The undersigned specifically acknowledges having read the representations section in the Securities
Purchase Agreement entitled “Buyer’s Representations and Warranties,” and hereby represents that the statements
contained therein are complete and accurate with respect to the undersigned as a Buyer.

 

The
Buyer hereby elects to purchase up to $2,000,000 principal amount of Notes (to be completed by the Buyer) under the Securities
Purchase Agreement.

 

	BUYER
    (individual)	 	BUYER
    (entity)
	 	 	 
	 	 	US
    Mine Corp.
	Signature	 	Name
    of Entity
	 	 	 
	 	 	/s/
    John Bremer
	Print
    Name	 	Signature
	 	 	 	 
	 	 	Print
    Name: 	John
    Bremer
	Signature
    (if Joint Tenants or Tenants in Common) 	 	Title:	President
	 	 	 	 
	Address
    of Principal Residence:	 	Address
    of Executive Offices:
	 	 	 
	 	 	8625
    Hwy 124
	 	 	PO
    Box 580
	 	 	Ione,
    CA 95640
	 	 	 
	Social
    Security Number(s):	 	IRS
    Tax Identification Number: 
	 	 	46-1058357
	 	 	 
	Telephone
    Number:	 	Telephone
    Number: 
	 	 	(209)
    790-4535
	 	 	 
	Facsimile
    Number:	 	Facsimile
    Number: 
	 	 	 
	 	 	 
	E-mail
    Address:	 	E-mail
    Address: 
	 	 	 

 

	DATED: 	March
    17, 2021	 	 

 

    	 

    	 

    

 

PUREBASE
CORPORATION

ACCREDITED
INVESTOR CERTIFICATION

 

For
Individual Investors Only

(all
Individual Investors must INITIAL where appropriate):

 

	Initial
    _______	 	I
    have a net worth of at least $1 million either individually or through aggregating my individual holdings and those in which
    I have a joint, community property or other similar shared ownership interest with my spouse. (For purposes of calculating
    your net worth under this paragraph, (a) your primary residence shall not be included as an asset; (b) indebtedness
    secured by your primary residence, up to the estimated fair market value of your primary residence at the time of your purchase
    of the securities, shall not be included as a liability (except that if the amount of such indebtedness outstanding at the
    time of your purchase of the securities exceeds the amount outstanding 60 days before such time, other than as a result of
    the acquisition of your primary residence, the amount of such excess shall be included as a liability); and (c) indebtedness
    that is secured by your primary residence in excess of the estimated fair market value of your primary residence at the time
    of your purchase of the securities shall be included as a liability.)
	Initial
    _______	 	I
    have had an annual gross income for the past two years of at least $200,000 (or $300,000 jointly with my spouse) and expect
    my income (or joint income, as appropriate) to reach the same level in the current year.
	Initial
    _______	 	I
    am a director or executive officer of PureBase Corporation

 

For
Non-Individual Investors

(all
Non-Individual Investors must INITIAL where appropriate):

 

	Initial
    JB _____	 	The
    investor certifies that it is a partnership, corporation, limited liability company or business trust that is 100% owned by
    persons who meet at least one of the criteria for Individual Investors set forth above. 
	Initial
    JB _____	 	The
    investor certifies that it is a partnership, corporation, limited liability company or business trust that has total assets
    of at least US$5 million and was not formed for the purpose of investing the Company.
	Initial
    _______	 	The
    investor certifies that it is an employee benefit plan whose investment decision is made by a plan fiduciary (as defined in
    ERISA §3(21)) that is a bank, savings and loan association, insurance company or registered investment advisor.
	Initial
    _______	 	The
    investor certifies that it is an employee benefit plan whose total assets exceed US$5,000,000 as of the date of this Agreement.
	Initial
    _______	 	The
    undersigned certifies that it is a self-directed employee benefit plan whose investment decisions are made solely by persons
    who meet at least one of the criteria for Individual Investors.
	Initial
    _______	 	The
    investor certifies that it is a U.S. bank, U.S. savings and loan association or other similar U.S. institution acting in its
    individual or fiduciary capacity.
	Initial
    _______	 	The
    undersigned certifies that it is a broker-dealer registered pursuant to §15 of the Securities Exchange Act of 1934.
	Initial
    _______	 	The
    investor certifies that it is an organization described in §501(c)(3) of the Internal Revenue Code with total assets
    exceeding US$5,000,000 and not formed for the specific purpose of investing in the Company.
	Initial
    _______	 	The
    investor certifies that it is a trust with total assets of at least US$5,000,000, not formed for the specific purpose of investing
    in the Company, and whose purchase is directed by a person with such knowledge and experience in financial and business matters
    that such person is capable of evaluating the merits and risks of the prospective investment.
	Initial
    _______	 	The
    investor certifies that it is a plan established and maintained by a state or its political subdivisions, or any agency or
    instrumentality thereof, for the benefit of its employees, and which has total assets in excess of US$5,000,000.
	Initial
    _______	 	The
    investor certifies that it is an insurance company as defined in §2(13) of the Securities Act of 1933, or a registered
    investment company.

 

For
Non-U.S. Person Investors

(all
Investors who are not a U.S. Person must INITIAL this section):

 

	Initial
    _______	 	The
    investor is not a “U.S. Person” as defined in Regulation S; and specifically the investor is not:
	A.	 	a
    natural person resident in the United States of America, including its territories and possessions (“United States”);
	B.	 	a
    partnership or corporation organized or incorporated under the laws of the United States;
	C.	 	an
    estate of which any executor or administrator is a U.S. Person;
	D.	 	a
    trust of which any trustee is a U.S. Person;
	E.	 	an
    agency or branch of a foreign entity located in the United States;
	F.	 	a
    non-discretionary account or similar account (other than an estate or trust) held by a dealer or other fiduciary for the benefit
    or account of a U.S. Person;
	G.	 	a
    discretionary account or similar account (other than an estate or trust) held by a dealer or other fiduciary organized, incorporated,
    or (if an individual) resident in the United States; or
	H.	 	a
    partnership or corporation: (i) organized or incorporated under the laws of any foreign jurisdiction; and (ii) formed by a
    U.S. Person principally for the purpose of investing in securities not registered under the Securities Act, unless it is organized
    or incorporated, and owned, by accredited investors (as defined in Rule 501(a) under the Securities Act) who are not natural
    persons, estates or trusts.

 

And,
in addition:

 

	I.	 	the
    investor was not offered the securities in the United States;
	J.	 	at
    the time the buy-order for the securities was originated, the investor was outside the United States; and
	K.	 	the
    investor is purchasing the securities for its own account and not on behalf of any U.S. Person (as defined in Regulation S)
    and a sale of the securities has not been pre-arranged with a purchaser in the United States.

 

    	 

    	 

    

 

PUREBASE
CORPORATION

Investor
Profile

(Must
be completed by Investor)

 

Section–A
- Personal Investor Information

 

Investor
Name(s): ___________________________________________________________________________

Individual
executing Profile or Trustee: ___________________________________________________________

Social
Security Numbers / Federal I.D. Number: _____________________________________________________

 

	Date
    of Birth:	 	 	Marital
    Status: 	 
	Joint
    Party Date of Birth:	 	 	Investment
    Experience (Years): 	 
	Annual
    Income:	 	 	Liquid
    Net Worth: 	 
	Net
    Worth*: 	 	 	 	 

 

Tax
Bracket:                      _____
15% or below                   _____
25% - 27.5%                  _____ Over
27.5%

Home
Street Address: ________________________________________________________________________

Home
City, State & Zip Code: __________________________________________________________________

Home
Phone: _________________ Home Fax: _____________________ Home Email: ______________________

Employer:
_________________________________________________________________________________

Employer
Street Address: _____________________________________________________________________

Employer
City, State & Zip Code: ________________________________________________________________

Bus.
Phone: _______________ Bus. Fax: ____________________ Bus. Email:____________________________

Type
of Business: ___________________________________________________________________________

Outside
Broker/Dealer: _______________________________________________________________________

 

Section
B – Certificate Delivery Instructions

 

____
Please deliver certificate to the Employer Address listed in Section A.

____
Please deliver certificate to the Home Address listed in Section A.

____
Please deliver certificate to the following address: _____________________________________________

 

Section
C – Form of Payment – Check or Wire Transfer

 

____
Check payable to PureBase Corporation

____
Wire funds from my outside account according to Section 1(a) of the Securities Purchase Agreement.

____
The funds for this investment are rolled over, tax deferred from __________ within the allowed 60-day window.

 

Please
check if you are a FINRA member or affiliate of a FINRA member firm: ____

 

	/s/
    John Bremer	 	March
    17. 2020
	Investor
    Signature	 	Date

 

*
For purposes of calculating your net worth in this form, (a) your primary residence shall not be included as an asset;
(b) indebtedness secured by your primary residence, up to the estimated fair market value of your primary residence at the time
of your purchase of the securities, shall not be included as a liability (except that if the amount of such indebtedness outstanding
at the time of your purchase of the securities exceeds the amount outstanding 60 days before such time, other than as a result
of the acquisition of your primary residence, the amount of such excess shall be included as a liability); and (c) indebtedness
that is secured by your primary residence in excess of the estimated fair market value of your primary residence at the time of
your purchase of the securities shall be included as a liability.

 

    	 

    	 

    

 

ANTI
MONEY LAUNDERING REQUIREMENTS

 

The
USA PATRIOT Act

 

The
USA PATRIOT Act is designed to detect, deter, and punish terrorists in the United States and abroad. The Act imposes new anti-money
laundering requirements on brokerage firms and financial institutions. Since April 24, 2002 all brokerage firms have been required
to have new, comprehensive anti-money laundering programs.

 

To
help you understand these efforts, we want to provide you with some information about money laundering and our steps to implement
the USA PATRIOT Act.

 

What
is money laundering?

 

Money
laundering is the process of disguising illegally obtained money so that the funds appear to come from legitimate sources or activities.
Money laundering occurs in connection with a wide variety of crimes, including illegal arms sales, drug trafficking, robbery,
fraud, racketeering, and terrorism.

 

How
big is the problem and why is it important?

 

The
use of the U.S. financial system by criminals to facilitate terrorism or other crimes could well taint our financial markets.
According to the U.S. State Department, one recent estimate puts the amount of worldwide money laundering activity at $1 trillion
a year.

 

What
are we required to do to eliminate money laundering?

 

Under
rules required by the USA PATRIOT Act, our anti-money laundering program must designate a special compliance officer, set up employee
training, conduct independent audits, and establish policies and procedures to detect and report suspicious transaction and ensure
compliance with such laws. As part of our required program, we may ask you to provide various identification documents or other
information. Until you provide the information or documents we need, we may not be able to effect any transactions for you.

 

    	 

    	 

    

 

ANTI-MONEY
LAUNDERING INFORMATION FORM

The
following is required in accordance with the AML provision of the USA PATRIOT ACT.

(Please
fill out and return with requested documentation.)

 

INVESTOR
NAME: _____________________________________________________________

LEGAL
ADDRESS: _____________________________________________________________

                                    _____________________________________________________________

SSN#
or TAX ID#

   OF
INVESTOR: _______________________________________________________________

YEARLY
INCOME: _____________________________________________________________

FOR
INVESTORS WHO ARE INDIVIDUALS: AGE: __________________________________

NET
WORTH: _________________________________________________________________*

 

	*	For
    purposes of calculating your net worth in this form, (a) your primary residence shall not be included as an asset;
    (b) indebtedness secured by your primary residence, up to the estimated fair market value of your primary residence at the
    time of your purchase of the securities, shall not be included as a liability (except that if the amount of such indebtedness
    outstanding at the time of your purchase of the securities exceeds the amount outstanding 60 days before such time, other
    than as a result of the acquisition of your primary residence, the amount of such excess shall be included as a liability);
    and (c) indebtedness that is secured by your primary residence in excess of the estimated fair market value of your primary
    residence at the time of your purchase of the securities shall be included as a liability.

 

FOR
INVESTORS WHO ARE INDIVIDUALS: OCCUPATION: ________________________

ADDRESS
OF BUSINESS OR OF EMPLOYER: _____________________________________

________________________________________________________________________________

FOR
INVESTORS WHO ARE ENTITIES:

YEARLY
INCOME: ____________         NET WORTH: ____________

TYPE
OF BUSINESS: ____________________________________

INVESTMENT
OBJECTIVE(S) (FOR ALL INVESTORS): __________________________

 

	1.	IDENTIFICATION
                                         & DOCUMENTATION AND SOURCE OF FUND. Please submit a copy of non-expired
                                         identification for the authorized signatory(ies) on the investment documents, showing
                                         name, date of birth, address and signature. The address shown on the identification
                                         document MUST match the Investor’s address shown on the Investor Signature Page.

 

	Current
    Driver’s License	or	Valid
    Passport	or	Identity
    Card

 

(Circle
one or more)

 

	2.	If
                                         the Investor is a corporation, limited liability company, trust or other type of entity,
                                         please submit the following requisite documents: (i) Articles of Incorporation, By-Laws,
                                         Certificate of Formation, Operating Agreement, Trust or other similar documents for the
                                         type of entity; and (ii) Corporate Resolution or power of attorney or other similar document
                                         granting authority to signatory(ies) and designating that they are permitted to make
                                         the proposed investment.

 

	3.	Please
                                         advise where the funds were derived from to make the proposed investment:

 

	Investments	Savings	Proceeds
    of Sale	Other
    ____________

 

(Circle
one or more)

 

	Signature:
    	 	 
	Print
    Name: 	 	 
	Title
    (if applicable): 	 	 
	Date:
    	 	 

 

    	 

    	 

    

 

EXHIBIT
A

 

Form
of Note

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