Document:

Form of Change of Control Agreement between the Registrant and its CEO

 EXHIBIT 10.4.1 
 ACOLOGIX, INC. 
 CHANGE OF CONTROL AGREEMENT 
 This Change of Control Agreement (the “Agreement”) is made and entered into by and between Yoshinari Kumagai (the
“Executive”) and Acologix, Inc., a Delaware corporation (the “Company”), effective as of
                        , 2006. 
 R E C I T A L S 
 A.    It is expected that the Company from time to time will
consider the possibility of an acquisition by another company or other change of control. The Board of Directors of the Company (the “Board”) recognizes that such consideration can be a distraction to the Executive and can cause the
Executive to consider alternative employment opportunities. The Board has determined that it is in the best interests of the Company and its stockholders to assure that the Company will have the continued dedication and objectivity of the Executive,
notwithstanding the possibility, threat or occurrence of a Change of Control of the Company. 
 B.    The Board believes
that it is in the best interests of the Company and its stockholders to provide the Executive with an incentive to continue his employment and to motivate the Executive to maximize the value of the Company upon a Change of Control for the benefit of
its stockholders. 
 C.    Certain capitalized terms used in the Agreement are defined in Section 5 below.

 NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is acknowledged, the parties hereto agree as
follows: 
 1.    Term of Agreement. This Agreement shall terminate upon the date that all obligations of the
parties hereto with respect to this Agreement have been satisfied. 
 2.    At-Will Employment. The Company and
the Executive acknowledge that the Executive’s employment is and shall continue to be at-will, as defined under applicable law. If the Executive’s employment terminates for any reason, including (without limitation) any termination prior
to a Change of Control, the Executive shall not be entitled to any payments, benefits, damages, awards or compensation other than as provided by this Agreement, or as may otherwise be available in accordance with the Company’s established
Executive plans and practices or pursuant to other agreements with the Company. 
 3.    Benefits. 
 (a)    Termination Following A Change of Control. In the event that a Change of Control of the Company occurs
and during the period beginning on the closing date of the transaction giving rise to such Change of Control and ending twelve (12) months after such closing date, the Executive’s employment with the Company (or the successor entity in
such Change of Control transaction) is either (a) terminated by the Company (or its successor entity) without Cause 

 
or (b) is Constructively Terminated by the Executive, then (i) one hundred percent (100%) of all unvested Stock Rights as of such date shall
become fully vested on the date of such termination, (ii) Executive will be entitled to receive an additional twenty-four (24) months salary and one hundred percent (100%) of the Executive’s target bonus for two years
(“Cash Benefits”) following termination of Executive’s employment and (iii) Executive will be entitled to receive an additional twenty-four (24) months of Company benefits following termination of Executive’s
employment in accordance with the Company’s existing written benefits plans and practices. The Cash Benefits shall be paid to the Executive in equal monthly installments over a twenty-four (24) month period and otherwise in accordance with
the Company’s existing payroll procedures. 
 (b)    Termination For Cause. If the
Executive’s employment terminates by reason of the Executive’s voluntary resignation (and is not a Constructive Termination), or if the Executive is terminated for Cause, then the Executive shall not be entitled to receive the accelerated
vesting of Stock Rights, severance payments or benefits set forth in Section 3(a) above. 
 (c)    Termination Apart from Change of Control. In the event the Executive’s employment is terminated for any reason, either prior to the occurrence of a Change of Control or after the twelve (12) month
period following a Change of Control, then the Executive will be entitled to receive severance and any other benefits only as may then be established under the Company’s existing written severance and benefits plans and practices or pursuant to
other written agreements with the Company. 
 4.    Release of Claims. The delivery to the Executive of the
benefits described in Section 3 following a termination will be subject to Executive’s signing and not revoking a standard separation agreement and release of claims in a form reasonably acceptable to the Company and the Executive. Such
separation agreement shall include, among other things, (a) a customary non-disparagement agreement by the Executive pursuant to which the Executive agrees not to disparage, criticize or otherwise make derogatory statements regarding the
Company, its directors or its officers, or to tortiously interfere with the contracts, relationships and prospective economic advantage of the Company, and (b) a customary non-solicitation agreement pursuant to which the Executive agrees for a
period of twenty-four (24) months not to directly or indirectly solicit, induce, attempt to hire, recruit, encourage, take away, hire any employee of the Company or cause an employee to leave his or her employment either to work for the
Executive or for any other entity or person. 
 5.    Definition of Terms. The following terms referred to in this
Agreement shall have the following meanings: 
 (a)    “Cause” means (i) any act of
dishonesty taken in connection with the Executive’s responsibilities as an Executive that is intended to result in such Executive’s personal enrichment; (ii) the Executive’s conviction or plea of no contest to a crime that
negatively reflects on the Executive’s fitness to perform Executive’s duties or harms the Company’s (or the successor corporation’s) reputation or business; (iii) willful misconduct by the Executive that is injurious to the
Company’s (or the successor corporation’s) reputation or business; or (iv) the Executive’s willful violation of a material Company employment policy. For purposes of this definition, an act or 

  

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failure to act will be deemed “willful” if effected not in good faith or without reasonable belief that such action or failure to act was in the
best interests of the Company (or the successor corporation). 
 (b)    “Change in
Control” means the occurrence of any of the following events: 
 (i)    Any “person”
(as such term is used in Sections 13(d) and 14(d) of the Exchange Act) becomes the “beneficial owner” (as defined in Rule 13d-3 of the Exchange Act), directly or indirectly, of securities of the Company representing fifty percent
(50%) or more of the total voting power represented by the Company’s then outstanding voting securities; or 
 (ii)    The approval by stockholders of the sale or disposition by the Company of all or substantially all of the Company’s assets; or 
 (iii)    A change in the composition of the Board occurring within a two-year period, as a result of which fewer than
a majority of the directors are Incumbent Directors. “Incumbent Directors” means directors who either (A) are Directors as of the effective date of the Plan, or (B) are elected, or nominated for election, to the Board with
the affirmative votes of at least a majority of the Incumbent Directors at the time of such election or nomination (but will not include an individual whose election or nomination is in connection with an actual or threatened proxy contest relating
to the election of directors to the Company); or 
 (iv)    The approval by stockholders of a merger or
consolidation of the Company with any other corporation, other than a merger or consolidation which would result in the voting securities of the Company outstanding immediately prior thereto continuing to represent (either by remaining outstanding
or by being converted into voting securities of the surviving entity or its parent) at least fifty percent (50%) of the total voting power represented by the voting securities of the Company or such surviving entity or its parent outstanding
immediately after such merger or consolidation. 
 For purposes of clauses (i) and (iii) above, such Change of Control shall be
deemed to have occurred on the date on which the transaction closes; for the purpose of clauses (ii) and (iv) above, such Change of Control shall be deemed to have occurred on the date on which the Company’s stockholders approve a
transaction described in that clause. 
 (c)    “Constructive Termination” shall mean
the occurrence of any of the following without the Executive’s express written consent (i) the assignment to the Executive of any duties or the reduction of the Executive’s duties, either of which results in a significant diminution
in the Executive’s position or responsibilities in effect immediately prior to such assignment, or the removal of the Executive from such position and responsibilities, provided, however that changes in the circumstances of employment which are
solely the result of changes in corporate legal structure resulting directly from the Change of Control shall not constitute a basis for Constructive Termination; (ii) a substantial reduction, without good business reasons, of the facilities
and perquisites available to the Executive immediately prior to such reduction, unless the facilities and perquisites available to all executives of the Company are similarly reduced; (iii) a material reduction by the Company in the cash
compensation of the Executive as in effect immediately prior to such reduction; (iv) a material reduction by the Company in the kind or level of employee benefits 

  

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to which the Executive is entitled immediately prior to such reduction with the result that the Executive’s overall benefits package is significantly
reduced, unless the kind or level of employee benefits available to all executives of the Company are similarly reduced; or (v) the relocation of Executive’s principal place of employment to a facility or a location more than 50 miles from
the Executive’s then present location. 
 (d)    “Stock Rights” shall mean all
options or rights to acquire shares of Company Common Stock, or stock appreciation rights, performance units or performance shares (whether such awards are payable in cash, shares of Company Common Stock or otherwise), under plans, agreements or
arrangements which are compensatory in nature, including, without limitation, the Company’s Amended and Restated 2000 Incentive Stock Plan and 2006 Equity Incentive Plan, and any restricted stock purchase agreement between the Company and the
Executive. 
 6.    Successors. 
 (a)    Company’s Successors. Any successor to the Company (whether direct or indirect and whether by
purchase, merger, consolidation, liquidation or otherwise) to all or substantially all of the Company’s business and/or assets shall assume the obligations under this Agreement and agree expressly to perform the obligations under this Agreement
in the same manner and to the same extent as the Company would be required to perform such obligations in the absence of a succession. For all purposes under this Agreement, the term “Company” shall include any successor to the
Company’s business and/or assets which executes and delivers the assumption agreement described in this Section 6(a) or which becomes bound by the terms of this Agreement by operation of law. 
 (b)    Executive’s Successors. The terms of this Agreement and all rights of the Executive hereunder
shall inure to the benefit of, and be enforceable by, the Executive’s personal or legal representatives, executors, administrators, successors, heirs, distributees, devisees and legatees. 
 7.    Notice. 
 (a)    General. Notices and all other communications contemplated by this Agreement shall be in writing and shall be deemed to have been duly given when personally delivered or when mailed
by U.S. registered or certified mail, return receipt requested and postage prepaid. In the case of the Executive, mailed notices shall be addressed to the Executive at his or her home address most recently communicated to the Company in writing. In
the case of the Company, mailed notices shall be addressed to its corporate headquarters, and all notices shall be directed to the attention of its Secretary. 
 (b)    Notice of Termination. Any termination by the Company for Cause or by the Executive as a result of a
voluntary resignation or a Constructive Termination shall be communicated by a notice of termination to the other party hereto given in accordance with Section 7(a) of this Agreement. Such notice shall indicate the specific termination
provision in this Agreement relied upon, shall set forth in reasonable detail the facts and circumstances claimed to provide a basis for termination under the provision so indicated, and shall specify the termination date (which shall be not more
than 30 days after the giving of such notice). The failure by the 

  

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Executive to include in the notice any fact or circumstance which contributes to a showing of Constructive Termination shall not waive any right of the
Executive hereunder or preclude the Executive from asserting such fact or circumstance in enforcing Executive’s rights hereunder. 
 8.    Miscellaneous Provisions. 
 (a)    No Duty to Mitigate.
The Executive shall not be required to mitigate the amount of any payment contemplated by this Agreement, nor shall any such payment be reduced by any earnings that the Executive may receive from any other source. 
 (b)    Waiver. No provision of this Agreement shall be modified, waived or discharged unless the modification,
waiver or discharge is agreed to in writing and signed by the Executive and by an authorized officer of the Company (other than the Executive). No waiver by either party of any breach of, or of compliance with, any condition or provision of this
Agreement by the other party shall be considered a waiver of any other condition or provision or of the same condition or provision at another time. 
 (c)    Headings. All captions and section headings used in this Agreement are for convenient reference only and do not form a part of this Agreement. 
 (d)    Whole Agreement. No agreements, representations or understandings (whether oral or written and whether
express or implied) which are not expressly set forth in this Agreement have been made or entered into by either party with respect to the subject matter hereof. This Agreement represents the entire understanding of the parties hereto with respect
to the subject matter hereof and supersedes all prior arrangements and understandings regarding the same. No future agreements between the Company and the Executive may supersede this Agreement, unless they are in writing and specifically mention
this Section 8(d). In the event that the vesting acceleration provisions of this Agreement with respect to the Executive’s Stock Rights following a termination of employment conflict with any such provision contained in the agreements
documenting such Stock Rights (including any such provisions contained in the Company’s 2000 Incentive Stock Plan or 2006 Equity Incentive Plan), then the provisions of this Agreement shall control. 
 (e)    Choice of Law. The validity, interpretation, construction and performance of this Agreement shall be
governed by the laws of the State of California (with the exception of its conflict of laws provisions). 
 (f)    Severability. The invalidity or unenforceability of any provision or provisions of this Agreement shall not affect the validity or enforceability of any other provision hereof, which shall remain in full
force and effect. 
 (g)    Counterparts. This Agreement may be executed in counterparts, each of
which shall be deemed an original, but all of which together will constitute one and the same instrument. 
 *  *  *

  

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 IN WITNESS WHEREOF, each of the parties has executed this Change in Control Agreement, in the case of the
Company by its duly authorized officer, as of the day and year set forth below. 
  

									
	 COMPANY:
	 		 	 ACOLOGIX, INC.

					
		 		 		 	 By:
	 	  
					
		 		 		 	 Title:
	 	  
					
		 		 		 	 Date:
	 	  
				
	EXECUTIVE:	 		 	  	 	  
		 		 	 Yoshinari Kumagai

 [Signature Page to Change of Control Agreement]Form of At-Will Employement, Confidential Information, Invention Assignment...

 EXHIBIT 10.5 
 ACOLOGIX, INC. 
 AT-WILL EMPLOYMENT, CONFIDENTIAL INFORMATION, 
 INVENTION ASSIGNMENT, 
 AND
ARBITRATION AGREEMENT 
 As a condition of my employment with Acologix, Inc., its subsidiaries, affiliates, successors or assigns
(together the “Company”), and in consideration of my employment with the Company and my receipt of the compensation now and hereafter paid to me by Company, I agree to the following: 
 1.    At-Will Employment. I understand and acknowledge that my employment with the Company is for an unspecified
duration and constitutes “at-will” employment. I also understand that any representation to the contrary is unauthorized and not valid unless obtained in writing and signed by the President of the Company. I acknowledge that this
employment relationship may be terminated at any time, with or without good cause or for any or no cause, at the option either of the Company or myself, with or without notice. 
 2.    Confidential Information. 
 (a)    Company Information. I agree at all times during the term of my employment and thereafter, to
hold in strictest confidence, and not to use, except for the benefit of the Company, or to disclose to any person, firm or corporation without written authorization of the Board of Directors of the Company, any Confidential Information of the
Company, except under a non-disclosure agreement duly authorized and executed by the Company. I understand that “Confidential Information” means any non-public information that relates to the actual or anticipated business or research and
development of the Company, technical data, trade secrets or know-how, including, but not limited to, research, product plans or other information regarding Company’s products or services and markets therefor, customer lists and customers
(including, but not limited to, customers of the Company on whom I called or with whom I became acquainted during the term of my employment), markets, software, developments, inventions, processes, formulas, technology, designs, drawings,
engineering, hardware configuration information, marketing, finances or other business information disclosed to me by the Company either directly or indirectly, in writing, orally or by drawings or observation of parts or equipment. I further
understand that Confidential Information does not include any of the foregoing items which have become publicly known and made generally available through no wrongful act of mine or of others who were under confidentiality obligations as to the item
or items involved or improvements or new versions thereof. 
 (b)    Former Employer
Information. I agree that I will not, during my employment with the Company, improperly use or disclose any proprietary information or trade secrets of any former or concurrent employer or other person or entity and that I will not bring
onto the premises of the Company any unpublished document or proprietary information belonging to any such employer, person or entity unless consented to in writing by such employer, person or entity. 
 (c)    Third Party Information. I recognize that the Company has received and in the future will
receive from third parties their confidential or proprietary information subject to a duty on the Company’s part to maintain the confidentiality of such information and to use it only for certain limited purposes. I agree to hold all such
confidential or proprietary information in the strictest confidence and not to disclose it to any person, firm or corporation or to use it except as necessary in carrying out my work for the Company consistent with the Company’s agreement with
such third party. 
 3.    Inventions. 
 (a)    Inventions Retained and Licensed. I have attached hereto, as Exhibit A, a list describing all
inventions, original works of authorship, developments, improvements, and trade secrets which were made by me prior to my employment with the Company (collectively referred to as “Prior Inventions”), which belong to me, which relate to the
Company’s proposed business, products or research and development, and which are not 

 
assigned to the Company hereunder; or, if no such list is attached, I represent that there are no such Prior Inventions. If in the course of my employment
with the Company, I incorporate into a Company product, process or service a Prior Invention owned by me or in which I have an interest, I hereby grant to the Company a nonexclusive, royalty-free, fully paid-up, irrevocable, perpetual, worldwide
license to make, have made, modify, use and sell such Prior Invention as part of or in connection with such product, process or service, and to practice any method related thereto. 
 (b)    Assignment of Inventions. I agree that I will promptly make full written disclosure to the
Company, will hold in trust for the sole right and benefit of the Company, and hereby assign to the Company, or its designee, all my right, title, and interest in and to any and all inventions, original works of authorship, developments, concepts,
improvements, designs, discoveries, ideas, trademarks or trade secrets, whether or not patentable or registrable under copyright or similar laws, which I may solely or jointly conceive or develop or reduce to practice, or cause to be conceived or
developed or reduced to practice, during the period of time I am in the employ of the Company (collectively referred to as “Inventions”), except as provided in Section 3(f) below. I further acknowledge that all original works of
authorship which are made by me (solely or jointly with others) within the scope of and during the period of my employment with the Company and which are protectible by copyright are “works made for hire,” as that term is defined in the
United States Copyright Act. I understand and agree that the decision whether or not to commercialize or market any invention developed by me solely or jointly with others is within the Company’s sole discretion and for the Company’s sole
benefit and that no royalty will be due to me as a result of the Company’s efforts to commercialize or market any such invention. 
 (c)    Inventions Assigned to the United States. I agree to assign to the United States government all my right, title, and interest in and to any and all Inventions whenever such
full title is required to be in the United States by a contract between the Company and the United States or any of its agencies. 
 (d)    Maintenance of Records. I agree to keep and maintain adequate and current written records of all Inventions made by me (solely or jointly with others) during the term of my employment with the
Company. The records will be in the form of notes, sketches, drawings, and any other format that may be specified by the Company. The records will be available to and remain the sole property of the Company at all times. 
 (e)    Patent and Copyright Registrations. I agree to assist the Company, or its designee, at the
Company’s expense, in every proper way to secure the Company’s rights in the Inventions and any copyrights, patents, mask work rights or other intellectual property rights relating thereto in any and all countries, including the disclosure
to the Company of all pertinent information and data with respect thereto, the execution of all applications, specifications, oaths, assignments and all other instruments which the Company shall deem necessary in order to apply for and obtain such
rights and in order to assign and convey to the Company, its successors, assigns, and nominees the sole and exclusive rights, title and interest in and to such Inventions, and any copyrights, patents, mask work rights or other intellectual property
rights relating thereto. I further agree that my obligation to execute or cause to be executed, when it is in my power to do so, any such instrument or papers shall continue after the termination of this Agreement. If the Company is unable because
of my mental or physical incapacity or for any other reason to secure my signature to apply for or to pursue any application for any United States or foreign patents or copyright registrations covering Inventions or original works of authorship
assigned to the Company as above, then I hereby irrevocably designate and appoint the Company and its duly authorized officers and agents as my agent and attorney in fact, to act for and in my behalf and stead to execute and file any such
applications and to do all other lawfully permitted acts to further the prosecution and issuance of letters patent or copyright registrations thereon with the same legal force and effect as if executed by me. 
 (f)    Exception to Assignments. I understand that the provisions of this Agreement requiring
assignment of Inventions to the Company do not apply to any invention which qualifies fully under the provisions of California Labor Code Section 2870 (attached hereto as Exhibit B). I will advise the Company promptly in writing of any
inventions that I believe meet the criteria in California Labor Code Section 2870 and are not otherwise disclosed on Exhibit A. 
  

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 4.    Conflicting Employment. I agree that, during the term of my
employment with the Company, I will not engage in any other employment, occupation, consulting or other business activity directly related to the business in which the Company is now involved or becomes involved during the term of my employment, nor
will I engage in any other activities that conflict with my obligations to the Company. 
 5.    Returning Company
Documents. I agree that, at the time of leaving the employ of the Company, I will deliver to the Company (and will not keep in my possession, recreate or deliver to anyone else) any and all devices, records, data, notes, reports, proposals,
lists, correspondence, specifications, drawings blueprints, sketches, materials, equipment, other documents or property, or reproductions of any aforementioned items developed by me pursuant to my employment with the Company or otherwise belonging
to the Company, its successors or assigns, including, without limitation, those records maintained pursuant to paragraph 3(d). In the event of the termination of my employment, I agree to sign and deliver the “Termination Certification”
attached hereto as Exhibit C. 
 6.    Notification of New Employer. In the event that I leave the employ
of the Company, I hereby grant consent to notification by the Company to my new employer about my rights and obligations under this Agreement. 
 7.    Solicitation of Employees. I agree that for a period of twelve (12) months immediately following the termination of my relationship with the Company for any reason, whether with or without cause,
I shall not either directly or indirectly solicit, induce, recruit or encourage any of the Company’s employees to leave their employment, or take away such employees, or attempt to solicit, induce, recruit, encourage or take away employees of
the Company, either for myself or for any other person or entity. 
 8.    Conflict of Interest Guidelines.
I agree to diligently adhere to the Conflict of Interest Guidelines attached as Exhibit D hereto. 
 9.    Representations. I agree to execute any proper oath or verify any proper document required to carry out the terms of this Agreement. I represent that my performance of all the terms of this Agreement
will not breach any agreement to keep in confidence proprietary information acquired by me in confidence or in trust prior to my employment by the Company. I hereby represent and warrant that I have not entered into, and I agree I will not enter
into, any oral or written agreement in conflict herewith. 
 10.    Arbitration and Equitable Relief.

 (a)    Arbitration. In consideration of my employment with the Company, its promise to
arbitrate all employment-related disputes and my receipt of the compensation, pay raises and other benefits paid to me by the Company, at present and in the future, I agree that any and all controversies, claims, or disputes with anyone (including
the Company and any employee, officer, director, shareholder or benefit plan of the Company in their capacity as such or otherwise) arising out of, relating to, or resulting from my employment with the Company or the termination of my employment
with the Company, including any breach of this Agreement, shall be subject to binding arbitration under the arbitration rules set forth in California Code of Civil Procedure Section 1280 through 1294.2, including Section 1283.05 (the
“Rules”) and pursuant to California law. Disputes which I agree to arbitrate, and thereby agree to waive any right to a trial by jury, include any statutory claims under state or federal law, including, but not limited to, claims under
Title VII of the Civil Rights Act of 1964, the Americans With Disabilities Act of 1990, the Age Discrimination in Employment Act of 1967, the Older Workers Benefit Protection Act, the Worker Adjustment and Retraining Notification Act, the California
Fair Employment and Housing Act, the Family and Medical Leave Act, the California Family Rights Act, the California Labor Code, claims of harassment, discrimination or wrongful termination and any statutory claims. I further understand that this
Agreement to arbitrate also applies to any disputes that the Company may have with me. 
 (b)    Procedure. I agree that any arbitration will be administered by the American Arbitration Association (“AAA”) and that a neutral arbitrator will be selected in a manner consistent with its
National Rules for the Resolution of Employment Disputes. I agree that the arbitrator shall have the power to decide any motions brought by any party to the arbitration, including motions for summary judgment and/or adjudication and motions 

  

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to dismiss and demurrers, prior to any arbitration hearing. I agree that the arbitrator shall issue a written decision on the merits. I also agree that the
arbitrator shall have the power to award any remedies, including attorneys’ fees and costs, available under applicable law. I understand that the Company will pay for any administrative or hearing fees charged by the arbitrator or AAA except
that I shall pay the first $125.00 of any filing fees associated with any arbitration I initiate. I agree that the arbitrator shall administer and conduct any arbitration in a manner consistent with the Rules and that to the extent that the
AAA’s National Rules for the Resolution of Employment Disputes conflict with the Rules, the Rules shall take precedence. 
 (c)    Remedy. Except as provided by the Rules and this Agreement, arbitration shall be the sole, exclusive and final remedy for any dispute between me and the Company. Accordingly, except as provided for
by the Rules and this Agreement, neither I nor the Company will be permitted to pursue court action regarding claims that are subject to arbitration. Notwithstanding, the arbitrator will not have the authority to disregard or refuse to enforce any
lawful company policy, and the arbitrator shall not order or require the Company to adopt a policy not otherwise required by law which the Company has not adopted. 
 (d)    Availability of injunctive relief. Both parties agree that any party may petition a court for
injunctive relief as permitted by the Rules, including, but not limited to, where either party alleges or claims a violation of the At-Will Employment, Confidential Information, Invention Assignment, and Arbitration Agreement between me and the
Company or any other agreement regarding trade secrets, confidential information, nonsolicitation or Labor Code §2870. Both parties understand that any breach or threatened breach of such an agreement will cause irreparable injury and that
money damages will not provide an adequate remedy therefor and both parties hereby consent to the issuance of an injunction. In the event either party seeks injunctive relief, the prevailing party shall be entitled to recover reasonable costs and
attorneys’ fees. 
 (e)    Administrative relief. I understand that this Agreement
does not prohibit me from pursuing an administrative claim with a local, state or federal administrative body such as the Department of Fair Employment and Housing, the Equal Employment Opportunity Commission or the Workers’ Compensation Board.
This Agreement does, however, preclude me from pursuing court action regarding any such claim. 
 (f)    Voluntary nature of agreement. I acknowledge and agree that I am executing this Agreement voluntarily and without any duress or undue influence by the Company or anyone else. I further acknowledge
and agree that I have carefully read this Agreement and that I have asked any questions needed for me to understand the terms, consequences and binding effect of this Agreement and fully understand it, including that I AM WAIVING MY RIGHT TO A JURY
TRIAL. Finally, I agree that I have been provided an opportunity to seek the advice of an attorney of my choice before signing this Agreement. 
 11.    General Provisions. 
 (a)    Governing Law;
Consent to Personal Jurisdiction. This Agreement will be governed by the laws of the State of California. I hereby expressly consent to the personal jurisdiction of the state and federal courts located in California for any lawsuit filed
there against me by the Company arising from or relating to this Agreement. 
 (b)    Entire
Agreement. This Agreement sets forth the entire agreement and understanding between the Company and me concerning the subject matter herein and supersedes all prior discussions or representations between us including, but not limited to, any
representations made during my interview(s) or relocation negotiations, whether written or oral. No modification of or amendment to this Agreement, nor any waiver of rights under this Agreement, will be effective unless in writing signed by the
President of the Company and me. Any subsequent change or changes in my duties, salary or compensation will not affect the validity or scope of this Agreement. 
 (c)    Severability. If one or more of the provisions in this Agreement are deemed void by law, then
the remaining provisions will continue in full force and effect. 
  

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 (d)    Successors and Assigns. This Agreement will be
binding upon my heirs, executors, administrators and other legal representatives and will be for the benefit of the Company, its successors, and its assigns. 
  

			
		
	Date:	 	  

  

	
	
	  
	 Signature

	
	  
	 Name of Employee (typed or printed)

  

	
	
	 Witness:

	
	  
	 Signature

	
	  
	 Name (typed or printed)

  

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 Exhibit A 
 LIST OF PRIOR INVENTIONS 
 AND ORIGINAL WORKS OF AUTHORSHIP 
  

					
	         Title        
	  	         Date        
	  	 Identifying Number or Brief Description

		  		  	
		  		  	
		  		  	
		  		  	
		  		  	
		  		  	
		  		  	
		  		  	
		  		  	
		  		  	
		  		  	
		  		  	
		  		  	

             No inventions or improvements

             Additional Sheets Attached 
 Signature of
Employee:                                      
                     
 Print Name of
Employee:                                      
                 
 Date:                                     
                                        
                 

 Exhibit B 
 CALIFORNIA LABOR CODE SECTION 2870 
 INVENTION ON OWN TIME – EXEMPTION FROM AGREEMENT

 (a)    Any provision in an employment agreement which provides that an employee shall assign, or offer to assign,
any of his or her rights in an invention to his or her employer shall not apply to an invention that the employee developed entirely on his or her own time without using the employer’s equipment, supplies, facilities, or trade secret
information except for those inventions that either: 
 (1)    Relate at the time of conception or
reduction to practice of the invention to the employer’s business, or actual or demonstrably anticipated research or development of the employer; or 
 (2)    Result from any work performed by the employee for the employer. 
 (b)    To the extent a provision in an employment agreement purports to require an employee to assign an invention otherwise excluded from being required to be assigned under subdivision (a), the provision is against the
public policy of this state and is unenforceable.” 

 Exhibit C 
 ACOLOGIX, INC. 
 TERMINATION CERTIFICATION 
 This is to certify that I do not have in my possession, nor have I failed to return, any devices, records, data, notes, reports, proposals, lists,
correspondence, specifications, drawings, blueprints, sketches, materials, equipment, other documents or property, or reproductions of any aforementioned items belonging to Acologix, Inc., its subsidiaries, affiliates, successors or assigns
(together, the “Company”). 
 I further certify that I have complied with all the terms of the Company’s At-Will Employment,
Confidential Information, Invention Assignment, and Arbitration Agreement signed by me, including the reporting of any inventions and original works of authorship (as defined therein), conceived or made by me (solely or jointly with others) covered
by that agreement. 
 I further agree that, in compliance with the Employment, Confidential Information, Invention Assignment, and
Arbitration Agreement, I will preserve as confidential all trade secrets, confidential knowledge, data or other proprietary information relating to products, processes, know-how, designs, formulas, developmental or experimental work, computer
programs, data bases, other original works of authorship, customer lists, business plans, financial information or other subject matter pertaining to any business of the Company or any of its employees, clients, consultants or licensees. 

I further agree that for twelve (12) months from this date, I will not hire any employees of the Company and I will not solicit, induce, recruit
or encourage any of the Company’s employees to leave their employment. 
  

	Date:                                     
                                 		 

  

	
	
	  
	 (Employee’s Signature)

	
	  
	 (Type/Print Employee’s Name)

 Exhibit D 
 ACOLOGIX, INC. 
 CONFLICT OF INTEREST GUIDELINES 
 It is the policy of Acologix, Inc. to conduct its affairs in strict compliance with the letter and spirit of the law and to adhere to the highest
principles of business ethics. Accordingly, all officers, employees and independent contractors must avoid activities which are in conflict, or give the appearance of being in conflict, with these principles and with the interests of the Company.
The following are potentially compromising situations which must be avoided. Any exceptions must be reported to the President and written approval for continuation must be obtained. 
 1.    Revealing confidential information to outsiders or misusing confidential information. Unauthorized divulging of information is
a violation of this policy whether or not for personal gain and whether or not harm to the Company is intended. (The At-Will Employment, Confidential Information, Invention Assignment, and Arbitration Agreement elaborates on this principle and is a
binding agreement.) 
 2.    Accepting or offering substantial gifts, excessive entertainment, favors or payments which
may be deemed to constitute undue influence or otherwise be improper or embarrassing to the Company. 
 3.    Participating in civic or professional organizations that might involve divulging confidential information of the Company. 
 4.    Initiating or approving personnel actions affecting reward or punishment of employees or applicants where there is a family relationship or is or appears to be a personal or social
involvement. 
 5.    Initiating or approving any form of personal or social harassment of employees. 
 6.    Investing or holding outside directorship in suppliers, customers, or competing companies, including financial speculations,
where such investment or directorship might influence in any manner a decision or course of action of the Company. 
 7.    Borrowing from or lending to employees, customers or suppliers. 
 8.    Acquiring
real estate of interest to the Company. 
 9.    Improperly using or disclosing to the Company any proprietary
information or trade secrets of any former or concurrent employer or other person or entity with whom obligations of confidentiality exist. 
 10.    Unlawfully discussing prices, costs, customers, sales or markets with competing companies or their employees. 
 11.    Making any unlawful agreement with distributors with respect to prices. 
 12.    Improperly using or authorizing the use of any inventions which are the subject of patent claims of any other person or entity. 

 13.    Engaging in any conduct which is not in the best interest of the Company.

 Each officer, employee and independent contractor must take every necessary action to ensure compliance with these guidelines and to bring
problem areas to the attention of higher management for review. Violations of this conflict of interest policy may result in discharge without warning.

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