Document:

exv10w75

Exhibit 10.75

December 31, 2008

Ullico Inc.

1625 Eye Street, NW

Washington, D.C. 20006

			
	          Re:	 	That certain Commercial Loan Agreement, dated as of December 31, 2008 (the
“Loan Agreement”), by and between (i) Patriot Risk Management, Inc., PRS Group, Inc.,
Guarantee Insurance Group, Inc., Patriot Risk Services, Inc., Patriot Risk Management
of Florida, Inc. and SunCoast Capital, Inc. (collectively, the “Borrowers”) and (ii)
Ullico Inc., a Maryland corporation (the “Lender”)

Ladies and Gentlemen:

     Reference is hereby made to the Loan Agreement. Unless’ otherwise defined herein, capitalized
terms shall have their respective meanings set forth in the Loan Agreement.

     In connection with the execution of the Loan Agreement and the closing thereunder, the
Borrowers and Steven M. Mariano acknowledge that they have not delivered proof of the funding of
the $500,000 additional equity investment by Mr. Mariano in accordance with Section 31(b)(i) of the
Loan Agreement (it being acknowledged that only $500,000 of the $1,000,000 equity
investment required pursuant to Section 31(b)(i) of the Loan Agreement has been made as of the date
hereof and the additional $500,000 shall be made by Mr. Mariano in accordance with the terms of
this letter agreement).

     Notwithstanding such failure and the terms of Section 31(b)(i) and Section 8(a)(ii) of the
Loan Agreement, and subject to the terms of this letter agreement, the Lender has agreed to
consummate the closing and make the Loan pursuant to the Loan Agreement. Subject to the terms of
this letter agreement, the Lender acknowledges that such failure shall not constitute an Event of
Default under the Loan Agreement.

     The
Borrowers and Mr. Mariano each agree and covenant that, notwithstanding any of the terms,
conditions, representations or warranties contained in the Loan Agreement, the Borrowers and Mr.
Mariano shall deliver to the Lender proof, in a form reasonably acceptable to the Lender, that Mr.
Mariano has funded the additional $500,000 equity investment required by Section 31(b)(i) of the
Loan Agreement on or before 12:01 p.m. on January 6, 2009. Attached to this letter agreement is
written approval by Mr. Mariano’s home’ equity lender that he will have sufficient funds to satisfy
such requirement on or before 12:01 p.m. on January 6, 2009.

[Signature page follows]

401 E. Las Olas Blvd., Ste 1540 Fort Lauderdale, FL 33301 phone 954.670.2937 fax 954.779.3556 www.prmigroup.com

 

 

December 31, 2008

Page 2 of 2

     Failure by the Borrowers and Mr. Mariano to satisfy any of the conditions set forth above shall
constitute an immediate Event of Default under the Loan Agreement.

	 	 	 	 	 
	 	Very truly yours,

PATRIOT RISK MANAGEMENT, INC.

 	 
	 	By:  	/s/ Steven M. Mariano
 	 
	 	 	Name:  	Steven M. Mariano 	 
	 	 	Title:  	President 	 
	 

	 	 	 	 	 
	 	 	 
	 	     /s/ Steven M. Mariano
 	 
	 	Steven M. Marianoexv10w76

Exhibit 10.76

December 31, 2008

Ullico Inc.

1625 Eye Street, NW

Washington, D.C. 20006

	 	 	 
	Re:

	 	Commercial Loan Agreement, dated as of December 31, 2008 (the “Loan Agreement”), by and
between (i) Patriot Risk Management, Inc., PRS
Group, Inc., Guarantee Insurance Group, Inc., Patriot Risk Services, Inc.,
Patriot Risk Management of Florida, Inc. and SunCoast Capital, Inc. (collectively,
the “Borrowers”) and (ii) Ullico Inc., a Maryland corporation (the “Lender”)

Ladies and Gentlemen:

     Reference is hereby made to the Loan Agreement. Unless otherwise defined herein, capitalized
terms shall have their respective meanings set forth in the Loan Agreement.

     In connection with the execution of the Loan Agreement and the closing thereunder, Borrowers
acknowledge that they have not delivered the following to Lender:

	 	(i)	 	Secretary’s Certificate, with all applicable exhibits, for Patriot Risk Management of
Florida, Inc.;
	 
	 	(ii)	 	Secretary’s Certificate, with all applicable exhibits, for SunCoast Capital, Inc.;
	 
	 	(iii)	 	Perfection Certificate for Patriot Risk Management of Florida, Inc.; and
	 
	 	(iv)	 	Perfection Certificate for SunCoast Capital, Inc.

     The items described in clauses (i) through (iv) above are referred to herein as the
“Deliverables”.

     Notwithstanding such failure and the terms of Section 31(b) of the Loan Agreement, and subject
to the terms of this letter agreement, Lender has agreed to consummate the closing and make the
referenced $5,450,000 loan to Borrowers pursuant to the Loan Agreement. Borrowers agree and
covenant that, notwithstanding any of the terms, conditions, representations or warranties
contained in the Loan Agreement, Borrowers shall deliver to Lender the Deliverables on or before
January 5, 2009.

401 E. Las Olas Blvd., Ste 1540     Fort Lauderdale, FL 33301     PHONE 954.670.2937     FAX 954.779.3556     www.prmigroup.com

 

 

December 31, 2008

Page 2

     Failure by Borrowers to satisfy any of the conditions set forth above shall constitute an
Event of Default under the Loan Agreement.

	 	 	 	 	 
	 	Very truly yours,

PATRIOT RISK MANAGEMENT, INC.

 	 
	 	By:  	/s/ Steven M. Mariano
 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 
	 	PRS GROUP, INC.

 	 
	 	By:  	/s/ Eric S. Dawson
 	 
	 	 	Name:  	Eric S. Dawson 	 
	 	 	Title:  	Secretary 	 
	 
	 	GUARANTEE INSURANCE GROUP, INC.

 	 
	 	By:  	/s/ Steven M. Mariano
 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 
	 	PATRIOT RISK SERVICES, INC.

 	 
	 	By:  	/s/ Eric S. Dawson
 	 
	 	 	Name:  	Eric S. Dawson 	 
	 	 	Title:  	Secretary 	 
	 
	 	PATRIOT RISK MANAGEMENT OF FLORIDA, INC.

 	 
	 	By:  	/s/ Eric S. Dawson
 	 
	 	 	Name:  	Eric S. Dawson 	 
	 	 	Title:  	Secretary 	 
	 
	 	SUNCOAST CAPITAL, INC.

 	 
	 	By:  	/s/ Steven M. Mariano
 	 
	 	 	Name:  	 	 
	 	 	Title:exv4w1

Exhibit 4.1

FORM OF FACE OF NOTE

UNLESS THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY TRUST
COMPANY, A NEW YORK CORPORATION (“DTC”), TO THE ISSUER OR ITS AGENT FOR REGISTRATION OF TRANSFER,
EXCHANGE OR PAYMENT, AND ANY CERTIFICATE ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR SUCH
OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY PAYMENT IS MADE TO CEDE
& CO. OR TO SUCH OTHER ENTITY AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC), ANY
TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL
INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN. UNLESS AND UNTIL IT IS
EXCHANGED IN WHOLE OR IN PART FOR INDIVIDUAL SECURITIES REGISTERED IN THE NAMES OF PARTICIPANTS IN
DTC, THIS CERTIFICATE MAY NOT BE TRANSFERRED EXCEPT AS A WHOLE BY DTC OR BY A NOMINEE OF DTC TO DTC
OR A NOMINEE OF DTC OR BY DTC OR ANY SUCH NOMINEE TO A SUCCESSOR DEPOSITORY OR A NOMINEE OF SUCH
SUCCESSOR DEPOSITORY.

			
	 	 	 
	No.                     
	 	$                                        
	 	 	 

TIME WARNER CABLE INC.

3.50 % Note due 2015

CUSIP: 88732J AV0

          Time Warner Cable Inc., a Delaware corporation (such corporation or any successor under the
Indenture referred to on the reverse hereof being called the “Company”), TW NY Cable Holding Inc.,
a Delaware corporation (“TW NY”), and Time Warner Entertainment Company, L.P., a Delaware limited
partnership (“TWE” and, together with TW NY, the “Guarantors”), promise to pay to Cede & Co., or
registered assigns, the principal sum of                                          ($                                  
      ) on February 1, 2015, at the
office or agency of the Company in the Borough of Manhattan, the City and State of New York. This
Note has the benefit of unconditional guarantees by the Guarantors, as more fully described on the
reverse hereof.

	 	 	 	 	 
	 

	 	Interest Payment Dates:
	 	Semi-annually in arrears on February 1 and August 1, beginning August 1, 2010
	 
	 	 	 	 
	 

	 	Record Dates:
	 	January 15 and July 15

          Additional provisions of this Note are set forth on the other side of this Note.

Dated: December 11, 2009

 

 

	 	 	 	 	 	 	 	 
	 	 	TIME WARNER CABLE INC.,
	Attest:	 	 
	 

	 	 	 	by	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	 	 	Name:
	 	 	 	 	 	 	 
	 

	 	 	 	 	 	Title:
	 
	 	 	 	 	 	 
	 	 	TW NY CABLE HOLDING INC.,
  as Guarantor,
	Attest:
	 	 	 	 	 	 
	 

	 	 	 	by	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	 	 	Name:
	 	 	 	 	 	 	 
	 

	 	 	 	 	 	Title:
	 
	 	 	 	 	 	 
	 	 	TIME WARNER ENTERTAINMENT COMPANY, L.P.,
  as Guarantor,
	Attest:

	 	 	 	 	 	 
	 
	 	 	 	by	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	 	 	Name:
	 	 	 	 	 	 	 
	 

	 	 	 	 	 	Title:

 

 

	 	 	 	 	 	 	 
	TRUSTEE’S CERTIFICATE OF
     AUTHENTICATION	 	 
	 
	 	 	 	 	 	 
	This is one of the Securities of the series designated
 therein referred to in
the within-mentioned Indenture.
	 
	 	 	 	 	 	 
	The Bank of New
York Mellon, as Trustee,            	 	 
	 
	 	 	 	 	 	 
	 

	by	 	 	 	 	 
	 

	 	 	 
	 

	Authorized Signatory	 
	 
	 	 	 	 	 	 
	 

	Dated	 	 	 	 	 
	 

	 	 	 

 

 

FORM OF REVERSE SIDE OF NOTE

TIME WARNER CABLE INC.

3.50 % Note due 2015

          This Note (as defined below) is one of the duly authorized issue of senior debentures, notes,
bonds or other evidences of indebtedness (hereinafter called the “Debt Securities”) of the Company
of the series hereinafter specified, all issued or to be issued under and pursuant to the
Indenture, dated as of April 9, 2007, among the Company, TW NY, TWE, and The Bank of New York
Mellon, as Trustee (herein called the “Trustee”), as supplemented by the first supplemental
indenture, dated as of April 9, 2007, between the Company, TW NY, TWE and the Trustee and pursuant
to resolutions adopted by the Offering Committee of the Company on December 8, 2009, as authorized
by the Company’s Board of Directors (as so supplemented, the “Indenture”), to which reference is
hereby made for a statement of the rights, limitations of rights, obligations, duties and
immunities thereunder of the Trustee, and any agent of the Trustee, any Paying Agent, the Company,
the Guarantors and the Holders of the Debt Securities, and the terms upon which the Debt Securities
are issued and may be authenticated and delivered.

          The Debt Securities may be issued in one or more series, which different series may be issued
in various aggregate principal amounts, may mature at different times, may bear interest (if any)
at different rates, may have different conversion prices or exchange provisions (if any), may be
subject to different redemption provisions (if any), may be subject to different sinking, purchase
or analogous funds (if any), may be subject to different covenants and Events of Default and may
otherwise vary as provided or permitted in the Indenture. This Note is one of the series of Debt
Securities of the Company issued pursuant to the Indenture designated as the 3.50 % Notes due 2015
(the “Notes”), initially limited in aggregate principal amount to $500,000,000. The Company may,
without the consent of the Holders of the Notes, issue additional notes having the same ranking,
interest rate, maturity and other terms as the Notes. Any additional notes will, together with the
Notes, constitute a single series of the Notes under the Indenture. No additional notes may be
issued if an Event of Default has occurred with respect to the Notes.

          The Company promises to pay interest from December 11, 2009, on the principal amount of this
Note semi-annually on February 1 and August 1 of each year beginning August 1, 2010 at the office
or agency of the Company in the Borough of Manhattan, The City of New York, in like coin or
currency, at the rate per annum specified in the title hereof. Interest shall be computed on the
basis of a 360-day year of twelve 30-day months. If interest or principal on this Note is payable
on a Saturday, Sunday or any other day when banks are not open for business in The City of New
York, the Company will make the payment on the next business day, and no interest will accrue as a
result of the delay in payment.

 

 

2

          Each of TW NY and TWE, as primary obligor and not merely as surety, irrevocably and
unconditionally guarantees, to each Holder of Notes, and to the Trustee and its successors and
assigns, (i) the full and punctual payment of principal of and interest on the Notes when due,
whether at maturity, by acceleration, by redemption or otherwise, and all other monetary
obligations of the Company under the Indenture (including obligations to the Trustee) and the Notes
and (ii) the full and punctual performance within applicable grace periods of all other obligations
of the Company under the Indenture and the Notes.

          The Guarantees constitute guarantees of payment, performance and compliance and not merely of
collection. The obligation of the Guarantors to make any payments may be satisfied by causing the
Company or any other Person to make such payments. Further, the Guarantors agree to pay any and all
costs and expenses (including reasonable attorney’s fees) incurred by the Trustee or any Holder of
Notes in enforcing any of their respective rights under the Guarantees.

          The interest so payable, and punctually paid or duly provided for, on any February 1 or August
1 will, except as provided in the Indenture, be paid to the Person in whose name this Note (or one
or more Predecessor Securities) is registered at the close of business on the January 15 or July 15
next preceding the interest payment date (herein called the “Regular Record Date”) whether or not a
Business Day, and may, at the option of the Company, be paid by check mailed to the registered
address of such Person. Any such interest which is payable, but is not so punctually paid or duly
provided for, shall forthwith cease to be payable to the registered Holder on such Regular Record
Date and may be paid either to the Person in whose name this Note (or one or more Predecessor
Securities) is registered at the close of business on a Special Record Date for the payment of such
Defaulted Interest to be fixed by the Trustee, notice whereof shall be given to Holders of Notes
not less than 10 days prior to such Special Record Date, or may be paid at any time in any other
lawful manner not inconsistent with the requirements of any securities exchange on which the Notes
may be listed and upon such notice as may be required by such exchange, if such manner of payment
shall be deemed practicable by the Trustee, all as more fully provided in the Indenture.

          Initially, the Trustee will be the Paying Agent and Registrar with respect to this Note. The
Company reserves the right at any time to vary or terminate the appointment of any Paying Agent or
Registrar, to appoint additional or other Paying Agents and other Registrars and to approve any
change in the office through which any Paying Agent or Registrar acts; provided that, there
will at all times be a Paying Agent in The City of New York.

          The Notes will be redeemable at any time and from time to time, as a whole or in part, at the
option of the Company, on at least 30 days, but not more than 60 days, prior notice mailed to the
registered address of each Holder of the Notes to be redeemed, at respective redemption prices
equal to the greater of (i) 100% of the

 

 

 3

principal amount of the Notes to be redeemed and (ii) the sum of the present values of the
Remaining Scheduled Payments, as defined below, discounted to the redemption date, on a semi-annual
basis, assuming a 360-day year consisting of twelve 30-day months, at the Treasury Rate, as defined
below, plus 25 basis points, plus, in either case, accrued interest to the date of redemption that
has not been paid (such redemption price, the “Redemption Price”).

          “Comparable Treasury Issue” means, with respect to the Notes, the United States Treasury
security selected by an Independent Investment Banker as having a maturity comparable to the
remaining term (“Remaining Life”) of the Notes being redeemed that would be utilized, at the time
of selection and in accordance with customary financial practice, in pricing new issues of
corporate debt securities of comparable maturity to the Remaining Life of such Notes.

          “Comparable Treasury Price” means, with respect to any redemption date for the Notes: (1) the
average of two Reference Treasury Dealer Quotations for that redemption date, after excluding the
highest and lowest of four of such Reference Treasury Dealer Quotations; or (2) if the Trustee
obtains fewer than four Reference Treasury Dealer Quotations, the average of all quotations
obtained by the Trustee.

          “Independent Investment Banker” means one of the Reference Treasury Dealers, to be appointed
by the Company.

          “Reference Treasury Dealer” means four primary U.S. Government securities dealers to be
selected by the Company.

          “Reference Treasury Dealer Quotations” means, with respect to each Reference Treasury Dealer
and any redemption date, the average, as determined by the Trustee, of the bid and asked prices for
the Comparable Treasury Issue, expressed in each case as a percentage of its principal amount,
quoted in writing to the Trustee by such Reference Treasury Dealer at 3:00 p.m., New York City
time, on the third business day preceding such redemption date.

          “Remaining Scheduled Payments” means, with respect to each Note to be redeemed, the remaining
scheduled payments of the principal thereof and interest thereon that would be due after the
related redemption date but for such redemption; provided, however, that,
if such redemption date is not an interest payment date with respect to such Note , the amount of
the next succeeding scheduled interest payment thereon will be deemed to be reduced by the amount
of interest accrued thereon to such redemption date.

          “Treasury Rate” means, with respect to any redemption date for the Notes: (1) the yield, under
the heading which represents the average for the immediately preceding week, appearing in the most
recently published statistical release designated “H.15(519)” or any successor publication which is
published weekly by the Board of Governors of the Federal Reserve System and which establishes
yields on actively traded

 

 

4

United States Treasury debt securities adjusted to constant maturity under the caption
“Treasury Constant Maturities,” for the maturity corresponding to the Comparable Treasury Issue;
provided that if no maturity is within three months before or after the maturity date for
the Notes, yields for the two published maturities most closely corresponding to the Comparable
Treasury Issue will be determined and the Treasury Rate will be interpolated or extrapolated from
those yields on a straight line basis, rounding to the nearest month; or (2) if that release, or
any successor release, is not published during the week preceding the calculation date or does not
contain such yields, the rate per annum equal to the semiannual equivalent yield to maturity of the
Comparable Treasury Issue, calculated using a price for the Comparable Treasury Issue (expressed as
a percentage of its principal amount) equal to the Comparable Treasury Price for that redemption
date. The Treasury Rate will be calculated on the third business day preceding the redemption
date.

          On and after the redemption date, interest will cease to accrue on the Notes or any portion
thereof called for redemption, unless the Company defaults in the payment of the Redemption Price,
and accrued interest. On or before the redemption date, the Company shall deposit with a paying
agent, or the Trustee, money sufficient to pay the Redemption Price of and accrued interest on the
Notes to be redeemed on such date. If the Company elects to redeem less than all of the Notes of a
series, then the Trustee will select the particular Notes of such series to be redeemed by such
method as the Trustee deems fair and appropriate.

          If an Event of Default with respect to the Notes shall occur and be continuing, the principal
of all the Notes and all accrued interest thereon may be declared due and payable in the manner,
with the effect and subject to the conditions provided in the Indenture.

          The Indenture permits, with certain exceptions as therein provided, the Company and the
Trustee to enter into supplemental indentures to the Indenture for the purpose of adding any
provisions to or changing in any manner or eliminating any of the provisions of the Indenture or of
modifying in any manner the rights of the Holders of the Debt Securities of each series under the
Indenture with the consent of the Holders of not less than a majority in principal amount of the
Debt Securities at the time Outstanding of all Series to be affected thereby (acting as one class).
The Indenture also permits the Holders of a majority in principal amount of the Debt Securities at
the time Outstanding of each series on behalf of the Holders of all Debt Securities of such series
to waive compliance by the Company with certain provisions of the Indenture and certain past
defaults and their consequences with respect to such series under the Indenture. Any such consent
or waiver by the Holder of this Note shall be conclusive and binding upon such Holder and upon all
future Holders of this Note and of any Note issued upon the registration of transfer hereof or in
exchange hereof or in lieu hereof, whether or not notation of such consent or waiver is made upon
this Note or such other Note. The

 

 

5

 Indenture also permits the release of a Guarantor from its obligations under its Guarantee in
certain circumstances without the consent of the Holders of the Debt Securities.

          No reference herein to the Indenture and no provision of this Note or of the Indenture shall
alter or impair the obligation of the Company, which is absolute and unconditional, to pay the
principal and any premium of and any interest on this Note at the place, rate and respective times
and in the coin or currency prescribed herein and in the Indenture.

          As provided in the Indenture and subject to the satisfaction of certain conditions therein set
forth, including the deposit of certain trust funds in trust, at the Company’s option, either (i)
the Company and the Guarantors shall be deemed to have paid and discharged the entire indebtedness
represented by, and the obligations under, the Debt Securities of any series and to have satisfied
all the obligations (with certain exceptions) under the Indenture relating to the Debt Securities
and the Guarantees of such series or (ii) the Company and the Guarantors shall cease to be under
any obligation to comply with any term, provision or condition of certain restrictive covenants or
provisions set forth in any additions or changes to or deletions from covenants and Events of
Default with respect to the Debt Securities and the Guarantees of such series.

          The Notes are issuable in registered form without coupons, in a minimum denomination of $2,000
and integral multiples of $1,000 in excess of $2,000. Notes may be exchanged for a like aggregate
principal amount of Notes of other authorized denominations at the office or agency of the Company
in the Borough of Manhattan, The City of New York, and in the manner and subject to the limitations
provided in the Indenture.

          Upon due presentment for registration of transfer of this Note at the office or agency of the
Company in the Borough of Manhattan, The City of New York, a new Note or Notes of authorized
denominations for a like aggregate principal amount will be issued to the transferee in exchange
therefor, subject to the limitations provided in the Indenture.

          No service charge shall be made for any such registration of transfer or exchange, but the
Company may require payment of a sum sufficient to cover any tax, assessment or other governmental
charge payable in connection therewith.

          Subject to the provisions of the Indenture, the Company, the Trustee and any agent of the
Company or the Trustee may treat the Person in whose name this Note is registered as the owner
hereof for all purposes, whether or not this Note is overdue, and neither the Company, the Trustee
nor any such agent shall be affected by notice to the contrary.

          Unless otherwise defined herein, all terms used in this Note which are defined in the
Indenture shall have the meanings assigned to them in the Indenture.

 

 

6

          THIS NOTE SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAWS OF THE STATE OF NEW
YORK.

          Unless the certificate of authentication hereon has been manually executed by or on behalf of
the Trustee under the Indenture, this Note shall not be entitled to any benefits under the
Indenture, or be valid or obligatory for any purpose.

          The Company will furnish to any Holder upon written request and without charge to the Holder a
copy of the Indenture. Requests may be made to Time Warner Cable Inc., 60 Columbus Circle, New
York, NY 10023, Attention of Investor Relations.

 

 

7

SCHEDULE OF EXCHANGES OF SECURITIES

          The following exchanges or redemptions of a part of this Global Security have been made:

	 	 	 	 	 	 	 	 	 
	 	 	Amount of Decrease in	 	Amount of Increase in
	 	 	Principal Amount	 	Principal Amount
	 	 	of this	 	of the
	Date of Transaction	 	Global Security	 	Global Security
	 
	 	 	 	 	 	 	 	 

 

 

8

ASSIGNMENT FORM

	 	 	 	 	 
	To assign this Note, fill in the form below:  
	 
	 	 	 	 
	I or we assign and transfer this Note to
	 
	 
	 	 	 	 
	 	 	 
	 
	 	 	 	 
	 
	 	 	 
	(Insert assignee’s soc. sec. or tax ID no.)
	 
	 	 	 	 
	 
	 
	 
	 	 	 	 
	 
	 
	 
	 	 	 	 
	 
	 
	(Print or type assignee’s name, address and zip code)

	 
	 	 	 	 
	and irrevocably appoint  
    agent to transfer this Note on the books of the Company. The agent may substitute another to act
for him.
	 
	 	 	 	 
	 
	 

	 	 	 	 	 	 	 
	Date:

	 	 	Your Signature:	 	 
	 
	 	 	 	 	 
	 

	 	 	 
	 
	(Sign exactly as your name appears on the other side of this Note)

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