Document:

EXHIBIT 10.6

CITIZENS COMMUNITY BANCORP

2004 Recognition and Retention Plan

             1.             Plan Purpose.  The purpose of the Plan is to promote the long-term interests of the
Corporation and its stockholders by providing a means for attracting and retaining directors, advisory
directors and employees of the Corporation and its Affiliates.

             2.             Definitions.  The following definitions are applicable to the Plan:

             "Affiliate" -- means any "parent corporation" or "subsidiary corporation" of the Corporation, as
such terms are defined in Section 424(e) and (f), respectively, of the Code.

             "Award" -- means the grant by the Committee of Restricted Stock, as provided in the Plan.

            "Award Agreement" -- means the agreement evidencing the grant of an Award made under the
Plan.

            "Board" -- means the board of directors of the Corporation.

            "Code" -- means the Internal Revenue Code of 1986, as amended.

             "Committee" -- means the Committee referred to in Section 3 hereof.

             "Corporation" -- means Citizens Community Bancorp.

            "Financial Institution" - means Citizens Community Federal or any successor entity.

            "OTS" - means the Office of Thrift Supervision of the Department of the Treasury or any
successor administrative agency.

             "Participant" -- means any director, advisory director or employee of the Corporation or any
Affiliate who is selected by the Committee to receive an Award.  

             "Plan" -- means this Citizens Community Bancorp 2004 Recognition and Retention Plan.

             "Restricted Period" -- means the period of time selected by the Committee for the purpose of
determining when restrictions are in effect under Section 5 hereof with respect to Restricted Stock
awarded under the Plan.

            "Restricted Stock" -- means Shares awarded to a Participant by the Committee pursuant to Section
5 hereof.

            "Shares" -- means the shares of common stock of the Corporation.

             "Termination of Service" -- means cessation of service, for any reason, whether voluntary or
involuntary, so that the affected individual is not a director, advisory director or employee of the
Corporation or any Affiliate.  Service shall not be considered to have ceased in the case of sick leave,

 

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military leave or any other leave of absence approved by the Corporation or any Affiliate or in the case of
transfers between payroll locations of the Corporation or between the Corporation, its subsidiaries or its
successor.  

             3.             Administration.  The Plan shall be administered by a Committee consisting of two or
more members of the Board, each of whom (i) shall be an "outside director," as defined under Section
162(m) of the Code and the Treasury regulations thereunder, and (ii) shall be a "non-employee director,"
as defined under Rule 16(b) of the Securities Exchange Act of 1934 or any similar or successor
provision.  The members of the Committee shall be appointed by the Board.  Except as limited by the
express provisions of the Plan or by resolutions adopted by the Board, the Committee shall have sole and
complete authority and discretion to (i) select Participants and grant Awards; (ii) determine the number
of Shares to be subject to types of Awards generally, as well as to individual Awards granted under the
Plan; (iii) determine the terms and conditions upon which Awards shall be granted under the Plan;
(iv) prescribe the form and terms of Award Agreements; (v) establish from time to time regulations for
the administration of the Plan; and (vi) interpret the Plan and make all determinations deemed necessary
or advisable for the administration of the Plan.

             A majority of the Committee shall constitute a quorum, and the acts of a majority of the members
present at any meeting at which a quorum is present, or acts approved in writing by a majority of the
Committee without a meeting, shall be acts of the Committee.

             4.             Shares Subject to Plan.  Subject to adjustment by the operation of Section 6, the
maximum number of Shares with respect to which Awards may be made under the Plan is 59,618.  The
Shares with respect to which Awards may be made under the Plan may be either authorized and unissued
Shares or previously issued Shares reacquired and held as treasury Shares.  An Award shall not be
considered to have been made under the Plan with respect to Restricted Stock which is forfeited, and new
Awards may be granted under the Plan with respect to the number of Shares as to which such forfeiture
has occurred.

            5.            Terms and Conditions of Restricted Stock.  The Committee is hereby authorized to grant
Awards of Restricted Stock to Participants with the following terms and conditions and with such
additional terms and conditions as the Committee shall determine:

                        (a)            At the time of an Award of Restricted Stock, the Committee shall establish for
each Participant a Restricted Period, during which or at the expiration of which, as the Committee shall
determine and provide in the Award Agreement, the Shares awarded as Restricted Stock shall no longer
be subject to restriction.  Subject to any such other terms and conditions as the Committee shall provide,
Shares of Restricted Stock may not be sold, assigned, transferred, pledged or otherwise encumbered by
the Participant, except as hereinafter provided, during the Restricted Period.  Except for these
restrictions, and subject to paragraph (c) of this Section 5 and Section 6 hereof, the Participant as owner
of such Shares shall have all the rights of a stockholder.

                                    No director who is not an employee of the Corporation shall be granted Awards
with respect to more than 5% of the total Shares subject to the Plan.  All non-employee directors of the
Corporation, in the aggregate, may not be granted Awards with respect to more than 30% of the total
Shares subject to the Plan, and no individual shall be granted Awards with respect to more than 25% of
the total Shares subject to the Plan.  No Awards shall begin vesting earlier than one year from the date
the Plan is ratified by stockholders of the Corporation, no Awards shall vest at a rate in excess of 20%
per year beginning from the date of grant, and such vesting shall not be accelerated except in the event of
the Participant's death or disability, or in connection with a change in control (as set forth in Section 8 of
this Plan).

 

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                                    Subject to compliance with OTS regulations, the Committee shall have the
authority, in its discretion, to accelerate the time at which any or all of the restrictions shall lapse with
respect thereto, or to remove any or all of such restrictions, whenever it may determine that such action is
appropriate by reason of changes in applicable tax or other laws or other changes in circumstances
occurring after the commencement of such Restricted Period.

                        (b)            If a Participant incurs a Termination of Service for any reason (other than death,
disability or in connection with a change in control), all Shares of Restricted Stock awarded to such
Participant and which at the time of such Termination of Service are subject to the restrictions imposed
pursuant to paragraph (a) of this Section 5 shall upon such Termination of Service be forfeited and
returned to the Corporation.  If a Participant incurs a Termination of Service by reason of death or
disability, the Restricted Period with respect to the Participant's Restricted Stock then still subject to
restrictions shall thereupon lapse.

                        (c)            Each certificate in respect of Shares of Restricted Stock awarded under the Plan
shall be registered in the name of the Participant and deposited by the Participant, together with a stock
power endorsed in blank, with the Corporation and shall bear the following (or a similar) legend:

                        	         The transferability of this certificate and the Shares of stock
represented hereby are subject to the terms and conditions (including
forfeiture) contained in the Citizens Community Bancorp 2004
Recognition and Retention Plan.  Copies of such Plan are on file in
the office of the Secretary of Citizens Community Bancorp, 2174
EastRidge Center, Eau Claire, Wisconsin  54701.

                        (d)            At the time of any Award, the Participant shall enter into an Award Agreement
with the Corporation in a form specified by the Committee, agreeing to the terms and conditions of the
Award and such other matters as the Committee, in its sole discretion, shall determine.

                        (e)            Upon the lapse of the Restricted Period, the Corporation shall redeliver to the
Participant (or where the relevant provision of paragraph (b) of this Section 5 applies in the case of a
deceased Participant, to his legal representative, beneficiary or heir) the certificate(s) and stock power
deposited with it pursuant to paragraph (c) of this Section 5, and the Shares represented by such
certificate(s) shall be free of the restrictions imposed pursuant to paragraph (a) of this Section 5.

            6.             Adjustments Upon Changes in Capitalization.  In the event of any change in the
outstanding Shares subsequent to the effective date of the Plan by reason of any reorganization,
recapitalization, stock split, stock dividend, combination or exchange of shares, merger, consolidation or
any change in the corporate structure or Shares of the Corporation, the maximum aggregate number and
class of shares as to which Awards may be granted under the Plan and the number and class of shares
with respect to which Awards have been granted under the Plan shall be appropriately adjusted by the
Committee, whose determination shall be conclusive.  Any Award which is adjusted as a result of this
Section 6 shall be subject to the same restrictions as the original Award, and the certificate[s] or other
instruments representing or evidencing such Restricted Stock shall be legended and deposited with the
Corporation in the manner provided in Section 5(c) hereof.

 

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             7.             Assignments and Transfers.  During the Restricted Period, no Award nor any right or
interest of a Participant in any instrument evidencing an Award may be assigned, encumbered or
transferred other than by will, the laws of descent and distribution or pursuant to a "domestic relations
order," as defined in Section 414(p)(1)(B) of the Code.

             8.             Effect of Change in Control.  Each of the events specified in the following clauses (i)
through (iii) of this Section 8 shall be deemed a "change in control":  (i) any third person, including a
"group" as defined in Section 13(d)(3) of the Securities Exchange Act of 1934, shall become the
beneficial owner of shares of the Corporation with respect to which 25% or more of the total number of
votes for the election of the Board may be cast, (ii) as a result of, or in connection with, any cash tender
offer, merger or other business combination, sale of assets or contested election, or combination of the
foregoing, the persons who were directors of the Corporation shall cease to constitute a majority of the
Board, or (iii) the stockholders of the Corporation shall approve an agreement providing either for a
transaction in which the Corporation will cease to be an independent publicly owned corporation or for a
sale or other disposition of all or substantially all the assets of the Corporation.  If a tender offer or
exchange offer for Shares (other than such an offer by the Corporation) is commenced, or if a change in
control shall occur, unless the Committee shall have otherwise provided in the Award Agreement, any
Restricted Period with respect to Restricted Stock theretofore awarded to such Participant shall lapse and
all Shares awarded hereunder as Restricted Stock shall become fully vested in the Participant to whom
such Shares were awarded; provided, however, that no Award which has previously been forfeited shall
become vested. 

             9.             Employee Rights Under the Plan.  No person shall have a right to be selected as a
Participant nor, having been so selected, to be selected again as a Participant, and no employee or other
person shall have any claim or right to be granted an Award under the Plan or under any other incentive
or similar plan of the Corporation or any Affiliate.  Neither the Plan nor any action taken thereunder shall
be construed as giving any employee any right to be retained in the employ of the Corporation or any
Affiliate.

             10.             Delivery and Registration of Stock.  The Corporation's obligation to deliver Shares
with respect to an Award shall, if the Committee so requests, be conditioned upon the receipt of a
representation as to the investment intention of the Participant to whom such Shares are to be delivered,
in such form as the Committee shall determine to be necessary or advisable to comply with the provisions
of the Securities Act of 1933 or any other federal, state or local securities legislation.  It may be provided
that any representation requirement shall become inoperative upon a registration of the Shares or other
action eliminating the necessity of such representation under such Securities Act or other securities
legislation.  The Corporation shall not be required to deliver any Shares under the Plan prior to (i) the
admission of such Shares to listing on any stock exchange on which Shares may then be listed and (ii) the
completion of such registration or other qualification of such Shares under any state or federal law, rule
or regulation, as the Committee shall determine to be necessary or advisable.

             11.             Withholding Tax.  Upon the termination of the Restricted Period with respect to any
Shares of Restricted Stock (or at any such earlier time, if any, that an election is made by the Participant
under Section 83(b) of the Code, or any successor provision thereto, to include the value of such Shares
in taxable income), the Corporation shall have the right to require the Participant or other person
receiving such Shares to pay the Corporation the amount of any taxes which the Corporation is required
to withhold with respect to such Shares, or, in lieu thereof, to retain or sell without notice, a sufficient
number of Shares held by it to cover the amount required to be withheld.  The Corporation shall have the
right to deduct from all dividends paid with respect to Shares of Restricted Stock the amount of any taxes
which the Corporation is required to withhold with respect to such dividend payments.

 

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             12.             Amendment or Termination.  

                        (a)            Except to the extent prohibited by OTS regulations, the Board may amend,
alter, suspend, discontinue, or terminate the Plan without the consent of shareholders or Participants,
except that any such action will be subject to the approval of the Corporation's shareholders if, when and
to the extent such shareholder approval is necessary or required for purposes of any applicable federal or
state law or regulation or the rules of any stock exchange or automated quotation system on which the
Shares may then be listed or quoted, or if the Board, in its discretion, determines to seek such shareholder
approval.

                        (b)            Except to the extent prohibited by OTS regulations, the Committee may waive
any conditions of or rights of the Corporation or modify or amend the terms of any outstanding Award.
The Committee may not, however, amend, alter, suspend, discontinue or terminate any outstanding
Award without the consent of the Participant or holder thereof, except as otherwise provided herein.

             13.             Effective Date and Term of Plan.  The Plan shall become effective upon the later of
its adoption by the Board or its approval by the shareholders of the Corporation.  It shall continue in
effect for a term of fifteen years thereafter unless sooner terminated under Section 12 of this Plan.

 

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End.EXHIBIT 10.1

THIS NOTE AND THE COMMON SHARES  ISSUABLE UPON  CONVERSION OF THIS NOTE HAVE NOT
BEEN  REGISTERED  UNDER THE  SECURITIES  ACT OF 1933,  AS AMENDED,  OR ANY STATE
SECURITIES  LAWS.  THIS NOTE AND THE COMMON SHARES  ISSUABLE UPON  CONVERSION OF
THIS NOTE MAY NOT BE SOLD,  OFFERED  FOR SALE,  PLEDGED OR  HYPOTHECATED  IN THE
ABSENCE OF AN  EFFECTIVE  REGISTRATION  STATEMENT AS TO THIS NOTE UNDER SAID ACT
AND ANY APPLICABLE  STATE  SECURITIES  LAWS OR AN OPINION OF COUNSEL  REASONABLY
SATISFACTORY TO INCENTRA SOLUTIONS, INC. THAT SUCH REGISTRATION IS NOT REQUIRED.

                              CONVERTIBLE TERM NOTE

                  FOR  VALUE  RECEIVED,   INCENTRA  SOLUTIONS,  INC.,  a  Nevada
Corporation (the "COMPANY"), promises to pay to ___________________________ (the
"HOLDER")  or its  registered  assigns or  successors  in  interest,  the sum of
_______________________,  together with any accrued and unpaid interest  hereon,
on June 6, 2007 (the "MATURITY DATE") if not sooner paid.

                  Capitalized  terms used herein without  definition  shall have
the  meanings  ascribed to such terms in that certain  Note  Purchase  Agreement
dated as of the date  hereof by and  between  the  Company  and the  Holder  (as
amended,   modified  and/or  supplemented  from  time  to  time,  the  "PURCHASE
AGREEMENT").

                  The following terms shall apply to this Note:

                                   ARTICLE I
                         CONTRACT RATE AND AMORTIZATION

                  1.1 CONTRACT RATE. Subject to Sections 4.2 and 5.10,  interest
payable on the outstanding  principal  amount of this Convertible Term Note (the
"Note" and the "PRINCIPAL AMOUNT" respectively) shall accrue at a rate of twelve
percent (12%) per annum (the "INTEREST RATE").

                  1.2 PAYMENT.  Any outstanding  Principal  Amount together with
any accrued and unpaid  interest and any and all other unpaid  amounts which are
then owing by the Company to the Holder under this Note, the Purchase  Agreement
and/or any other  Related  Agreement  shall be due and  payable on the  Maturity
Date.

                                   ARTICLE II
                           HOLDER'S CONVERSION RIGHTS

                  2.1 OPTIONAL  CONVERSION  BY HOLDER.  Subject to the terms set
forth  in this  Article  III,  the  Holder  shall  have the  right,  but not the
obligation,  to  convert  all  or any  portion  of

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the issued and outstanding Principal Amount and/or accrued interest and fees due
and payable  into fully paid and  nonassessable  shares of Common Stock at $1.40
per share (the "CONVERSION PRICE"). The shares of Common Stock to be issued upon
such  conversion  are  herein  referred  to as,  the  "CONVERSION  SHARES."

                  2.2 CONVERSION LIMITATION.  Notwithstanding anything herein to
the contrary, in no event shall the Holder be entitled to convert any portion of
this Note in excess of that portion of this Note upon  exercise of which the sum
of (1) the number of shares of Common Stock beneficially owned by the Holder and
its  Affiliates  (other  than  shares  of  Common  Stock  which  may  be  deemed
beneficially owned through the ownership of the unconverted portion of this Note
or the  unexercised or  unconverted  portion of any other security of the Holder
subject to a limitation on  conversion  analogous to the  limitations  contained
herein)  and (2) the  number  of  shares  of  Common  Stock  issuable  upon  the
conversion  of the portion of this Note with respect to which the  determination
of this  proviso is being made,  would  result in  beneficial  ownership  by the
Holder  and  its  Affiliates  of any  amount  greater  than  9.99%  of the  then
outstanding  shares  of  Common  Stock  (whether  or  not,  at the  time of such
conversion,  the Holder and its Affiliates  beneficially  own more than 9.99% of
the  then  outstanding  shares  of  Common  Stock).  As used  herein,  the  term
"AFFILIATE" means any person or entity that,  directly or indirectly through one
or more intermediaries,  controls or is controlled by or is under common control
with a person or entity,  as such terms are used in and construed under Rule 144
under the  Securities  Act. For purposes of the proviso to the second  preceding
sentence,  beneficial  ownership  shall be determined in accordance with Section
13(d) of the Securities Exchange Act of 1934, as amended,  and Regulations 13D-G
thereunder,  except as  otherwise  provided in clause (1) of such  proviso.  The
limitations  set forth herein (x) may be waived by the Holder upon  provision of
no less than  sixty-one  (61) days  prior  notice to the  Company  and (y) shall
automatically  become null and void (i) following notice to the Company upon the
occurrence and during the  continuance of an Event of Default which has not been
waived  by the  Holder,  or (ii)  upon  receipt  by the  Holder  of a Notice  of
Redemption.

                  2.3  MECHANICS OF HOLDER'S  CONVERSION.  In the event that the
Holder  elects to convert  this Note into Common  Stock,  the Holder  shall give
notice of such  election by  delivering  an  executed  and  completed  notice of
conversion in substantially the form of Exhibit A hereto (appropriate completed)
("NOTICE OF  CONVERSION")  to the Company  and such Notice of  Conversion  shall
provide a  breakdown  in  reasonable  detail of the  Principal  Amount,  accrued
interest  and  fees  that  are  being  converted.  On each  Conversion  Date (as
hereinafter defined) and in accordance with its Notice of Conversion, the Holder
shall make the appropriate  reduction to the Principal Amount,  accrued interest
and fees as entered in its records and shall provide  written  notice thereof to
the Company within two (2) business days after the Conversion Date. Each date on
which a Notice of  Conversion  is  delivered  or  telecopied  to the  Company in
accordance  with the  provisions  hereof shall be deemed a Conversion  Date (the
"CONVERSION  DATE").  Pursuant  to the terms of the  Notice of  Conversion,  the
Company will issue  instructions to the transfer agent accompanied by an opinion
of  counsel  within two (2)  business  days of the date of the  delivery  to the
Company  of the  Notice of  Conversion  and shall  cause the  transfer  agent to
transmit  the  certificates  representing  the  Conversion  Shares to the Holder
within  three (3)  business  days after  receipt by the Company of the Notice of
Conversion (the "DELIVERY  DATE"). In the case of the exercise of the conversion
rights set forth herein the  conversion  privilege  shall be deemed to have been
exercised  and the  Conversion  Shares  issuable upon such  conversion

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shall be deemed to have been  issued  upon the date of receipt by the Company of
the Notice of  Conversion.  The Holder  shall be treated for all purposes as the
record holder of the Conversion  Shares,  unless the Holder provides the Company
written instructions to the contrary.

                  2.4 OPTIONAL  CONVERSION BY COMPANY.  Subject to the terms set
forth in this  Article  III,  if the  average  closing  price  of the  Company's
publicly  traded  Common Stock as reported by  Bloomberg,  L.P. on the Principal
Market for the five (5)  consecutive  trading  days  immediately  preceding  the
Conversion  Date is greater  than or equal to 125% of the  Conversion  Price and
there  is an  effective  registration  statement  allowing  the  resale  of  the
Conversion  shares,  the  Company  shall  have the right to  convert  all or any
portion of the then unpaid principal and accrued interest on the Note into fully
paid and  nonassessable  shares of Common  Stock at the  Conversion  Price.  The
shares  of Common  Stock to be  issued  upon such  conversion  are  herein  also
referred to as the Conversion Shares.

                  2.5 MECHANICS OF COMPANY'S  CONVERSION.  2.6 In the event that
the Company  elects to convert this Note into Common  Stock,  the Company  shall
give notice of such election to the Holder in the manner provided for in Section
5.4 below, and such notice shall provide a breakdown in reasonable detail of the
Principal Amount,  accrued interest,  prepayment penalty and fees that are being
converted.  On each Conversion Date and in accordance with the Company's  notice
to Holder of its  intent to  convert,  the  Holder  shall  make the  appropriate
reduction to the Principal  Amount,  accrued interest and fees as entered in its
records and shall provide  written  notice thereof to the Company within two (2)
business days after the  Conversion  Date.  Each date on which a notice from the
Company of its intent to convert is  delivered  or  telecopied  to the Holder in
accordance  with the provisions  hereof shall also be deemed a Conversion  Date.
Pursuant to the terms of the Company's notice to Holder,  the Company will issue
instructions  to the transfer agent  accompanied by an opinion of counsel within
two (2)  business  days of the date of the delivery by the Company of its notice
to Holder  and shall  cause the  transfer  agent to  transmit  the  certificates
representing the Conversion  Shares to the Holder within three (3) business days
after delivery by the Company of such notice (the "DELIVERY  DATE"). In the case
of the  exercise  of the  conversion  rights  set forth  herein  the  conversion
privilege  shall be deemed  to have been  exercised  and the  Conversion  Shares
issuable upon such conversion  shall be deemed to have been issued upon the date
of receipt,  or deemed receipt in accordance  with the provisions of Section 4.4
below,  by the Holder of notice of the Company's  intent to convert.  The Holder
shall be treated for all purposes as the record holder of the Conversion Shares,
unless the Holder provides the Company written instructions to the contrary.

                  2.6 CONVERSION MECHANICS. The number of shares of Common Stock
to be issued upon each  conversion  of this Note shall be determined by dividing
that portion of the principal and interest and fees to be converted,  if any, by
the then applicable Conversion Price.

                  2.7 ADJUSTMENT PROVISIONS. The Conversion Price and number and
kind of  shares or other  securities  to be issued  upon  conversion  determined
pursuant to this Note shall be subject to adjustment  from time to time upon the
occurrence  of  certain  events  during the period  that this  conversion  right
remains outstanding, as follows:

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         (a)  ADJUSTMENTS  TO THE  CONVERSION  PRICE.  Except (i) as provided in
Section 2.7(b) hereof,  (ii) in the case of an event described in Section 2.7(c)
hereof and (iii) as the Holder(s) of may otherwise agree in writing to waive the
provisions hereof, if and whenever after the date hereof the Company shall issue
or sell, or is, in accordance with this Section 2.7(a), deemed to have issued or
sold,  any shares of Common  Stock for a  consideration  per share less than the
Conversion  Price in effect  immediately  prior to such issuance or sale,  then,
upon such issuance or sale (or deemed  issuance or sale),  the Conversion  Price
shall be  reduced to the price  determined  by  dividing  (i) the sum of (A) the
Common  Stock  Deemed   Outstanding  (as  defined  in  subparagraph  (x)  below)
immediately  prior  to such  issuance  or sale  (or  deemed  issuance  or  sale)
multiplied  by the  Conversion  Price  then in  effect  and  (B)  the  aggregate
consideration,  if any,  received by the Corporation  upon such issuance or sale
(or  deemed  issuance  or sale)  by (ii) the  Common  Stock  Deemed  Outstanding
immediately after such issuance or sale (or deemed issuance or sale).

         For  purposes  of this  Section  2.7(a),  the  following  shall also be
applicable:

                  (i) ISSUANCE OF RIGHTS OR OPTIONS.  If the Company  shall,  at
         any time after the date hereof,  in any manner grant (whether  directly
         or by assumption in a merger or otherwise) any warrants or other rights
         to subscribe  for or to  purchase,  or any options for the purchase of,
         Common Stock or any stock or security  convertible into or exchangeable
         for  Common  Stock  (such  warrants,  rights or  options  being  called
         "Options"  and such  convertible  or  exchangeable  stock or securities
         being called "Convertible Securities"),  in each case for consideration
         per share  (determined  as  provided in this  paragraph  and in Section
         2.7(a)(vi))  hereof  less than the  Conversion  Price  then in  effect,
         whether or not such  Options or the right to  convert or  exchange  any
         such Convertible Securities are immediately exercisable, then the total
         maximum  number of shares of Common Stock issuable upon the exercise of
         such  Options,  or upon  conversion  or exchange  of the total  maximum
         amount of such  Convertible  Securities  issuable upon exercise of such
         Options, shall be deemed to have been issued as of the date of granting
         of such Options, at a price per share equal to the amount determined by
         dividing (A) the total  amount,  if any,  received or receivable by the
         Company as  consideration  for the granting of such  Options,  plus the
         minimum  aggregate  amount of additional  consideration  payable to the
         Corporation upon the exercise of all such Options, plus, in the case of
         such  Options  which  relate to  Convertible  Securities,  the  minimum
         aggregate amount of additional consideration,  if any, payable upon the
         issuance or sale of such Convertible Securities and upon the conversion
         or  exchange  thereof,  by (B) the  total  maximum  number of shares of
         Common  Stock  deemed  to have  been so  issued.  Except  as  otherwise
         provided in Section 2.7(a)(iii) hereof, no adjustment of the Conversion
         Price shall be made upon the actual issuance of such Common Stock or of
         such  Convertible  Securities upon exercise of such Options or upon the
         actual  issuance of such Common  Stock upon  conversion  or exchange of
         such Convertible Securities.

                  (ii) ISSUANCE OF CONVERTIBLE SECURITIES. If the Company shall,
         at any time  after the date  hereof,  in any  manner  issue or sell any
         Convertible  Securities  for  consideration  per share  (determined  as
         provided in this paragraph and in Section  2.7(a)(vi)) hereof less than
         the  Conversion  Price  then in  effect,  whether  or not the rights to
         exchange or convert any such  Convertible  Securities  are  immediately
         exercisable,  then the total  maximum

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         number of shares of Common Stock  issuable upon  conversion or exchange
         of all such Convertible  Securities shall be deemed to have been issued
         as of the date of the issuance or sale of such Convertible  Securities,
         at a price per share equal to the amount determined by dividing (A) the
         total  amount,  if  any,  received  or  receivable  by the  Company  as
         consideration for the issuance or sale of such Convertible  Securities,
         plus the minimum aggregate amount of additional consideration,  if any,
         payable to the Company upon the conversion or exchange thereof,  by (B)
         the total maximum  number of shares of Common Stock deemed to have been
         so issued;  PROVIDED,  that (1) except as otherwise provided in Section
         2.7(a)(iii) hereof, no adjustment of the Conversion Price shall be made
         upon the  actual  issuance  of such  Common  Stock upon  conversion  or
         exchange of such Convertible Securities and (2) if any such issuance or
         sale of  such  Convertible  Securities  is made  upon  exercise  of any
         Options  to  purchase  any  such  Convertible  Securities,  no  further
         adjustment  of the  Conversion  Price  shall be made by  reason of such
         issuance or sale.

                  (iii)  CHANGE IN OPTION  PRICE OR  CONVERSION  RATE.  If there
         shall  occur a change  in (A) the  maximum  number  of shares of Common
         Stock  issuable in  connection  with any Option  referred to in Section
         2.7(a)(i)  or  any  Convertible   Securities  referred  to  in  Section
         2.7(a)(i) or (ii) hereof,  (B) the purchase  price  provided for in any
         Option  referred to in Section  2.7(a)(i)  hereof,  (C) the  additional
         consideration,  if any,  payable upon the conversion or exchange of any
         Convertible Securities referred to in Section 2.7(a)(i) or (ii) hereof,
         or (D) the rate at which Convertible  Securities referred to in Section
         2.7(a)(i)  or (ii)  hereof are  convertible  into or  exchangeable  for
         Common  Stock (in each  case,  other than in  connection  with an event
         described  in Section  2.7(b)  hereof),  then the  Conversion  Price in
         effect at the time of such event shall be  adjusted  to the  Conversion
         Price that  would have been in effect at such time had such  Options or
         Convertible  Securities  that are still  outstanding  provided for such
         changed   maximum  number  of  shares,   purchase   price,   additional
         consideration  or  conversion  rate,  as the case  may be,  at the time
         initially  granted,  issued  or sold,  but only if as a result  of such
         adjustment the Conversion Price then in effect is thereby reduced.

                  (iv) STOCK DIVIDENDS. If the Company, at any time or from time
         to time after the date hereof,  shall  declare or make, or fix a record
         date for the  determination  of holders  of Common  Stock  entitled  to
         receive,  a dividend or make any other  distribution  upon any stock of
         the Company payable in Common Stock, Options or Convertible Securities,
         any Common Stock,  Options or Convertible  Securities,  as the case may
         be,  issuable  in payment of such  dividend  or  distribution  shall be
         deemed  to have  been  issued or sold  without  consideration,  and the
         Conversion  Price will be  adjusted  pursuant to this  Section  2.7(a);
         PROVIDED,  that if any adjustment is made to the Conversion  Price as a
         result  of the  declaration  of a  dividend  and such  dividend  is not
         effected, the Conversion Price shall be appropriately readjusted to the
         Conversion Price in effect had such dividend not been declared.

                  (v) OTHER DIVIDENDS AND DISTRIBUTIONS.  If the Company, at any
         time or from time to time after the date hereof, shall declare or make,
         or fix a record date for the  determination  of holders of Common Stock
         entitled  to  receive,  a  dividend  or other  distribution  payable in
         securities or other property of the Company other than shares of Common
         Stock,  then and in each such event provision shall be made so that the
         Holder

                                       5
<PAGE>

         shall  receive  upon  conversion  hereof,  in addition to the number of
         shares of Common Stock receivable  thereupon,  the amount of such other
         securities  of the Company or the value of such other  property that he
         or she would have  received  had the Note been  converted  into  Common
         Stock on the date of such event and had Holder  thereafter,  during the
         period  from the date of such  event to and  including  the  conversion
         date,  retained such securities or other property  receivable by him or
         her during such period giving application to all adjustments called for
         during such period under  Section 3.7 with respect to the rights of the
         Holders; and, PROVIDED, FURTHER, however, that no such adjustment shall
         be made if the  Holder  simultaneously  receives  a  dividend  or other
         distribution of such securities or other property in an amount equal to
         the amount of such securities or other property as he or she would have
         received if the  outstanding  Note had been converted into Common Stock
         on the date of such event.

                  (vi)  CONSIDERATION FOR STOCK. If the Company,  at any time or
         from time to time after the date  hereof,  shall  issue or sell,  or is
         deemed to have issued or sold, any shares of Common Stock for cash, the
         consideration  received  therefor  shall  be  deemed  to be the  amount
         received or to be received by the  Company  therefor  (determined  with
         respect to deemed  issuances and sales in  connection  with Options and
         Convertible  Securities  in  accordance  with  clause  (A)  of  Section
         2.7(a)(i) or (ii) hereof, as appropriate). In case any shares of Common
         Stock  shall be  issued  or  sold,  or  deemed  issued  or sold,  for a
         consideration  other than cash, the amount of the  consideration  other
         than cash  received by the Company shall be deemed to be the fair value
         of  such  consideration  received  or to be  received  by  the  Company
         (determined  with respect to deemed  issuances  and sales in connection
         with Options and  Convertible  Securities in accordance with clause (A)
         of Section  2.7(a)(i)  or(ii) hereof,  as appropriate) as determined in
         good  faith  by the  Board of  Directors  of the  Company.  In case any
         Options  shall be issued in  connection  with the  issuance and sale of
         other  securities  of the  Company,  together  comprising  one integral
         transaction  in which no specific  consideration  is  allocated to such
         Options by the parties  thereto,  such Options  shall be deemed to have
         been issued for such  consideration  as determined in good faith by the
         Board of Directors of the Company.

                  (vii) RECORD DATE.  In case the Company shall take a record of
         the holders of its Common Stock for the purpose of  entitling  them (A)
         to receive a dividend or other  distribution  payable in Common  Stock,
         Options or  Convertible  Securities or (B) to subscribe for or purchase
         Common Stock, Options or Convertible Securities,  then such record date
         shall be deemed to be the date of the issuance or sale of the shares of
         Common Stock deemed to have been issued or sold upon the declaration of
         such dividend or the making of such other  distribution  or the date of
         the granting of such right of subscription or purchase, as the case may
         be.

                  (viii) TREASURY  SHARES.  The number of shares of Common Stock
         outstanding at any given time shall not include shares owned or held by
         or for the account of the Company;  PROVIDED,  that the  disposition of
         any such shares shall be considered an issuance or sale of Common Stock
         for the purpose of this Section 2.7.

                  (ix) OTHER  ISSUANCES OR SALES.  In calculating any adjustment
         to the Conversion Price pursuant to this Section 2.7(a): (A) any shares
         of Common Stock,  Options or

                                       6
<PAGE>

         Convertible  Securities  issued  or  sold  (or  deemed  issued  or sold
         pursuant to Section  2.7(a)(i) or (ii) above) after the date hereof and
         prior to the effective  date of such  adjustment,  the issuance or sale
         (or deemed  issuance or sale) of which did not result in any adjustment
         to the Conversion  Price under this Section 2.7(a),  shall be deemed to
         have been  issued or sold as part of the  issuance  or sale (or  deemed
         issuance  or  sale)  giving  rise  to  such  adjustment  for  the  same
         consideration per share as the Company received in the issuance or sale
         (or deemed  issuance or sale) giving rise to such  adjustment,  and (B)
         any Options or Convertible Securities that provide, as of the effective
         date of such  adjustment,  for the issuance upon exercise or conversion
         thereof of an  indeterminable  number of shares of Common  Stock  shall
         (together  with the shares of Common Stock  issuable  upon  exercise or
         conversion thereof) be disregarded;  PROVIDED, that at such time as the
         number of shares of Common Stock  issuable  upon exercise or conversion
         of such Options or Convertible  Securities  becomes  determinable,  the
         Conversion  Price shall be adjusted as provided in Section  2.7(a)(iii)
         above.

                  (x) COMMON  STOCK  DEEMED  OUTSTANDING.  For  purposes of this
         Section 2.7, the term "Common Stock Deemed  Outstanding" shall mean, at
         any  time,  the  sum of (A)  the  number  of  shares  of  Common  Stock
         outstanding  immediately  prior to the date hereof  (including for this
         purpose all shares of Common Stock issuable upon exercise or conversion
         of any Options or Convertible Securities outstanding  immediately prior
         to the date  hereof),  PLUS (B) the  number of  shares of Common  Stock
         issued or sold (or deemed  issued or sold) after the date  hereof,  the
         issuance or sale of which  resulted in an adjustment to the  Conversion
         Price pursuant to Section 2.7(a) hereof,  PLUS (C) the number of shares
         of  Common  Stock  deemed   issued  or  sold  pursuant  to  Section  2.
         7(a)(ix)(A) above; PROVIDED, that Common Stock Deemed Outstanding shall
         not include any shares of Common Stock issuable upon  conversion of the
         Notes or exercise of the Warrants.

         (b) CERTAIN  ISSUES OF COMMON STOCK  EXCEPTED.  Anything  herein to the
contrary  notwithstanding,  the  Corporation  shall not be  required to make any
adjustment  of the  Conversion  Price in the case of the issuance from and after
the Filing Date of (i) shares of Common Stock upon conversion of the Notes, upon
exercise of the Warrants, upon conversion of other convertible securities issued
prior to the date hereof,  or upon exercise of warrants or options  issued prior
to the date hereof,  and (ii) up to 4,012,500  shares of Common Stock or options
therefor to  directors,  officers,  employees or  consultants  of the Company in
connection with their service as directors of the Company,  their  employment by
the Company or their  retention  as  consultants  by the  Company,  in each case
authorized by the Board of Directors and issued  pursuant to the Company's  2000
Equity Incentive Plan, 2006 Stock Option Plan, or 401K Plan ("EXCLUDED SHARES").

         (c)  SUBDIVISION OR  COMBINATION  OF COMMON STOCK.  In case the Company
shall at any time after the Filing  Date  subdivide  its  outstanding  shares of
Common Stock into a greater number of shares (by any stock split, stock dividend
or  otherwise),  the  Conversion  Price  in  effect  immediately  prior  to such
subdivision  shall be  proportionately  reduced,  and,  conversely,  in case the
Company shall at any time after the date hereof combine its  outstanding  shares
of Common Stock into a smaller  number of shares (by any reverse  stock split or
otherwise), the Conversion Price in effect immediately prior to such combination
shall be  proportionately  increased.  In the

                                       7
<PAGE>

case of any such  subdivision,  no further  adjustment shall be made pursuant to
Section 2.7(a)(iv) hereof by reason thereof.

         (d)   RECLASSIFICATION.   If  the  Company  at  any  time   shall,   by
reclassification  or  otherwise,  change  the  Common  Stock  into the same or a
different  number of  securities  of any class or classes,  this Note, as to the
unpaid Principal Amount and accrued interest thereon, shall thereafter be deemed
to evidence the right to purchase an adjusted number of such securities and kind
of  securities  as would have been  issuable  as the result of such  change with
respect to the Common Stock (i) immediately prior to or (ii) immediately  after,
such reclassification or other change at the sole election of the Holder.

                  2.8  RESERVATION  OF SHARES.  During the period the conversion
right exists,  the Company will reserve from its authorized and unissued  Common
Stock a sufficient  number of shares to provide for the  issuance of  Conversion
Shares  upon the full  conversion  of this  Note and the  Warrant.  The  Company
represents  that upon issuance,  the Conversion  Shares will be duly and validly
issued,  fully paid and non-assessable.  The Company agrees that its issuance of
this Note shall constitute full authority to its officers,  agents, and transfer
agents who are charged with the duty of executing and issuing stock certificates
to execute and issue the necessary  certificates for the Conversion  Shares upon
the conversion of this Note.

                  2.9   REGISTRATION   RIGHTS.   The  Holder  has  been  granted
registration  rights with respect to the  Conversion  Shares as set forth in the
Registration  Rights  Agreement.

                  2.10 ISSUANCE OF NEW NOTE. Upon any partial conversion of this
Note, a new Note  containing the same date and provisions of this Note shall, at
the  request  of the  Holder,  be issued by the  Company  to the  Holder for the
principal  balance of this Note and interest which shall not have been converted
or paid. Subject to the provisions of Article IV of this Note, the Company shall
not pay any  costs,  fees  or any  other  consideration  to the  Holder  for the
production and issuance of a new Note.

                                  ARTICLE III
                                EVENTS OF DEFAULT

                  3.1 EVENTS OF DEFAULT.  The occurrence of any of the following
events  set forth in this  Section  4.1  shall  constitute  an event of  default
("EVENT OF DEFAULT") hereunder:

                           (a) FAILURE TO PAY. The Company fails to pay when due
         any  installment  of  principal,  interest  or  other  fees  hereon  in
         accordance  herewith,  and such failure shall  continue for a period of
         five (5) days following the date upon which any such payment was due.

                           (b) BREACH OF  COVENANT.  The  Company  breaches  any
         covenant or any other term or  condition  of this Note in any  material
         respect and such breach, if subject to cure,  continues for a period of
         fifteen (15) days after the occurrence thereof.

                           (c) BREACH OF  REPRESENTATIONS  AND  WARRANTIES.  Any
         representation,  warranty or statement made or furnished by the Company
         in this Note,  the Purchase

                                       8
<PAGE>

         Agreement or any other Related  Agreement shall at any time be false or
         misleading  in any  material  respect  on the date as of which  made or
         deemed made.

                           (d) DEFAULT UNDER OTHER AGREEMENTS. The occurrence of
         any default (or similar term) in the  observance or  performance of any
         other agreement or condition relating to any indebtedness or contingent
         obligation  of the  Company,  except for  payment or other  obligations
         related to that certain promissory note issued by the Company to Alfred
         Curmi on or about  February  18,  2005,  beyond the period of grace (if
         any), the effect of which default is to cause,  or permit the holder or
         holders of such  indebtedness or beneficiary or  beneficiaries  of such
         contingent  obligation to cause,  such indebtedness to become due prior
         to its stated maturity or such contingent obligation to become payable;

                           (e)  BANKRUPTCY.  The  Company  shall (i) apply  for,
         consent  to or  suffer to exist the  appointment  of, or the  taking of
         possession by, a receiver,  custodian,  trustee or liquidator of itself
         or of all or a substantial  part of its  property,  (ii) make a general
         assignment  for the benefit of  creditors,  (iii)  commence a voluntary
         case under the federal bankruptcy laws (as now or hereafter in effect),
         (iv) be  adjudicated  a  bankrupt  or  insolvent,  (v) file a  petition
         seeking to take  advantage of any other law providing for the relief of
         debtors,  (vi) acquiesce to, without  challenge within ten (10) days of
         the filing thereof,  or failure to have  dismissed,  within thirty (30)
         days, any petition filed against it in any involuntary  case under such
         bankruptcy  laws, or (vii) take any action for the purpose of effecting
         any of the foregoing;

                           (f)  JUDGMENTS.  Attachments  or  levies in excess of
         $250,000 in the aggregate  are made upon the Company  assets or a final
         and non-appealable  judgment is rendered against the Company's property
         involving a liability of more than  $250,000  which shall not have been
         vacated, discharged,  stayed or bonded within ninety (90) days from the
         entry thereof;

                           (g)  INSOLVENCY.  The Company  shall admit in writing
         its inability,  or be generally unable, to pay its debts as they become
         due or cease operations of its present business;

                           (h)  INDICTMENT;   PROCEEDINGS.   The  indictment  or
         threatened  indictment of the Company or any  executive  officer of the
         Company  under any criminal  statute,  or  commencement  or  threatened
         commencement of criminal or civil proceeding against the Company or any
         executive   officer  of  the  Company  pursuant  to  which  statute  or
         proceeding penalties or remedies sought or available include forfeiture
         of any of the property of the Company;

                           (i) THE PURCHASE  AGREEMENT  AND RELATED  AGREEMENTS.
         (i) An Event  of  Default  shall  occur  under  and as  defined  in the
         Purchase  Agreement or any Related  Agreement,  (ii) the Company  shall
         breach any term or  provision  of the  Purchase  Agreement or any other
         Related  Agreement in any material respect and such breach,  if capable
         of cure,  continues  unremedied for a period of fifteen (15) days after
         the  occurrence  thereof,  (iii) the  Company  attempts  to  terminate,
         challenges  the  validity  of, or its  liability  under,  the  Purchase
         Agreement  or any  Related  Agreement,  (iv)  any

                                       9
<PAGE>

         proceeding  shall be brought to challenge the validity,  binding effect
         of the Purchase  Agreement or any Related Agreement or (v) the Purchase
         Agreement or any Related  Agreement  ceases to be a valid,  binding and
         enforceable  obligation  of the Company (to the extent such  persons or
         entities are a party thereto);

                           (j) STOP TRADE.  An SEC stop trade order or Principal
         Market  trading  suspension  of the Common Stock shall be in effect for
         five (5) consecutive  days or five (5) days during a period of ten (10)
         consecutive days, excluding in all cases a suspension of all trading on
         a Principal Market,  provided that the Company shall not have been able
         to cure such trading  suspension  within thirty (30) days of the notice
         thereof or list the Common  Stock on another  Principal  Market  within
         sixty (60) days of such notice; or

                           (k) FAILURE TO DELIVER  COMMON  STOCK OR  REPLACEMENT
         NOTE.  The  Company's  failure  to deliver  Common  Stock to the Holder
         pursuant  to and in the form  required  by this  Note and the  Purchase
         Agreement  and, if such  failure to deliver  Common  Stock shall not be
         cured within two (2) business  days or the Company is required to issue
         a replacement  Note to the Holder and the Company shall fail to deliver
         such replacement Note within seven (7) business days.

                  3.2 DEFAULT INTEREST.  Following the occurrence and during the
continuance of an Event of Default, the Company shall pay additional interest on
this Note in an amount equal to one and one half percent  (1.5%) per month,  and
all  outstanding  obligations  under this Note, the Purchase  Agreement and each
other Related  Agreement,  including unpaid  interest,  shall continue to accrue
interest at such additional interest rate from the date of such Event of Default
until the date such Event of Default is cured or waived.

                  3.3  ACCELERATION.  Following  the  occurrence  and during the
continuance  of an Event of  Default,  the Holder,  at its  option,  may declare
immediately due and payable all obligations and liabilities  owing by Company to
the Holder under this Note,  the  Purchase  Agreement  and/or any other  Related
Agreement.

                                   ARTICLE IV
                                  MISCELLANEOUS

                  4.1 CONVERSION PRIVILEGES. The conversion privileges set forth
in Article II shall  remain in full force and effect  immediately  from the date
hereof  until the date this Note is  indefeasibly  paid in full and  irrevocably
terminated.

                  4.2 CUMULATIVE REMEDIES. The remedies under this Note shall be
cumulative.

                  4.3 FAILURE OR INDULGENCE  NOT WAIVER.  No failure or delay on
the part of the Holder  hereof in the exercise of any power,  right or privilege
hereunder  shall  operate as a waiver  thereof,  nor shall any single or partial
exercise  of any  such  power,  right or  privilege  preclude  other or  further
exercise  thereof  or of any other  right,  power or  privilege.  All rights and
remedies existing  hereunder are cumulative to, and not exclusive of, any rights
or remedies otherwise available.

                                       10
<PAGE>

                  4.4  NOTICES.  Any notice  herein  required or permitted to be
given  shall be in  writing  and shall be  deemed  effectively  given:  (a) upon
personal  delivery to the party  notified,  (b) when sent by confirmed  telex or
facsimile if sent during normal business hours of the recipient, if not, then on
the next  business  day, (c) five days after having been sent by  registered  or
certified mail, return receipt requested,  postage prepaid, or (d) one day after
deposit with a nationally  recognized  overnight  courier,  specifying  next day
delivery, with written verification of receipt. All communications shall be sent
to the Company at the address  provided in the  Purchase  Agreement  executed in
connection  herewith,  and to the Holder at the address provided in the Purchase
Agreement for such Holder, or at such other address as the Company or the Holder
may designate by ten days advance written notice to the other parties hereto.  A
Notice of Conversion  shall be deemed given when made to the Company pursuant to
the Purchase Agreement.

                  4.5 AMENDMENT  PROVISION.  The term "Note" and all  references
thereto,  as used  throughout  this  instrument,  shall mean this  instrument as
originally executed, or if later amended or supplemented,  then as so amended or
supplemented,  and any successor  instrument as such successor instrument may be
amended or supplemented.

                  4.6 ASSIGNABILITY. This Note shall be binding upon the Company
and its successors and assigns, and shall inure to the benefit of the Holder and
its successors and assigns, and may be assigned by the Holder in accordance with
the  requirements of the Purchase  Agreement.  The Company may not assign any of
its obligations under this Note without the prior written consent of the Holder,
any such purported assignment without such consent being null and void.

                  4.7 COST OF COLLECTION.  In case of any Event of Default under
this Note,  the Company  shall pay the Holder  reasonable  costs of  collection,
including  reasonable  attorneys'  fees.

                  4.8  GOVERNING  LAW.  This  Note  shall  be  governed  by  and
construed  and  enforced in  accordance  with the laws of the State of Colorado,
without regard to its principles of conflicts of laws.

                  4.9 SEVERABILITY. In the event that any provision of this Note
is invalid or  unenforceable  under any applicable  statute or rule of law, then
such  provision  shall be deemed  inoperative to the extent that it may conflict
therewith  and shall be deemed  modified to conform with such statute or rule of
law. Any such provision which may prove invalid or  unenforceable  under any law
shall not affect the validity or  enforceability  of any other provision of this
Note.

                  4.10  MAXIMUM  PAYMENTS.  Nothing  contained  herein  shall be
deemed to  establish  or  require  the  payment of a rate of  interest  or other
charges in excess of the maximum  permitted by applicable law. In the event that
the rate of interest  required to be paid or other charges  hereunder exceed the
maximum rate  permitted by such law, any payments in excess of such maximum rate
shall be  credited  against  amounts  owed by the Company to the Holder and thus
refunded to the Company.

                  4.11 UNSECURED NOTE. This Note is unsecured.

                                       11
<PAGE>

                  4.12  CONSTRUCTION.  Each  party  acknowledges  that its legal
counsel participated in the preparation of this Note and, therefore,  stipulates
that the rule of construction  that  ambiguities are to be resolved  against the
drafting party shall not be applied in the  interpretation of this Note to favor
any party against the other.

                  IN  WITNESS  WHEREOF,  the  Company  has caused  this  Secured
Convertible  Term Note to be signed in its name  effective as of this 9th day of
June, 2006.

                                              INCENTRA SOLUTIONS, INC.

                                              By: /s/Thomas P. Sweeney III
                                                  ------------------------------
                                                  Name:  Thomas P. Sweeney III
                                                  Title: Chief Executive Officer

WITNESS:

----------------------------------

                                       12
<PAGE>

                                    EXHIBIT A

                              NOTICE OF CONVERSION

        (To be executed by the Holder in order to convert all or part of
                  the Convertible Term Note into Common Stock)

[Name and Address of Company]

         The  undersigned  hereby  converts  $_________  of the principal due on
[specify  applicable  Repayment  Date] under the Secured  Convertible  Term Note
dated as of June 9, 2006 (the "NOTE")  issued by Incentra  Solutions,  Inc. (the
"COMPANY")  by delivery of shares of Common Stock of the Company  ("SHARES")  on
and subject to the conditions set forth in the Note.

1.       Date of Conversion         _______________________

2.       Shares To Be Delivered:    _______________________

                                              [HOLDER]

                                              By:_______________________________
                                              Name:_____________________________
                                              Title:____________________________

                                       13

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