SEC Contract Filing

Filing Date: 2017-06-20

Document Content:
<DOCUMENT>
<TYPE>EX-10.1
<SEQUENCE>4
<FILENAME>v469294_ex10-1.htm
<DESCRIPTION>EXHIBIT 10.1
<TEXT>
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<P STYLE="margin: 0">&nbsp;</P>

<P STYLE="margin: 0; text-align: right"><B>Exhibit 10.1</B></P>

<P STYLE="margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0">Great Basin Scientific, Inc.<BR>
420 E. South Temple, Suite 520</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0">Salt Lake City, Utah 84111</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0">Gentlemen:</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify">The undersigned (the &ldquo;<I>Investor</I>&rdquo;)<I>
</I>hereby confirms its agreement with Great Basin Scientific, Inc., a Delaware corporation (the &ldquo;<I>Company</I>&rdquo;),
as follows:</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0.5in"><B>&nbsp;</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0.5in"><FONT STYLE="font-family: Times New Roman, Times, Serif"><B>1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</B></FONT><FONT STYLE="font-size: 10pt">This
Subscription Agreement, including the Terms and Conditions For Purchase of Securities attached hereto as <U>Annex I</U> (collectively,
this &ldquo;<I>Agreement</I>&rdquo;)<I> </I>is made as of the date set forth below between the Company<I> </I>and the Investor.</FONT></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0.5in"><B>&nbsp;</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0.5in"><FONT STYLE="font-family: Times New Roman, Times, Serif"><B>2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</B></FONT><FONT STYLE="font-size: 10pt">The
Company has authorized the sale and issuance to certain investors of up to an aggregate of (1) ______ Class A Units (the <FONT STYLE="font-family: Times New Roman, Times, Serif">&ldquo;<I>Class
A </I></FONT><I>Units</I>&rdquo;) consisting of (i) ____ authorized but unissued shares of common stock, par value $0.0001 per
share (the &ldquo;<I>Common Stock</I>&rdquo;), of the Company (the &ldquo;<I>Shares</I>&rdquo;) and (ii) _____ Series J Warrants
(the <FONT STYLE="font-family: Times New Roman, Times, Serif">&ldquo;</FONT><I>Warrants</I>&rdquo;) to purchase an aggregate of
up to ______ authorized but unissued shares of Common Stock (the <FONT STYLE="font-family: Times New Roman, Times, Serif">&ldquo;</FONT><I>Warrant
Shares</I>&rdquo; which term shall include the shares of Common Stock issued and issuable upon exercise of the Pre-Funded Warrants
(as defined below)) and (2) ______ Class B Units (the <FONT STYLE="font-family: Times New Roman, Times, Serif">&ldquo;<I>Class
B </I></FONT><I>Units</I>&rdquo;) consisting of (i) ____ Series K Pre-Funded Warrants (the &ldquo;<I>Pre-Funded Warrants</I>&rdquo;)
to purchase an aggregate of up to _______ authorized but unissued shares of Common Stock and (ii) ______ Warrants to purchase an
aggregate of up to _______ authorized but unissued shares of Common Stock. Each Class A Unit will consist of one Share and one
Warrant to purchase two and one-half (2.5) Warrant Shares and each Class B Unit will consist of one Pre-Funded Warrant to purchase
one (1) Warrant Share and one Warrant to purchase two and one-half (2.5) Warrant Shares. The Class A Units and the Class B Units
are, collectively, the &ldquo;<I>Units</I>.&rdquo; The Units, the Shares, the Warrants, the Pre-Funded Warrants and the Warrant
Shares are collectively referred to as the &ldquo;<I>Securities</I>.&rdquo; The purchase price per Class A Unit shall be $____
(the &ldquo;<I>Class A Unit Purchase Price</I>&rdquo;) and the purchase price per Class B Unit shall be $____. The Units will not
be separately issued or certificated and the Securities shall be immediately separable and transferable upon issuance. The form
of the Warrants is attached hereto as <U>Exhibit B</U> and the form of the Pre-Funded Warrants is attached hereto as <U>Exhibit
C</U>.</FONT></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0.5in"><B>&nbsp;</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0.5in"><FONT STYLE="font-family: Times New Roman, Times, Serif"><B>3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</B></FONT><FONT STYLE="font-size: 10pt">The
offering and sale of the Securities (the &ldquo;<I>Offering</I>&rdquo;) are being made pursuant to (1) an effective Registration
Statement on Form S-1, File No. 333-216045 (including any additional registration statement filed with respect thereto pursuant
to Rule 462(b) under the Securities Act (as defined below) the &ldquo;<I>Registration Statement</I>&rdquo;) filed by the Company
with the Securities and Exchange Commission (the &ldquo;<I>Commission</I>&rdquo;) (including the prospectus contained therein (the
&ldquo;<I>Prospectus</I>&rdquo;) and (2) if applicable, certain &ldquo;free writing prospectuses&rdquo; (as that term is defined
in Rule 405 under the Securities Act of 1933, as amended (the &ldquo;<I>Securities Act</I>&rdquo;)), that have been or will be
filed with the Commission and delivered to the Investor on or prior to the date hereof (the &ldquo;<I>Issuer Free Writing Prospectus</I>&rdquo;),
containing certain supplemental information regarding the Securities, the terms of the Offering and the Company.</FONT></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0.5in"><B>&nbsp;</B></