SEC Filing Document

Company: Synergy CHC Corp.
Ticker: SNYR
CIK: 1562733
Filing Type: S-3
Document Type: EX-4.5
Date Filed: 2025-11-26
Accession Number: 0001213900-25-115554
Exchange: Nasdaq
SIC Code: 2833
SIC Description: Medicinal Chemicals & Botanical Products
URL: https://www.sec.gov/Archives/edgar/data/1562733/000121390025115554/ea026681201ex4-5_synergy.htm

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made without charge to the converting Securityholders for any tax (including, without limitation, all documentary and stamp taxes) in respect of the issuance and delivery of such certificates, and such certificates shall be issued in the respective names of, or in such names as may be directed by, the Holders of the Securities converted; provided, however, that the Issuer shall not be required to pay any tax which may be payable in respect of any transfer involved in the issuance and delivery of any such certificate in a name other than that of the Holder of the Security converted, and the Issuer shall not be required to issue or deliver such certificates unless or until the person or persons requesting the issuance thereof shall have paid to the Issuer the amount of such tax or shall have established to the satisfaction of the Issuer that such tax has been paid.

Section 12.12 Trustee’s
Duties with Respect to Conversion Provisions. The Trustee and any conversion agent shall not at any time be under any duty or responsibility
to any Securityholder to determine whether any facts exist which may require any adjustment of the conversion rate or conversion price,
or with respect to the nature or extent of any such adjustment when made, or with respect to the method employed, or herein or in any
supplemental indenture provided to be employed, in making the same. Neither the Trustee nor any conversion agent shall be accountable
with respect to the registration under securities laws, listing, validity or value (or the kind or amount) of any shares of Capital Stock,
or of any other securities or property, which may at any time be issued or delivered upon the conversion of any Security; and neither
the Trustee nor any conversion agent makes any representation with respect thereto. Neither the Trustee nor any conversion agent shall
be responsible for any failure of the Issuer to make any cash payment or to issue, transfer or deliver any shares of stock or stock certificates
or other securities or property upon the surrender of any Security for the purpose of conversion; and the Trustee, subject to the provisions
of Article 5, and any conversion agent shall not be responsible for any failure of the Issuer to comply with any of the covenants of the
Issuer contained in this Article 12.

IN WITNESS WHEREOF, the parties
hereto have caused this Indenture to be duly executed, as of the first date written above.

SYNERGY CHC CORP., as Issuer

Name:

Title:

●, as Trustee

Name:

Title:

FORM OF NOTE

UNLESS AND UNTIL IT IS EXCHANGED
IN WHOLE OR IN PART FOR SECURITIES IN DEFINITIVE REGISTERED FORM, THIS SECURITY MAY NOT BE TRANSFERRED EXCEPT AS A WHOLE BY THE DEPOSITARY
TO A NOMINEE OF THE DEPOSITARY OR BY A NOMINEE OF THE DEPOSITARY TO THE DEPOSITARY OR ANOTHER NOMINEE OF THE DEPOSITARY OR BY THE DEPOSITARY
OR ANY SUCH NOMINEE TO A SUCCESSOR DEPOSITORY OR A NOMINEE OF SUCH SUCCESSOR DEPOSITARY. UNLESS THIS SECURITY IS PRESENTED BY AN AUTHORIZED
REPRESENTATIVE OF THE DEPOSITORY TRUST COMPANY, A NEW YORK CORPORATION (“DTC”), TO THE COMPANY OR ITS AGENT FOR REGISTRATION
OF TRANSFER, EXCHANGE OR PAYMENT, AND ANY SECURITY ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR IN 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.

SYNERGY CHC CORP.

● % Senior Note Due ●

No. ● CUSIP No.: ●

SYNERGY CHC CORP., a Nevada
corporation (“Issuer”, which term includes any successor corporation), for value received promises to pay to CEDE &
CO. or its registered assigns, the principal sum of ● on ●.

Interest Payment Dates: ●
and ● (each, an “Interest Payment Date”), commencing on ●. Interest Record Dates: ● and ● (each,
an “Interest Record Date”).

Reference is made to the further
provisions of this Security contained herein, which will for all purposes have the same effect as if set forth at this place.

IN WITNESS WHEREOF, the Issuer
has caused this Security to be signed manually or by facsimile by its duly authorized officer.

SYNERGY CHC CORP.

Name:

Title:

This is one of the series
designated herein and referred to in the within-mentioned Indenture.

●, as Trustee

Authorized Signatory

(REVERSE OF SECURITY)

SYNERGY CHC CORP.

●% Senior Note Due ●

1. Interest.

SYNERGY CHC CORP., a Nevada
corporation (the “Issuer”), promises to pay interest on the Principal amount of this Security at the rate per annum shown
above. Cash interest on the Securities will accrue from the most recent date to which interest has been paid or, if no interest has been
paid, from ●. The Issuer will pay interest semi-annually in arrears on each Interest Payment Date, commencing ●. Interest
will be computed on the basis of a 360-day year of twelve 30-day months.

The Issuer shall pay interest
on overdue Principal from time to time on demand at the rate borne by the Securities and on overdue installments of interest (without
regard to any applicable grace periods) to the extent lawful.

2. Method of Payment.

The Issuer shall pay interest
on the Securities (except defaulted interest) to the persons who are the registered Holders at the close of business on the Interest Record
Date immediately preceding the Interest Payment Date notwithstanding any transfer or exchange of such Security subsequent to such Interest
Record Date and prior to such Interest Payment Date. Holders must surrender Securities to the Trustee to collect Principal payments. The
Issuer shall pay Principal and interest in money of the United States that at the time of payment is legal tender for payment of public
and private debts (“U.S. Legal Tender”). However, the payments of interest, and any portion of the Principal (other
than interest payable at maturity or on any redemption or repayment date or the final payment of Principal) shall be made by the Paying
Agent, upon receipt from the Issuer of immediately available funds by 11:00 a.m., New York City time (or such other time as may be agreed
to between the Issuer and the Paying Agent or the Issuer), directly to a Holder (by Federal funds wire transfer or otherwise) if the Holder
has delivered written instructions to the Trustee 15 days prior to such payment date requesting that such payment will be so made and
designating the bank account to which such payments shall be so made and in the case of payments of Principal surrenders the same to the
Trustee in exchange for a Security or Securities aggregating the same principal amount as the unredeemed Principal amount of the Securities
surrendered.

3. Paying Agent.

Initially, ● (the “Trustee”)
will act as Paying Agent. The Issuer may change any Paying Agent without notice to the Holders.

4. Indenture.

The Issuer issued the Securities
under an Indenture, dated as of ● (the “Indenture”), between the Issuer and the Trustee. Capitalized terms herein
are used as defined in the Indenture unless otherwise defined herein. The terms of the Securities include those stated in the Indenture
and those made part of the Indenture by reference to the Trust Indenture Act of 1939 (15 U.S.C. Sections 77aaa-77bbbb) (the “TIA”),
as in effect on the date of the Indenture until such time as the Indenture is qualified under the TIA, and thereafter as in effect on
the date on which the Indenture is qualified under the TIA. Notwithstanding anything to the contrary herein, the Securities are subject
to all such terms, and Holders of Securities are referred to the Indenture and the TIA for a statement of them. To the extent the terms
of the Indenture and this Security are inconsistent, the terms of the Indenture shall govern.

5. Denominations; Transfer;
Exchange.

The Securities are in registered
form, without coupons, in denominations of $1,000 and multiples of $1,000. A Holder shall register the transfer of or exchange Securities
in accordance with the Indenture. The Issuer may require a Holder, among other things, to furnish appropriate endorsements and transfer
documents and to pay certain transfer taxes or similar governmental charges payable in connection therewith as permitted by the Indenture.
The Issuer need not issue, authenticate, register the transfer of or exchange any Securities or portions thereof for a period of fifteen
(15) days before such series is selected for redemption, nor need the Issuer register the transfer or exchange of any security selected
for redemption in whole or in part.

6. Persons Deemed Owners.

The registered Holder of a
Security shall be treated as the owner of it for all purposes.

7. Unclaimed Funds.