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suance: , 2009 Subject to the terms and conditions of this Convertible Debenture (this "Debenture"), for good and valuable consideration received, LASERSCULPT, INC. (the "Payor"), a Delaware corporation, promises to pay to (the "Holder") the principal amount of AND 00/100 DOLLARS ($ .00) (the "Princ
ercises the right to convert the Principal Amount of this Debenture specified below into of shares of Common Stock, 50.0001 par value per share, of LaserSculpt, Inc. in accordance with the terms of this Debenture and directs that the shares issuable and deliverable upon such conversion, together with any replace
VERSION #2 - 5/3/09 REviSIONS LASERSCULPT, INC. SUBSCRIPTION PACKAGE This Subscription Package relates to a private placement offering of certain units to be made by LaserSculpt, Inc. (the
REviSIONS LASERSCULPT, INC. SUBSCRIPTION PACKAGE This Subscription Package relates to a private placement offering of certain units to be made by LaserSculpt, Inc. (the "Company"), a Delaware corporation. This Subscription Package consists of the following: • Two (2) topics of a Subscription Agreement (inclus
DGE OR HYPOTHECATION IS EXEMPT FROM THE REGISTRATION AND PROSPECTUS DELIVERY REQUIREMENTS OF THE ACT AND OF ANY APPLICABLE STATE SECURITIES LAWS. LASERSCULPT, INC. COMMON STOCK PURCHASE WARRANT Issuance Date: , 2009 THIS CERTIFIES THAT, for value received, (the "Holder") is entitled, upon the terms a
or and purchase ) shares (the "Shares") of the fully paid and nonassessable Common Stock (the "Common Stock"), par value $0.0001 per share, of LaserSculpt, Inc. (the "Company"), a Delaware corporation, at an exercise price (the "Exercise Price") that shall initially be One Dollar and Fifty Cents ($1.50) per
Entities connected to both LASERSCULPT and LaserSculpt, Inc.
Steven A. Victor
PERSONthe State of New York
LOCATIONHERETO
ORGANIZATIONthe City, County
LOCATIONthe "Holder's Representations
ORGANIZATIONRegistration of Ownership
ORGANIZATION
Eric Holder
PERSONINDIVDUAL
ORGANIZATION