EXHIBIT 10.2
THESE
SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF
1933 OR ANY STATE SECURITIES LAWS. THEY MAY NOT BE SOLD
OR OFFERED FOR SALE IN THE ABSENCE OF AN EFFECTIVE REGISTRATION
STATEMENT AS TO THE SECURITIES UNDER SAID ACT AND ANY APPLICABLE
STATE SECURITIES LAW OR AN OPINION OF COUNSEL SATISFACTORY TO THE
COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED.
APPLIED NEUROSOLUTIONS,
INC.
December
___,
2008
Vernon Hills, Illinois
No.
CPN _________
$ _________
12% CONVERTIBLE PROMISSORY
NOTE
APPLIED NEUROSOLUTIONS, INC., a Delaware
corporation with an address at 50 Lakeview Parkway, Suite 111,
Vernon Hills, Illinois 60061 (the "Maker"), for value received,
hereby promises to pay to ___________________ or his/her/its
registered assigns (the "Holder") on June __, 2010 (the
Maturity Date”) the principal sum of $___________ and
interest on the outstanding principal sum hereof (computed on the
basis of a 360 day year of twelve months) at the rate of 12% per
annum from the date hereof until the earlier of (a) the Maturity
Date or (b) the date on which this Promissory Note has been
converted in full into shares of the Maker’s common stock
(the “Common Stock”). The outstanding
principal and accrued but unpaid interest thereon shall be payable
on the Maturity Date in such coin or currency of the United States
of America as at the time of payment shall be legal tender for the
payment of public and private debts to the Holder at the office of
the Maker as hereinafter set forth. At the option of the
Maker, interest on this Promissory Note may be paid in shares of
the Common Stock in accordance with Section 2 hereof.
This Promissory Note is one of a series of
promissory notes of the Maker in the aggregate principal amount of
up to $ 2,000,000 issued in connection with a private
placement as described in the Convertible Note Purchase Agreement
dated as of the date hereof to which the Maker is a party (the
“Subscription Agreement”). This Promissory
Note shall rank pari passu with all of the other
Promissory Notes issued pursuant to the Subscription
Agreement.
1.
Transfers of Note to Comply with the Securities
Act
The Holder agrees that this Promissory Note may
not be sold, transferred, pledged, hypothecated or otherwise
disposed of except as follows: (1) to a person to whom this
Promissory Note may legally be transferred without registration and
without delivery of a current prospectus under the Securities Act
of 1933, as amended (the “Securities Act”) with respect
thereto and then only against receipt of an agreement of such
person to comply with the provisions of this Section 1 with respect
to any resale or other disposition of this Promissory Note; or (2)
to any person upon delivery of a prospectus then meeting the
requirements of the Securities Act relating to such securities and
the offering thereof for such sale or disposition and thereafter to
all successive assignees.
2.
Payment of Interest and Prepayment
(a) Subject
to the terms hereof, the Maker has the sole option to determine
whether to satisfy payment of the accrued but unpaid interest on
this Promissory Note in full on the Maturity Date or the date on
which this Promissory Note is converted in full into shares of
Common Stock (each an “Interest Repayment Date”) either
in cash or in shares of Common Stock, or a combination of
both. The Maker shall deliver to the Holder a written
notice, in the form of Exhibit A attached hereto, electing
to pay such interest in full on such Interest Repayment Date in
either cash or Common Stock, or a combination of both ("Interest
Repayment Election Notice"). The Interest Repayment
Election Notice shall be delivered to the Holder at least two (2)
business days, but not more than six (6) business days, prior to
the Interest Repayment Date (the "Notice Date"). If the
Interest Repayment Election Notice is not delivered within the
prescribed period set forth in the preceding sentence, then the
repayment of interest on the Repayment Interest Date shall be made
in cash. The Maker shall issue and deliver to the Holder
no later than four (4) business days from the Notice Date that
number of shares of Common Stock specified in the Interest
Repayment Election Notice. If the Maker elects to repay
all or a portion of the accrued but unpaid interest on the Interest
Repayment Date with shares of Common Stock, the number of such
shares to be issued for such interest repayment shall be the number
determined by dividing (x) the dollar amount of interest to be paid
in shares of Common Stock, by (y) the Interest Conversion Price (as
defined below) as of Notice Date.
(b)
Conversion Price for Accrued but Unpaid Interest - The
conversion price for the accrued but unpaid interest on this
Promissory Note (the "Interest Conversion Price") shall be equal to
the lesser of (i) 75% of the average closing price of the
Common Stock on the OTC Bulletin Board for the 20 trading day
period immediately preceding the date of the closing date under the
Subscription Agreement (the “Closing”) or (ii) the
closing market price on the Principal Market (as hereinafter
defined) on which the Common Stock is then-quoted on the Notice
Date (in each case as such amount is equitably adjusted
to reflect any stock split, reverse stock split or stock dividend
carried out by the Maker). “Principal
Market” shall mean the Pink Sheets, the OTC Bulletin Board,
the Nasdaq Global Market, the Nasdaq Global Select Market, the
American Stock Exchange or the New York Stock Exchange on which the
Maker’s Common Stock is quoted at the applicable
time.
(c) The
shares of Common Stock issued by the Maker to repay accrued but
unpaid interest on this Promissory Note, when issued, will not have
been registered under the Securities Act or any state securities
laws and such shares may not be sold or offered for sale in the
absence of an effective registration statement as to such shares
under the Securities Act and any applicable state securities law or
an opinion of counsel satisfactory to the Maker that such
registration is not required. The Company has
granted to the Holder of this Promissory Note certain
piggyback registration rights with respect to the shares of Common
Stock issued by the Maker to repay accrued but unpaid interest on
this Promissory Notes, which rights are set forth on Schedule III
to the Purchase Agreement.
(d) The
Maker may not prepay all or any part of the principal sum from time
to time without Holder’s consent.
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Conversion of Promissory Note
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(a) Subject
to the provisions set forth herein, including, but not limited to,
the restrictions on conversion pursuant to Section 3(h) below, the
Holder shall have the right, but not the obligation, from and after
the date hereof, and then at any time until this Promissory Note is
fully paid, to convert the principal portion of this Promissory
Note into fully paid and nonassessable shares of Common Stock at
the Note Conversion Price (as herein defined). Upon
delivery to the Maker of a fully completed and executed Notice of
Conversion, in the form attached hereto as Exhibit B , in
accordance with Section 3(b) below (the date of giving such notice
of conversion being a "Note Conversion Date"), the Maker shall
issue and deliver to the Holder no later than four (4) business
days from the Conversion Date that number of shares of Common Stock
for the portion of principal of this Promissory Note being
converted in accordance with this Section 3. The number
of shares of Common Stock to be issued upon each conversion of
principal of this Promissory Note shall be determined by dividing
that portion of the principal of this Promissory Note to be
converted by the Note Conversion Price as of the Note Conversion
Date. The Maker’s delivery of the Notice of
Conversion shall be an irrevocable election to convert principal of
this Promissory Note in accordance with such Notice of Conversion,
subject to the limitations set forth in Section 3(h)
below.
(b) The
Holder shall give notice of its decision to exercise its right to
convert principal of this Promissory Note, in whole or in part, by
telecopying or otherwise delivering an executed and completed
Notice of Conversion to the Maker at its address set forth in the
Subscription Agreement. The Holders will be required to
surrender this Promissory Note with the Notice of
Conversion. Unless the Maker delivers a notice to the
Holder pursuant to Section 3(h) hereof, the Maker will cause the
transfer agent to issue and transmit to the Holder within four (4)
business days of the Note Conversion Date a certificate
representing the shares of Common Stock being issued pursuant to
the Notice of Conversion and the Maker shall promptly deliver to
the Holder a new Promissory Note representing the balance of the
principal not converted into Common Stock.
(c)
Conversion Price for Principal - The price at which
principal of this Promissory Note will be converted into shares of
Common Stock (the “Note Conversion Price”) shall be
equal to the lesser of (i) the average closing
price of