Form of Subscription Agreement for Primary Offering
GEN3BIO, INC.
SUBSCRIPTION AGREEMENT
Gen3Bio, Inc.
4000 W 106th, Suite 125
Carmel, IN 46032
RE: Gen3Bio, Inc. Common Stock
Ladies and Gentlemen:
The undersigned investor in this Subscription Agreement hereby acknowledges receipt of the Prospectus, dated __________________, 2014, of Gen3Bio, Inc., a Nevada corporation (the “Company”), and subscribes for the following number of shares upon the terms and conditions set forth in the Prospectus.
The Investor agrees that this Subscription Agreement is subject to availability and acceptance by the Company.
The Investor hereby subscribes for ____________shares of the Company’s common stock (“Common Stock”) at $0.05 per share, for an aggregate purchase price of $____________.
Payment of $____________as payment in full of the purchase price is being made via check directly to the Company.
If this subscription is rejected by the Company, in whole or in part, for any reason, all funds will be returned within three business days of the Company’s receipt of such funds, without interest or deduction of any kind.
| Purchaser Information: |
| Printed Name: | |
| Signature: | |
| Date: | |
| Address: | |
| The foregoing Subscription is hereby accepted in full on behalf of Gen3Bio, Inc. |
| Date ___________________. | |
| GEN3BIO, INC.: | |
| By: | |
| Name: | Michael Okada |
| Title: | Chief Financial Officer & Director |
