Form of Subscription Agreement by Viveon Health LLC
EX-10.5 17 fs12020a1ex10-5_viveon.htm FORM OF SUBSCRIPTION AGREEMENT FOR PRIVATE UNITS BY VIVEON HEALTH LLC
|TO:||The Directors of Viveon Health Acquisition Corp. (the “Company”). |
The undersigned hereby subscribes for 3,593,750 shares of common stock, par value $0.0001 per share (the “Shares”) of the Company. In consideration for the issue of the Shares, the undersigned hereby agrees and undertakes to pay $25,000 to the Company.
The undersigned agrees to take the Shares subject to the Certificate of Incorporation of the Company and authorizes you to enter the following name and address in the stockholder ledger of the Company:
| ||Name:||Viveon Health LLC|
|Address:||1860 Childers Place NE|
Atlanta, GA 30324
Viveon Health LLC
|Name:||Romilos Papadopoulos |
|Title:||Managing Member |
Viveon Health Acquisition Corp.
|Name:||Jagi Gill |
|Title:||Chief Executive Officer |