Form of Pre-Funded Warrant to Purchase Common Stock Sample Contracts
OCULAR THERAPEUTIX, Inc. FORM OF PRE-FUNDED WARRANT TO PURCHASE COMMON STOCKForm of Pre-Funded Warrant to Purchase Common Stock • September 30th, 2025 • Ocular Therapeutix, Inc • Pharmaceutical preparations • New York
Ocular Therapeutix, Inc., a Delaware corporation (the “Company”), hereby certifies that, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, [___________] or its registered assigns (the “Holder”) is entitled, subject to the terms set forth below, to purchase from the Company up to a total of [______] shares of common stock, $0.0001 par value per share (the “Common Stock”), of the Company (each such share, a “Warrant Share” and all such shares, the “Warrant Shares”) at an exercise price per share equal to $0.0001 per share (as adjusted from time to time as provided in Section 9 herein, the “Exercise Price”) upon surrender of this Pre-Funded Warrant to Purchase Common Stock (including any Warrants to Purchase Common Stock issued in exchange, transfer or replacement hereof, the “Warrant”) at any time and from time to time on or after the date hereof (the “Original Issue Date”) and through and including the date this Warrant is exercised in fu