EFTA02444212.pdf

"Name: Steven A. Victor, M.D. Title: Chairman and Chief Executive Officer"

"IN WITNESS WHEREOF, the Payor and the Holder have caused this Debenture to be executed... LASERSCULPT, INC."

"LASERSCULPT, INC. (the Payor), a Delaware corporation, promises to pay to (the Holder) the principal amount... with interest on the outstanding Princi"

"VERSION #2 — 5/3/09 Revisions"

"IN WITNESS WHEREOF, the Payor and the Holder have caused this Debenture to be executed as of the date first above written. LASERSCULPT, INC. By: Name:"

"The undersigned Holder of this Debenture hereby irrevocably exercises the right to convert the Principal Amount of this Debenture specified below into"

"The undersigned Holder of this Debenture hereby irrevocably exercises the right to convert the Principal Amount of this Debenture"

"Common Stock, 50.0001 par value per share, of LaserSculpt, Inc."

"LASERSCULPT, INC. (the Payor), a Delaware corporation"

"the Holder has full power and authority to execute and deliver this Debenture and all other related agreements or certificates and to carry out the pr"

"the Payor shall have failed or refused to pay any principal or interest due hereunder in the manner and on the applicable due date thereof specified h"

"the person or persons entitled to receive the shares of Common Stock issuable upon such conversion shall be treated for all purposes as the record hol"

"the Holder is acquiring this Debenture for investment purposes only, for his, her or its own account, and not with a view to, or for resale in connect"

"All payments under this Debenture shall be made in lawful currency of the United States of America... Each payment hereunder may be made by sending a "

"the Holder is acquiring this Debenture for investment purposes only, for his, her or its own account"

"upon the conversion hereof with respect to any Conversion Shares, the Holder will be acquiring such Conversion Shares for investment purposes only"

"sale of this Debenture is being... made in reliance on the exemption from the registration requirements provided by Section 4(2) of the Securities Act"