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THIS INSTRUMENT AND ANY SECURITIES ISSUABLE PURSUANT HERETO HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE "SECURITIES ACT"), OR UNDER THE SECURITIES LAWS OF CERTAIN STATES. THESE SECURITIES MAY NOT BE OFFERED, SOLD OR OTHERWISE TRANSFERRED, PLEDGED OR HYPOTHECATED EXCEPT AS PERMITTED IN THIS SAFE AND UNDER THE ACT AND APPLICABLE STATE SECURITIES LAWS PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT OR AN EXEMPTION THEREFROM.

[[Company Name]]

SAFE
(Simple Agreement for Future Equity)

THIS CERTIFIES THAT in exchange for the payment by [[Investor Name]] (the "Investor") of [[Purchase Amount]]($) (the "Purchase Amount") on or about [[Date of SAFE]], [[Company Name]] (the "Company"), issues to the Investor the right to certain shares of the Company’s Capital Stock, subject to the terms described below.

This Safe is one of the forms available at http://ycombinator.com/documents and the Company and the Investor agree that neither one has modified the form, except to fill in blanks and bracketed terms.

The "Post-Money Valuation Cap" is [[PostMoney Valuation Cap]]($). See Section 2 for certain additional defined terms.


IN WITNESS WHEREOF, the undersigned have caused this Safe to be duly executed and delivered.

[[Company Name]]

{{signature of Company Signatory Email}}
_____________________________
Title: Authorized Signatory
Address: [[Company Address]]


[[Investor Name]]

{{signature of Investor Signatory Email}}
_____________________________
Title: Authorized Signatory
Address: [[Investor Address]]