Exhibit 10.43

June 3, 2026
Personal and Confidential
Paul Sekhri
Via email: [***]
Dear Paul:
This letter agreement (the “Agreement”) sets forth the terms and conditions of your service as Chairman of the Board of Directors of Apnimed, Inc., a Delaware corporation (the “Company”).
KEY SERVICE TERMS
INDEPENDENT |
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Effective as of the Start Date (as defined below), you will be appointed as an independent director on the Company’s Board of Directors (the “Board”), serving as Chairman of the Board. Notwithstanding anything else in this Agreement, your service as a Board member (a “Director”) will be at the Company’s pleasure and the Board may terminate your service to the Company at any time for convenience, without further compensation to you except for accrued fees. You may terminate your service to the Company at any time for convenience, but we ask that you provide no less than thirty (30) days advance notice. You will not be an employee of the Company, and you will not be entitled to any of the benefits made available to employees of the Company unless expressly provided by the Company. |
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START DATE: |
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June 1, 2026 |
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DUTIES: |
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You will commit sufficient business time to the performance of your duties as a Director and the duties specified herein. |
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In connection with your service as a Director, you are required to attend all Board meetings. If any such Board meetings are held in person, you will attend such meetings in person absent extenuating circumstances precluding your presence. You will also be reasonably available to consult and advise the management of the Company in various activities including (i) assisting the senior management team in executing and implementing short- and long-term strategic plans, (ii) participating in functional business reviews, as requested throughout the year, and (iii) assisting the Company with initial public offering (“IPO”) matters. |
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DIRECTOR |
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$70,000 annual fee, payable by the Company quarterly in arrears, plus stock options discussed below. |