Common use of NOTICE OF CONVERSION Clause in Contracts

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24, 2021 of Pacific Software, Inc., a Nevada corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:______________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 6 contracts

Samples: Pacific Software, Inc., Pacific Software, Inc., Pacific Software, Inc.

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NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24April 20, 2021 2017 of Pacific SoftwareHxxxxxxx Xxxxxxx and Wxxxxxxx, Inc., a Nevada corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ * Interest Amount to be Converted: $_______________ Signature: _________________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: _______________ * Interest on Principal Amount of $____________ for period of ______________ through ________________.

Appears in 4 contracts

Samples: Purchase Agreement (Attitude Drinks Inc.), Purchase Agreement (Harrison Vickers & Waterman Inc), Purchase Agreement (Harrison Vickers & Waterman Inc)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 10% Convertible Note Debenture due August 24May 1, 2021 2012 of Pacific SoftwareVisualant, Inc.Incorporated., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common StockStock pursuant to any prospectus. Conversion calculations: Date to Effect Conversion:: ________________________________________ Principal Amount of Note Debenture to be Converted: $_______________________ Interest Accrued on Account of Conversion at Issue: Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ _____________________________________________________________ Or DWAC InstructionsSignature: Name: __________________________________________ Broker No: _________________ Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: ________________:

Appears in 4 contracts

Samples: Visualant Inc, Visualant Inc, Visualant Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24October 18, 2021 2020 of Pacific SoftwareThe Greater Cannabis Company, Inc., a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 4 contracts

Samples: Greater Cannabis Company, Inc., Greater Cannabis Company, Inc., Greater Cannabis Company, Inc.

NOTICE OF CONVERSION. (To be Executed by the Registered Holder in order to Convert the Debenture) The undersigned hereby elects to convert principal under the Convertible Note due August 24, 2021 of Pacific Software, Inc., a Nevada corporation (the “Borrower”), attached Debenture into shares of common stock stock, $0.0001 par value per share (the "Common Stock"), of Borrower Tidelands Oil & Gas Corporation. (the "Company") according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:______________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ ____________Date to Effect Conversion ______________________________________________ Or DWAC Instructions: Principal Amount of Debentures to be Converted $__________ of Interest Accrued on Account of Conversion at Issue Payment of Interest in Kind |_| Yes |_| No If yes, $ _______ of Interest Accrued on Account of Conversion at Issue ______________________________________________ Broker No: Number of shares of Common Stock to be Issued ______________________________________________ Account No: Applicable Conversion Price ______________________________________________ Signature ______________________________________________ Name ______________________________________________ Address Schedule 1 CONVERSION SCHEDULE -------------------

Appears in 3 contracts

Samples: Securities Purchase Agreement (Tidelands Oil & Gas Corp/Wa), Securities Purchase Agreement (Tidelands Oil & Gas Corp/Wa), Securities Purchase Agreement (Tidelands Oil & Gas Corp/Wa)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Secured Straight Convertible Note Debenture due August 24November ___, 2021 2010 of Pacific SoftwareCrowdGather, Inc., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:___________________________________________________________ Principal Amount of Note Debenture to be Converted: $:__________________________________________ Number of shares of Common Stock to be issued: :_________________________________________ Signature: :_______________________________________________________________________ Name: :__________________________________________________________________________ Address for Delivery of Common Stock Certificates: :________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Or DWAC InstructionsSCHEDULE 1 CONVERSION SCHEDULE The 8% Secured Straight Convertible Debentures due on November ___, 2010 in the aggregate principal amount of $____________ are issued by CrowdGather, Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. Dated: __________________________________________ Broker No: _________________ Account No: ________________Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 3 contracts

Samples: CrowdGather, Inc., CrowdGather, Inc., CrowdGather, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due ________, 2021 of Pacific SoftwareGT Biopharma, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 2 contracts

Samples: GT Biopharma, Inc., GT Biopharma, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August September 24, 2021 of Pacific Software, Inc., a Nevada corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:______________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 2 contracts

Samples: Pacific Software, Inc., Pacific Software, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 10% Senior Secured Convertible Promissory Note due August 24April 11, 2021 2020 of Pacific SoftwareAvalanche International, Inc.Corp., a Nevada corporation (the “BorrowerCompany”), into shares of common stock stock, par value $0.001 per share, of the Company (the “Common Stock”), of Borrower ) according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Information Date to Effect Conversion:: _____________________________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issuedOutstanding Principal: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ _____Outstanding Interest: _____________________________________________________ Or DWAC InstructionsPrincipal Amount of Note to be Converted: _________________________________________ Interest Amount of Note to be Converted: _________________________________________ Conversion Price Calculations: Total Shares of Common Stock to be Issued: Outstanding Principal After Conversion: _________________________________________ Outstanding Interest After Conversion: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 2 contracts

Samples: Avalanche International, Corp., Avalanche International, Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24December 18, 2021 2018 of Pacific SoftwareINTEGRATED VENTURES, Inc., INC. a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: :_________________ Account No: ____________________

Appears in 2 contracts

Samples: Exchange Agreement (Integrated Ventures, Inc.), Exchange Agreement (Integrated Ventures, Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24, 2021 number of Pacific Software, Inc., a Nevada corporation (the “Borrower”), shares of Series B Preferred Stock indicated below into shares of common stock stock, par value $0.001 per share (the “Common Stock”), of Borrower Neuraxis, Inc., a Delaware corporation (the “Corporation”), according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person Person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested may be required by Borrower in accordance therewiththe Corporation. No fee will be charged to the holder Holders for any conversion, except for any such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date of Conversion:_______________________ Number of shares of Preferred Stock owned prior to Effect Conversion:__________________________________ Number of shares of Preferred Stock to be Converted:___________________________________________ Principal Amount Number of Note shares of Common Stock to be Converted: $Issued:______________________________________________ Number of shares of Common Stock to be issued: Applicable Conversion Price:___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ _______________________Number of shares of Preferred Stock subsequent of Conversion:___________________________________ Or DWAC Instructions: Address for Delivery:______________________ Or DWAC Instructions (if can be sold without restriction under Rule 144): Broker no:_________________________ Broker No: Account no:_______________________ Account No[HOLDER] By: ________________Name: Title:

Appears in 2 contracts

Samples: Securities Purchase Agreement (Neuraxis, INC), Securities Purchase Agreement (Neuraxis, INC)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24June 30, 2021 2018, of Pacific Software, Inc., a Nevada corporation Nightfood Holdings Inc. (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, conversion if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 2 contracts

Samples: NightFood Holdings, Inc., NightFood Holdings, Inc.

NOTICE OF CONVERSION. (To be executed by the registered holder to convert shares of Preferred Stock) The undersigned hereby elects to convert principal under the number of shares of Series D 5% Convertible Note due August 24, 2021 of Pacific Software, Inc., a Nevada corporation (the “Borrower”)Preferred Stock indicated below, into shares of common stock Common Stock, par value $.001 per share (the "Common Stock"), of Borrower Technest Holdings, Inc. (the "Company") according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:______________________________________________________ Principal Amount Date to effect conversion ______________________________________________________ Number of Note shares of Preferred Stock to be Converted: $converted ______________________________________________________ Number of shares of Common Stock to be issued: issued ___________________ Signature: ____________________________________ Name: Applicable conversion price ______________________________________________________ Address for Delivery Name of Common Stock Certificates: ________________ ____Holder ______________________________________________________ __________________________________________________________ Or DWAC Instructions: ________Address of Holder __________________________________ Broker No: _________________ Account No: ________________Authorized Signature

Appears in 2 contracts

Samples: Securities Purchase Agreement (Technest Holdings Inc), Securities Purchase Agreement (Technest Holdings Inc)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24September 21, 2021 2019 of Pacific SoftwareIntegrated Ventures, Inc., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 2 contracts

Samples: Integrated Ventures, Inc., Integrated Ventures, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24June 19, 2021 2017 of Pacific Software, Inc.Emerald Medical Applications Corp., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 2 contracts

Samples: Emerald Medical Applications Corp., Emerald Medical Applications Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24, 2021 Due ______________ of Pacific SoftwareGT Biopharma, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 2 contracts

Samples: GT Biopharma, Inc., GT Biopharma, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Original Issue Discount Convertible Note due August 24, 2021 Debenture of Pacific SoftwareImmune Pharmaceuticals, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:_______________________: _______________ Principal Amount of Note Debenture to be Convertedconverted: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ _______________Address for Delivery of Common Stock Certificates: ___________________________________________ __________________________________________________________ Or or DWAC Instructions: __________________________________________ Broker No: _____:____________ Account No: :_________________ SCHEDULE 1

Appears in 1 contract

Samples: Immune Pharmaceuticals Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible 12% unsecured Note due August 24, 2021 with an option to convert of Pacific Software, Inc.Actiga Corporation, a Nevada corporation (the “BorrowerCompany”), due on April 15, 2009, into shares of common stock stock, par value $.001 per share (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act, specified under Section 4 of this Note. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:____________: __________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: _______ Signature: _____________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ _____________________________Address: _____________________________ __________________________________________________________ Or DWAC InstructionsEmail: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: Actiga Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24January 13, 2021 of Pacific SoftwareDeep Green Waste & Recycling, Inc., a Nevada Wyoming corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ____________ Signature: ________ Signature: __________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Deep Green Waste & Recycling, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal and interest under the 12% Convertible Note due August 24March __, 2021 2017 of Pacific SoftwareAvant Diagnostics, Inc., a Nevada corporation (the "Borrower"), into shares of common stock (the "Common Stock"), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(d) of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:_____: _________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________________________ Signature: ______________________________________________ Name: ________________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: :_________________ Account No: _________________ Exhibit A

Appears in 1 contract

Samples: Avant Diagnostics, Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due November 14, 2021 2015 of Pacific Software, Inc.Vapor Corp., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:___________: ___________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: _______________ Signature: _____ Signature: ____________________________________ Name: ___________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Vapor Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24April 6, 2021 2017 of Pacific SoftwareYAYYO, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:______________________________________ Principal Amount of Note to be Converted: $_____________________ Accrued Interest to be Converted: $__________________ Number of shares of Common Stock Liquidated Damages to be issuedConverted: $_____________________ Number of shares of Common Stock to be issued:_________________ Signature: :____________________________________________ Name: :_______________________________________________ Address for Delivery of Common Stock Certificates: :________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: ______:____________________________________ Broker No: :______________ Account No:_________________ Account No: ________________

Appears in 1 contract

Samples: YayYo, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24September 14, 2021 2018 of Pacific SoftwareThe Greater Cannabis Company, Inc., a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Greater Cannabis Company, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24March 22, 2021 2015 of Pacific SoftwareXxxxx World Media, Inc., a Nevada corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ___________ Signature: _________ Signature: _________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Wally World Media, Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24March 9, 2021 of Pacific SoftwareGlobal Technologies, Inc.Ltd, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Global Technologies LTD

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due ________, 2021 2022 of Pacific Software, nDivision Inc., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:______: ________________________________ Principal Amount of Note to be Converted: $___________________ Interest to be Converted: $_________________________________ Conversion Price: $______________________________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock CertificatesName: ________________ __________________________________________________________ Address for Delivery of Common Stock Certificates: _____________ _____________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: :_________________ Account No: ________________

Appears in 1 contract

Samples: nDivision Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24January 8, 2021 2024 of Pacific SoftwareAgEagle Aerial Systems, Inc., a Nevada corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: AgEagle Aerial Systems Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 10% Senior Secured Convertible Note due August 24, 2021 _______________________ of Pacific SoftwareAxis Technologies Group, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common StockStock pursuant to any prospectus. Conversion calculations: Date to Effect Conversion: _______________________ Principal Amount of Note to be Converted: __________ Interest Accrued on Account of Conversion at Issue: _________________________ Number of shares of Common Stock to be issued:______ ___________________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issuedSignature: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ Address for Delivery of Common Stock Certificates:________________ ___________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _:________________ Account No: :________________

Appears in 1 contract

Samples: Axis Technologies Group Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24June 3, 2021 2019 of Pacific SoftwareGlobal Technologies, Inc.Ltd., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Global Technologies LTD

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due _______, 2021 2017 of Pacific SoftwareEcho Therapeutics, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Echo Therapeutics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert $____________________ principal under amount of the Convertible Note due August 24(defined below) into Shares of Common Stock of TAGLIKEME CORP., 2021 of Pacific Software, Inc., a Nevada corporation a(n) NEVADA Corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower ) according to the conditions hereofof the convertible Notes of the Borrower dated as of April 15, 2013 (the “Notes”), as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder Holder or Holder’s Custodian for any conversion, except for such transfer taxes, if any. By Box Checked as to applicable instructions: o The Borrower shall electronically transmit the delivery of Common Stock issuable pursuant to this Notice of Conversion to the account of the undersigned represents and warrants to Borrower that or its ownership nominee with DTC through its Deposit Withdrawal Agent Commission system (“DWAC Transfer”). Name of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculationsDTC Prime Broker: Date to Effect Conversion:___________________________________________ Principal Amount of Note to be ConvertedAccount Number: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructionso The undersigned hereby requests that the Borrower issue a certificate or certificates for the number of shares of Common Stock set forth below (which numbers are based on the Holder’s calculation attached hereto) in the name(s) specified immediately below: Hanover Holdings I, LLC EIN #: 00-0000000 Date of Conversion: __________________________________________ Broker NoConversion Price: __________________________________________ Account NoShares to Be Delivered: __________________________________________ Remaining Principal Balance Due After This Conversion: __________________________________________ Signature __________________________________________ Print Name: __________________________________________

Appears in 1 contract

Samples: Securities Purchase Agreement (TagLikeMe Corp.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Senior Convertible Note due August 24January 19, 2021 of Pacific Software, Inc.InfoSonics Corporation., a Nevada Maryland corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: InfoSonics Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24October [REQUIRES COMPLETION], 2021 2018 of Pacific SoftwareMarathon Patent Group, Inc., a Nevada corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Marathon Patent Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due April 7, 2021 2018 of Pacific SoftwareFriendable, Inc., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted: $______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Convertible Note (Friendable, Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the OID Senior Secured Convertible Note due August 24January 31, 2021 2009 of Pacific Software, Inc.NTERNATIONAL STEM CELL CORPORATION, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common StockStock pursuant to any prospectus. Conversion calculations: Date to Effect Conversion:______: ________________________________ Principal Amount of Note to be Converted: $____________________ Interest Accrued on Account of Conversion at Issue: __________________________________ Number of shares of Common Stock to be issued: _______________ _____________________________________________________ Signature: _____________________________________________ Name: ________________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: Broker No: __________________________________________ Broker No: _________________ Account No: ______________________________

Appears in 1 contract

Samples: International Stem Cell CORP

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due November 6, 2021 2020 of Pacific SoftwareGT Biopharma, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: GT Biopharma, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due May ___, 2021 2019 of Pacific Software, Inc.Reign Sapphire Corporation, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:: ____________________________________________________________ Principal Amount of Note to be Converted: $_________________________________________________ Number of shares of Common Stock to be issued: _____________________________________________ Signature: ____________________________________________________________________________ Name: _______________________________________________________________________________ Address for Delivery of Common Stock Certificates: ___________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Or DWAC Instructions: ___________________________________________________________________ Broker No: :__________________________________________ Account No: _________________________________________________

Appears in 1 contract

Samples: Reign Sapphire Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Promissory Note due August 24October 19, 2021 2018 of Pacific SoftwareRasna Therapeutics, Inc., a Nevada corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Rasna Therapeutics Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24July ___, 2021 2017 of Pacific Software, 2304101 Ontario Inc., a Nevada an Ontario corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:: _________________________________________ Principal Amount of Note to be Converted: $____________________________ Number of shares of Common Stock to be issued: ________________________ Signature: _____________________________________________________ Name: ________________________________________________________ Address for Delivery of Common Stock Certificates: ____________________ ______________________________________________________________ ______________________________________________________________ Or DWAC Instructions: _____________________________________________ Broker No: :____________________________ Account No: __________________________

Appears in 1 contract

Samples: 2304101 Ontario Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24June 5, 2021 2020 of Pacific Software, Inc.Sylios Corp, a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Sylios Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24March __, 2021 2018 of Pacific Software, Inc.Generex Biotechnology Corporation, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Generex Biotechnology Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24October 2, 2021 2019, of Pacific SoftwareAndalay Solar, Inc., a Nevada Delaware corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Securities Purchase Agreement (Andalay Solar, Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible 8% Promissory Note due August 24issued May 18, 2021 of Pacific Software2016 by Creative Medical Technologies, Inc., a Nevada corporation (the “BorrowerMaker”), to Creative Medical Health, Inc, a Delaware corporation (the “Payee”), into shares of common stock (the “Common Stock”)) of Maker, of Borrower according to the conditions hereof, hereof as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Maker in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: ________________, 201__ Principal Amount of Note to be Converted: $ ________________________ Payment of Interest in Common Stock: __ yes __ no If yes, $ ______of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: ____________________ Signature:___________________________________________________ Principal Amount of Note to be Converted: $Name:_________________________________ Number of shares of Common Stock to be issuedDWAC Instructions: Broker Name, address, contact person, and telephone number: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ ___________________________________________________________ Or DWAC Instructions: ___________________________________________________________ Broker DTC No: _______________________________________________ Account No: ________________________________________________

Appears in 1 contract

Samples: Creative Medical Technology Holdings, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal and interest under the 12% Convertible Note due August 24May 11, 2021 2017 of Pacific SoftwareAvant Diagnostics, Inc., a Nevada corporation (the "Borrower"), into shares of common stock (the "Common Stock"), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(d) of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:: ______________________________________ Principal Amount of Note to be Converted: $_________________________ Number of shares of Common Stock to be issued: ___________________________________ Signature: ___________________________________________________ Name: ______________________________________________________ Address for Delivery of Common Stock Certificates: ____________________ ____________________________________________________________ ____________________________________________________________ Or DWAC Instructions: ____________________________________________ Broker No: :____________________________________________________ Account No: __________________________________________________ Exhibit A

Appears in 1 contract

Samples: Avant Diagnostics, Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24July 29, 2021 2017 of Pacific SoftwareHxxxxxxx Xxxxxxx and Wxxxxxxx, Inc., a Nevada corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:_______: _______________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ * Interest Amount to be Converted: $________________________ Signature: ____________________________________________ Name: _______________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: _______________ * Interest on Principal Amount of $____________ for period of ______________ through ________________.

Appears in 1 contract

Samples: Purchase Agreement (Attitude Drinks Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Original Issue Discount Senior Convertible Promissory Note due August 24October __, 2021 2020, of Pacific Software, Uppercut Brands Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), ) of Borrower the Company according to the conditions hereof, hereof as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees Act (if applicable pursuant to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer provisions of Section 4 of the aforesaid shares of Common StockNote). Conversion calculations: _________________________________________ Date to Effect Conversion:: _________________________________________ Principal Amount of Note to be Converted: $$ _________________________________________ Payment of Interest in Common Stock: ____________________ yes _____ no ____ If yes, $ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: _________________________________________ Signature: _________________________________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ ___________________ DWAC Instructions: _________________________________________ Broker Name, address, contact person, arid telephone number: _________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker DTC No: _________________________________________ Account No: _________________________________________ Schedule 1

Appears in 1 contract

Samples: Uppercut Brands, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24November 8, 2021 2016 of Pacific SoftwareAccelerated Pharma, Inc., a Nevada Delaware corporation (the “BorrowerCompany), ) into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, ; except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:________: ______________________________ Principal Amount of Note to be Converted: $________$ _______________ Number of shares of Common Stock to be issued: ____________ Signature: ________ Signature: ____________________________________ Name: ______________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: Accelerated Pharma, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24June 29, 2021 2019 of Pacific SoftwareGlobal Technologies, Inc.Ltd., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Global Technologies LTD

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal and all accrued interest thereon under the Convertible Note due August 24, 2021 convertible note of Pacific SoftwareBxxxxxx’s Marine Group, Inc., a Nevada Florida corporation (the “BorrowerMaker”), into shares of common stock (the “Common Stock”), of Borrower the Maker according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Maker in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common StockStock pursuant to any prospectus. Conversion calculations: Date to Effect Conversion:: ___________________________ Conversion Price: _________________________________ Principal Amount of Note to be Converted: $______________ Converted:______________________ Number Remaining Principal Balance of shares of Common Stock to be issuedNote: ___________________ Signature: _______________________________________ Name: :___________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________Or

Appears in 1 contract

Samples: Brownie's Marine Group, Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24March 20, 2021 of Pacific SoftwareGlobal Technologies, Inc.Ltd, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Global Technologies LTD

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24June 5, 2021 2020 of Pacific Software, Inc.Sylios Corp, a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:_____: _________________________________ Principal Amount of Note to be Converted: $___________________ Additional Interest to be Converted: $________________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: _________________________________________ Name: _________________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: ______________________________________ Broker No:_____ Broker No: ____________________ Account No: ______________________

Appears in 1 contract

Samples: Sylios Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due April ___, 2021 2016 of Pacific SoftwareNxt-ID, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted: $______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: NXT-Id, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Original Issue Discount Senior Secured Convertible Promissory Note due August 24January 31, 2021 2022 of Pacific Software, Inc.Can B Corp., a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Information Date to Effect Conversion:______________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ ______Outstanding Principal: ____________________________________________________ Or DWAC InstructionsOutstanding Interest: ____________________________________________________ Broker NoPrincipal Amount of Note to be Converted: ___________________________________ Account NoInterest Amount of Note to be Converted: ___________________________________ Conversion Price Calculations: Total Shares of Common Stock to be Issued: Outstanding Principal After Conversion: ___________________________________ Outstanding Interest After Conversion: ___________________________________

Appears in 1 contract

Samples: Can B Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Original Issue Discount Senior Secured Convertible Promissory Note due August 24May 8, 2021 of Pacific SoftwareGoIP Global, Inc., a Nevada Colorado corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Information Date to Effect Conversion:: _____________________________________ Outstanding Principal: _____________________________________ Outstanding Interest: _____________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC InstructionsInterest Amount of Note to be Converted: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: Charge Enterprises, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24November 25, 2021 2015 of Pacific SoftwareAndalay Solar, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Andalay Solar, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24October [__], 2021 2022 of Pacific SoftwareMechanical Technology, Inc.Incorporated, a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Mechanical Technology Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24May 31, 2021 2022 of Pacific SoftwareXpresSpa Group, Inc., a Nevada Delaware corporation (the “Borrower”), into shares of common stock Series E Convertible Preferred Stock (the “Common Series E Preferred Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Series E Preferred Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:______________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock Accrued Interest to be issuedConverted, if any: $____________________ Conversion Price: $______________________________________ Number of shares of Series E Preferred Stock to be issued:_________ Signature: :_____________________________________________ Name: :________________________________________________ Address for Delivery of Common Series E Preferred Stock Certificates: ________________ ______________________________________ _____________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: XpresSpa Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24December 13, 2021 2020 of Pacific Software, Inc., Sylios Corp. a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:: _________________________________________ Principal Amount of Note to be Converted: $____________________________ Additional Interest to be Converted: $_________________________________ Number of shares of Common Stock to be issued: ________________________ Signature: ______________________________________________________ Name: _________________________________________________________ Address for Delivery of Common Stock Certificates: ____________ _____ __________________________________________________________ ______________________________________________________________ Or DWAC Instructions: _____________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Sylios Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due April ___, 2021 2019 of Pacific SoftwareIntellect Neurosciences, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted: $______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Intellect Neurosciences, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24[*], 2021 2023 of Pacific Software, Inc.Crown Electrokinetics Corp., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Crown Electrokinetics Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Promissory Note due August 248, 2021 2018 of Pacific SoftwareRasna Therapeutics, Inc., a Nevada corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Rasna Therapeutics Inc.

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NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Senior Convertible Note Debenture No. ____ due August 24, 2021 _________________ of Pacific Software, Inc.American Resources Corporation, a Nevada Florida corporation (the “BorrowerCompany”), into shares of class A common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:_______________: _______________________ Principal Amount of Note Debenture to be Converted: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ _________________________________Address for Delivery of Conversion Shares: _________________________ __________________________________ _________________________ Or DWAC Instructions: Broker No: __________________________________________ Broker No: _________________ Account No: _______________________________ Deliver notice to Company via email: xxxxxxxxxx@xxxxxxxxxxxxxxxxxxxxx.xxx

Appears in 1 contract

Samples: American Resources Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24March 3, 2021 of Pacific SoftwareGlobal Technologies, Inc.Ltd, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Global Technologies LTD

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24December 31, 2021 2019 of Pacific Software, Inc., Sylios Corp. a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:______: ________________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: _______________________________________ Name: _______________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: ____________________________________ Broker No:_______ Broker No: _________________ Account No: ___________________

Appears in 1 contract

Samples: Sylios Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24March 1, 2021 2020 of Pacific SoftwareCreative Medical Technology Holdings, Inc., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Creative Medical Technology Holdings, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24May 17, 2021 2023 of Pacific SoftwareGlobal Technologies, Inc.Ltd, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Global Technologies LTD

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible 8% Promissory Note due August 24issued May 1, 2021 of Pacific Software2016 by Creative Medical Technologies, Inc., a Nevada corporation (the “BorrowerMaker”), to Creative Medical Health, Inc, a Delaware corporation (the “Payee”), into shares of common stock (the “Common Stock”) of Creative Medical Technology Holdings, Inc., a Nevada corporation (“CELZ”), of Borrower according to the conditions hereof, hereof as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Maker and CELZ in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: ________________, 201__ Principal Amount of Note to be Converted: $ ________________________ Payment of Interest in Common Stock: __ yes __ no If yes, $ ______of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: ____________________ Signature:___________________________________________________ Principal Amount of Note to be Converted: $Name:_________________________________ Number of shares of Common Stock to be issuedDWAC Instructions: Broker Name, address, contact person, and telephone number: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ ___________________________________________________________ Or DWAC Instructions: ___________________________________________________________ Broker DTC No: _______________________________________________ Account No: ________________________________________________

Appears in 1 contract

Samples: Creative Medical Technology Holdings, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24, 2021 Due ______________ of Pacific SoftwareGT Biopharma, Inc., a Nevada Delaware corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: _________________ SCHEDULE A (PERMITTED INDEBTEDNESS)

Appears in 1 contract

Samples: GT Biopharma, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Multiple Advance Convertible Note due August 24January 31, 2021 2009 of Pacific Software, Inc.INTERNATIONAL STEM CELL CORPORATION, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common StockStock pursuant to any prospectus. Conversion calculations: Date to Effect Conversion:_: _____________________________________ Principal Amount of Note to be Converted: $________________________ Interest Accrued on Account of Conversion at Issue: _______________________________________ Number of shares of Common Stock to be issued: :____________________ _________________________________________________________ Signature: _________________________________________________ Name: ____________________________________________________ Address for Delivery of Common Stock Certificates: _________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________:

Appears in 1 contract

Samples: International Stem Cell CORP

NOTICE OF CONVERSION. To: United Rentals Holdings, Inc. The undersigned owner of this Debenture hereby elects irrevocably exercises the option to convert principal under this Debenture, or the Convertible Note due August 24, 2021 of Pacific Software, Inc., a Nevada corporation (the “Borrower”)portion below designated, into Common Stock of UNITED RENTALS HOLDINGS, INC. in accordance with the terms of the Indenture referred to in this Debenture, and directs that the shares issuable and deliverable upon conversion, together with any check in payment for fractional shares, be issued in the name of common stock (the “Common Stock”), of Borrower according and delivered to the conditions hereofundersigned, as of unless a different name has been indicated in the date written assignment below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower thereto. Any Holder, upon the exercise of its conversion rights in accordance therewith. No fee will with the terms of the Indenture and the Debenture, agrees to be charged bound by the terms of the Registration Rights Agreement relating to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) issuable upon conversion of the Exchange ActDebenture. The undersigned agrees Date:_______, ______ in whole _____ Portions of Debenture to comply with the prospectus delivery requirements under the applicable securities laws be in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:part converted ($50 or integral multiples thereof): $_____________________________________________________ Principal Amount of Note to be Converted: $______________________________________________________ Signature (for conversion only) Please Print or Typewrite Name and Address, Including Zip Code, and Social Security or Other Identifying Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ ______________________________________________________ _____ Or DWAC Instructions: __________________________________________________ Broker No: Signature Guarantee:/5/____________________________________ Account No: __________________________

Appears in 1 contract

Samples: United Rentals Inc /De

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due June 23, 2021 2017 of Pacific Software, Inc.Reign Sapphire Corporation, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Reign Sapphire Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24January 31, 2021 of Pacific SoftwareGT Biopharma, Inc., a Nevada Delaware corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(e) of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: GT Biopharma, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24February 3, 2021 2020 of Pacific Software, Inc., Sylios Corp. a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:_____: _________________________________ Principal Amount of Note to be Converted: $$ _________________________ Additional Interest to be Converted: $ __________________________ Number of shares of Common Stock to be issued: ____________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ _________________________________________Address for Delivery of Common Stock Certificates: _________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________________________________

Appears in 1 contract

Samples: Sylios Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible 8% Promissory Note due August 24issued February 2, 2021 of Pacific Software2016 by Creative Medical Technologies, Inc., a Nevada corporation (the “BorrowerMaker”), to Creative Medical Health, Inc, a Delaware corporation (the “Payee”), into shares of common stock (the “Common Stock”) of Creative Medical Technology Holdings, Inc., a Nevada corporation (“CELZ”), of Borrower according to the conditions hereof, hereof as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Maker and CELZ in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: ________________, 201__ Principal Amount of Note to be Converted: $ ________________________ Payment of Interest in Common Stock: __ yes __ no If yes, $ ______of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: ____________________ Signature:___________________________________________________ Principal Amount of Note to be Converted: $Name:_________________________________ Number of shares of Common Stock to be issuedDWAC Instructions: Broker Name, address, contact person, and telephone number: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ ___________________________________________________________ Or DWAC Instructions: ___________________________________________________________ Broker DTC No: _______________________________________________ Account No: ________________________________________________

Appears in 1 contract

Samples: Creative Medical Technology Holdings, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24___, 2021 2015 of Pacific SoftwareWestinghouse Solar, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Westinghouse Solar, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal the Loan and/or outstanding interest under the Senior Convertible Note due August 24Debenture, 2021 of Pacific Softwaredated November 3, 2011 (the “Debenture”), issued by Hardwired Interactive, Inc., a Nevada corporation (the “BorrowerCompany”), in favor of the undersigned, due on December 31, 2012 if not previously repaid by the Company or converted into shares of common stock (the Common Stock”), Stock of Borrower the Company according to the conditions hereofcontained in the Debenture, as of the date written below. If the shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder undersigned for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:: ___________________________________________________ Principal Loan and/or interest Amount of Note Debenture to be Converted: $_________________________ Number of shares of Common Stock to be issued: _________________________________ Signature: ___________________________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ ______________________Address: ____________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: Hardwired Interactive, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24July 1, 2021 2018 of Pacific SoftwareAethlon Medical, Inc., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Interest to be Converted: $_______________ Conversion Price Per Share: $_____________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Convertible Note (Aethlon Medical Inc)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24January 31, 2021 of Pacific SoftwareGT Biopharma, Inc., a Nevada Delaware corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(e) of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: _________________ SCHEDULE A (PERMITTED INDEBTEDNESS)

Appears in 1 contract

Samples: GT Biopharma, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24January 10, 2021 of Pacific Software, Inc., Sylios Corp. a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: :________________

Appears in 1 contract

Samples: Sylios Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 10% Senior Convertible Note due August 24November 14, 2021 2019 of Pacific SoftwareEsports Entertainment Group, Inc., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:: ______________________________________ Principal Amount of Note to be Converted: $_________________________ Number of shares of Common Stock to be issued: ____________________ Signature: ____________________________ Name: _______________________________ Address for Delivery of Common Stock CertificatesDWAC Instructions: Broker No: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: __________________________

Appears in 1 contract

Samples: Esports Entertainment Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal and interest under the 12% Convertible Note due August 24May 11, 2021 2017 of Pacific SoftwareAvant Diagnostics, Inc., a Nevada corporation (the "Borrower"), into shares of common stock (the "Common Stock"), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(d) of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:: __________________________________________ Principal Amount of Note to be Converted: $____________________________ Number of shares of Common Stock to be issued: ______________________________________ Signature: ______________________________________________________ Name: _________________________________________________________ Address for Delivery of Common Stock Certificates: ______________________ ______________________________________________________________ ______________________________________________________________ Or DWAC Instructions: ______________________________________________ Broker No: :______________________________________________________ Account No: ____________________________________________________ Exhibit A

Appears in 1 contract

Samples: Escrow Agreement (Avant Diagnostics, Inc)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due March 7, 2021 2020 of Pacific SoftwareGratitude Health, Inc., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Gratitude Health, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due January ___, 2021 2016 of Pacific SoftwareEcho Therapeutics, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Echo Therapeutics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due May 29, 2021 2019 of Pacific SoftwareImmudyne, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Immudyne, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due Due August 242, 2021 2019 of Pacific SoftwareGT Biopharma, Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Conversion Price: $_________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: GT Biopharma, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24Due September ___, 2021 2020 of Pacific Software, Inc.Reign Sapphire Corporation, a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Reign Sapphire Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 2.5% Senior Secured Convertible Note due August 24May 12, 2021 2014 of Pacific Software, AtheroNova Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common StockStock pursuant to any prospectus. Conversion calculations: Date to Effect Conversion:: _______________________________________ Principal Amount of Note to be Converted: $___________________________ Interest Accrued on Account of Conversion at Issue: __________________________________________ Number of shares of Common Stock to be issued: issued (not less than 10,000 shares): ____________________________________________________________ Signature: ____________________________________________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ _______________________________________ Address for Delivery of Common Stock Certificates: ____________________ ____________________________________________________________ Or DWAC Instructions: Broker No: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: Trist Holdings, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Amended and Restated 2.5% Senior Secured Convertible Note due August 24May 12, 2021 2014 (the “Note”) of Pacific Software, AtheroNova Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this the Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common StockStock pursuant to any prospectus. Conversion calculations: Date to Effect Conversion:: _____________________________________________________ Principal Amount of Note to be Converted: $________________________________________ Interest Accrued on Account of Conversion at Issue: _______________________________________________________ Number of shares of Common Stock to be issuedissued (not less than 10,000 shares): _____________ Signature: ___________________ Signature: _______________________________________________ Name: ____________________________________________________________________ Address for Delivery of Common Stock Certificates: _________________________________ _________________________________________________________________________ _________________________________________________________________________ Or DWAC Instructions: Broker No: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: AtheroNova Inc.

NOTICE OF CONVERSION. The To: NEUROONE MEDICAL TECHNOLOGIES CORPORATION Reference is made to the Convertible Promissory Note (the “Note”) issued to the undersigned by NeuroOne Medical Technologies Corporation, a Delaware corporation (the “Company”). In accordance with and pursuant to the Note, the undersigned hereby elects to convert principal under the Convertible Conversion Amount (as defined in the Note) of the Note due August 24, 2021 of Pacific Software, Inc., a Nevada corporation (the “Borrower”), indicated below into shares of common stock the Company’s Common Stock, $0.001 par value per share (the “Common Stock”), of Borrower according to the conditions hereofCompany, as of the date written specified below. If shares of Common Stock are to be issued Capitalized terms not defined herein shall have the meaning as set forth in the name Note. Date of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculationsConversion: Date to Effect Conversion:__________________________________________________ Principal Amount of Note Aggregate Outstanding Balance to be Convertedconverted: $____________________________ Number of shares of Please issue the Common Stock into which the Note is being converted to be issued: ___________________ Signaturethe Holder, or for its benefit, as follows: ____________________________________________________ NameCheck here if requesting delivery as a certificate to the following name and to the following address: ☐ Issue to: _______________________ Address for Delivery of Common Stock Certificates: ____________________________________ __________________________________________________________ __________________________________________________________ Or DWAC InstructionsCheck here if requesting delivery by Deposit/Withdrawal at Custodian as follows: ☐ DTC Participant: _____________________________________________________ Broker NoDTC Number: _______________________________________________________ Account NoNumber: ____________________________________________________ The undersigned represents that: (i) the undersigned is an Accredited Investor (as that term is defined in Rule 501(a) of Regulation D promulgated under the Securities Act (as defined below)); (ii) the shares of the Common Stock are being acquired for the account of the undersigned for investment and not with a view to, or for resale in connection with, the distribution thereof and that the undersigned has no present intention of distributing or reselling such shares of the Common Stock; (iii) the undersigned is aware of the Company’s business affairs and financial condition and has acquired sufficient information about the Company to reach an informed and knowledgeable decision regarding its investment in the Company; (iv) the undersigned is experienced in making investments of this type and has such knowledge and background in financial and business matters that the undersigned is capable of evaluating the merits and risks of this investment and protecting the undersigned’s own interests; (v) the undersigned understands that the shares of the Common Stock issuable upon conversion of the Note have not been registered under the Securities Act of 1933, as amended (the “Securities Act”), by reason of a specific exemption from the registration provisions of the Securities Act, which exemption depends upon, among other things, the bona fide nature of the investment intent as expressed herein, and, because such securities have not been registered under the Securities Act, they must be held indefinitely unless subsequently registered under the Securities Act or an exemption from such registration is available; (vi) the undersigned is aware that the shares of the Common Stock may not be sold pursuant to Rule 144 adopted under the Securities Act unless certain conditions are met and until the undersigned has held the shares of the Common Stock for the period prescribed by Rule 144, that among the conditions for use of Rule 144 is the availability of current information to the public about the Company and that the Company has not made such information available and has no present plans to do so; and (vii) the undersigned agrees not to make any disposition of all or any part of the shares of the Common Stock unless and until there is then in effect a registration statement under the Securities Act covering such proposed disposition and such disposition is made in accordance with said registration statement, or the undersigned has provided the Company with an opinion of counsel satisfactory to the Company, stating that such registration is not required.

Appears in 1 contract

Samples: Convertible Promissory Notes (NEUROONE MEDICAL TECHNOLOGIES Corp)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Senior Secured Convertible Note due August 24March 16, 2021 2024 of Pacific SoftwareGrom Social Enterprises, Inc., a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the Common StockStock ”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 2 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Accrued Interest to be Converted, if any: $______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ ANNEX C Bank Account of Holder Name of Account Holder: Name of Bank: Account No.: ________________Routing No. Address: Phone:

Appears in 1 contract

Samples: Grom Social Enterprises, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24April 2, 2021 2019 of Pacific Software, R Squared Technologies Inc., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:________________: ______________________ Principal Amount of Note to be Converted: $$ ____________________ Accrued Interest to be Converted: $ ___________________________ Liquidated Damages to be Converted: $ _________________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________________________ Name: __________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: Andalay Solar, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Original Issue Discount Convertible Promissory Note due August 24______, 2021 of Pacific SoftwareGoIP Global, Inc., a Nevada Colorado corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Information Date to Effect Conversion:: _____________________________________ Outstanding Principal: _____________________________________ Outstanding Interest: _____________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC InstructionsInterest Amount of Note to be Converted: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: Charge Enterprises, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Unsecured Convertible Promissory Note due August 24, 2021 of Pacific SoftwareIntelligent Buying, Inc., a Nevada California corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws laws, if applicable, in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:: ____________________________________, 20__ Principal Amount of Note to be Converted: $________________ Payment of Interest in Common Stock: __ yes __ no ___ If yes, $_______ of Interest Accrued on Account of Conversion. Conversion Price per Share: $_________ Number of shares of Common Stock to be issued: _______________ Signature: _____ Signature: __________________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: Intelligent Buying, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24July 27, 2021 2019 of Pacific SoftwareGlobal Technologies, Inc.Ltd., a Nevada Delaware corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Global Technologies LTD

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24July 16, 2021 2015 of Pacific Software, Inc.Ironwood Gold Corp., a Nevada corporation (the “Borrower”"Company"), into shares of common stock (the "Common Stock"), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Ironwood Gold Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24November 9, 2021 2018 of Pacific Software, Inc.Sincerity Applied Materials Holdings Corp., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $_______________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Sincerity Applied Materials Holdings Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24May 9, 2021 2018, of Pacific SoftwareAndalay Solar, Inc., a Nevada Delaware corporation (the “Borrower”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:__________: ____________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ____________________________________ Name: ____________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: ____:_____________ Account No: ________________

Appears in 1 contract

Samples: Andalay Solar, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Convertible Note due August 24January 13, 2021 of Pacific SoftwareDeep Green Waste & Recycling, Inc., a Nevada Wyoming corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion:______: ________________________________ Principal Amount of Note to be Converted: $__________________ Additional Interest to be Converted: $________________________ Number of shares of Common Stock to be issued: ______________ Signature: ______ Signature: ________________________________________ Name: ________________________________________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: :_________________ Account No: ________________

Appears in 1 contract

Samples: Deep Green Waste & Recycling, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the Original Issue Discount Senior Secured Convertible Promissory Note due August 24January 16, 2021 2022 of Pacific Software, Inc.Can B Corp., a Nevada Florida corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Information Date to Effect Conversion:______________________________________ Principal Amount of Note to be Converted: $_______________________ Number of shares of Common Stock to be issued: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ ______Outstanding Principal: ____________________________________________________ Or DWAC InstructionsOutstanding Interest: ____________________________________________________ Broker NoPrincipal Amount of Note to be Converted: ___________________________________ Account NoInterest Amount of Note to be Converted: ___________________________________ Conversion Price Calculations: Total Shares of Common Stock to be Issued: Outstanding Principal After Conversion: ___________________________________ Outstanding Interest After Conversion: ___________________________________

Appears in 1 contract

Samples: Can B Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal (and, if applicable, accrued and unpaid interest) under the Original Issue Discount Senior Secured Convertible Promissory Note due August 24February 17, 2021 2024 of Pacific SoftwareMadison Technologies, Inc., a Nevada corporation (the “BorrowerCompany”), into shares of common stock (the “Common Stock”), of Borrower the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by Borrower the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to Borrower the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(d) of this Note, as determined in accordance with Section 13(d) of the Exchange Actsuch Section. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Information Date to Effect Conversion:: _____________________________________________________ Outstanding Principal Amount of Note to be ConvertedBefore Conversion: $_____________________________________________________ Number of shares of Common Stock to be issuedOutstanding Interest Before Conversion: ___________________ Signature: _______________________ Name: _______________________ Address for Delivery of Common Stock Certificates: ________________ __________________________________________________________ Principal Amount of Note to be Converted: _________________________________________ Interest Amount of Note to be Converted: __________________________________________ Conversion Price Calculations: Total Shares of Common Stock to be Issued: Outstanding Principal After Conversion: ___________________________________________ Outstanding Interest After Conversion: __________________________________________________________ Or DWAC Instructions: __________________________________________ Broker No: _________________ Account No: ________________

Appears in 1 contract

Samples: Madison Technologies Inc.

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