ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 147 contracts

Samples: Common Stock Purchase Warrant (Cyclacel Pharmaceuticals, Inc.), Common Stock Purchase Warrant (PaxMedica, Inc.), Letter Agreement (Applied Therapeutics Inc.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address~~: (Please Print) Phone Number: Email Address: Dated: _______________ __, ______ Holder’s Signature: Holder’s Address~~:

Appears in 32 contracts

Samples: Warrant Agency Agreement (Palisade Bio, Inc.), Common Stock Purchase Warrant (Ainos, Inc.), Common Stock Purchase Warrant (SOS Hydration Inc.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ~~_______________ __~~, ~~______~~ Holder’s Signature: Holder’s Address:

Appears in 20 contracts

Samples: Common Stock Purchase Warrant (Gain Therapeutics, Inc.), S Warrant Agreement (Gain Therapeutics, Inc.), Common Stock Purchase (Acelrx Pharmaceuticals Inc)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ~~_______________ __, ______~~ Holder’s Signature: Holder’s Address:

Appears in 16 contracts

Samples: Purchase Agreement (Alimera Sciences Inc), Purchase Agreement (Alimera Sciences Inc), Purchase Agreement (Alimera Sciences Inc)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _____________________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 13 contracts

Samples: Common Stock Purchase Warrant (MAIA Biotechnology, Inc.), Underwriting Agreement (AppTech Payments Corp.), Scorpius Holdings, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ~~_______________ __, ______~~ Holder’s Signature: Holder’s Address:

Appears in 11 contracts

Samples: Common Stock Purchase (Bio-Path Holdings Inc), Common Stock Purchase (Bio-Path Holdings Inc), Common Stock Purchase (Panbela Therapeutics, Inc.)

Appears in 9 contracts

Samples: Common Stock Purchase Warrant (Clip Interactive, LLC), Intrusion Inc, Intrusion Inc

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: ~~(Please Print)~~ Phone Number: Email Address: (Please Print) ______________________________________ ______________________________________ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 8 contracts

Samples: Common Stock Purchase Warrant (Coya Therapeutics, Inc.), Common Stock Purchase Warrant (Achieve Life Sciences, Inc.), Common Stock Purchase Warrant (Biocept Inc)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ~~_______________ __~~, ~~______~~ 20 Holder’s Signature: Holder’s Address:

Appears in 8 contracts

Samples: Zoo Entertainment, Inc, Zoo Entertainment, Inc, Zoo Entertainment, Inc

Appears in 7 contracts

Samples: Common Stock Purchase Warrant (RenovoRx, Inc.), Common Stock Purchase Warrant (Gold Royalty Corp.), Common Stock Purchase Warrant (Gold Royalty Corp.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to exercise the Warrant to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 7 contracts

Samples: Common Stock Purchase Warrant (Harbor Custom Development, Inc.), First Wave BioPharma, Inc., Dermata Therapeutics, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 5 contracts

Samples: Cellectar Biosciences, Inc., NXT-Id, Inc., Long Island Iced Tea Corp.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: Phone Number:Email Address: (Please Print~~) Phone Number: Email Address:~~ )____________________________________________________________________________ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 5 contracts

Samples: Placement Agent Common Stock Purchase Warrant (HTG Molecular Diagnostics, Inc), Revelation Biosciences, Inc., HTG Molecular Diagnostics, Inc

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) ~~FOR VALUE RECEIVED~~For Value Received, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ______________~~_ __, ___~~___ Holder’s Signature: Holder’s Address:

Appears in 5 contracts

Samples: Switchback Energy Acquisition Corp, Switchback Energy Acquisition Corp, Zhongchao Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: ______________________________________ (Please Print) Address: ______________________________________ (Please Print) Phone Number: ______________________________________ Email Address: ______________________________________ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 4 contracts

Samples: Intrusion Inc, Intrusion Inc, Agile Therapeutics Inc

Appears in 4 contracts

Samples: Novo Integrated Sciences, Inc., Recon Technology, LTD, Novo Integrated Sciences, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: ~~(Please Print) Phone Number: Email Address:~~ Dated: _______________ __, _ ______ Holder’s Signature: Holder’s Address:

Appears in 4 contracts

Samples: Common Stock Purchase (Bioquest Corp), Common Stock Purchase Warrant (Metatron Apps, Inc.), Common Stock Purchase Warrant (Greene Concepts, Inc)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: ~~(Please Print) Phone Number: Email Address:~~ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 4 contracts

Samples: Common Stock Purchase (Triad Pro Innovators, Inc.), Triad Pro Innovators, Inc., Triad Pro Innovators, Inc.

Appears in 4 contracts

Samples: Revelation Biosciences, Inc., Coya Therapeutics, Inc., Coya Therapeutics, Inc.

Appears in 4 contracts

Samples: Common Stock Purchase Warrant (MamaMancini's Holdings, Inc.), GBS Inc., Aptorum Group LTD

Appears in 3 contracts

Samples: Sintx Technologies, Inc., Sintx Technologies, Inc., Sintx Technologies, Inc.

Appears in 3 contracts

Samples: Coeptis Therapeutics Holdings, Inc., Grom Social Enterprises, Inc., Grom Social Enterprises, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: ______________________________________ (Please Print) Address: ______________________________________ (Please Print) Phone Number: ______________________________________ Email Address: ______________________________________ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:: Exhibit 2

Appears in 3 contracts

Samples: Warrant Agency Agreement (Envision Solar International, Inc.), Warrant Agency Agreement (Envision Solar International, Inc.), Warrant Agency Agreement (Envision Solar International, Inc.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to to: Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, ______ Holder’s Signature~~: Holder’s Address~~:

Appears in 3 contracts

Samples: Preferred Stock Purchase Warrant (Stratus Capital Corp), Preferred Stock Purchase Warrant (Stratus Capital Corp), Preferred Stock Purchase Warrant (Stratus Capital Corp)

Appears in 3 contracts

Samples: Sonnet BioTherapeutics Holdings, Inc., Sonnet BioTherapeutics Holdings, Inc., Sonnet BioTherapeutics Holdings, Inc.

Appears in 3 contracts

Samples: Common Stock Purchase Warrant (Propanc Biopharma, Inc.), Lianluo Smart LTD, Lianluo Smart LTD

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: __________~~_____ __~~, ~~____~~20__ Holder’s Signature: Holder’s Address:

Appears in 3 contracts

Samples: Goff John C, Eyetel Imaging Inc, Omnicell Inc /Ca/

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply the required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ______________________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 3 contracts

Samples: Wisa Technologies, Inc., Wisa Technologies, Inc., Kalera Public LTD Co

Appears in 3 contracts

Samples: Agile Therapeutics Inc, Agile Therapeutics Inc, Agile Therapeutics Inc

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) ~~FOR VALUE RECEIVED~~For Value Received, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, ________ Holder’s Signature: _____________________________________ Holder’s Address:: ______________________________________

Appears in 2 contracts

Samples: Subscription Agreement (VerifyMe, Inc.), Investment Agreement (VerifyMe, Inc.)

Appears in 2 contracts

Samples: Galmed Pharmaceuticals Ltd., Galmed Pharmaceuticals Ltd.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______~~________ __~~, ~~____~~20__ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Auddia Inc., Auddia Inc.

Appears in 2 contracts

Samples: Aptorum Group LTD, Adial Pharmaceuticals, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) ~~FOR VALUE RECEIVED~~For Value Received, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ~~_______________ __, ______~~ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Trulite Inc, Trulite Inc

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ~~_______________ __~~, ~~______~~ 2012 Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Tetralogic Pharmaceuticals Corp, Tetralogic Pharmaceuticals Corp

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to to: Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Series D Preferred Stock Purchase Warrant (TPT Global Tech, Inc.), Series D Preferred Stock Purchase Warrant (TPT Global Tech, Inc.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: __________~~_____ __~~, ~~____~~20__ Holder’s Signature: Holder’s Address: Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: www.sec.gov, Horizon Pharma, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ________________________________ ___, ________ Holder’s Signature: :___________________________________________ Holder’s Address:____________________________________________

Appears in 2 contracts

Samples: Helius Medical Technologies, Inc., Helius Medical Technologies, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to ~~purchase shares~~exercise the Warrant.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Arch Therapeutics, Inc., Arch Therapeutics, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to to: Name: (Please Print) Address: ~~(Please Print)~~ Phone Number: Email Address: Dated: ~~_______________ __, ______~~ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Warrant Agency Agreement (Planet 13 Holdings Inc.), Planet 13 Holdings Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: ___________________________ (Please Print) Address: ~~(Please Print)~~ ___________________________ Phone Number: Email Address: (Please Print) ___________________________ ___________________________ Dated: _______________ __, ______ Holder’s Signature: _______________ Holder’s Address:_________________

Appears in 2 contracts

Samples: Common Stock Purchase Warrant (Aclarion, Inc.), Common Stock Purchase Warrant (Aclarion, Inc.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) ~~FOR VALUE RECEIVED~~For Value Received, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: __________~~_____ __~~, ~~____~~20__ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Northwest Biotherapeutics Inc, Northwest Biotherapeutics Inc

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ~~_______________ __, ______~~ Holder’s 's Signature: Holder’s 's Address:

Appears in 2 contracts

Samples: Warrant Purchase Agreement (Viveve Medical, Inc.), Warrant Purchase Agreement (Viveve Medical, Inc.)

Appears in 2 contracts

Samples: Transcode Therapeutics, Inc., Sintx Technologies, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ~~_______________ __~~, ~~______~~ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Agreement and Plan of Merger (Cardax, Inc.), Akebia Therapeutics, Inc.

Appears in 2 contracts

Samples: Lexaria Bioscience Corp., Lexaria Bioscience Corp.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to to: Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ~~_______________ __~~, ~~______~~ Holder’s ~~Signature:~~ Signature Holder’s Address:

Appears in 2 contracts

Samples: Remark Holdings, Inc., Remark Holdings, Inc.

ASSIGNMENT FORM. (To assign the foregoing Purchase Warrant, execute this form and supply required information. Do not use this form to purchase ~~shares~~Shares.) FOR VALUE RECEIVED, the foregoing Purchase Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _______________ __, ______ Holder’s Signature: _____________________ Holder’s Address:: _____________________

Appears in 2 contracts

Samples: Underwriting Agreement (Silo Pharma, Inc.), Common Stock Purchase Warrant (Silo Pharma, Inc.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to to: Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ~~_______________ __, ______~~ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Securities Purchase Agreement (NeuroMetrix, Inc.), NeuroMetrix, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: _______________ Email Address: ____________________________ Dated: _______________ __, ______ Holder’s Signature: :_________________________ Holder’s Address:__________________________

Appears in 2 contracts

Samples: Common Stock Purchase (Grom Social Enterprises, Inc.), Grom Social Enterprises, Inc.

Appears in 2 contracts

Samples: DelMar Pharmaceuticals, Inc., DelMar Pharmaceuticals, Inc.

ASSIGNMENT FORM. (To assign the foregoing ~~Warrant~~Option, execute this form and supply required information. Do not use this form to purchase shares.) ~~FOR VALUE RECEIVED~~For Value Received, the foregoing ~~Warrant~~ Option and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: __________~~_____ __~~, ~~____~~20__ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Firer Oleg, Net Element, Inc.

Appears in 2 contracts

Samples: Warrant Agreement (Hancock Jaffe Laboratories, Inc.), Warrant Agreement (Hancock Jaffe Laboratories, Inc.)

Appears in 2 contracts

Samples: Common Stock Purchase Warrant (Marathon Patent Group, Inc.), Biohitech Global, Inc.

Appears in 2 contracts

Samples: Intelligent Bio Solutions Inc., Aptorum Group LTD

Appears in 2 contracts

Samples: Lexaria Bioscience Corp., Sorrento Therapeutics, Inc.

Appears in 2 contracts

Samples: Aclarion, Inc., Aclarion, Inc.

Appears in 2 contracts

Samples: Intelligent Bio Solutions Inc., Cancer Genetics, Inc

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ________________ __, _______ Holder’s Signature: ____________________________ Holder’s Address:: _____________________________

Appears in 2 contracts

Samples: Coya Therapeutics, Inc., Coya Therapeutics, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: Phone Number: E-mail Address: (Please Print) ~~Phone Number: Email Address:~~ ______________________________________ ______________________________________ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 2 contracts

Samples: Ra Medical Systems, Inc., Ra Medical Systems, Inc.

Appears in 1 contract

Samples: AmpliTech Group, Inc.

Appears in 1 contract

Samples: Tanzanian Gold Corp

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:: DOCPROPERTY "CUS_DocIDChunk0" 30838158_v9

Appears in 1 contract

Samples: Nuburu, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply the required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: ~~(Please Print)~~ Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ______________~~_ __,~~ ______________________, 20__ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Purple Beverage Company, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ______________~~_ __,~~ __________,___ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: ClearSign Technologies Corp

Appears in 1 contract

Samples: Marizyme Inc

Appears in 1 contract

Samples: NightFood Holdings, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: Phone Number: (Please Print) ~~Phone Number:~~ Email Address: Dated: ~~_______________ __, ______~~ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Lexaria Bioscience Corp.

Appears in 1 contract

Samples: Dermata Therapeutics, Inc.

ASSIGNMENT FORM. (To assign the ~~foregoing Warrant~~Warrant to which this form is attached, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, ______ Holder’s Signature: :____________________ Holder’s Address:_____________________

Appears in 1 contract

Samples: Common Stock Purchase Warrant (NXT-Id, Inc.)

Appears in 1 contract

Samples: Intelligent Bio Solutions Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply the required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: ~~(Please Print)~~ Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, ~~____~~20__ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Purple Beverage Company, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ _____________, ______ Holder’s Signature: ______________________ Holder’s Address:: _______________________

Appears in 1 contract

Samples: Subordinate Loan and Security Agreement (S&W Seed Co)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, __ Holder's Signature: ____________________________________ Holder~~’s Signature~~'s Address: ~~Holder’s Address:~~____________________________________

Appears in 1 contract

Samples: Bill the Butcher, Inc.

Appears in 1 contract

Samples: Common Stock Purchase Warrant (NanoVibronix, Inc.)

Appears in 1 contract

Samples: Lianluo Smart LTD

Appears in 1 contract

Samples: Common Share Purchase (Globe Net Wireless Corp.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ___________~~___~~_ __, ___ Holder’s Signature: _____________________ Holder’s ~~Signature~~Address: ~~Holder’s Address:~~_____________________

Appears in 1 contract

Samples: Osmotica Pharmaceuticals PLC

Appears in 1 contract

Samples: RenovoRx, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ________________________ ___, __________ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Innovative Eyewear Inc

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ______________________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: reAlpha Tech Corp.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ______________~~_ __, ___~~___ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Globeimmune Inc

Appears in 1 contract

Samples: Inpixon

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _____________________ _____, _______________________ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Common Stock Purchase Warrant (VerifyMe, Inc.)

Appears in 1 contract

Samples: NeuroBo Pharmaceuticals, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated~~: ____~~:___________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: PARTS iD, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to _______________, a[/n] [Affiliate] [successor] of the Holder. Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Scholar Rock Holding Corp

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) ~~FOR VALUE RECEIVED~~For Value Received, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, _________ Holder’s Signature: _______________________________________ Holder’s Address:: _______________________________________

Appears in 1 contract

Samples: Trulite Inc

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: Phone Number:Email Address: (Please Print~~) Phone Number: Email Address:~~ )__________________________________________________________________________ Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Common Stock Purchase Warrant (Quanergy Systems, Inc.)

Appears in 1 contract

Samples: Siyata Mobile Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to to: Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ____________ _~~___~~ __, ______ Holder’s ~~Signature:~~ Signature Holder’s Address:: _________________________

Appears in 1 contract

Samples: Nymox Pharmaceutical Corp

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) ~~FOR VALUE RECEIVED~~For value Received, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: ______________~~_ __, ____~~__ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Interest Purchase Agreement (Mr. Mango LLC)

Appears in 1 contract

Samples: Sorrento Therapeutics, Inc.

ASSIGNMENT FORM. (To assign the foregoing ~~Warrant~~Note, execute this form and supply required information. Do not use this form to ~~purchase~~ convert shares.) FOR VALUE RECEIVED, the foregoing ~~Warrant~~ Note and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _______ , _________________________ ~~__, ______~~ Holder’s 's Signature: Holder’s 's Address::

Appears in 1 contract

Samples: Note and Security Agreement (Kiromic Biopharma, Inc.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _________________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Cancer Genetics, Inc

Appears in 1 contract

Samples: Common Share Purchase (Avino Silver & Gold Mines LTD)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: ~~_______________ __~~ , ~~______~~ Holder’s Signature: Holder’s Address::

Appears in 1 contract

Samples: Timber Pharmaceuticals, Inc.

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to to: Name: (Please Print) Address: (Please Print) ~~Phone Number: Email Address:~~ Dated: _______________ __, ______ Holder’s Signature: _______________ Holder’s Address:: _______________

Appears in 1 contract

Samples: Series D Preferred Stock Purchase Warrant (TPT Global Tech, Inc.)

ASSIGNMENT FORM. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: :________________ __~~, _~~,_____ Holder’s Signature: Holder’s Address:: Exhibit 2

Appears in 1 contract

Samples: Warrant Agency Agreement (Auddia Inc.)

Appears in 1 contract

Samples: Digital Ally Inc

Common use of ASSIGNMENT FORM Clause in Contracts