_____ Check if Applicable. The undersigned, pursuant to the provisions set forth in the within Warrant, hereby elects to exercise the cashless exercise provisions of the within warrant with respect to ________ shares of Common Stock covered by such Warrant, and requests that the Company issue to the undersigned an aggregate of _______ Warrant Shares based on the application of the formula set forth in Section 3(c) of such Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 5 contracts
Samples: Warrant Agreement (Lovesac Co), Warrant Agreement (Lovesac Co), Warrant Agreement (Lovesac Co)
_____ Check if Applicable. The undersigned, pursuant to the provisions set forth in the within Warrant, hereby elects to exercise the cashless exercise provisions of the within warrant with respect to ________ shares of Common Stock covered by such Warrant, and requests that the Company issue to the undersigned an aggregate of _______ Warrant Shares based on the application of the formula set forth in Section 3(c) of such Warrant. Date: _______________ __, ______ ___________________________________ Name of Registered Holder By: Name: Title:
Appears in 2 contracts
Samples: Warrant Agreement (Fat Brands, Inc), Warrant Agreement (Fat Brands, Inc)
_____ Check if Applicable. The undersigned, pursuant to the provisions set forth in the within Warrant, hereby elects to exercise the cashless exercise provisions of the within warrant with respect to ________ shares of Common Stock covered by such Warrant, and requests that the Company issue to the undersigned an aggregate of _______ Warrant Shares based on the application of the formula set forth in Section 3(c) of such Warrant. Date: __________________ __, _______ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Samples: Warrant Agreement (Fat Brands, Inc)
