Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 13 contracts
Samples: Note Purchase Agreement (MLTM Lending LLC), Note Purchase Agreement (Axion International Holdings, Inc.), Note Purchase Agreement (Axion International Holdings, Inc.)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 13 contracts
Samples: Warrant Agreement (Redwood Scientific Technologies, Inc.), Securities Purchase Agreement (United Energy Corp /Nv/), Business Combination Agreement (Digital Transformation Opportunities Corp.)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder Holder, or its designee or agent as specified below, __________ Warrant Shares in accordance with the terms of the Warrant. DateDelivery shall be made to Holder, or for its benefit, to the following address: _______________________ __, _____________________ Name of Registered Holder By: Name: Title:_______________________ _______________________
Appears in 2 contracts
Samples: Securities Purchase Agreement (Bridgeline Digital, Inc.), Agent Agreement (BG Staffing, Inc.)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder Holder, or its designee or agent as specified below, __________ Warrant Shares in accordance with the terms of the Warrant. Delivery shall be made to Holder, or for its benefit, to the following address: _______________________ _______________________ _______________________ _______________________ Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 2 contracts
Samples: Consulting Agreement (NanoVibronix, Inc.), GC China Turbine Corp.
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Samples: Securities Purchase Agreement (Axion International Holdings, Inc.)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: _____________________________________ Name: Title:
Appears in 1 contract
Samples: Securities Purchase Agreement (United Energy Corp /Nv/)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder _holder _________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: --------------------------------- Name: ------------------------------- Title:: ------------------------------ EXHIBIT IV EXHIBIT A (LIST OF SELLING STOCKHOLDERS)
Appears in 1 contract
Samples: Earthshell Corp
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ ____________________________ Name of Registered Holder By: _________________________ Name: Title:
Appears in 1 contract
Samples: Immunic, Inc.
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: ____________ ____ __, ______ __________________________________ Name of Registered Holder holder By: :_______________________________ Name: Title: EXHIBIT B TO WARRANT FORM OF AFFIDAVIT OF LOSS STATE OF ) ) ss: COUNTY OF ) The undersigned (hereinafter "Deponent"), being duly sworn, deposes and says that:
Appears in 1 contract
Samples: Agreement and Plan of Merger (Capital Title Group Inc)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: _________________________________ Name: Title: EXHIBIT B 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:
Appears in 1 contract
Samples: AzurRx BioPharma, Inc.
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: __________________________ Name: Title:
Appears in 1 contract
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder _______ __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: ---------------------------- Name: Title:
Appears in 1 contract
Samples: Dvi Inc
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:_
Appears in 1 contract
Samples: Agreement (Elbit Vision Systems LTD)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ _____________________________ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Samples: Securities Purchase Agreement (Nemus Bioscience, Inc.)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder _holder _________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: -------------------------------------- Name: -------------------------------------- Title:: -------------------------------------- EXHIBIT IV EXHIBIT "A" (LIST OF SELLING STOCKHOLDERS) NAME: NO. OF SHARES: ----------------------------------------------- ----------------------------- EXHIBIT A
Appears in 1 contract
Samples: Xsunx Inc
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Samples: Axion International Holdings, Inc.
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder _____________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder____________ Warrant Shares in accordance with the terms of the Warrant. Date: :_______________ __, ______ Name of Registered Holder XXXXXXX EQUITY GROUP, LLC By: Name: Xxxx Xxxxxxxx Title:: Banking Group
Appears in 1 contract
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Samples: Note Purchase Agreement (Axion International Holdings, Inc.)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ____ ________________________________ Name of Registered Holder By: ___________________________ Name: Title:
Appears in 1 contract
Samples: Pacific Ethanol, Inc.
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ _________________________ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: , ____________________ __, _____ ___________ Name of Registered Holder By: _____________________________ Name: Title:________________________
Appears in 1 contract
Samples: Pledge Agreement (Green Power Energy Holdings Corp)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant and, after delivery of such Warrant Shares, _____________ Warrant Shares remain subject to the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:: EXHIBIT B ASSIGNMENT FORM
Appears in 1 contract
Samples: Giga Tronics Inc
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder _holder _________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: ----------------------------- Name: --------------------------- Title:: -------------------------- EXHIBIT IV EXHIBIT "A" (LIST OF SELLING STOCKHOLDERS)
Appears in 1 contract
Samples: Securities Purchase Agreement (Sensor System Solutions Inc)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder _holder _________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: ----------------------------- Name: --------------------------- Title:: -------------------------- EXHIBIT IV EXHIBIT "A" (LIST OF SELLING STOCKHOLDERS) Name: No. of Shares: --------------------------------------------------------- --------------
Appears in 1 contract
Samples: Sensor System Solutions Inc
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ _____________________________ Name of Registered Holder By: ________________________ Name: Title:
Appears in 1 contract
Samples: Underwriting Agreement (Intellipharmaceutics International Inc.)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, 20______ ________________________ Name of Registered Holder By: ___________________ Name: Title:
Appears in 1 contract
Samples: OccuLogix, Inc.
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder _________________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ________ (Print Name of Registered Holder ByHolder) By : Name: Title:
Appears in 1 contract
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Xx. Xxxxxxx X. Dent Title:: Chairman
Appears in 1 contract
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ___________________________ (Print Name of Registered Holder Holder) By: __________________________ Name: Title:________________________
Appears in 1 contract
Samples: Common Stock Purchase Warrant (Ozop Surgical Corp.)
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Samples: American Oncology Network, Inc.
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder holder __________ Warrant Shares in accordance with the terms of the Warrant. Date: ________________ ___, ______ Name of Registered Holder By: Name: Title:
Appears in 1 contract
Samples: United Energy Corp /Nv/
Delivery of Warrant Shares. The Company shall deliver to the undersigned Registered Holder __________ __________ Warrant Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: ______________________ Name: Title:
Appears in 1 contract
Samples: Dvi Inc
