Common use of Form D Filing Clause in Contracts

Form D Filing. The Company hereby agrees that it shall file in a timely manner a Form D relating to the sale of the Shares under this Agreement, pursuant to Regulation D promulgated under the Securities Act. -- The parties hereto have executed this Agreement as of the date and year first above written. MedeFile International, Inc. By: /s/ Xxxxx Xxxxxx Xxxxx Xxxxxx Chief Executive Officer [PURCHASER SIGNATURE PAGES TO FOLLOW] SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT DATED AS OF APRIL 14, 2013 BY AND AMONG MEDEFILE INTERNATIONAL, INC. AND EACH PURCHASER NAMED THEREIN The undersigned hereby executes and delivers to MedeFile International, Inc., the Securities Purchase Agreement (the “Agreement”) to which this signature page is attached, which Agreement and signature page, together with all counterparts of such Agreement and signature pages of the other Purchasers named in such Agreement, shall constitute one and the same document in accordance with the terms of such Agreement. Number of Shares: 2,000,000 Name of Purchaser Signature: By: Xxxxxxx Xxxxxxxxxx Title: Address: Telephone: Fax: Tax ID Number: EXHIBIT A Schedule of Purchasers Xxxxxxx Xxxxxxxxxx Appendix I STOCK CERTIFICATE QUESTIONNAIRE Please provide us with the following information:

Appears in 1 contract

Samples: Securities Purchase Agreement (Medefile International, Inc.)

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Form D Filing. The Company hereby agrees that it shall file in a timely manner a Form D relating to the sale of the Shares Securities under this Agreement, pursuant to Regulation D promulgated under the Securities Act. -- The parties hereto have executed this Agreement as of the date and year first above written. MedeFile InternationalCirque Energy, Inc. By: /s/ Xxxxx Xxxxxx Xxxxx Xxxxxx XxXxxx Chief Executive Officer [PURCHASER SIGNATURE PAGES TO FOLLOW] SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT DATED AS OF APRIL 14FEBRUARY __, 2013 2015 BY AND AMONG MEDEFILE INTERNATIONALCIRQUE ENERGY, INC. AND EACH PURCHASER NAMED THEREIN The undersigned hereby executes and delivers to MedeFile InternationalCirque Energy, Inc., the Securities Purchase Agreement (the “Agreement”) to which this signature page is attached, which Agreement and signature page, together with all counterparts of such Agreement and signature pages of the other Purchasers named in such Agreement, shall constitute one and the same document in accordance with the terms of such Agreement. Number of Shares: 2,000,000 __________ Name of Purchaser Signature: By: Xxxxxxx Xxxxxxxxxx Title: Address: Telephone: Fax: Tax ID Number: EXHIBIT A Schedule of Purchasers Xxxxxxx Xxxxxxxxxx Appendix I STOCK CERTIFICATE QUESTIONNAIRE Please provide us with the following information:

Appears in 1 contract

Samples: Securities Purchase Agreement (Cirque Energy, Inc.)

Form D Filing. The Company hereby agrees that it shall file in a timely manner a Form D relating to the sale of the Shares Securities under this Agreement, pursuant to Regulation D promulgated under the Securities Act. -- The parties hereto have executed this Agreement as of the date and year first above written. MedeFile Medefile International, Inc. By: /s/ Xxxxx Xxxxxx Xxxxx Xxxxxx Chief Executive Officer [PURCHASER SIGNATURE PAGES TO FOLLOW] SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT DATED AS OF APRIL 1412, 2013 2012 BY AND AMONG MEDEFILE INTERNATIONAL, INC. AND EACH PURCHASER NAMED THEREIN The undersigned hereby executes and delivers to MedeFile Medefile International, Inc., the Securities Purchase Agreement (the “Agreement”) to which this signature page is attached, which Agreement and signature page, together with all counterparts of such Agreement and signature pages of the other Purchasers named in such Agreement, shall constitute one and the same document in accordance with the terms of such Agreement. Number of Shares: 2,000,000 100,000 Number of Warrants: Same as common after convert Name of Purchaser Signature: /s/ Xxxx Xxxxxx By: Xxxxxxx Xxxxxxxxxx Xxxx Xxxxxx Title: Address: Telephone: Fax: Tax ID Number: EXHIBIT A Schedule of Purchasers Xxxxxxx Xxxxxxxxxx Appendix I STOCK CERTIFICATE QUESTIONNAIRE Please provide us with the following information:

Appears in 1 contract

Samples: Securities Purchase Agreement (Medefile International, Inc.)

Form D Filing. The Company hereby agrees that it shall file in a timely manner a Form D relating to the sale of the Shares under this Agreement, pursuant to Regulation D promulgated under the Securities Act. -- The parties hereto have executed this Agreement as of the date and year first above written. MedeFile Medefile International, Inc. By: /s/ Xxxxx Xxxxxx Xxxxx Xxxxxx Chief Executive Officer [PURCHASER SIGNATURE PAGES TO FOLLOW] SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT DATED AS OF APRIL 14AUGUST 24, 2013 2012 BY AND AMONG MEDEFILE INTERNATIONAL, INC. AND EACH PURCHASER NAMED THEREIN The undersigned hereby executes and delivers to MedeFile Medefile International, Inc., the Securities Purchase Agreement (the “Agreement”) to which this signature page is attached, which Agreement and signature page, together with all counterparts of such Agreement and signature pages of the other Purchasers named in such Agreement, shall constitute one and the same document in accordance with the terms of such Agreement. Number of Shares: 2,000,000 2,500,000,000 Name of Purchaser London Capital Group Inc Signature: /s/ Xxxxxxx Xxxx By: Xxxxxxx Xxxxxxxxxx Xxxx Title: President Address: Telephone: Fax: Tax ID Number: EXHIBIT A Schedule of Purchasers Xxxxxxx Xxxxxxxxxx Appendix I STOCK CERTIFICATE QUESTIONNAIRE Please provide us with the following information:

Appears in 1 contract

Samples: Securities Purchase Agreement (Medefile International, Inc.)

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Form D Filing. The Company hereby agrees that it shall file in a timely manner a Form D relating to the sale of the Shares under this Agreement, pursuant to Regulation D promulgated under the Securities Act. -- The parties hereto have executed this Agreement as of the date and year first above written. MedeFile International, Inc. By: /s/ Xxxxx Xxxxxx Xxxxx Xxxxxx Chief Executive Officer [PURCHASER SIGNATURE PAGES TO FOLLOW] SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT DATED AS OF APRIL 14JANUARY 20, 2013 BY AND AMONG MEDEFILE INTERNATIONAL, INC. AND EACH PURCHASER NAMED THEREIN The undersigned hereby executes and delivers to MedeFile International, Inc., the Securities Purchase Agreement (the “Agreement”) to which this signature page is attached, which Agreement and signature page, together with all counterparts of such Agreement and signature pages of the other Purchasers named in such Agreement, shall constitute one and the same document in accordance with the terms of such Agreement. Number of Shares: 2,000,000 400,000 Name of Purchaser Signature: A&O Family LLC By: /s/ Xxxxxxx Xxxxxxxxxx Title: Manager Address: Telephone: Fax: Tax ID Number: EXHIBIT A Schedule of Purchasers Xxxxxxx Xxxxxxxxxx A&O Family LLC Appendix I STOCK CERTIFICATE QUESTIONNAIRE Please provide us with the following information:

Appears in 1 contract

Samples: Securities Purchase Agreement (Medefile International, Inc.)

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