Form of Notice of Exercise. The Recipient's notice as required by Section 3 shall be signed by the Recipient and shall be in substantially the following form with appropriate adjustments depending on how the Option price is paid: "I hereby exercise my Option to purchase shares in accordance with my Option Award dated October 1, 2001. The aggregate Option price of the shares I am purchasing is $ . I hereby tender payment of such price (complete applicable item(s)):
Form of Notice of Exercise. [To be signed only upon exercise of the Warrant] TO BE EXECUTED BY THE REGISTERED HOLDER TO EXERCISE THE WITHIN WARRANT The undersigned hereby exercises the right to purchase ________ Warrant Shares which the undersigned is entitled to purchase by the terms of the within Warrant according to the conditions thereof, and herewith makes payment of the Exercise Price of such shares in full, as provided in the Warrant. All shares to be issued pursuant hereto shall be issued in the name of and the initial address of such person to be entered on the books of the Company shall be: ________________________________________ [Type Name of Holder] By: _____________________________________ Dated: ___________________________________ Address: ________________________________ ________________________________________ ________________________________________
Form of Notice of Exercise. To: Danaos Corporation The undersigned hereby irrevocably elects to exercise Warrants to acquire shares of Common Stock, par value $0.01 per share, of DANAOS CORPORATION (the “ Warrant Shares”), on the terms and conditions specified in the Warrant Certificate and the Warrant Agreement therein referred to, surrenders this Warrant Certificate and all right, title and interest therein to DANAOS CORPORATION and directs that the shares of Common Stock deliverable upon the exercise of such Warrants be registered or placed in the name and at the address specified below and delivered thereto. The undersigned elects to hold Warrant Shares through: If through the Depository Trust Company, whose nominee is Cede & Co.: Name of Direct Participant in the Depositary: Address: Telephone: Fax: Social Security or Other Identification Number: Account from which Warrant Share are Being Delivered: Depositary Account No.: Contact Name, Address and Telephone: If through the American Stock Transfer & Trust Company in book-entry form: Name of Registered Holder: Address: Telephone: Fax: Social Security or Other Identification Number: Contact Name, Address and Telephone: If in definitive form: Name of Registered Holder: Address: Telephone: Fax: Social Security or Other Identification Number: Contact Name, Address and Telephone: Signature: Signature guaranteed by (if a guarantee is required): EXHIBIT B Name of Holder Number of Warrants Held(1) The Royal Bank of Scotland plc 4,039,395 HSH Nordbank AG 3,711,417 Credit Suisse International 1,946,851 Emporiki Bank of Greece S.A. 1,157,876 Deutsche Bank Aktiengesellschaft 1,013,134 ABN AMRO Bank N.V. 745,193 Deutsche Schiffsbank Aktiengesellschaft 709,595 Uberior Trading Limited 513,091 Citibank N.A. London Branch 333,707 Piraeus Bank S.A. 405,236 National Bank of Greece S.A. 232,102 EFG Eurobank Ergasias S.A. 77,009 Commerzbank AG, Filiale Luxembourg 74,870 Aegean Baltic Bank S.A. 40,524
Form of Notice of Exercise. (to be executed only upon exercise of Warrants) Date: TO: OVERSEAS SHIPHOLDING GROUP, INC. (the “Company”) RE: Election to Purchase Common Stock The undersigned registered holder of [ ] Warrants irrevocably elects to exercise the number of Warrants set forth below represented by the Global Warrant (or, in the case of a Definitive Warrant, the Warrant Certificate enclosed herewith), and surrenders all right, title and interest in the number of Warrants exercised hereby to the Company, and directs that the shares of Common Stock or other securities or property delivered upon exercise of such Warrants, and any interests in the Global Warrant or Definitive Warrant representing unexercised Warrants, be registered or placed in the name and at the address specified below and delivered thereto. Number of Warrants ¨ Check if Warrantholder believes it satisfies the requirements to be a U.S. Citizen (additional information may be required by Company to confirm that Warrantholder is a U.S. Citizen). ¨ Check if Warrantholder believes it is a Non-U.S. Citizen. Warrantholder: By: Name: Title: Signature guaranteed by (if a guarantee is required)
Form of Notice of Exercise. Options must be exercised on the prescribed form. See Attachment A2 which forms part of this Schedule [initial] [initial] For the Company Participant 2 Note: Insertion of a date here requires written evidence of action establishing a grant on the date inserted. A1 Schedule B to Award Agreement Name of Participant: ________________________________
Form of Notice of Exercise. (to be executed only upon exercise of Warrants) Date: TO: Sterling Bancshares, Inc. (the “Company”) RE: Election to Purchase Common Stock The undersigned registered holder of Warrants irrevocably elects to exercise the number of Warrants set forth below represented by the Global Warrant (or, in the case of a Definitive Warrant, the Warrant Certificate enclosed herewith), and surrenders all right, title and interest in the number of Warrants exercised hereby to the Company, and directs that the shares of Common Stock or other securities or property delivered upon exercise of such Warrants, and any interests in the Global Warrant or Definitive Warrant representing unexercised Warrants, be registered or placed in the name and at the address specified below and delivered thereto. Number of Warrants Holder: By: Name: Title: Signature guaranteed by (if a guarantee is required): Securities and/or check to be issued to: If in book-entry form through the Depositary: Depositary Account Number: Name of Agent Member: If in definitive form: Social Security Number or Other Identifying Number: Name: Street Address: City, State and Zip Code: Any unexercised Warrants evidenced by the exercising Warrantholder’s interest in the Global Warrant or Definitive Warrant, as the case may be, to be issued to: If in book-entry form through the Depositary: Depositary Account Number: Name of Agent Member: If in definitive form: Social Security Number or Other Identifying Number: Name: Street Address: City, State and Zip Code:
Form of Notice of Exercise. To: The Directors Bionomics Limited (the Company) [Date] We hereby exercise [#] Warrants represented by the accompanying Warrant Certificate. We direct the Company to issue the Warrant Shares to us in accordance with clause 4 of the Warrant Terms and Conditions. If applicable, we request that a Warrant Certificate for any balance of our Warrants remaining exercisable be sent at our own risk by post to us. We agree that any Warrant Shares issued to us are issued subject to the Constitution of the Company. Terms defined in the [deed poll] relating to Warrants dated [Insert date] have the same meanings when used in this Notice of Exercise. Signed by for and on behalf of [insert name] of Warrantholder)
Form of Notice of Exercise. [To be signed only upon exercise of the Warrant] TO BE EXECUTED BY THE REGISTERED HOLDER TO EXERCISE THE WITHIN WARRANT The undersigned hereby exercises the right to purchase ____ shares of Common Stock which the undersigned is entitled to purchase by the terms of the within Warrant according to the conditions thereof, and herewith makes payment of $_________ therefor. All shares to be issued pursuant hereto shall be issued in the name of, and the initial address of such person to be entered on the books of the Company shall be: The shares are to be issued in certificates of the following denominations: ------------------------------------------------------------------------------- [APPLICABLE ONLY IF THE SHARES OF COMMON STOCK ISSUABLE UPON EXERCISE OF THE WARRANT ARE NOT REGISTERED FOR RESALE UNDER THE SECURITIES ACT OF 1933, AS AMENDED]. The undersigned hereby represents and warrants that the aforesaid shares of 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, and that all representations and warranties of the undersigned set forth in Section 13 of the attached Warrant are true and correct as of the date hereof. In support thereof, the undersigned agrees to execute an Investment Representation Statement in a form to be mutually agreed by the parties. [Type Name of Holder] By: -------------------------------- Title: ----------------------------- Dated: ------------------- FORM OF ASSIGNMENT (ENTIRE) [To be signed only upon transfer of entire Warrant] TO BE EXECUTED BY THE REGISTERED HOLDER TO TRANSFER THE WITHIN WARRANT FOR VALUE RECEIVED ___________________ hereby sells, assigns and transfers unto ____________________ all rights of the undersigned under and pursuant to the within Warrant, and the undersigned does hereby irrevocably constitute and appoint _____________ as Attorney-in-fact to transfer the said Warrant on the books of the Company, with full power of substitution. ------------------------------- [Type Name of Holder] By: --------------------------- Title: ------------------------ Dated: -------------------- NOTICE The signature to the foregoing Assignment must correspond to the name as written upon the face of the within Warrant in every particular, without alteration or enlargement or any change whatsoever. FORM OF ASSIGNMENT (PARTIAL...
Form of Notice of Exercise. Issuer Direct Corporation [Current Address at Time of Exercise] Ladies and Gentlemen: This constitutes notice under my stock option that I elect to purchase the number of shares for the price set forth below. Type of Option (check one): _____Incentive _____Nonstatutory Stock Option Agreement dated: ________________ Number of shares exercised: ________________ Early exercise election: Yes ______ No _______ (if permitted under Stock Option Agreement) Total Exercise Price: $ ________________ By this exercise, I agree (i) to provide the Company with such additional documents as it may require, if any, in accordance with the provisions of the Issuer Direct Corporation 2015 Equity Incentive Plan, (ii) to pay (in the manner designated by the Company) any withholding obligation relating to this option exercise, (iii) if this notice relates to the exercise of unvested shares under an early exercise option, to immediately execute and deliver a Stock Restriction Agreement, and (iv) if this exercise relates to an incentive stock option, to notify you in writing within fifteen (15) days after the date of any sale or other disposition of any shares issued upon exercise of this option if such sale or other disposition occurs within two (2) years after the Date of Grant of this option or within 1 year of the date of this notice of exercise. I acknowledge that the shares being purchased by me hereunder have not been registered under the Securities Act of 1933, as amended (the “Act”) and are “restricted securities” under Rule 701 and Rule 144 promulgated under the Act. I warrant and represent to the Company that I have no present intention of distributing or selling the Shares, except as permitted under the Act and any applicable state securities laws. I enclose my check for $______________ in full payment of the purchase price of said shares. Please register said shares in my name. Dated: __________________, 20___ Signature Name (Printed) Address Social Security No. _______________________________________
Form of Notice of Exercise. (To be executed only upon exercise of Warrant) To ____________________________ The undersigned registered holder of the within Warrant hereby irrevocably exercises such Warrant for, and purchases thereunder, ____ (1) shares of Common Stock of Inverness Medical Innovations, Inc. and herewith makes payment of $___________ therefor and requests that the certificates for such shares be issued in the name of, and delivered to_____________ whose address is ______________________________________________. Dated: (Signature must conform in all respects to name of holder as specified on the face of this Warrant) (Street Address) (City) (State) (Zip Code)
