INFORMATION VERIFICATION CONSENT. BY SIGNING THIS QUESTIONNAIRE, SUBSCRIBER HEREBY GRANTS THE COMPANY PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. Exhibit A INVESTOR QUESTIONNAIRE EXECUTION PAGE Signature Signature (if purchasing jointly) Name Typed or Printed Name Typed or Printed Entity Name Entity Name Xxxxxxx Xxxxxxx Xxxx, Xxxxx xxx Xxx Xxxx Xxxx, Xxxxx and Zip Code Exhibit A EXHIBIT B DEFINITION OF ACCREDITED INVESTOR
INFORMATION VERIFICATION CONSENT. BY SIGNING THIS SUBSCRIPTION AGREEMENT, SUBSCRIBER HEREBY GRANTS THE PLACEMENT AGENT PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. INVESTOR QUESTIONNAIRE EXECUTION PAGE Signature Signature (if purchasing jointly) Name Typed or Printed Name Typed or Printed Entity Name Entity Name Address Address City, State and Zip Code City, State and Zip Code APRIL 13, 2015 CREDIT AGREEMENT – EXHIBIT D RISK FACTORS An investment in this Offering is extremely risky. You should carefully consider the risks, in addition to the other information presented in this Memorandum before deciding to purchase the Securities being offered by AbTech Holdings Inc. If any of the following risks actually materialize, our business and prospects could be seriously harmed and you could lose all or part of your investment. The risks and uncertainties described below are not exclusive and investors should also review the Company’s public filings. The Company’s ticker symbol is (OTCBB: ABHD).
INFORMATION VERIFICATION CONSENT. BY SIGNING THIS QUESTIONNAIRE, SUBSCRIBER HEREBY GRANTS THE COMPANY PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. INVESTOR QUESTIONNAIRE EXECUTION PAGE Signature Chan Cheh Shin Name Typed or Printed GT DOLLAR PTD. LTD. Entity Name 10 Xxxxxxx Xxxxxx, Xxxxxx Tower 2, Postal Code 300000 XXXXXXXXX City, State and Zip Code EXHIBIT B DEFINITION OF ACCREDITED INVESTOR
INFORMATION VERIFICATION CONSENT. BY SIGNING THIS SUBSCRIPTION AGREEMENT, SUBSCRIBER HEREBY GRANTS THE PLACEMENT AGENT PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. Signature Signature (if purchasing jointly) Name Typed or Printed Name Typed or Printed Entity Name Entity Name Axxxxxx Xxxxxxx Xxxx, Xxxxx xxx Xxx Xxxx Xxxx, Xxxxx and Zip Code EXHIBIT D
INFORMATION VERIFICATION CONSENT. BY SIGNING THIS QUESTIONNAIRE, SUBSCRIBER HEREBY GRANTS THE COMPANY PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. INVESTOR QUESTIONNAIRE EXECUTION PAGE /s/Chan Cheh Shin Signature Chan Cheh Shin Name Typed or Printed GT DOLLAR PTD. LTD. Entity Name 10 Xxxxxxx Xxxxxx, Xxxxxx Tower 2, Postal Code 300000 XXXXXXXXX City, State and Zip Code EXHIBIT B DEFINITION OF ACCREDITED INVESTOR “Accredited investor” means any person who comes within any of the following categories, or who the Company reasonably believes comes within any of the following categories, at the time of the sale of the Shares to that person:
INFORMATION VERIFICATION CONSENT. BY SIGNING THIS QUESTIONNAIRE, SUBSCRIBER HEREBY GRANTS THE COMPANY PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. INVESTOR QUESTIONNAIRE EXECUTION PAGE Signature Signature (if purchasing jointly) Name Typed or Printed Name Typed or Printed Entity Name Entity Name Address Address City, State and Zip Code City, State and Zip Code EXHIBIT B DEFINITION OF ACCREDITED INVESTOR
INFORMATION VERIFICATION CONSENT. BY SIGNING THIS QUESTIONNAIRE, SUBSCRIBER HEREBY GRANTS THE COMPANY PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY OFAC FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. Signature Signature (if purchasing jointly) Name Typed or Printed Name Typed or Printed Entity Name Entity Name Address Address City and Country City and Country Email Address Email Address Tax ID # of Signer Tax ID # of Signer Tax ID # of Entity Tax ID # of Entity
INFORMATION VERIFICATION CONSENT
