Common use of Name of Warrantholder Clause in Contracts

Name of Warrantholder. ☐ Please check if the certificates representing the Common Shares are to be delivered at the office where this Warrant Certificate is surrendered, failing which such certificates will be mailed to the address set out above. Certificates will be delivered or mailed as soon as practicable after the surrender of this Warrant Certificate to the Warrant Agent. SCHEDULE “C” FORM OF DECLARATION FOR REMOVAL OF LEGEND TO: ODYSSEY TRUST COMPANY as registrar and transfer agent for the [Warrants / Common Shares issuable upon exercise of the Warrants] of Columbia Care Inc. (the “Corporation”) AND TO: THE CORPORATION The undersigned (A) acknowledges that the sale of (the “Securities”) of the Corporation, to which this declaration relates is being made in reliance on Rule 904 of Regulation S under the United States Securities Act of 1933, as amended (the “U.S. Securities Act”), and (B) certifies that: (1) the undersigned is not an “affiliate” (as that term is defined in Rule 405 under the U.S. Securities Act) of the Corporation; (2) the offer of such Securities was not made to a person in the United States and either (a) at the time the buy order was originated, the buyer was outside the United States, or the seller and any person acting on its behalf reasonably believed that the buyer was outside the United States, or (b) the transaction was executed on or through the facilities of the Toronto Stock Exchange, the TSX Venture Exchange, the Canadian Securities Exchange or another “designated offshore securities market”, and neither the seller nor any person acting on its behalf knows that the transaction has been prearranged with a buyer in the United States; (3) none of the seller, any affiliate of the seller or any person acting on their behalf has engaged or will engage in any “directed selling efforts” in the United States in connection with the offer and sale of such securities; (4) the sale is bona fide and not for the purpose of “washing off” the resale restrictions imposed because the Securities are “restricted securities” (as that term is defined in Rule 144(a)(3) under the U.S. Securities Act); (5) the seller does not intend to replace such Securities with fungible unrestricted securities; and (6) the contemplated sale is not a transaction, or part of a series of transactions, which, although in technical compliance with Regulation S under the U.S. Securities Act, is part of a plan or scheme to evade the registration provisions of the U.S. Securities Act. Terms used herein have the meanings given to them by Regulation S under the U.S. Securities Act. DATED this day of , 20 . X Signature of individual (if Seller is an individual) X Authorized signatory (if Seller is not an individual) Name of Seller (please print) Name of authorized signatory (please print)

Appears in 6 contracts

Samples: Columbia Care Inc., Columbia Care Inc., Columbia Care Inc.

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Name of Warrantholder. ☐ Please check if the certificates representing the Common Shares are to be delivered at the office where this Warrant Certificate is surrendered, failing which such certificates will be mailed to the address set out above. Certificates will be delivered or mailed as soon as practicable after the surrender of this Warrant Certificate to the Warrant Agent. SCHEDULE “C” FORM OF DECLARATION FOR REMOVAL OF LEGEND TO: ODYSSEY TRUST COMPANY as registrar and transfer agent for the [Warrants / Common Shares issuable upon exercise of the Warrants] of Columbia Care Inc. (the “Corporation”) AND TO: THE CORPORATION The undersigned (A) acknowledges that the sale of (the he “Securities”) of the Corporation, to which this declaration relates is being made in reliance on Rule 904 of Regulation S under the United States Securities Act of 1933, as amended (the “U.S. Securities Act”), and (B) certifies that: (1) the undersigned is not an “affiliate” (as that term is defined in Rule 405 under the U.S. Securities Act) of the Corporation; (2) the offer of such Securities was not made to a person in the United States and either (a) at the time the buy order was originated, the buyer was outside the United States, or the seller and any person acting on its behalf reasonably believed that the buyer was outside the United States, or (b) the transaction was executed on or through the facilities of the Toronto Stock Exchange, the TSX Venture Exchange, the Canadian Securities Exchange or another “designated offshore securities market”, and neither the seller nor any person acting on its behalf knows that the transaction has been prearranged with a buyer in the United States; (3) none of the seller, any affiliate of the seller or any person acting on their behalf has engaged or will engage in any “directed selling efforts” in the United States in connection with the offer and sale of such securities; (4) the sale is bona fide and not for the purpose of “washing off” the resale restrictions imposed because the Securities are “restricted securities” (as that term is defined in Rule 144(a)(3) under the U.S. Securities Act); (5) the seller does not intend to replace such Securities with fungible unrestricted securities; and (6) the contemplated sale is not a transaction, or part of a series of transactions, which, although in technical compliance with Regulation S under the U.S. Securities Act, is part of a plan or scheme to evade the registration provisions of the U.S. Securities Act. Terms used herein have the meanings given to them by Regulation S under the U.S. Securities Act. DATED this day of , 20 . X Signature of individual (if Seller is an individual) X Authorized signatory (if Seller is not an individual) Name of Seller (please print) Name of authorized signatory (please print)

Appears in 2 contracts

Samples: Columbia Care Inc., Columbia Care Inc.

Name of Warrantholder. Please check if the certificates representing the Common Shares are to be delivered at the office where this Warrant Certificate is surrendered, failing which such certificates will be mailed to the address set out above. Certificates will be delivered or mailed as soon as practicable after the surrender of this Warrant Certificate to the Warrant Agent. SCHEDULE “CB” FORM OF DECLARATION FOR REMOVAL OF LEGEND TO: ODYSSEY TRUST COMPANY as registrar and transfer agent for the [Warrants / Common Shares issuable upon exercise of the Warrants] of Columbia Care Inc. PHIVIDA HOLDINGS INC. (the “CorporationCompany”) AND TO: THE CORPORATION COMPUTERSHARE TRUST COMPANY OF CANADA, in its capacity as the Warrant Agent for the Warrants of the Company AND TO: COMPUTERSHARE INVESTOR SERVICES INC., in its capacity as the Registrar and Transfer Agent for the Common Shares of the Company The undersigned (A) acknowledges that the sale of (the “Securities”) of the CorporationCompany, represented by certificate number , to which this declaration relates is being made in reliance on Rule 904 of Regulation S under the United States Securities Act of 1933, as amended (the “U.S. Securities Act”), and (B) certifies that: that (1) the undersigned is not (a) an “affiliate” of the Company (as that term is defined in Rule 405 under the U.S. Securities Act) ), except solely by virtue of being an officer or director of the CorporationCompany , (b) a “distributor” or (c) an affiliate of a distributor; (2) the offer of such Securities was not made to a person in the United States and either (a) at the time the buy order was originated, the buyer was outside the United States, or the seller and any person acting on its behalf reasonably believed that the buyer was outside the United States, or (b) the transaction was executed on or through the facilities of the Toronto Stock Exchange, the TSX Venture Exchange, the Canadian Securities Exchange or another “designated offshore securities market”, and neither the seller nor any person acting on its behalf knows that the transaction has been prearranged with a buyer in the United States; (3) none of neither the seller, seller nor any affiliate of the seller or nor any person acting on their behalf has engaged or will engage in any directed selling efforts” efforts in the United States in connection with the offer and sale of such securities; (4) the sale is bona fide and not for the purpose of “washing off” the resale restrictions imposed because the Securities are “restricted securities” (as that term is defined in Rule 144(a)(3) under the U.S. Securities Act); (5) the seller does not intend to replace such Securities securities with fungible unrestricted securities; and (6) the contemplated sale is not a transaction, or part of a series of transactions, which, although in technical compliance with Regulation S under the U.S. Securities Act, is part of a plan or scheme to evade the registration provisions of the U.S. Securities Act. Terms used herein have the meanings given to them by Regulation S under the U.S. Securities Act. DATED this day of , Dated 20 . X Signature of individual (if Seller is an individual) X Authorized signatory (if Seller is not an individual) Name of Seller (please print) Name of authorized signatory (please print) Official capacity of authorized signatory (please print) Affirmation by Seller’s Broker-Dealer (Required for sales pursuant to Section (B)(2)(b) above) We have read the foregoing representations of our customer, (the “Seller”) with regard to the sale, for such Seller’s account, of (the “Securities”) of the Company represented by certificate number . We have executed sales of the Securities pursuant to Rule 904 of Regulation S under the United States Securities Act of 1933, as amended (the “U.S. Securities Act”), on behalf of the Seller. In that connection, we hereby represent to you as follows:

Appears in 1 contract

Samples: webfiles.thecse.com

Name of Warrantholder. 🞎 Please check if the certificates representing the Common Shares are to be delivered at the office where this Warrant Certificate is surrendered, failing which such certificates will be mailed to the address set out above. Certificates will be delivered or mailed as soon as practicable after the surrender of this Warrant Certificate to the Warrant Agent. SCHEDULE “CB” FORM OF DECLARATION FOR REMOVAL OF LEGEND TO: ODYSSEY TRUST COMPANY as registrar and transfer agent for the [Warrants / Common Shares issuable upon exercise of the Warrants] of Columbia Care Inc. PHIVIDA HOLDINGS INC. (the “CorporationCompany”) AND TO: THE CORPORATION COMPUTERSHARE TRUST COMPANY OF CANADA, in its capacity as the Warrant Agent for the Warrants of the Company AND TO: COMPUTERSHARE INVESTOR SERVICES INC., in its capacity as the Registrar and Transfer Agent for the Common Shares of the Company The undersigned (A) acknowledges that the sale of (the “Securities”) of the CorporationCompany, represented by certificate number , to which this declaration relates is being made in reliance on Rule 904 of Regulation S under the United States Securities Act of 1933, as amended (the “U.S. Securities Act”), and (B) certifies that: that (1) the undersigned is not (a) an “affiliate” of the Company (as that term is defined in Rule 405 under the U.S. Securities Act) ), except solely by virtue of being an officer or director of the CorporationCompany , (b) a “distributor” or (c) an affiliate of a distributor; (2) the offer of such Securities was not made to a person in the United States and either (a) at the time the buy order was originated, the buyer was outside the United States, or the seller and any person acting on its behalf reasonably believed that the buyer was outside the United States, or (b) the transaction was executed on or through the facilities of the Toronto Stock Exchange, the TSX Venture Exchange, the Canadian Securities Exchange or another “designated offshore securities market”, and neither the seller nor any person acting on its behalf knows that the transaction has been prearranged with a buyer in the United States; (3) none of neither the seller, seller nor any affiliate of the seller or nor any person acting on their behalf has engaged or will engage in any directed selling efforts” efforts in the United States in connection with the offer and sale of such securities; (4) the sale is bona fide and not for the purpose of “washing off” the resale restrictions imposed because the Securities are “restricted securities” (as that term is defined in Rule 144(a)(3) under the U.S. Securities Act); (5) the seller does not intend to replace such Securities securities with fungible unrestricted securities; and (6) the contemplated sale is not a transaction, or part of a series of transactions, which, although in technical compliance with Regulation S under the U.S. Securities Act, is part of a plan or scheme to evade the registration provisions of the U.S. Securities Act. Terms used herein have the meanings given to them by Regulation S under the U.S. Securities Act. DATED this day of , Dated 20 . X Signature of individual (if Seller is an individual) X Authorized signatory (if Seller is not an individual) Name of Seller (please print) Name of authorized signatory (please print) Official capacity of authorized signatory (please print) Affirmation by Seller’s Broker-Dealer (Required for sales pursuant to Section (B)(2)(b) above) We have read the foregoing representations of our customer, (the “Seller”) with regard to the sale, for such Seller’s account, of (the “Securities”) of the Company represented by certificate number . We have executed sales of the Securities pursuant to Rule 904 of Regulation S under the United States Securities Act of 1933, as amended (the “U.S. Securities Act”), on behalf of the Seller. In that connection, we hereby represent to you as follows:

Appears in 1 contract

Samples: webfiles.thecse.com

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Name of Warrantholder. ☐ Please check if the certificates representing the Common Subordinate Voting Shares are to be delivered at the office where this Warrant Certificate is surrendered, failing which such certificates will be mailed to the address set out above. Certificates will be delivered or mailed as soon as practicable after the surrender of this Warrant Certificate to the Warrant Agent. SCHEDULE “C” FORM OF DECLARATION FOR REMOVAL OF LEGEND TO: ODYSSEY TRUST COMPANY as registrar and transfer agent for the [Warrants / Common Shares issuable upon exercise of the Warrants] Warrants of Columbia Care Inc. Trulieve Cannabis Corp. (the “Corporation”) AND TO: THE CORPORATION The undersigned (A) acknowledges that the sale of _______________________ (the “Securities”) of the Corporation, to which this declaration relates is being made in reliance on Rule 904 of Regulation S under the United States Securities Act of 1933, as amended (the “U.S. Securities Act”), and (B) certifies that: that (1) the undersigned is not (a) an “affiliate” (as that term is defined in Rule 405 under the U.S. Securities Act) of the Corporation, except solely by virtue of being an officer or director of the Corporation, (b) a “distributor” or (c) an affiliate of a distributor; (2) the offer of such Securities was not made to a person in the United States and either (a) at the time the buy order was originated, the buyer was outside the United States, or the seller and any person acting on its behalf reasonably believed that the buyer was outside the United States, or (b) the transaction was executed on or through the facilities of the Toronto Stock Exchange, the TSX Venture Exchange, the Canadian Securities Exchange or another “designated offshore securities market”, and neither the seller nor any person acting on its behalf knows that the transaction has been prearranged with a buyer in the United States; (3) none of the seller, any affiliate of the seller or any person acting on their behalf has engaged or will engage in any “directed selling efforts” in the United States in connection with the offer and sale of such securities; (4) the sale is bona fide and not for the purpose of “washing off” the resale restrictions imposed because the Securities are “restricted securities” (as that term is defined in Rule 144(a)(3) under the U.S. Securities Act); (5) the seller does not intend to replace such Securities with fungible unrestricted securities; and (6) the contemplated sale is not a transaction, or part of a series of transactions, which, although in technical compliance with Regulation S under the U.S. Securities Act, is part of a plan or scheme to evade the registration provisions of the U.S. Securities Act. Terms used herein have the meanings given to them by Regulation S under the U.S. Securities Act. DATED this ____ day of ____________________, 20 20_____. X Signature of individual (if Seller is an individual) X Authorized signatory (if Seller is not an individual) Name of Seller (please print) Name of authorized signatory (please print)) Official capacity of authorized signatory (please print) Affirmation by Seller’s Broker-Dealer (required for sales pursuant to Section (B)(2)(b) above) We have read the foregoing representations of our customer, __________________________ (the “Seller”) dated __________________, with regard to our sale, for such Seller’s account, of the securities of the Corporation described therein, and on behalf of ourselves we certify and affirm that (A) we have no knowledge that the transaction had been prearranged with a buyer in the United States, (B) the transaction was executed on or through the facilities of a designated offshore securities market, (C) neither we, nor any person acting on our behalf, engaged in any directed selling efforts in connection with the offer and sale of such securities, and (D) no selling concession, fee or other remuneration is being paid to us in connection with this offer and sale other than usual and customary broker’s commission that would be received by a person executing such transaction as agent. Terms used herein have the meanings given to them by Regulation S under the U.S. Securities Act. Name of Firm By: Authorized Officer

Appears in 1 contract

Samples: Trulieve Cannabis Corp.

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