NOTICE OF CASHLESS EXERCISE. 1. The undersigned hereby elects to exercise its Cashless Exercise rights, pursuant to Section 6.1.2 of the attached Warrant, with respect to ___________________ Ordinary Shares of PolyPid Ltd., pursuant to the terms of the Warrant.
NOTICE OF CASHLESS EXERCISE. TO: Ideal Power Converters, Inc. 0000 Xxx Xxxxx Xxxx, Xxxxx 000 Spicewood, Texas 78669 Attn: Secretary The undersigned hereby elects to purchase ______________ shares (the “Shares”) of the Common Stock of Ideal Power Converters, Inc. pursuant to the cashless exercise provision of Section 3 of the attached Warrant. Please issue a certificate or certificates representing the Shares in the name of the undersigned or in such other name as is specified below: (Print Name) Address: The undersigned represents that the undersigned is an “accredited investor,” and that the Shares 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. (Date) (Signature)
NOTICE OF CASHLESS EXERCISE. To: Riskified Ltd.
NOTICE OF CASHLESS EXERCISE. TO: Ideal Power Converters, Inc. 0000 Xxx Xxxxx Xxxx, Xxxxx 000 Spicewood, Texas 78669 Attn: Secretary The undersigned hereby elects to purchase ______________ shares (the “Shares”) of the Common Stock of Ideal Power Converters, Inc. pursuant to the cashless exercise provision of Section 3 of the attached Warrant. Please issue a certificate or certificates representing the Shares in the name of the undersigned or in such other name as is specified below: (Print Name) Address: The undersigned represents that the undersigned is an “accredited investor,” and that the Shares 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. (Date) (Signature) (Print Name) EXHIBIT E SECURITY AGREEMENT [see attached] SECURITY AGREEMENT THIS SECURITY AGREEMENT (the “Agreement”), dated as of August __, 2012, is entered into by and among IDEAL POWER CONVERTERS, INC., a Texas corporation (“Debtor”), the Subscribers identified on Schedule 1 hereto (the “Subscribers”), who are parties to the Securities Purchase Agreement dated as of August __, 2012 (the “Purchase Agreement”), by and among Debtor and such Subscribers, and [Name of Collateral Agent] (“Collateral Agent”).
NOTICE OF CASHLESS EXERCISE. SUBSCRIPTION (cashless exercise) To: Celsia Technologies, Inc.
NOTICE OF CASHLESS EXERCISE. TO: Blue Sphere Corporation [Address] Attn: Secretary The undersigned hereby elects to purchase ______________ shares (the “Shares”) of the Common Stock of Blue Sphere Corporation, at an original Exercise Price of [USD $0.___] per share, pursuant to the cashless exercise provision of Section 6 of the attached Warrant. Please issue a certificate or certificates representing the Shares in the name of the undersigned or in such other name as is specified below: Name: Taxpayer ID: Address: The undersigned represents that the undersigned is an “accredited investor,” and that the Shares 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. HOLDER: Name: By: Title: Dated: ,
NOTICE OF CASHLESS EXERCISE. To: NUVASIVE, INC.
NOTICE OF CASHLESS EXERCISE. TO: COPsync, Inc. [Address] Attn: Secretary The undersigned hereby elects to purchase ______________ shares (the “Shares”) of the Common Stock of COPsync, Inc. pursuant to the cashless exercise provision of Section 3 of the attached Warrant. Please issue a certificate or certificates representing the Shares in the name of the undersigned or in such other name as is specified below: ______________________ (Print Name) Address:____________________ ___________________________ The undersigned represents that the undersigned is an “accredited investor,” and that the Shares 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. ______________________ ______________________ (Date) (Signature) ______________________ (Print Name)
NOTICE OF CASHLESS EXERCISE. TO: PRESSURE BIOSCIENCES, INC. The undersigned hereby elects under Section 2(c) to surrender the right to purchase _______ Warrant Shares pursuant to this Warrant. The certificate(s) for the Warrant Shares issuable upon such net issue election shall be issued in the name of the undersigned or as otherwise indicated below. Name (please print) Address Signature Name for Registration (if different from name above) Dated:
NOTICE OF CASHLESS EXERCISE. TO: Ideal Power Converters, Inc. 0000 Xxx Xxxxx Xxxx, Xxxxx 000 Spicewood, Texas 78669 Attn: Secretary The undersigned hereby elects to purchase ______________ shares (the “Shares”) of the Common Stock of Ideal Power Converters, Inc. pursuant to the cashless exercise provision of Section 3 of the attached Warrant. Please issue a certificate or certificates representing the Shares in the name of the undersigned or in such other name as is specified below: ______________________ (Print Name) Address:____________________ ___________________________ The undersigned represents that the undersigned is an “accredited investor,” and that the Shares 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. ______________________ ______________________ (Date) (Signature) ______________________ (Print Name)
