Common use of Percentage of Payment Form of Payment As Provided Clause in Contracts

Percentage of Payment Form of Payment As Provided. In the Nonstatutory Stock Option Agreement _______% Cash/My Personal Check/Cashier’s Check/Money Order (payable to “Innovus Pharmaceuticals, Inc.”) _______% Surrender of vested Shares (Valued At Their Fair Market Value) Owned 100% By Me For More Than Six (6) Months Check one: ¨ The Shares certificate is to be issued and registered in my name only. ¨ The Shares certificate is to be issued and registered in my name and my spouse’s name. ______________________________________________ [PRINT SPOUSE’S NAME, IF CHECKING SECOND BOX] Check one (if checked second box above): ¨ Community Property or ¨ Joint Tenants With Right of Survivorship I acknowledge that I have received, understand and continue to be bound by all of the terms and conditions set forth in the Plan, Plan prospectus and in the Nonstatutory Stock Option Agreement. Dated: __________________ (Optionee’s Signature) (Spouse’s Signature)** **Spouse must sign this Notice of Exercise if listed above. (Full Address) (Full Address) *THIS NOTICE OF EXERCISE MAY BE REVISED BY THE COMPANY AT ANY TIME WITHOUT NOTICE.

Appears in 1 contract

Samples: Nonstatutory Stock Option Agreement (Innovus Pharmaceuticals, Inc.)

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Percentage of Payment Form of Payment As Provided. In the Nonstatutory Stock Option Agreement ______________% Cash/My Personal Check/Cashier’s 's Check/Money Order (payable to “Innovus "Rich Pharmaceuticals, Inc.") ______________% Surrender of vested Vested Shares (Valued At Their Fair Market Value) Owned 100% By Me For More Than Six (6) Months ______________% By “cashless exercise” through the surrender of shares of Common Stock then issuable upon exercise of the option having a Fair Market Value on the date of option exercise equal to the aggregate exercise price of the option or exercised portion thereof Check one: ¨ The Shares certificate is to be issued and registered in my name only. ¨ The Shares certificate is to be issued and registered in my name and my spouse’s 's name. ______________________________________________ [PRINT SPOUSE’S 'S NAME, IF CHECKING SECOND BOX] Check one (if checked second box above): ¨ Community Property or ¨ Joint Tenants With Right of Survivorship I acknowledge that I have received, understand and continue to be bound by all of the terms and conditions set forth in the Plan, Plan prospectus and in the Nonstatutory Stock Option Agreement. Dated: __________________ __________________ __________________ (Optionee’s 's Signature) (Spouse’s 's Signature)** **Spouse must sign this Notice of Exercise if listed above. __________________ __________________ __________________ __________________ (Full Address) (Full Address) *THIS NOTICE OF EXERCISE MAY BE REVISED BY THE COMPANY AT ANY TIME WITHOUT NOTICE.

Appears in 1 contract

Samples: Nonstatutory Stock Option Agreement (Rich Pharmaceuticals, Inc.)

Percentage of Payment Form of Payment As Provided. In the Nonstatutory Incentive Stock Option Agreement _______% Cash/My Personal Check/Cashier’s Check/Money Order (payable to “Innovus PharmaceuticalsHyperSound Health, Inc.”) _______% Surrender of vested Shares (Valued At Their Fair Market Value) Owned 100% By Me For More Than Six (6) Months Check one: ¨ The Shares certificate is to be issued and registered in my name only. ¨ The Shares certificate is to be issued and registered in my name and my spouse’s name. ______________________________________________ [PRINT SPOUSE’S NAME, IF CHECKING SECOND BOX] Check one (if checked second box above): ¨ Community Property or ¨ Joint Tenants With Right of Survivorship I acknowledge that I have received, understand and continue to be bound by all of the terms and conditions set forth in the Plan, Plan prospectus and in the Nonstatutory Incentive Stock Option Agreement. Dated: __________________ (Optionee’s Signature) (Spouse’s Signature)** **Spouse must sign this Notice of Exercise if listed above. (Full Address) (Full Address) *THIS NOTICE OF EXERCISE MAY BE REVISED BY THE COMPANY AT ANY TIME WITHOUT NOTICE.

Appears in 1 contract

Samples: Incentive Stock Option Agreement (Parametric Sound Corp)

Percentage of Payment Form of Payment As Provided. In the Nonstatutory Stock Option Agreement ________ % Cash/My Personal Check/Cashier’s Check/Money Order (payable to “Innovus PharmaceuticalsNTN Buzztime, Inc.”) ____ % Cashless Exercise as provided in the Nonstatutory Stock Option Agreement _____ % Surrender of vested Vested Shares (Valued At Their Fair Market Value) Owned 100% By Me For More Than Six (6) Months Check one: ¨ The Shares certificate is to be issued and registered in my name only. ¨ The Shares certificate is to be issued and registered in my name and my spouse’s name. ______________________________________________ [PRINT SPOUSE’S NAME, IF CHECKING SECOND BOX] Check one (if checked second box above): ¨ Community Property or ¨ Joint Tenants With Right of Survivorship I acknowledge that I have received, understand and continue to be bound by all of the terms and conditions set forth in the Plan, Plan prospectus and in the Nonstatutory Stock Option Agreement. Dated: __________________ _______________________________ _______________________________ (Optionee’s Signature) (Spouse’s Signature)** **Spouse must sign this Notice of Exercise if listed above. _______________________________ _______________________________ (Full Address) (Full Address) *THIS NOTICE OF EXERCISE MAY BE REVISED BY THE COMPANY AT ANY TIME WITHOUT NOTICE.

Appears in 1 contract

Samples: Nonstatutory Stock Option Agreement (NTN Buzztime Inc)

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Percentage of Payment Form of Payment As Provided. In the Nonstatutory Incentive Stock Option Agreement _______% Cash/My Personal Check/Cashier’s Check/Money Order (payable to “Innovus Pharmaceuticals, Inc.”) _______% Surrender of vested Shares (Valued At Their Fair Market Value) Owned 100% By Me For More Than Six (6) Months Check one: ¨ The Shares certificate is to be issued and registered in my name only. ¨ The Shares certificate is to be issued and registered in my name and my spouse’s name. ______________________________________________ [PRINT SPOUSE’S NAME, IF CHECKING SECOND BOX] Check one (if checked second box above): ¨ Community Property or ¨ Joint Tenants With Right of Survivorship I acknowledge that I have received, understand and continue to be bound by all of the terms and conditions set forth in the Plan, Plan prospectus and in the Nonstatutory Incentive Stock Option Agreement. Dated: __________________ (Optionee’s Signature) (Spouse’s Signature)** **Spouse must sign this Notice of Exercise if listed above. (Full Address) (Full Address) *THIS NOTICE OF EXERCISE MAY BE REVISED BY THE COMPANY AT ANY TIME WITHOUT NOTICE.

Appears in 1 contract

Samples: Incentive Stock Option Agreement (Innovus Pharmaceuticals, Inc.)

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