PLEASE ANSWER EVERY QUESTION. If a question is inapplicable to you, please so state by inserting “N/A.” If you are in doubt whether a particular question requires an affirmative response from you, please furnish full particulars so that those persons responsible for preparing the Registration Statement and Prospectus can determine whether any disclosure based on your answer is required. Information requested in this questionnaire is as of the date you complete the questionnaire, unless otherwise indicated. Your furnishing such information does not necessarily mean that such information will be disclosed.
Appears in 5 contracts
Sources: Subscription Agreement (Chelsea Therapeutics International, Ltd.), Subscription Agreement (Innovive Pharmaceuticals, Inc.), Subscription Agreement (Manhattan Pharmaceuticals Inc)