Common use of Print Name Clause in Contracts

Print Name. By: ------------------------------------------ Signature Title: --------------------------------------- (required for any purchaser that is a corporation, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services RE: Sale of Shares of Common Stock of Amylin Pharmaceuticals, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: The undersigned hereby certifies, in connection with the sale of shares of Common Stock of the Company included in the table of Selling Shareholders in the Prospectus, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- Restricted Stock Certificate No.(s): ------------------------------------ Number of Shares Sold: -------------------------------------------------- Date of Sale: ----------------------------------------------------------- In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should return to the undersigned a newly issued certificate for such excess shares in the name of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- Print Name: ----------------------------- Title: ---------------------------------- Dated: -------------------

Appears in 2 contracts

Samples: Stock Purchase Agreement (Amylin Pharmaceuticals Inc), Stock Purchase Agreement (Amylin Pharmaceuticals Inc)

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Print Name. By: ------------------------------------------ ----------------------------------------- Signature Title: --------------------------------------- -------------------------------------- (required for any purchaser that is a corporation, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALSATS MEDICAL, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services [Transfer Agent] --------------------- --------------------- RE: Sale of Shares of Common Stock of Amylin PharmaceuticalsATS Medical, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 2004 (the "Prospectus") Dear Sir/Madam: The undersigned hereby certifies, in connection with the sale of shares of Common Stock of the Company included in the table of Selling Shareholders in the Prospectus, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- ---------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- ---------------------- Restricted Stock Certificate No.(s): ------------------------------------ ----------------------------------- Number of Shares Sold: -------------------------------------------------- ------------------------------------------------- Date of Sale: ----------------------------------------------------------- ---------------------------------------------------------- In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should return to the undersigned a newly issued certificate for such excess shares in the name of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. Dated: Very truly yours, --------------- By: ------------------------------------- ---------------------------------------- Print Name: ----------------------------- -------------------------------- Title: ---------------------------------- Dated: --------------------------------------------------------

Appears in 1 contract

Samples: Stock Purchase Agreement (Ats Medical Inc)

Print Name. By: ------------------------------------------ Signature Title: --------------------------------------- (required for any purchaser that is ---------------------------------- Signature: ------------------------------ Shareholder Signature: ------------------------------ Print Signatory Name: ------------------- Shareholder Name: ----------------------- Address: --------------------------- Facsimile: ------------------------- Shares Held of Record Options and Other Rights Additional Securities Beneficially --------------------- ------------------------ ---------------------------------- Owned ----- EXHIBIT A FORM OF IRREVOCABLE PROXY The undersigned stockholder of DECISIVE TECHNOLOGY CORPORATION a corporation, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services RE: Sale of Shares of Common Stock of Amylin Pharmaceuticals, Inc. California corporation (the "Company") pursuant ), hereby irrevocably (to the Companyfullest extent permitted by law) appoints and constitutes Xxxxx Xxxxx, Xxxx Xxxx Xxxxxx and MESSAGEMEDIA, INC., a Delaware corporation ("Parent"), and each of them, the attorneys and proxies of the undersigned with full power of substitution and resubstitution, to the full extent of the undersigned's Prospectus dated _______________rights with respect to (i) the outstanding shares of capital stock of the Company owned of record by the undersigned as of the date of this proxy, 2000 which shares are specified on the final page of this proxy, and (ii) any and all other shares of capital stock of the Company which the undersigned may acquire on or after the date hereof. (The shares of the capital stock of the Company referred to in clauses "(i)" and "(ii)" of the immediately preceding sentence are collectively referred to as the "ProspectusShares.") Dear Sir/Madam: The Upon the execution hereof, all prior proxies given by the undersigned with respect to any of the Shares are hereby certifiesrevoked, and the undersigned agrees that no subsequent proxies will be given with respect to any of the Shares. This proxy is irrevocable, is coupled with an interest and is granted in connection with the sale of shares of Common Stock Voting Agreement, dated as of the Company included in the table of Selling Shareholders in the Prospectusdate hereof, that between Parent and the undersigned has sold (the "Voting Agreement"), and is granted in consideration of Parent entering into the Agreement and Plan of Merger and Reorganization, dated as of the date hereof, among Parent, MM2 Acquisition Corp. and the Company (the "Reorganization Agreement"). The attorneys and proxies named above will be empowered, and may exercise this proxy, to vote the Shares pursuant at any time until the earlier to occur of the Prospectus valid termination of the Reorganization Agreement or the effective time of the merger contemplated thereby (the "Merger") at any meeting of the stockholders of the Company, however called, or in connection with any solicitation of written consents from stockholders of the Company, in favor of the approval and adoption of the Reorganization Agreement and the approval of the Merger, and in a manner described under favor of each of the caption "Plan of Distribution" in other actions contemplated by the Prospectus and that such sale complies with all applicable securities laws, Reorganization Agreement (including, without limitation, the Prospectus delivery requirements Charter Amendment). The undersigned may vote the Shares on all other matters. This proxy shall be binding upon the heirs, estate, executors, personal representatives, successors and assigns of the Securities Act undersigned (including any transferee of 1933any of the Shares). If any provision of this proxy or any part of any such provision is held under any circumstances to be invalid or unenforceable in any jurisdiction, then (a) such provision or part thereof shall, with respect to such circumstances and in such jurisdiction, be deemed amended to conform to applicable laws so as amendedto be valid and enforceable to the fullest possible extent, (b) the invalidity or unenforceability of such provision or part thereof under such circumstances and in such jurisdiction shall not affect the validity or enforceability of such provision or part thereof under any other circumstances or in any other jurisdiction, and (c) the invalidity or unenforceability of such provision or part thereof shall not affect the validity or enforceability of the remainder of such provision or the validity or enforceability of any other provision of this proxy. Selling Each provision of this proxy is separable from every other provision of this proxy, and each part of each provision of this proxy is separable from every other part of such provision. This proxy shall terminate upon the earlier of the valid termination of the Reorganization Agreement or the effective time of the Merger. Dated: July 27, 1999. ----------------------------------------- Name ----------------------------------------- Print Name of Signatory ----------------------------------------- Print Name of Shareholder (the beneficial owner): ----------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- Restricted Stock Certificate No.(s): ------------------------------------ Number of Shares Sold: -------------------------------------------------- Date of Sale: ----------------------------------------------------------- In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should return to the undersigned a newly issued certificate for such excess shares in the name common stock of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, ByCompany owned of record as of the date of this proxy: ------------------------------------- Print Name: ----------------------------- Title: ---------------------------------- Dated: ------------------------------------------------------------ XXXXXXX X-0 PERSONS TO EXECUTE VOTING AGREEMENTS Helix Investments SOFTBANK Ventures Xxxxx Capital Management Xxxx Xxxxxxxx Convergence Partners Partech International Xxxxx Xxxxxxx

Appears in 1 contract

Samples: Voting Agreement (Softbank Holdings Inc Et Al)

Print Name. NATHAN A. LOW ROTH IRA --------------------------------------------- By: ------------------------------------------ Signature NATHAN LOW /S/ --------------------------------------------- Name: NATHAN A. LOW ROTH IRA --------------------------------------------- Title: --------------------------------------- (required for any purchaser that is a corporation, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC--------------------------------------------- Address: 641 LEXINGTON AVE. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services RE--------------------------------------------- 25TH FL. --------------------------------------------- X.X. XX 00000 --------------------------------------------- Telephone: Sale --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Common Series A Preferred Stock Purchased at Closing 13.33 ---------------------------------------------------- Number of Amylin Pharmaceuticals, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: Warrants Purchased at Closing 26,667 -------------------------------------------------- Aggregate Purchase Price $200,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby certifiesexecutes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in connection said Agreement, shall constitute one and the same document in accordance with the sale of shares of Common Stock terms of the Company included in the table of Selling Shareholders in the ProspectusAgreement. Print Name: NORTH SOUND LEGACY FUND LLC By: THOMAS MCAULEY /S/ --------------------------------------------- Name: THOMAS MCAULEY --------------------------------------------- Title: CHIEF INVESTMENT OFFICER --------------------------------------------- Address: C/O NORTH SOUND CAPITAL LLC 53 FOREST AVENUE, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities lawsSUITE 202 OLD GXXXXXXXX, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- Restricted Stock Certificate No.(s): ------------------------------------ XX 00000 Xxxxxxxxx: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares Sold: of Series A Preferred Stock Purchased at Closing 8 ---------------------------------------------------- Number of Warrants Purchased at Closing 16,000 -------------------------------------------------- Date of Sale: ----------------------------------------------------------- In Aggregate Purchase Price $120,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the event that you receive a stock certificate(s) representing more shares of Common Preferred Stock than have been sold by the undersignedand Warrant Purchase Agreement to which this signature page is attached, then you should return to the undersigned a newly issued certificate for such excess shares in the name which, together with all counterparts of the Record Holder Agreement and BEARING A RESTRICTIVE LEGENDsignature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- Print Name: ----------------------------- NORTH SOUND LEGACY INSTITUTIONAL FUND LLC By: THOMAS MCAULEY /S/ --------------------------------------------- Name: THOMAS MCAULEY --------------------------------------------- Title: ---------------------------------- DatedCHIEF INVESTMENT OFFICER --------------------------------------------- Address: -------------------C/O NORTH SOUND CAPITAL LLC 53 FOREST AVENUE, SUITE 202 OLD GXXXXXXXX, XX 00000 Xxxxxxxxx: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Series A Preferred Stock Purchased at Closing 124 ---------------------------------------------------- Number of Warrants Purchased at Closing 248,000 -------------------------------------------------- Aggregate Purchase Price $1,860,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement. Print Name: NORTH SOUND LEGACY INTERNATIONAL FUND LLC --------------------------------------------- By: THOMAS MCAULEY /S/ --------------------------------------------- Name: THOMAS MCAULEY --------------------------------------------- Title: CHIEF INVESTMENT OFFICER --------------------------------------------- Address: C/O NORTH SOUND CAPITAL LLC 53 FOREST AVENUE, SUITE 202 OLD GXXXXXXXX, XX 00000 Xxxxxxxxx: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Series A Preferred Stock Purchased at Closing 268 ---------------------------------------------------- Number of Warrants Purchased at Closing 536,000 -------------------------------------------------- Aggregate Purchase Price $4,020,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement.

Appears in 1 contract

Samples: Warrant Purchase Agreement (National Coal Corp)

Print Name. By: ------------------------------------------ ----------------------------------- Signature Title: --------------------------------------- -------------------------------- (required for any purchaser that is a corporation, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALSVASCULAR SOLUTIONS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services [Transfer Agent] ------------------------------- ------------------------------- RE: Sale of Shares of Common Stock of Amylin PharmaceuticalsVascular Solutions, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 2004 (the "Prospectus") Dear Sir/Madam: The undersigned hereby certifies, in connection with the sale of shares of Common Stock of the Company included in the table of Selling Shareholders in the Prospectus, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- ------------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- -------------------------- Restricted Stock Certificate No.(s): ------------------------------------ --------------------------------------- Number of Shares Sold: -------------------------------------------------- ----------------------------------------------------- Date of Sale: ----------------------------------------------------------- -------------------------------------------------------------- In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should return to the undersigned a newly issued certificate for such excess shares in the name of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. Dated: Very truly yours, ---------------------- By: ------------------------------------- -------------------------------- Print Name: ----------------------------- ------------------------ Title: ---------------------------------- Dated: ------------------------------------------------

Appears in 1 contract

Samples: Stock Purchase Agreement (Vascular Solutions Inc)

Print Name. By: ------------------------------------------ ---------------------------------------------- Signature Title: --------------------------------------- ------------------------------------------- (required for any purchaser that is a corporation, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALSPHARMACOPEIA, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services American Stock Transfer and Trust Company RE: Sale of Shares of Common Stock of Amylin PharmaceuticalsPharmacopeia, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: The undersigned hereby certifies, in connection with the sale of shares of Common Stock of the Company included in the table of Selling Shareholders in the Prospectus, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- ---------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- ---------------------- Restricted Stock Certificate No.(s): ------------------------------------ ----------------------------------- Number of Shares Sold: -------------------------------------------------- ------------------------------------------------- Date of Sale: ----------------------------------------------------------- ---------------------------------------------------------- In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should return to the undersigned a newly issued certificate for such excess shares in the name of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- -------------------------------------- Print Name: ----------------------------- ------------------------------ Title: ---------------------------------- ----------------------------------- Dated: ----------------------------------------- cc: Investor Relations Pharmacopeia, Inc. CN 5350 Xxxxxxxxx, XX 00000-0000 SCHEDULE I EXCEPTIONS

Appears in 1 contract

Samples: Stock Purchase Agreement (Pharmacopeia Inc)

Print Name. By: ------------------------------------------ --------------------------------------------- Signature Title: --------------------------------------- ------------------------------------------ (required for any purchaser that is a corporation, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALSEURONET WORLDWIDE, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services [Name of Transfer Agent] RE: Sale of Shares of Common Stock of Amylin PharmaceuticalsEuronet Worldwide, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 --------------- 2002 (the "Prospectus") Dear Sir/Madam: The undersigned hereby certifies, in connection with the sale of shares of Common Stock of the Company included in the table of Selling Shareholders in the Prospectus, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- --------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- --------------------- Restricted Stock Certificate No.(s): ------------------------------------ ---------------------------------- Number of Shares Sold: -------------------------------------------------- ------------------------------------------------ Date of Sale: ----------------------------------------------------------- --------------------------------------------------------- In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should return to the undersigned a newly issued certificate for such excess shares in the name of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- ------------------------------------------ Print Name: ----------------------------- ---------------------------------- Title: ---------------------------------- --------------------------------------- Dated: -------------------------------------------------

Appears in 1 contract

Samples: Stock Purchase Agreement (Euronet Worldwide Inc)

Print Name. By: ------------------------------------------ ----------------------------------------- Signature Title: --------------------------------------- -------------------------------------- (required for any purchaser that is a corporation, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, CIMA LABS INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services RE: Sale of Shares of Common Stock of Amylin Pharmaceuticals, CIMA Labs Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: The undersigned hereby certifies, in connection with the sale of shares of Common Stock of the Company included in the table of Selling Shareholders in the Prospectus, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- --------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- --------------------- Restricted Stock Certificate No.(s): ------------------------------------ ---------------------------------- Number of Shares Sold: -------------------------------------------------- ------------------------------------------------ Date of Sale: ----------------------------------------------------------- --------------------------------------------------------- In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should return to the undersigned a newly issued certificate for such excess shares in the name of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- ---------------------------- Print Name: ----------------------------- -------------------- Title: ---------------------------------- ------------------------- Dated: ----------------------------------------------- cc: Investor Relations CIMA Labs Inc. 10000 Xxxxxx Xxxx Xxxx Xxxx Xxxxxxx, Xxxxxxxxx 00000

Appears in 1 contract

Samples: Stock Purchase Agreement (Cima Labs Inc)

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Print Name. JACOB CAPITAL, LLC --------------------------------------------- By: ------------------------------------------ Signature RICHARD LEVY /S/ --------------------------------------------- Name: RICHARD LEVY --------------------------------------------- Title: --------------------------------------- (required for any purchaser that is a corporationMANAGER --------------------------------------------- Address: 95 REVERE DRIVE, partnershipSUITE A --------------------------------------------- XXXXXXXXXX, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services REXX 00000 Xxxxxxxxx: Sale --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Common Series A Preferred Stock Purchased at Closing 6.667 ---------------------------------------------------- Number of Amylin Pharmaceuticals, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: Warrants Purchased at Closing 13,333 -------------------------------------------------- Aggregate Purchase Price $100,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby certifiesexecutes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in connection said Agreement, shall constitute one and the same document in accordance with the sale of shares of Common Stock terms of the Company included in the table of Selling Shareholders in the ProspectusAgreement. Print Name: RICHARD P. KIPHART --------------------------------------------- By: RICHARD P. KIPHART /S/ --------------------------------------------- Name: RICHARD P. KIPHART --------------------------------------------- Title: --------------------------------------------- Address: C/O WILLIAM BLAIR & CO. --------------------------------------------- 222 W. ADAMS STREET --------------------------------------------- CHICAGO, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- Restricted Stock Certificate No.(s): ------------------------------------ IL 60606 --------------------------------------------- Telephone: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares Sold: of Series A Preferred Stock Purchased at Closing 20 ---------------------------------------------------- Number of Warrants Purchased at Closing 40,000 -------------------------------------------------- Date of Sale: ----------------------------------------------------------- In Aggregate Purchase Price $300,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the event that you receive a stock certificate(s) representing more shares of Common Preferred Stock than have been sold by the undersignedand Warrant Purchase Agreement to which this signature page is attached, then you should return to the undersigned a newly issued certificate for such excess shares in the name which, together with all counterparts of the Record Holder Agreement and BEARING A RESTRICTIVE LEGENDsignature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- Print Name: ----------------------------- LACHMAN FAMILY LIMITED PARTNERSHIP By: XXRY ANN LACHMAN /S/ --------------------------------------------- Name: MARY ANN LACHMAN --------------------------------------------- Title: ---------------------------------- Dated--------------------------------------------- Address: -------------------3140 WHISPERWOODS COURT --------------------------------------------- XXXXXXXXXX, XX 00000 Xxxxxxxxx: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Series A Preferred Stock Purchased at Closing 20 ---------------------------------------------------- Number of Warrants Purchased at Closing 40,000 -------------------------------------------------- Aggregate Purchase Price $300,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement. Print Name: JOSEPH LEVY JR. DECLARATION OF TRUST, --------------------------------------------- UAD MAY 1, 1986 --------------------------------------------- By: JOSEPH LEVY JR. /S/ --------------------------------------------- Name: JOSEPH LEVY JR. --------------------------------------------- Title: TRUSTEE --------------------------------------------- Address: 3340 W. MAIN STREET --------------------------------------------- XXXXXX, XX 00000 Xxxxxxxxx: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Series A Preferred Stock Purchased at Closing 4 ---------------------------------------------------- Number of Warrants Purchased at Closing 8,000 -------------------------------------------------- Aggregate Purchase Price $60,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement. Print Name: NANCY HOYT REVOCABLE TRUST By: NANXX XXXX /X/ --------------------------------------------- Name: NANCY HOYT --------------------------------------------- Title: TRUSTEE ---------------------------------------------

Appears in 1 contract

Samples: Warrant Purchase Agreement (National Coal Corp)

Print Name. DARA FIELDMAN --------------------------------------------- By: ------------------------------------------ Signature DARA FIELDMAN /S/ --------------------------------------------- Name: DARA FIELDMAN --------------------------------------------- Title: --------------------------------------- (required for any purchaser that is a corporation--------------------------------------------- Address: 844 KIMBALWOOD LANE --------------------------------------------- XXXXXXXX XXXX, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services REXX 00000 Xxxxxxxxx: Sale --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Common Series A Preferred Stock Purchased at Closing 2 ---------------------------------------------------- Number of Amylin Pharmaceuticals, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: Warrants Purchased at Closing 4,000 -------------------------------------------------- Aggregate Purchase Price $30,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby certifiesexecutes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in connection said Agreement, shall constitute one and the same document in accordance with the sale of shares of Common Stock terms of the Company included in the table of Selling Shareholders in the ProspectusAgreement. Print Name: STEWART & JENNIFER FLINK By: STEWAXX X. XLINX /X/ --------------------------------------------- Name: STEWART R. FLINK --------------------------------------------- Title: --------------------------------------------- Address: 170 CRESTVIEW --------------------------------------------- DEERFIELD, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- Restricted Stock Certificate No.(s): ------------------------------------ IL 60015 Telephone: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares Sold: of Series A Preferred Stock Purchased at Closing 8.33 ---------------------------------------------------- Number of Warrants Purchased at Closing 16,667 -------------------------------------------------- Date of Sale: ----------------------------------------------------------- In Aggregate Purchase Price $125,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the event that you receive a stock certificate(s) representing more shares of Common Preferred Stock than have been sold by the undersignedand Warrant Purchase Agreement to which this signature page is attached, then you should return to the undersigned a newly issued certificate for such excess shares in the name which, together with all counterparts of the Record Holder Agreement and BEARING A RESTRICTIVE LEGENDsignature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- Print Name: ----------------------------- SCOTT P. GEORGE --------------------------------------------- By: SCOTT P. GEORGE /S/ --------------------------------------------- Name: SCOTT P. GEORGE --------------------------------------------- Title: ---------------------------------- Dated--------------------------------------------- Address: -------------------470 TURICUM ROAD --------------------------------------------- XXXX XXXXXX, XX 00000 Xxxxxxxxx: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Series A Preferred Stock Purchased at Closing 2 ---------------------------------------------------- Number of Warrants Purchased at Closing 4,000 -------------------------------------------------- Aggregate Purchase Price $30,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement.

Appears in 1 contract

Samples: Warrant Purchase Agreement (National Coal Corp)

Print Name. JOEL CHESTLER --------------------------------------------- By: ------------------------------------------ Signature JOEL CHESTLER /S/ --------------------------------------------- Name: JOEL CHESTLER --------------------------------------------- Title: --------------------------------------- (required for any purchaser that is a corporation--------------------------------------------- Address: 681 VALLEY RD. --------------------------------------------- XXXXXXX, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services REXX 00000 Xxxxxxxxx: Sale --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Common Series A Preferred Stock Purchased at Closing 4 ---------------------------------------------------- Number of Amylin Pharmaceuticals, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: Warrants Purchased at Closing 8,000 -------------------------------------------------- Aggregate Purchase Price $60,000.00 ------------------- OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby certifiesexecutes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in connection said Agreement, shall constitute one and the same document in accordance with the sale of shares of Common Stock terms of the Company included in the table of Selling Shareholders in the ProspectusAgreement. Print Name: CRESTVIEW CAPITAL MASTER, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities lawsLLC By: STEWART R. FLINK /S/ --------------------------------------------- Name: STEWARD R. FLINK --------------------------------------------- Title: MANAGER --------------------------------------------- Address: 96 REVERE DRIVE, includingSUITE A --------------------------------------------- XXXXXXXXXX, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- Restricted Stock Certificate No.(s): ------------------------------------ XX 00000 Xxxxxxxxx: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares Sold: of Series A Preferred Stock Purchased at Closing 84 ---------------------------------------------------- Number of Warrants Purchased at Closing 168,000 -------------------------------------------------- Date of Sale: ----------------------------------------------------------- In Aggregate Purchase Price $1,260,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the event that you receive a stock certificate(s) representing more shares of Common Preferred Stock than have been sold by the undersignedand Warrant Purchase Agreement to which this signature page is attached, then you should return to the undersigned a newly issued certificate for such excess shares in the name which, together with all counterparts of the Record Holder Agreement and BEARING A RESTRICTIVE LEGENDsignature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- Print Name: ----------------------------- CRESTVIEW CAPITAL MASTER, LLC By: STEWART R. FLINK /S/ --------------------------------------------- Name: STEWARD R. FLINK --------------------------------------------- Title: ---------------------------------- DatedMANAGER --------------------------------------------- Address: -------------------95 REVERE DRIVE, SUITE A --------------------------------------------- XXXXXXXXXX, XX 00000 Xxxxxxxxx: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Series A Preferred Stock Purchased at Closing 66.67 ---------------------------------------------------- Number of Warrants Purchased at Closing 133,333 -------------------------------------------------- Aggregate Purchase Price $1,000,000.00 ------------------------------------ OMNIBUS SIGNATURE PAGE TO NATIONAL COAL CORP. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the Preferred Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement.

Appears in 1 contract

Samples: Warrant Purchase Agreement (National Coal Corp)

Print Name. OTA LLC ---------------------------------- By: ------------------------------------------ Signature /s/ Xxxxxxx X. Xxxxx ---------------------------------- Name: Xxxxxxx X. Xxxxx ---------------------------------- Title: --------------------------------------- (required for any purchaser that is a corporationGeneral Counsel ---------------------------------- Address: c/o OTA LLC ---------------------------------- One Manhattanville Road ---------------------------------- Xxx Xxxx, partnership, trust or other entity) EXHIBIT C AMYLIN XX 00000 ---------------------------------- Telephone: 000-000-0000 ---------------------------------- Facsimile: 000-000-0000 ---------------------------------- SOC/EIN#: XX-XXXXXXX Number of Shares of Series D Preferred Stock Purchased 15 ------- Series D-1 Warrants Purchased 31,915 ------ Series D-2 Warrants Purchased 31,915 ------ Aggregate Purchase Price $150,000 -------- OMNIBUS SIGNATURE PAGE OF AMENDMENT NO. 1 OF THE SPECTRUM PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services REPREFERRED STOCK AND WARRANT PURCHASE AGREEMENT AND REGISTRATION RIGHTS AGREEMENT The undersigned hereby executes and delivers Amendment No. 1 of the Preferred Stock and Warrant Purchase Agreement and Registration Rights Agreement, to which this signature page is attached, which, together with all counterparts of the Amendment and signature pages of the other parties named in said Amendment, shall constitute one and the same document in accordance with the terms of the Amendment. Print Name: Sale ProMed Partners, L.P. ----------------------------------- By: /s/ Xxxxx Xxxxxxxx ----------------------------------- Name: Xxxxx Xxxxxxxx ----------------------------------- Title: Managing Member ----------------------------------- Address: 000 Xxxx Xxx., 0xx Xxxxx ----------------------------------- Xxx Xxxx, XX 00000 ----------------------------------- Telephone: 000-000-0000 ----------------------------------- Facsimile: 000-000-0000 ----------------------------------- SOC/EIN#: XX-XXXXXXX Number of Shares of Common Series D Preferred Stock of Amylin PharmaceuticalsPurchased 5 --- Series D-1 Warrants Purchased 10,638 ------ Series D-2 Warrants Purchased 10,638 ------ Aggregate Purchase Price $50,000 ------- OMNIBUS SIGNATURE PAGE OF AMENDMENT NO. 1 OF THE SPECTRUM PHARMACEUTICALS, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: INC. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT AND REGISTRATION RIGHTS AGREEMENT The undersigned hereby certifiesexecutes and delivers Amendment No. 1 of the Preferred Stock and Warrant Purchase Agreement and Registration Rights Agreement, to which this signature page is attached, which, together with all counterparts of the Amendment and signature pages of the other parties named in connection said Amendment, shall constitute one and the same document in accordance with the sale of shares of Common Stock terms of the Company included in the table of Selling Shareholders in the Prospectus, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- Restricted Stock Certificate No.(s): ------------------------------------ Number of Shares Sold: -------------------------------------------------- Date of Sale: ----------------------------------------------------------- In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should return to the undersigned a newly issued certificate for such excess shares in the name of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- Print Name: ----------------------------- Title: ---------------------------------- Dated: -------------------Amendment.

Appears in 1 contract

Samples: Preferred Stock and Warrant Purchase Agreement and Registration Rights Agreement (Spectrum Pharmaceuticals Inc)

Print Name. SCO Capital Partners LLC ------------------------------ By: ------------------------------------------ Signature /s/ Xxxxxx X. Xxxxxxxxx ------------------------------ Name: Xxxxxx X. Xxxxxxxxx ------------------------------ Title: --------------------------------------- (required for any purchaser that is a corporationChairman ------------------------------ Address: 0000 Xxxxxx xx Xxxxxxxx ------------------------------ 35th Floor ------------------------------ Xxx Xxxx, partnership, trust or other entity) EXHIBIT C AMYLIN XX 00000 ------------------------------ Telephone: 000-000-0000 ------------------------------ Facsimile: 000-000-0000 ------------------------------ SOC/EIN#: XX-XXXXXXX Number of Shares of Series D Preferred Stock Purchased 61 -------- Series D-1 Warrants Purchased 129,787 ------- Series D-2 Warrants Purchased 129,787 ------- Aggregate Purchase Price $610,000 -------- OMNIBUS SIGNATURE PAGE OF AMENDMENT NO. 1 OF THE SPECTRUM PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services REPREFERRED STOCK AND WARRANT PURCHASE AGREEMENT AND REGISTRATION RIGHTS AGREEMENT The undersigned hereby executes and delivers Amendment No. 1 of the Preferred Stock and Warrant Purchase Agreement and Registration Rights Agreement, to which this signature page is attached, which, together with all counterparts of the Amendment and signature pages of the other parties named in said Amendment, shall constitute one and the same document in accordance with the terms of the Amendment. Print Name: Sale SDS Merchant Fund, L.P. ------------------------------------- By: /s/ Xxxxx X. Xxxxx ------------------------------------- Name: Xxxxx X. Xxxxx ------------------------------------- Title: General Counsel ------------------------------------- Address: c/o SDS Capital Partners, LLC ------------------------------------- 00 Xxxxxx Xxx., Xxxxx 000 ------------------------------------- Xxx Xxxxxxxxx, XX 00000 ------------------------------------- Telephone: 000-000-0000 ------------------------------------- Facsimile: 000-000-0000 ------------------------------------- SOC/EIN#: XX-XXXXXXX Number of Shares of Common Series D Preferred Stock of Amylin PharmaceuticalsPurchased 25 ------ Series D-1 Warrants Purchased 53,191 ------ Series D-2 Warrants Purchased 53,191 ------ Aggregate Purchase Price $250,000 -------- OMNIBUS SIGNATURE PAGE OF AMENDMENT NO. 1 OF THE SPECTRUM PHARMACEUTICALS, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: INC. PREFERRED STOCK AND WARRANT PURCHASE AGREEMENT AND REGISTRATION RIGHTS AGREEMENT The undersigned hereby certifiesexecutes and delivers Amendment No. 1 of the Preferred Stock and Warrant Purchase Agreement and Registration Rights Agreement, to which this signature page is attached, which, together with all counterparts of the Amendment and signature pages of the other parties named in connection said Amendment, shall constitute one and the same document in accordance with the sale of shares of Common Stock terms of the Company included in the table of Selling Shareholders in the Prospectus, that the undersigned has sold the Shares pursuant to the Prospectus and in a manner described under the caption "Plan of Distribution" in the Prospectus and that such sale complies with all applicable securities laws, including, without limitation, the Prospectus delivery requirements of the Securities Act of 1933, as amended. Selling Shareholder (the beneficial owner): ----------------------------- Record Holder (e.g., if held in name of nominee): ----------------------- Restricted Stock Certificate No.(s): ------------------------------------ Number of Shares Sold: -------------------------------------------------- Date of Sale: ----------------------------------------------------------- In the event that you receive a stock certificate(s) representing more shares of Common Stock than have been sold by the undersigned, then you should return to the undersigned a newly issued certificate for such excess shares in the name of the Record Holder and BEARING A RESTRICTIVE LEGEND. Further, you should place a stop transfer on your records with regard to such certificate. Very truly yours, By: ------------------------------------- Print Name: ----------------------------- Title: ---------------------------------- Dated: -------------------Amendment.

Appears in 1 contract

Samples: Preferred Stock and Warrant Purchase Agreement and Registration Rights Agreement (Spectrum Pharmaceuticals Inc)

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