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

Sources: Stock Purchase Agreement (Amylin Pharmaceuticals Inc), Stock Purchase Agreement (Amylin Pharmaceuticals 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 ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇ SCHEDULE I EXCEPTIONS

Appears in 1 contract

Sources: Stock Purchase Agreement (Pharmacopeia Inc)

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. --------------------------------------------- ▇▇▇▇▇▇▇, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services RE▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: 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 --------------------------------------------- ▇▇▇▇▇▇▇▇▇▇, 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): ------------------------------------ ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: --------------------------------------------- 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 --------------------------------------------- ▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: --------------------------------------------- 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

Sources: Preferred Stock and 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 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

Sources: Stock Purchase Agreement (Ats Medical Inc)

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. --------------------------------------------- ▇.▇. ▇▇ ▇▇▇▇▇ --------------------------------------------- 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 G▇▇▇▇▇▇▇▇, 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): ------------------------------------ ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: --------------------------------------------- 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 G▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: --------------------------------------------- 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 G▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: --------------------------------------------- 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

Sources: Preferred Stock and 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 --------------------------------------------- ▇▇▇▇▇▇▇▇ ▇▇▇▇, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services RE▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: 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: STEWA▇▇ ▇. ▇LIN▇ /▇/ --------------------------------------------- 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 --------------------------------------------- ▇▇▇▇ ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: --------------------------------------------- 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

Sources: Preferred Stock and 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 PHARMACEUTICALSFORM OF WARRANT THE WARRANT EVIDENCED HEREBY, AND THE SHARES OF COMMON STOCK ISSUABLE HEREUNDER, HAVE BEEN AND WILL BE ISSUED WITHOUT REGISTRATION UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR THE APPLICABLE SECURITIES LAWS OF ANY STATE. SUCH SECURITIES HAVE BEEN ACQUIRED FOR INVESTMENT AND NOT WITH A VIEW TO DISTRIBUTION OR RESALE, AND SHALL NOT BE SOLD, TRANSFERRED, PLEDGED OR HYPOTHECATED UNLESS THE PROPOSED DISPOSITION IS THE SUBJECT OF A CURRENTLY EFFECTIVE REGISTRATION STATEMENT UNDER SAID ACT AND UNDER APPLICABLE STATE SECURITIES LAWS OR UNLESS THE COMPANY HAS RECEIVED AN OPINION OF COUNSEL, IN FORM AND SUBSTANCE REASONABLY SATISFACTORY TO THE COMPANY, TO THE EFFECT THAT SUCH REGISTRATION IS NOT REQUIRED UNDER SAID ACT AND SUCH STATE SECURITIES LAWS IN CONNECTION WITH SUCH DISPOSITION. NOVATEL WIRELESS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services RE: Sale of Shares of Common COMMON STOCK PURCHASE WARRANT Void After December 21, 2005 This Stock of Amylin PharmaceuticalsPurchase Warrant is Issued to [Insert Investor Information] (hereinafter called the "initial registered holder" or the "registered holder," which term shall include its successors and assigns) by Novatel Wireless, Inc. Inc., a Delaware corporation (hereinafter referred to as the "Company") pursuant ). The holder of this Warrant is entitled to certain of the Company's Prospectus benefits conferred by that certain Series A Convertible Preferred Stock and Warrant Purchase Agreement dated _______________as of December 21, 2000 2001 (the "ProspectusPurchase Agreement") Dear Sir/Madam: The undersigned hereby certifies), a copy of which is on file at the office of the Company at the address specified below. This Warrant may be transferred by the registered holder only in connection accordance with the sale provisions of Sections 1.04 and 5 hereof. A copy of the Purchase Agreement will be furnished to any subsequent registered holder hereof upon written request. The Purchase Agreement contains an undertaking by the Company under certain circumstances to effect registration and qualification under federal and state securities laws of, or to take other action with respect to, the shares of Common Stock Stock, par value $.001, of the Company included ("Common Stock") issuable on exercise of this Warrant. Unless otherwise defined herein, defined terms in this Warrant shall have the meanings ascribed thereto 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: -------------------Purchase Agreement.

Appears in 1 contract

Sources: Preferred Stock and Warrant Purchase Agreement (Cornerstone Equity Investors Iv Lp)

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 ▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ 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: ------------------------------------------------------------ ▇▇▇▇▇▇▇ ▇-▇ PERSONS TO EXECUTE VOTING AGREEMENTS Helix Investments SOFTBANK Ventures ▇▇▇▇▇ Capital Management ▇▇▇▇ ▇▇▇▇▇▇▇▇ Convergence Partners Partech International ▇▇▇▇▇ ▇▇▇▇▇▇▇

Appears in 1 contract

Sources: Merger Agreement (Softbank Holdings Inc Et Al)

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

Sources: 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 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

Sources: Stock Purchase Agreement (Vascular Solutions Inc)

Print Name. OTA LLC ---------------------------------- By: ------------------------------------------ Signature /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ---------------------------------- Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ---------------------------------- Title: --------------------------------------- (required for any purchaser that is a corporationGeneral Counsel ---------------------------------- Address: c/o OTA LLC ---------------------------------- One Manhattanville Road ---------------------------------- ▇▇▇ ▇▇▇▇, partnership, trust or other entity) EXHIBIT C AMYLIN ▇▇ ▇▇▇▇▇ ---------------------------------- Telephone: ▇▇▇-▇▇▇-▇▇▇▇ ---------------------------------- Facsimile: ▇▇▇-▇▇▇-▇▇▇▇ ---------------------------------- 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/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ----------------------------------- Name: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ----------------------------------- Title: Managing Member ----------------------------------- Address: ▇▇▇ ▇▇▇▇ ▇▇▇., ▇▇▇ ▇▇▇▇▇ ----------------------------------- ▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇ ----------------------------------- Telephone: ▇▇▇-▇▇▇-▇▇▇▇ ----------------------------------- Facsimile: ▇▇▇-▇▇▇-▇▇▇▇ ----------------------------------- 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

Sources: Preferred Stock and Warrant Purchase Agreement (Spectrum Pharmaceuticals Inc)

Print Name. DAVID VALENTINE --------------------------------------------- By: ------------------------------------------ Signature DAVID VALENTINE /S/ --------------------------------------------- Name: DAVID VALENTINE --------------------------------------------- Title: --------------------------------------- (required for any purchaser that is a corporation--------------------------------------------- Address: 95 REVERE DRIVE --------------------------------------------- ▇▇▇▇▇ ▇ ▇▇▇▇▇▇▇▇▇▇, partnership, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services RE▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: Sale --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Common Series A Preferred Stock Purchased at Closing 10 ---------------------------------------------------- Number of Amylin Pharmaceuticals, Inc. (the "Company") pursuant to the Company's Prospectus dated _______________, 2000 (the "Prospectus") Dear Sir/Madam: Warrants Purchased at Closing 20,000 -------------------------------------------------- Aggregate Purchase Price $150,000.00 ------------------------------------ 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: WHALEHAVEN CAPITAL LP --------------------------------------------- By: EVAN SCHEMENAUER /S/ --------------------------------------------- Name: EVAN SCHEMANAUER --------------------------------------------- Title: AUTHORIZED SIGNATORY --------------------------------------------- Address: 3RD FLOOR, 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): ------------------------------------ 14 PAR-LA-VILLE ROAD --------------------------------------------- P.O. BOX HM 1027 --------------------------------------------- ▇▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇ --------------------------------------------- Telephone: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares Sold: of Series A Preferred Stock Purchased at Closing 7 ---------------------------------------------------- Number of Warrants Purchased at Closing 14,000 -------------------------------------------------- Date of Sale: ----------------------------------------------------------- In Aggregate Purchase Price $105,000.00 ------------------------------------ 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: ----------------------------- WHALEHAVEN FUND LIMITED By: EVAN SCHEMENAUER /S/ --------------------------------------------- Name: EVAN SCHEMANAUER --------------------------------------------- Title: ---------------------------------- DatedDIRECTOR --------------------------------------------- Address: -------------------3RD FLOOR, 14 PAR-LA-VILLE ROAD --------------------------------------------- P.O. BOX HM 2257 --------------------------------------------- HAMILTON HMO8 BERMUDA --------------------------------------------- Telephone: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Series A Preferred Stock Purchased at Closing 7 ---------------------------------------------------- Number of Warrants Purchased at Closing 14,000 -------------------------------------------------- Aggregate Purchase Price $105,000.00 ------------------------------------ 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: WOODLAND FINANCIAL GROUP, LLC By: S M SCHUSTER /S/ --------------------------------------------- Name: STEPHEN M. SCHUSTER --------------------------------------------- Title: MANAGING DIRECTOR --------------------------------------------- Address: 701 HARGER-VILLE ROAD --------------------------------------------- SUITE 190 ▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: --------------------------------------------- Facsimile: --------------------------------------------- E-Mail: --------------------------------------------- SOC/EIN#: --------------------------------------------- Number of Shares of Series A Preferred Stock Purchased at Closing 10 ---------------------------------------------------- Number of Warrants Purchased at Closing 20,000 -------------------------------------------------- Aggregate Purchase Price $150,000.00 ------------------------------------ SCHEDULE 1 National Coal Corp. Preferred Stock Purchase Agreement Purchasers and Shares of Preferred Stock NUMBER OF SHARES NUMBER OF SHARES COMMON STOCK OF PREFERRED STOCK NAME, ADDRESS AND FAX NUMBER OF OF PREFERRED UNDERLYING WARRANTS SUBJECT TO PURCHASE PRICE AND DESCRIPTION PURCHASER STOCK PURCHASED PURCHASED AT ADDITIONAL OF PROMISSORY NOTES TO BE AT CLOSING CLOSING PURCHASE RIGHT CANCELLED AS APPLICABLE --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Asset Managers International Lmtd 8 16,000 2.67 $120,000 c/o Vision Capital Advisors Attn: Jordan Fraser 954 3rd Avenue, Suite 402 New York, NY 10022 London, E▇▇▇▇▇▇ ▇▇▇: ▇1▇-▇▇▇-▇▇▇▇ ▇▇▇: ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇▇@▇▇▇▇▇▇▇.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Gil Avidar 6500 Lyons Street Morton Grove, IL 60053 Tel: 312-474-437▇ ▇▇▇▇▇▇▇ ▇ 8,000 0 $60,000 by cancellation of 847-966-6129 Evening Promissory Notes Fax: 312-356-7020 avidar@mindspring.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Big Bend XII Investments, LP Attn: Janice Hudson 3401 Armstrong Avenue Dallas, Texas 75205 ▇▇▇.▇▇ ▇▇▇,667 44.44 $2,000,000 Tel: 214-443-1903 Fax: 214-443-1980 Katherine.belew@2m.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ NUMBER OF SHARES NUMBER OF SHARES COMMON STOCK OF PREFERRED STOCK NAME, ADDRESS AND FAX NUMBER OF OF PREFERRED UNDERLYING WARRANTS SUBJECT TO PURCHASE PRICE AND DESCRIPTION PURCHASER STOCK PURCHASED PURCHASED AT ADDITIONAL OF PROMISSORY NOTES TO BE AT CLOSING CLOSING PURCHASE RIGHT CANCELLED AS APPLICABLE --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Blackpool Partners, LLC c/o J. Douglas Ralston 701 Harger Road, Suite 190 Oak Brook, IL 60523 Tel: ▇▇▇-▇▇▇-▇▇▇▇ $60,000 by cancellation of Fax: 630-571-0959 4 8,000 0 Promissory Notes jralston@cone.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Joel Chestler 681 Valley Rd. Glencoe, IL 60022 $60,000 by cancellation of Tel: 847-835-5588 4 8,000 0 Promissory Notes Fax: N/A joelchestler@aol.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Crestview Capital Master LLC Attn: Stewart R. Flink 95 Revere Drive, Suite A Northbrook, Illinois 60062 ▇▇ ▇▇▇,000 28 $1,260,000 Tel: 847-418-8302 Fax: 847-559-5807 stewart@crestviewcap.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Crestview Capital Master LLC Attn: Stewart R. Flink 95 Revere Drive, Suite A Northbrook, Illinois 60062 ▇▇.▇▇ ▇▇▇,333 0 $1,000,000 by cancellation of Tel: 847-559-0060 Promissory Notes Fax: 847-559-5807 stewart@crestviewcap.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Dara Fieldman 844 Kimbalwood Lane Highland Park, IL 60035 $30,000 by cancellation of Tel: 847-432-4628 2 4,000 0 Promissory Notes Fax: 847-557-0060 Richard@crestviewcap.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Stewart & Jennifer Flink c/o Stewart Flink 170 Crestview Deerfield, ▇▇ ▇▇▇▇5 ▇.▇▇ ▇▇,▇▇▇ 0 $125,000 by cancellation of Tel: 847-945-0785 Promissory Notes Fax: 847-945-0878 stewart@crestview.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------- NUMBER OF SHARES NUMBER OF SHARES COMMON STOCK OF PREFERRED STOCK NAME, ADDRESS AND FAX NUMBER OF OF PREFERRED UNDERLYING WARRANTS SUBJECT TO PURCHASE PRICE AND DESCRIPTION PURCHASER STOCK PURCHASED PURCHASED AT ADDITIONAL OF PROMISSORY NOTES TO BE AT CLOSING CLOSING PURCHASE RIGHT CANCELLED AS APPLICABLE --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Scott P. George 470 Turicum Road Lake Forest, IL 60045 $30,000 by cancellation of Tel: 847-615-8450 2 4,000 0 Promissory Notes Fax: 847-615-8411 sgeorge470@aol.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ GLL Single Strategy, L.P. c/o W. Stephen Gilboy GLL Investors Inc. $300,000 by cancellation of 425 West Surf Street 20 40,00▇ ▇ Promissory Notes Chicago, IL 60657 Tel: 773-525-3038 Fax: 773-525-3019 stevegilboy@gl▇▇▇▇▇▇▇▇▇▇.▇▇▇ --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Steven J. Halpern 95 Revere Drive, Suite A Northbrook, IL 60062 $850,000 by cancellation of Tel: 847-418-8307 56.67 113,333 0 Promissory Notes Fax: 847-559-5807 steven@crestviewcap.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Jacob Capital, LLC c/o Richard Levy 95 Revere Drive, Suite A 6.67 ▇▇,▇33 0 $100,000 by cancellation of Northbrook, IL 60062 Promissory Notes Tel: 847-559-0060 Fax: 847-559-5807 Richard@crestviewcap.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Richard P. Kiphart c/o William Blair & Co. 222 W. Adams Street $300,000 by cancellation of Chicago, IL 60606 20 40,00▇ 0 Promissory Notes Tel: 213-364-8420 Fax: 312-368-9418 rkiphart@williamblair.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ NUMBER OF SHARES NUMBER OF SHARES COMMON STOCK OF PREFERRED STOCK NAME, ADDRESS AND FAX NUMBER OF OF PREFERRED UNDERLYING WARRANTS SUBJECT TO PURCHASE PRICE AND DESCRIPTION PURCHASER STOCK PURCHASED PURCHASED AT ADDITIONAL OF PROMISSORY NOTES TO BE AT CLOSING CLOSING PURCHASE RIGHT CANCELLED AS APPLICABLE --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Lachman Family Limited Partnership Attn: Mary Lachman 3140 Whisperwo▇▇▇ ▇▇▇rt Northbrook, IL 60062 2▇ ▇▇,▇▇▇ ▇ $300,000 by cancellation of Tel: 847-564-4462 Promissory Notes Fax: 847-564-4460 marl@lachman.org --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Joseph Levy Jr. Declaration of Trust, UAD May 1, 1986 3340 W. Main S▇▇▇▇▇ $60,000 by cancellation of Skokie, Il 60076 4 8,000 0 Promissory Notes Tel: 847-933-1197 Fax: 847-933-0379 --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Nancy Hoyt Revocable Trust 15 N. Howe Street ▇▇ 70,000 0 $525,000 by cancellation of Chicago, IL 60614 Promissory Notes --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Bear Stearns as custodian for Nathan A. Low Roth IRA c/o Sunrise Securiti▇▇ ▇▇▇▇. Attn: Nathan Low ▇▇▇▇ ▇▇▇or 13.33 ▇6,667 4.44 $200,000 641 Lexington Avenue New York, N.Y. 10022 Tel: 212-421-1616 Fax: 212-▇▇▇-▇▇▇▇ ▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ --------------------------------- ---------------- ------------------- ------------------ ------------------------------ NUMBER OF SHARES NUMBER OF SHARES COMMON STOCK OF PREFERRED STOCK NAME, ADDRESS AND FAX NUMBER OF OF PREFERRED UNDERLYING WARRANTS SUBJECT TO PURCHASE PRICE AND DESCRIPTION PURCHASER STOCK PURCHASED PURCHASED AT ADDITIONAL OF PROMISSORY NOTES TO BE AT CLOSING CLOSING PURCHASE RIGHT CANCELLED AS APPLICABLE --------------------------------- ---------------- ------------------- ------------------ ------------------------------ North Sound Legacy Fund LLC c/o North Sound Capital LLC Attn: Thomas McAuley 53 Forest Avenue, Suite 202 Old Greenwich, CT 06870 T▇▇: ▇▇▇-▇▇▇-▇▇0▇ ▇▇▇: ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ ▇ ▇▇,▇00 2.67 $120,000 with a copy to: Wiggin and Dana LLP 400 Atlantic Street Stamford, CT 06901 Telephone: (▇▇▇) 363-▇▇▇0 Fac▇▇▇▇▇▇: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇: ▇▇▇▇▇▇▇ Grundei, Esq. --------------------------------- ---------------- ------------------- ------------------ ------------------------------ North Sound Legacy Institutional Fund LLC c/o North Sound Capital Attn: Thomas McAuley 53 Forest Avenue, Suite 202 Old Greenwich, CT 06870 T▇▇: ▇▇▇-▇▇▇-▇▇0▇ ▇▇▇: ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ ▇▇▇ ▇▇▇,▇0▇ ▇1.33 $1,860,000 with a copy to: Wiggin and Dana LLP 400 Atlantic Street Stamford, CT 06901 Telephone: (▇▇▇) 363-▇▇▇0 Fac▇▇▇▇▇▇: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇: ▇▇▇▇▇▇▇ Grundei, Esq. --------------------------------- ---------------- ------------------- ------------------ ------------------------------ NUMBER OF SHARES NUMBER OF SHARES COMMON STOCK OF PREFERRED STOCK NAME, ADDRESS AND FAX NUMBER OF OF PREFERRED UNDERLYING WARRANTS SUBJECT TO PURCHASE PRICE AND DESCRIPTION PURCHASER STOCK PURCHASED PURCHASED AT ADDITIONAL OF PROMISSORY NOTES TO BE AT CLOSING CLOSING PURCHASE RIGHT CANCELLED AS APPLICABLE --------------------------------- ---------------- ------------------- ------------------ ------------------------------ North Sound Legacy International Ltd c/o North Sound Capital Attn: Thomas McAuley 53 Forest Avenue, Suite 202 Old Greenwich, CT 06870 T▇▇: ▇▇▇-▇▇▇-▇▇0▇ ▇▇▇: ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ ▇▇▇ ▇▇▇,▇0▇ ▇9.33 $4,020,000 with a copy to: Wiggin and Dana LLP 400 Atlantic Street Stamford, CT 06901 Telephone: (▇▇▇) 363-▇▇▇0 Fac▇▇▇▇▇▇: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇: ▇▇▇▇▇▇▇ Grundei, Esq. --------------------------------- ---------------- ------------------- ------------------ ------------------------------ RHP Master Fund Ltd c/o Rock Hill Investment Management, L.P 3 Bala Plaza East, Suite 585 Bala Cynwyd, PA 19004 ▇▇.▇▇ ▇▇,▇▇▇ ▇.44 $200,000 Tel: 610-949-9700 Fax: 610-949-9600 kmaalowe@rockhillfunds.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Eugene V. Rintels 560 Ridge Road Winnetka, Il 60093 Tel: 847-920-136▇ ▇▇.▇▇ ▇▇,▇33 0 $250,000 by cancellation of Fax: 847-920-1685 Promissory Notes grintals@hotmail.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ Byron Rubin 5210 Harvest Hill Road Suite 169 Dallas, Texas 75230 ▇ ▇▇,▇▇▇ 2.33 $105,000 Tel: 972-991-1161 Fax: 972- 991-8890 brubin@danielsandrubin.com --------------------------------- ---------------- ------------------- ------------------ ------------------------------ NUMBER OF SHARES NUMBER OF SHARES COMMON STOCK OF PREFERRED STOCK NAME, ADDRESS AND FAX NUMBER OF OF PREFERRED UNDERLYING WARRANTS SUBJECT TO PURCHASE PRICE AND DESCRIPTION PURCHASER STOCK PURCHASED PURCHASED AT ADDITIONAL OF PROMISSORY NOTES TO BE AT CLOSING CLOSING PURCHASE RIGHT CANCELLED AS APPLICABLE --------------------------------- ---------------- ------------------- ------------------ ------------------------------ David Valentine 95 Revere Drive, Suite A Northbrook, IL 60043 ▇▇ ▇▇,000 0 $150,000 by cancellation of Tel: 847-418-8313 Promissory Notes Fax: 847-559-5807 dv@kugpartners.com -------------------------

Appears in 1 contract

Sources: Preferred Stock and Warrant Purchase Agreement (National Coal Corp)

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 --------------------------------------------- ▇▇▇▇▇▇▇▇▇▇, trust or other entity) EXHIBIT C AMYLIN PHARMACEUTICALS, INC. CERTIFICATE OF SUBSEQUENT SALE ChaseMellon Shareholder Services RE▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: 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: ▇▇RY ANN LACHMAN /S/ --------------------------------------------- Name: MARY ANN LACHMAN --------------------------------------------- Title: ---------------------------------- Dated--------------------------------------------- Address: -------------------3140 WHISPERWOODS COURT --------------------------------------------- ▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: --------------------------------------------- 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 --------------------------------------------- ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇: --------------------------------------------- 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: NAN▇▇ ▇▇▇▇ /▇/ --------------------------------------------- Name: NANCY HOYT --------------------------------------------- Title: TRUSTEE ---------------------------------------------

Appears in 1 contract

Sources: Preferred Stock and Warrant Purchase Agreement (National Coal Corp)