Stock. Please make a book entry and, if the shares are certificated, issue a certificate or certificates representing the shares in the name of: ☐ The undersigned ☐ Other—Name: Address:
Appears in 12 contracts
Samples: Bolt Biotherapeutics, Inc., Cloudastructure, Inc., TLG Acquisition One Corp.
Stock. Please make a book entry and, if the shares are certificated, issue a certificate or certificates representing the shares in the name of: ☐ ¨ The undersigned ☐ ¨ Other—Name: Address:
Appears in 6 contracts
Samples: Warrant Agency Agreement (T Stamp Inc), Miromatrix Medical Inc., Tenon Medical, Inc.
Stock. Please make a book entry and, if the shares are certificated, issue a certificate or certificates representing the shares in the name of: ☐ The undersigned ☐ Other—–Name: Address:
Appears in 1 contract
Samples: Cloudastructure, Inc.
Stock. Please make a book entry and, if the shares are certificated, issue a certificate or certificates representing the shares in the name of: ☐ The undersigned ☐ Other—Name: Address:
Appears in 1 contract
Samples: Miromatrix Medical Inc.
Stock. Please make a book entry and, if the shares are certificated, issue a certificate or certificates representing the shares in the name of: ☐ The undersigned ☐ Other—Name: Address:of the undersigned.
Appears in 1 contract
