SUBSCRIBED AND SWORN Sample Clauses

SUBSCRIBED AND SWORN. TO before me, a notary public for and in the City of Tuguegarao, Province of Cagayan this _ day of _ 2021. The affiants, whom I identified through the above-indicated competent evidence of identity, personally signed the foregoing instrument before me and avowed under penalty of law to the whole truth of the contents of said instrument. Doc. No. _ ; Page No. ___ ; NOTARY PUBLIC
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SUBSCRIBED AND SWORN. TO BEFORE ME ON THIS ________ DAY OF ____________________ 2019. Commission Expires:______________ _________________________ Notary Public EXHIBIT D TO: Vista Capital Investments, LLC FROM: Blackboxstocks, Inc. DATE: July 17, 2019 RE: Disbursement of Funds Pursuant to that certain Fixed Convertible Promissory Note between the parties listed above and dated July 17, 2019, a disbursement of funds will take place in the amount and manner described below: Please disburse to: Amount to disburse: $150,000 Form of distribution Wire Name Blackboxstocks, Inc. Company Address 5000 XXX Xxxxxxx, Xxxxx 0000 Xxxxxx, Xxxxx 00000 Wire Instructions: Bank: Bank of America ABA Routing Number: 000000000 Account Number: 488052527580 SWIFT Code: FXXXXX0X Account Name: Blackboxstocks Inc Phone:900-000-0000 TOTAL: $150,000 For: Blackboxstocks, Inc. By: _________________________________________ Dated: July 17, 2019 Name: Gxxx Xxxxxx Its: President and Chief Executive Officer EXHIBIT E COMPANY CAPITALIZATION TABLE AS OF JULY 17, 2019 COMMON STOCK AND COMMON STOCK EQUIVALENTS ISSUED, OUTSTANDING AND RESERVED DESCRIPTION AMOUNT Authorized Common Stock Authorized Capital Stock 110,000,000 Authorized Common Stock 100,000,000 Issued Common Stock 7,715,551 Outstanding Common Stock 7,715,551 Treasury Stock n/a *Authorized, but unissued 141,027. Authorized Preferred Stock 10,000,000 Issued Preferred Stock 5,000,000 Reserved for Equity Incentive Plans n/a Reserved for Convertible Debt 4,230,769 Reserved for Options and Warrants** 65,385 Reserved for Other Purposes n/a TOTAL COMMON STOCK AND COMMON STOCK EQUIVALENTS OUTSTANDING 12,151,732 * Recently sold but unissued shares of Common Stock (Post Reverse Split) ** Recently sold but unissued Warrants to purchase shares of Common Stock (Post Reverse Split) Note: If not applicable, enter “n/a” or “zero” in Column 2. CURRENT DEBT AND LIABILITIES TABLE CONVERTIBLE PROMISSORY NOTE BALANCES AND PROMISSORY NOTE BALANCES DESCRIPTION ISSUANCE DATE AMOUNT Convertible Promissory Note 5-21-2019 $385,000 Promissory Note Txxxxxxx X. Xxxx 12-06-2018 $107,331.50 Gxxx Xxxxxx 12-06-2018 $108,000.00 Gxxx Xxxxxx 11-09-2018 $129,863.01 Other Debt and Liabilities Accounts Payable $553,668.07
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SUBSCRIBED AND SWORN to before me by Xxxxxx X. Xxx Xxxx, Xx. on this ____ day of _______, 200__. __________________________________________ Notary Public, State of ________ __________________________________________ Xxxxxxxxxxx X. Xxxxx SUBSCRIBED AND SWORN to before me by Xxxxxxxxxxx X. Xxxxx on this _______ day of ________, 200__. __________________________________________ Notary Public, State of ________
Sample 1
SUBSCRIBED AND SWORN. BEFORE ME ON THIS THE _____ DAY OF ______________________, 20__ ________________________________________ [NOTARY SEAL] Notary Public My Commission Expires: ___________________ STATUTORY AFFIDAVIT Project Number and Name:   Construction Professional:   STATE OF GEORGIA; COUNTY OF  : KNOW ALL MEN BY THESE PRESENTS: In reference to the Construction Agreement dated  , 20 , between (Name of Construction Professional)  and the Georgia State Financing and Investment Commission, the Construction Professional certifies as follows: All work required under the Construction Agreement has been performed in accordance with the terms thereof except as listed on attached Schedule A. Check if Schedule A is attached All materialmen, Trade Contractors, mechanics, and laborers have been paid and satisfied in full except as listed on attached Schedule B. Check if Schedule B is attached There are no outstanding claims of any character [including disputed claims or any claims to which the Construction Professional has or will assert any defense] arising out of the performance of the Construction Agreement that have not been paid and satisfied in full except as listed on attached Schedule C. Check if Schedule C is attached To the best of his knowledge and belief there are no unsatisfied claims for damages resulting from injury or death to any employees, Trade Contractors, or the public at large arising out of the performance of the contract, or any suits or claims for any other damage of any kind, nature, or description except as listed on attached Schedule D. Check if Schedule D is attached The undersigned makes this affidavit for the purpose of receiving payment for material completion; or, in the case of final payment for full settlement of all claims against the Owner arising under or by virtue of the Construction Agreement except as stated above. Acceptance of such payment is acknowledged as a release of the Owner from any and all claims arising under or by virtue of the Agreement except as stated above. This Affidavit is executed by the Construction Professional this   day of  , 20 . _____________________________________________, (Title) (Legal Signature) (Name of Construction Professional Firm)
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SUBSCRIBED AND SWORN. BEFORE ME ON THIS THE _____ DAY OF ______________________, 20__ ________________________________________ [NOTARY SEAL] Notary Public My Commission Expires: ___________________ FIVE YEAR BOND ON ROOFS AND WALLS Project Number and Name:   Construction Professional:   Design Professional:   STATE OF GEORGIA; COUNTY OF  : Firmly Bound. Know all men by these presents, that we   (CONSTRUCTION PROFESSIONAL) as Principal, and  , as Surety, are held and firmly bound unto the Georgia State Financing and Investment Commission (Owner), in the sum of   Dollars ($  ) for the payment of which will and truly to be made and done, we bind ourselves, our executors and administrators, our successors and assigns, jointly and severally, by these presents. Condition of Obligation. The condition of the above obligation is such that WHEREAS CONSTRUCTION PROFESSIONAL has entered into a Contract with Owner dated   for construction of Project No. .
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SUBSCRIBED AND SWORN. TO before me by Xxxxxxx Xxxxx, Mayor for the City of Hopkinsville on this the day of , 20 . NOTARY PUBLIC, KY STATE AT LARGE My Commission Expires: (SEAL) Prepared By: Xxxx X. Xxxxxx Christian County Attorney 000 Xxxx 00xx Xxxxxx PO Box 24 Hopkinsville, KY 42241-0024
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SUBSCRIBED AND SWORN to before me this ___ day of December, 1997. ------------------------------------------- (Signature of Notary) ------------------------------------------- (Print or stamp name of Notary) NOTARY PUBLIC in and for the State of Washington, residing at _______________. My Appointment Expires: __________________. STATE OF WASHINGTON ) ) ss. COUNTY OF KING ) On this ___ day of December, 1997, before me, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared Xxxxxx X. Xxxxxx and Xxxxx X. Xxxxxxxx, to me known to be the Treasurer and the Secretary, respectively, of PUGET SOUND ENERGY, INC., one of the corporations that executed the within and foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and on oath stated that they were authorized to execute and attest said instrument, and that the seal affixed is the corporate seal of said corporation.
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Related to SUBSCRIBED AND SWORN

  • INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT Thank you for choosing Blue Cross & Blue Shield of Rhode Island (BCBSRI) for your healthcare coverage. We appreciate the trust you’ve placed in us and want to help you make the most of your health plan. In this Subscriber Agreement (agreement), you’ll find valuable information about your plan, including: • how your health coverage works; • how BCBSRI processes claims for the health services you receive; • your rights and responsibilities as a BCBSRI member; • BCBSRI’s rights and responsibilities; and • tools and programs to help you stay healthy and save money. We encourage you to read this agreement to learn about all the advantages of being a BCBSRI member. How to Use This Agreement Below are some helpful tips on how to find what you need in this agreement. • As a member, you are responsible for understanding the benefits to which you are entitled under this agreement and the rules you must follow to receive those benefits. • The Table of Contents will help you find the order of the sections as they appear in the agreement. • The Summary of Benefits, included in this agreement, shows the amount you pay out of your own pocket. • Important contact information, such as, telephone numbers, addresses, and websites are located at the end of this document. • Some words and phrases used in this agreement are in italics. This means that the words or phrases have a special meaning as they relate to your healthcare coverage. Please see Section 8 for definitions of these words. • When we use the words “we,” “us,” and “our,” we are referring to BCBSRI. When we use the words “you” and “your” we are referring to the enrolled subscriber and/or member. These words are also defined in the Glossary. • Many sections of this document are related to other sections. You may need to reference more than one section to find the information you need.

  • Term of Purchased Subscriptions The term of each subscription shall be as specified in the applicable Order Form. Except as otherwise specified in an Order Form, subscriptions will automatically renew for additional periods equal to the expiring subscription term or one year (whichever is shorter), unless either party gives the other notice of non-renewal at least 30 days before the end of the relevant subscription term. The per-unit pricing during any renewal term will increase by up to 7% above the applicable pricing in the prior term, unless Xxxxxx provides Customer notice of different pricing at least 60 days prior to the applicable renewal term. Except as expressly provided in the applicable Order Form, renewal of promotional or one-time priced subscriptions will be at Xxxxxx’x applicable list price in effect at the time of the applicable renewal. Notwithstanding anything to the contrary, any renewal in which subscription volume for any Services has decreased from the prior term will result in repricing at renewal without regard to the prior term’s per-unit pricing.

  • User Subscriptions Unless otherwise specified in the applicable Order Form, (i) Services are purchased as User subscriptions and may be accessed by no more than the specified number of Users, (ii) additional User subscriptions may be added during the subscription term at the same pricing as that for the pre-existing subscriptions, prorated for the remainder of the subscription term in effect at the time the additional User subscriptions are added, and (iii) the added User subscriptions shall terminate on the same date as the pre-existing subscriptions. User subscriptions are for designated Users and cannot be shared or used by more than one User but may be reassigned to new Users replacing former Users who no longer require ongoing use of the Services.

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