WARRANT EXERCISE FORM Sample Clauses

WARRANT EXERCISE FORM. (To be executed by the Holder to exercise the right to purchase shares of Common Stock under the foregoing Warrant Certificate) To FreeSeas Inc.: In accordance with the Warrant Certificate enclosed with this Warrant Exercise Form, the undersigned hereby irrevocably elects to purchase shares of Common Stock, $0.001 par value per share (“Common Stock”), of FreeSeas Inc. and, encloses herewith $ in cash, certified or official bank check or checks, which sum represents the aggregate Exercise Price (as defined in the Warrant Certificate) for the number of shares of Common Stock to which this Warrant Exercise Form relates, together with any applicable taxes payable by the undersigned pursuant to the warrant certificate. The undersigned requests that certificates for the shares of Common Stock issuable upon this exercise be issued in the name of: PLEASE INSERT SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER (Please print name and address) If the number of shares of Common Stock issuable upon this exercise shall not be all of the shares of Common Stock that the undersigned is entitled to purchase in accordance with the enclosed warrant certificate, the undersigned requests that a new warrant certificate evidencing the right to purchase the shares of Common Stock not issuable pursuant to the exercise evidenced hereby be issued in the name of and delivered to: (Please print name and address) Dated: (Print name of holder) By: Name: Title: (Signature must conform in all respects to name of Holder as specified on the face of the Warrant) EXHIBIT B CASHLESS EXERCISE FORM The undersigned hereby elects, pursuant to the exercise provisions of Section 4(b) of the Warrant, to exchange the Warrant for such number of Warrant Shares as set forth on the calculation attached hereto. Please issue a certificate or certificates for such Warrant Shares in the name of: Name: (Please Print Name, Address and SSN or EIN of Shareholder above) Address: SSN or EIN: Signature:
Sample 1
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WARRANT EXERCISE FORM. To: Artisoft, Inc. The undersigned hereby irrevocably elects to exercise the right of purchase represented by the within Warrant ("Warrant") for, and to purchase thereunder by the payment of the Warrant Price and surrender of the Warrant, _________ shares of Common Stock ("Warrant Shares") provided for therein, and requests that certificates for the Warrant Shares be issued as follows: Address Federal Tax ID or Social Security No. and delivered by [ ] certified mail to the above address, or [ ] electronically (provide DWAC Instructions: _________), or [ ] other (specify: _______________________________________). and, if the number of Warrant Shares shall not be all the Warrant Shares purchasable upon exercise of the Warrant, that a new Warrant for the balance of the Warrant Shares purchasable upon exercise of this Warrant be registered in the name of the undersigned Warrantholder or the undersigned's Assignee as below indicated and delivered to the address stated below. By exercising the rights represented by this Warrant, the undersigned hereby certifies that, as of the date of exercise of this Warrant, the representations and warranties contained in Sections 5.2, 5.3 and 5.4 of the 2006 Purchase Agreement are true and correct in all material respects with respect to the undersigned. Dated: ______________,_____ Signature:________________________ Note: The signature must correspond with __________________________________ the name of the registered holder as Name (please print) written on the first page of the Warrant in every particular, without alteration __________________________________ or enlargement or any change whatever, __________________________________ unless the Warrant has been assigned. Address __________________________________ Federal Identification or Social Security No. Assignee: APPENDIX B NET ISSUE ELECTION NOTICE To: Artisoft, Inc. Date: ________________ The undersigned hereby elects under Section 17 of this Warrant to surrender the right to purchase __________ shares of Common Stock pursuant to this Warrant and hereby requests the issuance of __________ shares of Common Stock. The certificate(s) for the shares issuable upon such net issue election shall be issued in the name of the undersigned or as otherwise indicated below. __________________________________ Signature __________________________________ Name for Registration __________________________________ Mailing Address SCHEDULE OF WARRANT HOLDERS WARRANTHOLDER NUMBER OF SHARES ...
Sample 1
WARRANT EXERCISE FORM. The undersigned hereby irrevocably elects to exercise the within Warrant to the extent of purchasing __________ shares of common stock, par value $0.001 per share, of Innovative Software Technologies, Inc., a Californica corporation, and hereby makes payment of $____________ in payment therefore. Signature Signature, if jointly held Date:_____________________ ********************************************************************************************
Sample 1
WARRANT EXERCISE FORM. The undersigned hereby irrevocably elects to exercise the within Warrant to the extent of purchasing _______________ shares of Common Stock of G-Link Corporation, a Tennessee corporation, and hereby makes payment of ______________ in payment therefor. ------------------------------------ Signature ------------------------------------- Signature, if jointly held ------------------------------------- Date INSTRUCTIONS FOR ISSUANCE OF STOCK (if other than to the registered holder of the within Warrant) Name ___________________________________________________________________________ (please typewrite or print in block letters) Address ________________________________________________________________________ ________________________________________________________________________________ Social Security or Taxpayer Identification Number _________________________________________________
Sample 1
WARRANT EXERCISE FORM. The undersigned hereby irrevocably elects to exercise the within Warrant to the extent of purchasing __________ shares of common stock, par value $0.001 per share, of Innovative Software Technologies, Inc., a Delaware corporation, and hereby makes payment of $____________ in payment therefore. _______________________________________ Signature Type or print name of above signatory below: _______________________________________ ___________________________________ Signature, if jointly held Type or print name of above signatory below: ___________________________________ Date:
Sample 1
WARRANT EXERCISE FORM. To: Empire Minerals Corp. The undersigned hereby irrevocably elects to exercise the right of purchase represented by the within Warrant ("Warrant") for, and to purchase thereunder by the payment of the Warrant Price and surrender of the Warrant, _______________ shares of Common Stock ("Warrant Shares") provided for therein, and requests that certificates for the Warrant Shares be issued as follows: __________________________________ Name __________________________________ Address __________________________________ __________________________________ Federal Tax ID or Social Security No. and delivered by [ ] certified mail to the above address, or [ ] electronically (provide DWAC Instructions: ___________________); or, [ ] other (specify: _____________________________). and, if the number of Warrant Shares shall not be all the Warrant Shares purchasable upon exercise of the Warrant, and if the Warrant has not expired, that a new Warrant for the balance of the Warrant Shares purchasable upon exercise of this Warrant be registered in the name of the undersigned Warrantholder or the undersigned's Assignee as below indicated and delivered to the address stated below.
Sample 1
WARRANT EXERCISE FORM. (To be executed by the registered holder to exercise the rights to purchase Common Stock evidenced by the within Warrant) JAKKS PACIFIC, INC. 24950 Xxxxxxx Xxxxx Xxxxxxx, #X000 Xxxxxx, Xxxxxxxxxx 00000 The undersigned hereby irrevocably subscribes for _____ shares of the Warrant Stock (as such term is defined in this Warrant) pursuant to and in accordance with the terms and conditions of this Warrant, and herewith makes payment of $_________ therefor, and requests that a certificate for such shares be issued in the name of the undersigned and be delivered to the undersigned at the address stated below, and, if such number of shares shall not be all of the shares purchasable hereunder, that a new Warrant of like tenor for the balance of the remaining shares purchasable hereunder be delivered to the undersigned at the address stated below: Dated: Signed: Address:
Sample 1
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WARRANT EXERCISE FORM. The undersigned hereby irrevocably elects (A) to exercise the Warrant dated __________, 2021 (the “Warrant”), pursuant to the provisions of Section 1(a) of the Warrant, to the extent of purchasing ________shares of the common stock, par value $0.0001 per share (the “Common Stock”), of 374Water Inc. and hereby makes a payment of $ in payment therefor, or (B) to exercise the Warrant to the extent of purchasing shares of the Common Stock, pursuant to the provisions of Section 1(b) of the Warrant. In exercising the Warrant, the undersigned hereby confirms that the Common Stock to be issued hereunder is being acquired for investment and not with a view to the distribution thereof. Please issue a certificate or certificates representing said shares of Common Stock in the name of the undersigned or in such other name as is specified below. Please issue a new Warrant for the unexercised portion of the attached Warrant in the name of the undersigned or in such other name as is specified below. Name of Holder Signature of Holder or Authorized Representative Signature, if jointly held Name and Title of Authorized Representative Address of Holder Date EXHIBIT “B” Private Placement of 374Water Inc. Common Stock November 5, 2021 TERM SHEET Offered Stock: 2,500,000 shares of 374Water Inc., common stock, $.0001 par value per share Price per Share: $2.00 Minimum Purchase: $100,000; however, at sole discretion of the Company lessor amounts may be accepted Warrants: Each Investor will receive a three-year warrant to purchase at $2.50 per share a number of shares of common stock equal to 50% of the number of shares purchased by the Investor in the Offering. Commissions: Up to 5% to unaffiliated brokers Other Offering Expenses: $15,000 (est.) Shares Outstanding at November 5, 20211: 124,181,346 Shares Outstanding Upon Completion of Minimum Offering1 2: 125,681,346 Shares Outstanding Upon Completion of Maximum Offering1 2: 127,181,346 Minimum Offering: $3,000,000 (1,500,000 Shares) Use of Proceeds: Working Capital. Termination Date: The Offering will terminate on December 17, 2021. _________________ 1 Includes 1,363,600 shares underlying Series D Convertible Preferred Stock 2 Excludes 12,596,000 shares reserved for issuance pursuant to outstanding options and warrants and (ii) 2,500,000 shares reserved for issuance upon exercise of the warrants issuable in this Offering at an exercise price of $2.50 per share. EXHIBIT “C” 374 Water Inc. Risk Factors 374 Water’s financial condit...
Sample 1
WARRANT EXERCISE FORM. The undersigned hereby irrevocably elects (A) to exercise the Warrant dated , 2007 (the “Warrant”), pursuant to the provisions of Section 1(a) of the Warrant, to the extent of purchasing shares of the common stock, par value $0.001 per share (the “Common Stock”), of BROADBAND MULTIMEDIA SYSTEMS, Ltd. and hereby makes a payment of $ in payment therefor, or (B) to exercise the Warrant to the extent of purchasing shares of the Common Stock, pursuant to the provisions of Section 1(b) of the Warrant. In exercising the Warrant, the undersigned hereby confirms that the Common Stock to be issued hereunder is being acquired for investment and not with a view to the distribution thereof. Please issue a certificate or certificates representing said shares of Common Stock in the name of the undersigned or in such other name as is specified below. Please issue a new Warrant for the unexercised portion of the attached Warrant in the name of the undersigned or in such other name as is specified below. Name of Holder Signature of Holder or Authorized Representative Signature, if jointly held Name and Title of Authorized Representative Address of Holder
Sample 1

Related to WARRANT EXERCISE FORM

  • Exercise Form In order to exercise this Purchase Warrant, the exercise form attached hereto must be duly executed and completed and delivered to the Company, together with this Purchase Warrant and payment of the Exercise Price for the Shares being purchased payable in cash by wire transfer of immediately available funds to an account designated by the Company or by certified check or official bank check. If the subscription rights represented hereby shall not be exercised at or before 5:00 p.m., Eastern time, on the Expiration Date, this Purchase Warrant shall become and be void without further force or effect, and all rights represented hereby shall cease and expire.

  • Warrant Exercise (1) Other than Warrants held by the Depository, Registered Warrantholders of Warrant Certificates who wish to exercise the Warrants held by them in order to acquire Warrant Shares must complete the exercise form (the “Exercise Notice”) attached to the Warrant Certificate(s) which form is attached hereto as Schedule “B”, which may be amended by the Corporation with the consent of the Warrant Agent, if such amendment does not, in the reasonable opinion of the Corporation and the Warrant Agent, which may be based on the advice of Counsel, materially and adversely affect the rights, entitlements and interests of the Warrantholders, and deliver such certificate(s), the executed Exercise Notice and a certified cheque, bank draft or money order payable to or to the order of the Corporation for the aggregate Exercise Price to the Warrant Agent at the Warrant Agency. The Warrants represented by a Warrant Certificate shall be deemed to be surrendered upon personal delivery of such certificate, Exercise Notice and aggregate Exercise Price or, if such documents are sent by mail or other means of transmission, upon actual receipt thereof by the Warrant Agent at the office referred to above.

  • NOTICE OF EXERCISE Notwithstanding anything to the contrary in the Equity Definitions or under “Automatic Exercise” above, in order to exercise any Options, Counterparty (or the Trustee under the Indenture or any other agent authorized by the Counterparty) must notify Dealer in writing (which, for the avoidance of doubt, may be by email) before 5:00 p.m. (New York City time) on the Scheduled Valid Day immediately preceding the scheduled first day of the Settlement Averaging Period for the Options being exercised (the “Notice Deadline”) of (i) the number of such Options, (ii) the scheduled first day of the Settlement Averaging Period and the scheduled Settlement Date, (iii) the Relevant Settlement Method for such Options, and (iv) if Counterparty has elected a Cash Percentage for the related Convertible Notes, such Cash Percentage; provided that in respect of any Options relating to Convertible Notes with a Conversion Date occurring on or after the Free Convertibility Date, (A) such notice may be given on or prior to the Scheduled Valid Day immediately preceding the Expiration Date and need only specify the information required in clause (i) above, and (B) if the Relevant Settlement Method for such Options is (x) Cash Settlement or (y) Combination Settlement, Dealer shall have received a separate notice (the “Notice of Final Settlement Method”) in respect of all such Convertible Notes before 5:00 p.m. (New York City time) on the Free Convertibility Date specifying the information required in clauses (iii) and (iv) above. Notwithstanding the foregoing, other than in respect of any Options relating to Convertible Notes with a Conversion Date occurring on or after the Free Convertibility Date, such notice (and the related exercise of Options) shall be effective if given after the applicable Notice Deadline specified above but prior to 5:00 P.M., New York City time, on the fifth Scheduled Valid Day following such Notice Deadline, in which event the Calculation Agent shall have the right to adjust the Dealer’s delivery obligation hereunder, with respect to such exercise of Options, as appropriate to reflect the additional actual out-of-pocket costs (including, but not limited to, commercially reasonable losses actually incurred as a result of hedging mismatches and actual market losses) and reasonable and documented out-of-pocket expenses actually incurred by Dealer or any of its affiliates in connection with its commercially reasonable hedging activities (including the unwinding of any commercially reasonable hedge position) as a result of it not having received such notice prior to such Notice Deadline. Counterparty acknowledges its responsibilities under applicable securities laws, and in particular Section 9 and Section 10(b) of the Exchange Act (as defined below) and the rules and regulations thereunder, in respect of any election of a settlement method with respect to the Convertible Notes.

  • Form of Exercise Notice To: XXXX Xxx Sheung (the “Transferor”) From: TIAN Wenjun 田文军 (the “Transferee”) We refer to the Share Transfer Agreement (the “Share Transfer Agreement”) dated April 26, 2010 made between the Transferee and the Company. Terms defined in the Share Transfer Agreement shall have the same meanings as used herein. We hereby give you notice that we require you to sell to us / [Nominees’ names] in accordance with the terms and conditions of the Share Transfer Agreement, the following Option Shares at the Exercise Price set out below, subject to the terms and conditions set out in the Share Transfer Agreement Completion shall take place at [ ] on [ ] at the office of [ ]: Transferee Option Shares Exercise Price/ Alternative Exercise Price Dated this day of , 20 Yours faithfully ____________________________ Name: Title: For & on behalf of Transferee Part II

  • Warrant Exercise Price f. Dates upon which Warrants may be exercised;

  • Form of Exercise Each election to exercise this option shall be in writing, signed by the Participant, and received by the Company at its principal office, accompanied by this agreement, and payment in full in the manner provided in the Plan. The Participant may purchase less than the number of shares covered hereby, provided that no partial exercise of this option may be for any fractional share.

  • Notice of Exercise; Payment To the extent then exercisable, the Option may be exercised in whole or in part by written notice to the Company stating the number of Option Shares for which the Option is being exercised and the intended manner of payment. The date of such notice shall be the exercise date. The Option Price shall be payable (a) in cash or by check acceptable to the Company or by wire transfer of immediately available funds, (b) by actual or constructive transfer to the Company of nonforfeitable, unrestricted Common Shares that have been owned by the Optionee for more than six (6) months prior to the date of exercise, (c) for exercises of Options that occur more than one (1) year following the Date of Grant, by transfer to the Company of shares or vested Options (including Options under this Agreement) for the purchase of Common Shares having a fair market value (net of the exercise price) at the time of exercise equal to the portion of the Option Price for which such transfer is made, or (d) by a combination of such methods of payment. The requirement of payment in cash shall be deemed satisfied if the Optionee shall have made arrangements satisfactory to the Company with a bank or a broker who is a member of the National Association of Securities Dealers, Inc. to sell on the exercise date a sufficient number of the shares being purchased so that the net proceeds of the sale transaction will at least equal the Option Price plus payment of any applicable withholding taxes and pursuant to which the bank or broker undertakes to deliver the full Option Price plus payment of any applicable withholding taxes to the Company on a date satisfactory to the Company, but not later than the date on which the sale transaction will settle in the ordinary course of business. As soon as practicable upon the Company’s receipt of Optionee’s notice of exercise and payment, the Company shall direct the due issuance of the Option Shares so purchased. As a further condition precedent to the exercise of this Option in whole or in part, Optionee shall comply with all regulations and the requirements of any regulatory authority having control of, or supervision over, the issuance of the Common Shares and in connection therewith shall execute any documents which the Board shall in its sole discretion deem necessary or advisable.

  • Notice of Exercise of Option This Option may be exercised by the ---------------------------- Optionee, or by the Optionee's administrators, executors or personal representatives, by a written notice (in substantially the form of the Notice of Exercise attached hereto as Schedule B) signed by the Optionee, or by such administrators, executors or personal representatives, and delivered or mailed to the Company as specified in Section 14 hereof to the attention of the President or such other officer as the Company may designate. Any such notice shall (a) specify the number of shares of Stock which the Optionee or the Optionee's administrators, executors or personal representatives, as the case may be, then elects to purchase hereunder, (b) contain such information as may be reasonably required pursuant to Section 12 hereof, and (c) be accompanied by (i) a certified or cashier's check payable to the Company in payment of the total Exercise Price applicable to such shares as provided herein, (ii) shares of Stock owned by the Optionee and duly endorsed or accompanied by stock transfer powers having a Fair Market Value equal to the total Exercise Price applicable to such shares purchased hereunder, or (iii) a certified or cashier's check accompanied by the number of shares of Stock whose Fair Market Value when added to the amount of the check equals the total Exercise Price applicable to such shares purchased hereunder. Upon receipt of any such notice and accompanying payment, and subject to the terms hereof, the Company agrees to issue to the Optionee or the Optionee's administrators, executors or personal representatives, as the case may be, stock certificates for the number of shares specified in such notice registered in the name of the person exercising this Option.

  • Payment of Warrant Exercise Price The holder shall pay the Aggregate Exercise Price of $______________ to the Company in accordance with the terms of the Warrant.

  • Form of Exercise Price The Holder intends that payment of the Exercise Price shall be made as: ____________ a “Cash Exercise” with respect to _________________ Warrant Shares; and/or ____________ a “Cashless Exercise” with respect to _______________ Warrant Shares.

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