Common use of Warrant Shares Exercise Log Clause in Contracts

Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised DRUGMAX, INC. WARRANT ORIGINALLY ISSUED OCTOBER 3, 2005 FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto the right represented by the above-captioned Warrant to purchase shares of Common Stock to which such Warrant relates and appoints attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: , (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee In the presence of:

Appears in 2 contracts

Samples: Drugmax Inc, Drugmax Inc

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Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised DRUGMAX, FATHOM HOLDINGS INC. WARRANT ORIGINALLY ISSUED OCTOBER 3DATED [ ], 2005 2020 WARRANT NO. FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto the right represented by the above-captioned Warrant to purchase shares purchase______shares of Common Stock to which such Warrant relates and appoints attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: , (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee In the presence of:

Appears in 1 contract

Samples: Fathom Holdings Inc.

Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised DRUGMAXBIONANO GENOMICS, INC. WARRANT ORIGINALLY ISSUED OCTOBER 3, 2005 DATED WARRANT NO. [ ] FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto the right represented by the above-captioned Warrant to purchase shares of Common Stock to which such Warrant relates and appoints attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: , (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee Transferee: In the presence of:

Appears in 1 contract

Samples: Underwriting Agreement (BioNano Genomics, Inc)

Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised DRUGMAXMASSIMO GROUP WARRANT DATED [-], INC2024 WARRANT NO. WARRANT ORIGINALLY ISSUED OCTOBER 3, 2005 FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto the right represented by the above-captioned Warrant to purchase shares of Common Stock to which such Warrant relates and appoints attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: , (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee In the presence of:

Appears in 1 contract

Samples: Massimo Group (Massimo Group)

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Warrant Shares Exercise Log. Date Number of Warrant Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to Date Exercised Shares Exercised be Exercised DRUGMAXMotorcar Parts of America, INCInc. Warrant Originally Issued [ ], 2007 Warrant No. WARRANT ORIGINALLY ISSUED OCTOBER 3, 2005 FORM OF ASSIGNMENT [___] Form of Assignment [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVEDFor Value Received, the undersigned hereby sells, assigns and transfers unto the right represented by the above-captioned Warrant to purchase shares of Common Stock to which such Warrant relates and appoints attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: , ____ (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee In the presence of:

Appears in 1 contract

Samples: Motorcar Parts America Inc

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