IN WITNESS WEREOF the parties have caused this Agreement to be duly executed and delivered by their proper and duly authorized officers as of the date and year first written above. COMPANY: NEUROSIGMA, INC. a Delaware corporation By: /s/ Xxxx Xxxxxxx Name: Xxxx Xxxxxxx Title: President & CEO [Signature page for Common Stock Purchase Agreement] INVESTOR: By: /s/ Xxxxxxx Xxxx Address: Facsimile:
IN WITNESS WEREOF the parties hereto have duly executed this Amendment No. 10 as of the date first written above. AMERICAN MEDIA OPERATIONS, INC. By: /s/ Xxxxx Xxxxxx Xxxxx Xxxxxx /s/ Xxxxx Xxxxx
IN WITNESS WEREOF the parties have caused this Agreement to be duly executed and delivered by their proper and duly authorized officers as of the date and year first written above. COMPANY: NEUROSIGMA, INC. a Delaware corporation By: /s/ Xxxx Xxxxxxx Name: Xxxx Xxxxxxx Title: President & CEO FOR INVESTORS THAT ARE INDIVIDUALS: Date: 25 Oct 2013 Signature: /s/ Xxxxxx X. Xxxxxx Marital Status: Married ¨ Not Married ¨ Name (please print): Social Security Number: Xxxxxx X. Xxxxxx Address: Principal Amount of Note: $100,000.00 FOR INVESTORS THAT ARE TRUSTS: Date: Name of Trust: Address: Social Security Number or other Signature of Trustee Taxpayer Identification Number: If applicable: Principal Amount of Note: $ Signature of Co-Trustee: FOR INVESTORS THAT ARE CORPORATIONS, LIMITED LIABILITY COMPANIES OR PARTNERSHIPS: Date: Name of Entity: Address: Signature: Taxpayer Identification Number: Title of Signatory: Principal Amount of Note: $ CONFIDENTIAL SCHEDULE I SCHEDULE OF INVESTORS Name and Address of Investor Closing Date Original Principal Amount of the Note Number of Shares of Common Stock Subject to the Warrant Xxxxxx X. Xxxxxx October 25, 2013 $ 100,000 3,056 TOTALS: $ 100,000.00 3,056
IN WITNESS WEREOF the parties hereto have executed this Agreement as of the day and year first above written. Board of County Commissioners Thurston County, Washington TOWN OF BUCODA Mayor of Bucoda ATTEST: Clerko� fil/AA� l'i Approved as to form: XXX XXXXXXX PROSECUTING ATTORNEY ATTEST: Approved as to form: of BUCODA By:� Deputy Prosecuting Attorne By: Master Interlocal Agreement Agreement Number: 000-0000-000 EXHIBIT A (Examples of Authorized Activities) Traffic Services: The following are examples of traffic services that may be provided: • Sign Maintenance: Replacing signs, removal of signs, installation of new signs, posts and bases. • Crosswalks: Refurbishing with preformed plastic or removal. • Stop Bars: Refurbishing with preformed plastic or removal. • Arrows/Legends: Remarking worn arrows with preformed plastic or removal. • Striping: Painting linear road stripes on pavement, such as centerlines and edge lines. • Traffic Signals • Street Lighting Roadway Maintenance: The following are examples of roadway maintenance services that may be provided: • Traveled Roadway Surface: Patching, crack pouring, pre-level work, pavement replacement, pavement preservation, chipseals, asphalt paving, grading, and pavement ratings. • Drainage: Drainage pipe repair, catch basin and manhole cleaning, blade ditching/shoulder pulling, drainage systems cleaning, drainage preparation, catch basin repair, culvert header/trash rack replacement and repair, bucket ditching, catch basin replacement, erosion control, catch basin/manhole cover replacement, silt removal, and street sweeping. • Structures: Guardrail repair, retaining wall repair, guardrail post removal, fencing repair, non-structural bridge maintenance, and inspections • Pedestrian Facilities: Sidewalk/walkway repair. • Roadside: Slope/shoulder mowing, tree removal, slide removal, tree trimming, and washout repair. Master lnterlocal Agreement Agreement Number: 000-0000-000 EXHIBIT B (EXAMPLE MOU) Memorandum of Understanding Between Thurston County Department of Public Works and Town of Bucoda for Project Title Prepared: October 13, 2020
IN WITNESS WEREOF the parties have executed this JPA which becomes effective as of the date of approval by the Department of Finance and Administration. By: _ Date: 8/17/2021 Xxxxxx Xxxxxxxx Xxxxxx Secretary of State By: Date: 8/17/2021 Xxxxxx X. Xxxxxx State Ethics Commission, Executive Director APPROVED: Department of Finance and Administration Xxxxxx Xxxxxx, Cabinet Secretary Date: 8/30/2021 Xxxxxxx 0 XXXXX XX XXX XXXXXX SUBSTITUTE JOINT POWERS AGREEMENT FOR SHARED JURISDICTION UNDER THE FINANCIAL DISCLOSURE ACT BETWEEN THE NEW MEXICO STATE ETHICS COMMISSION AND THE NEW MEXICO SECRETARY OF STATE Exhibit 1
IN WITNESS WEREOF the parties hereto have caused this Agreement to be duly executed as of the date first set forth above. COMPANY: DBA DISTRIBUTION SERVICES, INC. By: Its: EXECUTIVE: XXXX X. XXXXXXX
IN WITNESS WEREOF the parties hereto have duly executed this Amendment No. 6 as of the date first written above. AMERICAN MEDIA, INC. By: /s/ Xxxxxx Xxxxxxxx November 27, 2007 Xxxxxx Xxxxxxxx Date /s/ Xxxxx Xxxxxx November 27, 2007 Xxxxx Xxxxxxx Date
IN WITNESS WEREOF the Client and Consultant have executed this agreement of the dates shown below. City of West Lafayette City Consultants and Research, LLC By: By: Name/Title: Name/Title: Xxxxxx Xxxxxx, Managing Member Date: Date Appendix A Section I - Scope of Work
IN WITNESS WEREOF the undersigned Guarantors have executed this Guaranty this day of . Executed in the presence of: Witness: Guarantor: Address: Address: SHAREHOLDER / MEMBER DECLARATION Corporations/Partnerships Date: Name: Street Address: City, State, Zip: Phone/Email: Percent of Ownership: _ Name: Street Address: City, State, Zip: Phone/Email: Percent of Ownership: _ Name: Street Address: City, State, Zip: Phone/Email: Percent of Ownership: _
IN WITNESS WEREOF the parties have executed this Escrow Agreement as of the date first set forth above. FIFTH THIRD BANK Escrow Agent Fifth Third Bank 000 Xxxxx Xxxxxxxx Xxxxxx, Xxxxx 000 Xxxxxxxxxxxx, XX 00000 Attn: Xxxxxx Xxxxxx By: --------------------------------------------- [Name] [Title] S&P MANAGED FUTURES INDEX FUND, LP By: RefcoFund Holdings, LLC 000 X. Xxxxxxx Suite 1300 Chicago Illinois 60661 By: ----------------------------------------- [Name] [Title] REFCOFUND HOLDINGS, LLC 000 X. Xxxxxxx Suite 1300 Chicago Illinois 60661 By: ----------------------------------------- [Name] [Title] SCHEDULE 1 SCHEDULE OF FEES FOR ESCROW AGENT ACCEPTANCE FEE: $500.00 The Acceptance Fee includes our review and comments relating to the governing documents, initial investment of escrow proceeds, and the set up of escrow accounts. ANNUAL ADMINISTRATIVE FEE: $1,000.00 The Annual Administrative Fee includes the routine administration of the escrow document and the processing of payments coming in from Subscribers. Additional Services include: - Monthly Statements - Investment in the Fifth Third US Treasury Money Market Fund OTHER CHARGES In the event that Escrow is not broke: - Disbursements - $10.00 per Subscriber Additional fees may be charged for any unusual, special or extraordinary services required. The charges will be based upon the extent of the services performed and the responsibilities assumed by the Escrow Agent.
