City, State, Zip Code Sample Clauses

City, State, Zip Code. Enter the city, state and zip code. This MUST be part of the physical address.
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City, State, Zip Code. 1 Subject to adjustment under Section 4.1 of the Terms. 2 Subject to early termination under Section 4.2 or 4.3 of the Terms.
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City, State, Zip Code. This Stock Option Agreement is intended to set forth the terms and conditions on which a Stock Option (an “Option”) has been granted under the Xxxxxx City Bancorp, Inc. 2006 Stock Incentive Plan. Set forth below are the specific terms and conditions applicable to this Option. Attached as Exhibit A are its general terms and conditions. Option Xxxxx Xxxxx Date: Class of Optioned Shares* Common No. of Optioned Shares* Exercise Price per Share* Option Type (ISO or NQSO) NQSO VESTING: Earliest Exercise Date* Option Expiration Date* 7/20/2016 * Subject to adjustment as provided in the Xxxxxx City Bancorp, Inc. 2006 Stock Incentive Plan and Exhibit A attached hereto. By signing where indicated below, Xxxxxx City Bancorp, Inc. (the ACompany@) grants this Option upon the specified terms and conditions, and the Recipient acknowledges receipt of this Stock Option Agreement, including Exhibit A, and agrees to observe and be bound by the terms and conditions set forth herein. Xxxxxx City Bancorp, Inc. Recipient By Name: Name: Title: INSTRUCTIONS: This Stock Option Agreement should be completed by or on behalf of the Compensation Committee. Any blank space intentionally left blank should be crossed out. An Option grant consists of a number of optioned shares with uniform terms and conditions. Where Options are granted on the same date with varying terms and conditions (for example, varying exercise prices or earliest exercise dates), the Options should be recorded as a series of grants each with its own uniform terms and conditions. EXHIBIT A Xxxxxx City Bancorp, Inc. 2006 Stock Incentive Plan
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City, State, Zip Code. Cell Phone: Printed Name of Attendee Signed Name of Attendee (Age 18 & Over) If Attendee is a minor, under the age of eighteen, signature of Parent or Guardian is required:
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City, State, Zip Code. The date of receipt of any notice shall be, if delivered, the date of personal delivery to the other party during normal business hours. If mailed, the date of receipt of the notice shall be three- (3) business Days after deposit in the U.S. mail. In addition, notices required or permitted pursuant to terms of this Agreement may be faxed or electronically mailed to the other party. The date of receipt of a faxed or electronically mailed notice shall be the date of transmission of the fax or electronic mail so long as the date of transmission is a business day between 8:00 a.m. and 5:00 p.m. Otherwise, the faxed or electronically mailed notice shall be deemed delivered on the first business day thereafter.
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City, State, Zip Code. If a situation occurs where we are talking and we get disconnected and you are in crisis, you agree to call 911, go to your local emergency room immediately, or contact the National Suicide Prevention Hotline at 000-000-XXXX or dial 988 to be connected. If I have concerns about your safety at any time during a phone session, I will break confidentiality and call 911 (if located in the same county or emergency services in the area you are located at the time of the call) and/or your emergency contact immediately. Please note that everything in our informed consent that you signed, including all the confidentiality exceptions, still applies during phone/video sessions. Consent to Participate in Telehealth Counseling Sessions: By signing below, you agree that you have read and understand all of the above sections of the telehealth informed consent. You agree that you also understand the limitations associated with participating in telehealth counseling sessions and consent to attend sessions under the terms described in this document. Client Printed Name & Signature Date
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Related to City, State, Zip Code

  • Type and Jurisdiction of Organization, Organizational and Identification Numbers The type of entity of such Grantor, its state of organization, the organizational number issued to it by its state of organization and its federal employer identification number are set forth on Exhibit A.

  • Business Locations; Taxpayer Identification Number Set forth on Schedule 6.20-1 is a list of all real property located in the United States that is owned or leased by any Loan Party as of the Closing Date (identifying whether such real property is owned or leased and which Loan Party owns or leases such real property). Set forth on Schedule 6.20-2 is the chief executive office, U.S. tax payer identification number and organizational identification number of each Loan Party as of the Closing Date. The exact legal name and state of organization of each Loan Party as of the Closing Date is as set forth on the signature pages hereto. Except as set forth on Schedule 6.20-3, no Loan Party has during the five years preceding the Closing Date (i) changed its legal name, (ii) changed its state of formation, or (iii) been party to a merger, consolidation or other change in structure.

  • Name; Jurisdiction of Organization, etc On the date hereof, such Grantor’s exact legal name (as indicated on the public record of such Grantor’s jurisdiction of formation or organization), jurisdiction of organization, organizational identification number, if any, United States taxpayer identification number, if any, and the location of such Grantor’s chief executive office or sole place of business are specified on Schedule 3.4. Each Grantor is organized solely under the law of the jurisdiction so specified and has not filed any certificates of domestication, transfer or continuance in any other jurisdiction. Except as otherwise indicated on Schedule 3.4, the jurisdiction of each such Grantor’s organization of formation is required to maintain a public record showing the Grantor to have been organized or formed. Except as specified on Schedule 3.4, as of the Closing Date (or the date of any applicable Joinder Agreement hereto in the case of an Additional Grantor) no such Grantor has changed its name, jurisdiction of organization, chief executive office or sole place of business or its corporate structure in any way (e.g., by merger, consolidation, change in corporate form or otherwise) within the past five years and has not within the last five years become bound (whether as a result of merger or otherwise) as a grantor under a security agreement entered into by another Person, which has not heretofore been terminated.

  • Tax Identification Number All deposits to the Accounts shall be subject to the Escrow Agent's receipt of a valid tax identification number for the Company, Manager or Potential Investor, as applicable.

  • Conhecimento da Lingua O Contratado, pelo presente instrumento, declara expressamente que tem pleno conhecimento da língua inglesa e que leu, compreendeu e livremente aceitou e concordou com os termos e condições estabelecidas no Plano e no Acordo de Atribuição (“Agreement” xx xxxxxx).

  • Taxpayer Identification Numbers Dealer agrees to obtain any taxpayer identification number certification from its Customers required under the Internal Revenue Code and any applicable Treasury regulations, and to provide Quasar or its designee with timely written notice of any failure to obtain such taxpayer identification number certification in order to enable the implementation of any required backup withholding.

  • Taxpayer Identification Number The Borrower’s true and correct U.S. taxpayer identification number is set forth on Schedule 10.02.

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