Common use of NOTICE OF CONVERSION Clause in Contracts

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 in the original principal amount of $33,333.34 is issued by EMS Find, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Ems Find, Inc.

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NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Discount Convertible Debenture due August 18, 2016 issued by EMS Find2015 of Labor Smart, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: Account No: Appendix A Optional Amortization Schedule Amortization Payments Cash (30% Premium) Common Stock First Payment (February 18, 2015) $ $ Second Payment (March 1, 2015) $ $ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25Original Issue Discount Convertible Debenture due on August 18, 2016 2015 in the original principal amount of $33,333.34 262,500 is issued by EMS FindLabor Smart, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Labor Smart, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find, Inc., a Nevada corporation Senior Convertible Debenture due November 14. 2023 of SIGYN THERAPEUTICS INC. (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date dxxx written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date Dxxx to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. 55,000 Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue Broker No: ________________ Account No: _______________ NEITHER THIS SECURITY NOR THE SECURITIES FOR WHICH THIS SECURITY IS EXERCISABLE HAVE BEEN REGISTERED WITH THE SECURITIES AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT OF 1933. AS AMENDED (THE “SECURITIES ACT”), AND, ACCORDINGLY, MAY NOT BE OFFERED OR SOLD EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACTOR PURSUANT TO AN AVAILABLE EXEMPTION FROM, OR IN A TRANSACTION NOT SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS. THIS SECURITY AND THE SECURITIES ISSUABLE UPON EXERCISE OF THIS SECURITY MAY BE PLEDGED IN CONNECTION WITH A BONA FIDE MARGIN ACCOUNT OR OTHER LOAN SECURED BY SUCH SECURITIES. COMMON STOCK PURCHASE WARRANT SIGYN THERAPEUTICS INC. Warrant Shares: 366,667 Initial Exercise Date: November 14, 2022 THIS COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, Oshcr Capital Partners or its assigns (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after the date hereof (the “Initial Exercise Date”) and on or prior to 5:00 p.m. (New York City time) on November 14, 2027 (the “Termination Date’”) but not thereafter, to subscribe for and purchase from SIGYN THERAPEUTICS INC. (the “Company”), up to 366,667 shares (as subject to adjustment hereunder, the “Warrant Shares”) of July 25Common Stock. The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, 2016 as defined in the original principal amount of $33,333.34 is issued by EMS Find, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest2(b).

Appears in 1 contract

Samples: Sigyn Therapeutics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 257.5% Senior Secured Convertible Debenture due March 10, 2016 issued by EMS Find, 2017 of Mix 1 Life Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: $1.30 per share Date to Effect Conversion: 12/19/2016 Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. 710,000 Number of shares of Common Stock to be issued: 546,154 Name: Spyglass Capital Partners, LLC Signature: Name/s/ Xxxx Xxxxxxxx By: Xxxx Xxxxxxxx Title: CEO and General Manager Address for Delivery Instructionsof Common Stock Certificates: Spyglass Capital Partners c/o Xxxx Xxxxxxxx 00 Xxxx Xxxxxx, Xxxxx 000X Xxxxxxx, CO 81632 Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 7.5% Senior Secured Convertible Debentures due on March 10, 2016 2017 in the original principal Principal amount of $33,333.34 710,000.00 is issued by EMS Find, Mix 1 Life Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: __________________________ Date of Conversion (or Conversion(or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or Conversion(or original Principal Amount) Company AttestAttest Schedule 2 WARRANT COVERAGE Mix 1 Life, Inc. hereby grants warrant coverage to the 7.5% Senior Secured Convertible Debenture due March 10, 2017 of Mix 1 Life Inc., a Nevada corporation (the “Company”), on a 1:1 basis (546,154 shares) This warrant coverage will remain in effect from the date of this agreement until 3 years after the date of this agreement. The strike price for these warrants will be $1.30 per share and will convert into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. The warrant holder must notify the Company in writing of their intent to exercise the warrant 30 days prior to the exercise date. Date: 12/29/2016 By: /s/ Xxxxx Xxxxxxxxxxx Xxxxx Xxxxxxxxxx, CEO

Appears in 1 contract

Samples: Discharge and Satisfaction of Indebtedness Agreement (Mix 1 Life, Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Convertible Promissory Note, 2016 issued by EMS Find, Inc.due _________ of _________________., a Nevada corporation ___________ (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule SCHEDULE 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25Conversion Schedule is part of, 2016 and reflects conversions made under Section 4 of, the Convertible Promissory Note, due on __________, in the original principal amount of $33,333.34 __________ is issued by EMS Find, Inc.________________, a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note__________________. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Digital Health Acquisition Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Discount Senior Secured Convertible Debenture due December 31, 2016 issued by EMS Find, 2010 (the “Debenture”) of Celsia Technologies. Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Notethe Debenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No:_________________ Account No:_________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The Original Issue Discount Senior Secured Convertible Debentures due on December 31, 2016 2010 in the original aggregate principal amount of $33,333.34 is ____________ are issued by EMS FindCelsia Technologies, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Celsia Technologies, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% convertible promissory note dated July 25due March 9, 2016 issued by EMS Find, Inc.2017 of Lifelogger Technologies Corp., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This 8% convertible promissory note with an original issue date of July 25due on March 9, 2016 2017 in the original principal amount of $33,333.34 250,000 is issued by EMS Find, Inc.Lifelogger Technologies Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Lifelogger Technologies Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Convertible Promissory Note due November 23, 2016 issued by EMS Find, Inc., a Nevada corporation 2017 of Force Protection Video Equipment Corp. (the “Company”), into shares of common stock of the Company (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares Shares of Common Stock to be issuedIssued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 258% Convertible Promissory Note due on October 26, 2016 2017 in the original principal amount of $33,333.34 110,000 is issued by EMS Find, Inc., a Nevada corporation. Force Protection Video Equipment Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Force Protection Video Equipment Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Second Amended and Restated 10% Senior Secured Convertible Debenture due April 21, 2016 issued by EMS Find2021 of EMI Holding, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company Stock according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No:______________ Account No:_____________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The Second Amended and Restated 10% Senior Secured Convertible Debentures due April 21, 2016 2021 in the original aggregate principal amount of $33,333.34 is _________________are issued by EMS FindEMI Holding, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest EXHIBIT B NEITHER THIS SECURITY NOR THE SECURITIES FOR WHICH THIS SECURITY IS EXERCISABLE HAVE BEEN REGISTERED WITH THE SECURITIES AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND, ACCORDINGLY, MAY NOT BE OFFERED OR SOLD EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OR PURSUANT TO AN AVAILABLE EXEMPTION FROM, OR IN A TRANSACTION NOT SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS. THIS SECURITY AND THE SECURITIES ISSUABLE UPON EXERCISE OF THIS SECURITY MAY BE PLEDGED IN CONNECTION WITH A BONA FIDE MARGIN ACCOUNT OR OTHER LOAN SECURED BY SUCH SECURITIES. SECOND AMENDED AND RESTATED COMMON STOCK PURCHASE WARRANT EMMAUS LIFE SCIENCES, INC. Warrant Shares: Initial Exercise Date: April 22, 2019 WO-419-__ -A THIS SECOND AMENDED AND RESTATED COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, _____________ or its assigns (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after the date hereof (the “Initial Exercise Date”) and on or prior to 5:00 p.m. (New York City time) on September 14, 2023 (the “Termination Date”) but not thereafter, to subscribe for and purchase from Emmaus Life Sciences, Inc. (formerly known as “MYnd Analytics, Inc”), a Delaware corporation (the “Company”), up to ________ shares (the “Warrant Shares”) of Common Stock. The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, as defined in Section 2(b).

Appears in 1 contract

Samples: Securities Amendment Agreement (Emmaus Life Sciences, Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Amended and Exchanged 8% Senior Secured Convertible Debenture due [January 8, 2016 issued by EMS Find2011/April 15, 2011] of Innovative Card Technologies, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: _______________ Account No: _____________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The Amended and Exchanged 8% Secured Convertible Debentures due on [January 8, 2016 2008/April 15, 2011] in the original aggregate principal amount of $33,333.34 is ______________ are issued by EMS FindInnovative Card Technologies, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Innovative Card Technologies Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated 10% Original Issue Discount Senior Secured Convertible Note due July 2520, 2016 issued by EMS Find2023 of Grom Social Enterprises, Inc., a Nevada Florida corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No:__________ Account No:________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of The 10.0% Original Issue Discount Senior Secured Convertible Notes due on July 2520, 2016 2023 in the original aggregate principal amount of $33,333.34 is 1,750,000.00 are issued by EMS FindGrom Social Enterprises, Inc., a Nevada Florida corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Grom Social Enterprises, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2520% Original Issue Discount Convertible Debenture due [__________ __, 2016 issued by EMS Find2017] of Protea Biosciences Group, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account Accrued. Number of Conversion at Issue. Shares payable on Principal or Interest that would exceed the limits set forth in Section 4(c) of the Debenture: Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery Instructionsof Common Stock Certificates: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 20% Original Issue Discount Unsecured Convertible Debenture due on [________ ___, 2016 2017] in the original principal amount of $33,333.34 ____________ is issued by EMS FindProtea Biosciences Group, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Protea Biosciences Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal principal, accrued but unpaid interest and/or any of amounts due under the convertible promissory note dated July 2512% Senior Convertible Promissory Note due June 16, 2016 issued by EMS Find, Inc.2018 of Terra Tech Corp., a Nevada corporation (the “Company”), into Company”),into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion Conversion, the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock, if the resale of any such shares of Common Stock are covered by and are being sold pursuant to an effective Registration Statement. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Other Amounts Owed Under this Note to be Converted including Late Fees: ______ Number of shares of Common Stock to be issued: ______ Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 2512% Senior Convertible Promissory Note due on June 16, 2016 2018 in the original principal amount of $33,333.34 5,000,000 is issued by EMS Find, Inc.Terra Tech Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or Conversion(or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or Conversion(or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Terra Tech Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2520% Original Issue Discount Convertible Debenture due November 22, 2016 issued by EMS Find2015 of Protea Biosciences Group, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account Accrued. Number of Conversion at Issue. Shares payable on Principal or Interest that would exceed the limits set forth in Section 4(c) of the Note: Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery Instructionsof Common Stock Certificates: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 20% Original Issue Discount Unsecured Convertible Debenture due on November 22, 2016 2015 in the original principal amount of $33,333.34 ____________ is issued by EMS FindProtea Biosciences Group, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Protea Biosciences Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Convertible Promissory Note, 2016 issued by EMS Findwith an issue date of January 5, Inc., a Nevada corporation 2022 of Forza Innovations Inc. (the “Company”), ) into shares of common stock stock, par value $0.001 per share (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company Companies in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company Companies that its ownership of the Common Stock does not exceed the amounts specified under Section 4 5 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note 10% Convertible Promissory Note, with an original issue date of July 25______________________, 2016 in the original principal amount of $33,333.34 100,000 is issued by EMS Find, Forza innovations Inc., a Nevada corporation(the “Company”). This Conversion Schedule with respect to the Common Stock of the Company reflects conversions made under Section 4 5 of the above above-referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount and Guaranteed Interest Remaining Subsequent to Conversion (or original Principal Amount) Company Company’s Attest

Appears in 1 contract

Samples: Forza Innovations Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Convertible Debenture due April 1, 2016 issued by EMS Find, Inc.2017 of UAS Drone Corp., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 8% Convertible Debentures due on April 1, 2016 2017 in the original aggregate principal amount of $33,333.34 is 300,000.00 are issued by EMS Find, Inc.UAS Drone Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: UAS Drone Corp.

NOTICE OF CONVERSION. The undersigned registered holder hereby elects to convert principal under the convertible promissory note dated July 255% Senior Secured Convertible Debenture due January 16, 2016 issued by EMS Find, of PLC Systems Inc., a Nevada Yukon Territory corporation (the “Company”), No. R-70 (the “Debenture”) into shares of common stock (the “Common Stock”), ) of the Company according to in accordance with the terms and conditions hereofof the Debenture, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the undersigned registered holder of the Debenture for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws Securities Laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 5% Senior Secured Convertible Debenture due on January 16, 2016 2016, No. R-70 in the original principal amount of $33,333.34 250,000 is issued by EMS Find, PLC Systems Inc., a Nevada Yukon Territory corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Converted Principal Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: PLC Systems Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Senior Secured Convertible Promissory Note due April 16, 2016 issued by EMS Find2020 of Precipio, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: :_____________________________ Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____________________________________ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: __________________________________________ Signature:_______________________________ Name:__________________________________ Address for Delivery of Common Stock Certificates: NameOr DWAC Instructions: Delivery InstructionsBroker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 8% Senior Secured Convertible Promissory Notes due April 16, 2016 2020 in the original aggregate principal amount of $33,333.34 [AMOUNT] is issued by EMS FindPrecipio, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Aggregate Principal Amount Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion Company Attest (or original Principal Amount) Company Attest)

Appears in 1 contract

Samples: Precipio, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Discount Senior Secured Convertible Debenture due September 9, 2016 issued by EMS Find2026 (the “Debenture”) of Nauticus Robotics, Inc.Inc. (f/k/a Cleantech Acquisition Corp.), a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. Capitalized terms not defined herein shall have the meaning as set forth in the Debenture. To be valid, this Notice of Conversion must be delivered to each of the following email addresses: Email: ******** Email: ******** Email: ******** Email: ******** By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that that, after giving effect to the conversion of the Debenture contemplated below, its beneficial ownership of the Common Stock does not exceed the amounts specified under Section 4 4(d) of this Notethe Debenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees Date of Conversion: Aggregate principal to comply be converted: Aggregate accrued and unpaid Interest, and accrued and unpaid Late Fees with the prospectus delivery requirements under the applicable securities laws in connection with any transfer respect to such portion of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note aggregate principal and such aggregate Interest to be Convertedconverted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of AGGREGATE CONVERSION AMOUNT TO BE CONVERTED: Please confirm the following information: Conversion at Issue. Price: Number of shares of Common Stock to be issued: Signature☐ If this Conversion Notice is being delivered with respect to an Alternate Conversion, check here if Holder is electing to use the following Alternate Conversion Price:____________ Please issue the Common Stock into which the Debenture is being converted to Holder, or for its benefit, as follows: ☐ Check here if requesting delivery as a certificate to the following name and to the following address: Issue to: ☐ Check here if requesting delivery by Deposit/Withdrawal at Custodian as follows: DTC Participant: DTC Number: Account Number: Date: _____________ __, _____ Name of Registered Holder By: Name: Delivery InstructionsTitle: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 in the original principal amount of $33,333.34 is issued by EMS Find, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. DatedTax ID: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestE-mail Address:

Appears in 1 contract

Samples: Nauticus Robotics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2512% Senior Convertible Promissory Note, 2016 issued by EMS Finddue June2, Inc., a Nevada corporation 2021 of Crown ElectroKinetics Corp. (the “Company”), ) into shares of common stock (the “Common Stock”), ) of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company Companies in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company Companies that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Crown Convertible Note 24 Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 2512% Senior Convertible Promissory Note, 2016 due on June 2, 2021, in the original principal amount of $33,333.34 [●] is issued by EMS Find, Inc., a Nevada corporationCrown ElectroKinetics Corp. (the “Company”). This Conversion Schedule with respect to the Common Stock of the Company reflects conversions made under Section 4 of the above referenced Note. Dated: ___________ Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Company’s Attest

Appears in 1 contract

Samples: Crown Electrokinetics Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 255% Original Issue Discount Senior Secured Convertible Promissory Note due April 8, 2016 issued by EMS Findof DirectView, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: Account No: Appendix A Amortization Schedule Transaction Amount Timing Funding: $26,250.00 April 8, 2015 Amortization Payments First Payment $2,187.50 Second Payment $2,187.50 Third Payment $2,187.50 Fourth payment $2,187.50 Fifth Payment $2,187.50 Sixth Payment $2,187.50 Seventh Payment $2,187.50 Eighth Payment $2,187.50 Ninth Payment $2,187.50 Tenth payment $2,187.50 Eleventh Payment $2,187.50 Twelfth Payment $2,187.50 Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 255% Original Issue Discount Senior Secured Convertible Promissory Note due on April 8, 2016 in the original principal amount of $33,333.34 26,250.00 is issued by EMS FindDirectView Holdings, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Directview Holdings Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find, Original Issue Discount Convertible Debenture due ________202[5] of Progressive Care Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock Common Shares (the “Common StockShares”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock Shares are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock Shares does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common StockShares. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock Shares __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock Shares to be issued: Signature: Name: Address for Delivery of Common Shares Certificates: Or DWAC Instructions: Broker No:_____________________ Account No:_____________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 The Original Issue Discount Convertible Debentures due on ________ 202[5] in the original aggregate principal amount of $33,333.34 is ____________ are issued by EMS Find, Progressive Care Inc., a Nevada corporationDelaware company. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Securities Purchase Agreement (Progressive Care Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Discount Convertible Debenture due November 30, 2016 issued by EMS Find2020 of PF Hospitality Group, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Price: Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: ___________________ Account No: __________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25Convertible Debenture due on November 30, 2016 2020 in the original principal amount of $33,333.34 [__] is issued by EMS FindPF Hospitality Group, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: PF Hospitality Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Original Issue Discount Convertible Promissory Note due September 18, 2016 issued by EMS Find, 2017 of CLS Holdings USA Inc., a Nevada Florida corporation (the “Company”), into shares of common stock (the “Common Stock”), ) of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply offer for sale and sell the Common Stock in compliance with all applicable securities laws, including but not limited to, offering the Common Stock for sale in accordance with the "plan of distribution" contained in the Registration Statement, suspending sales if the Company advises that the Prospectus is no longer effective or current, and complying with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares Shares of Common Stock to be issuedIssued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 2510% Original Issue Discount Convertible Promissory Note due on September 18, 2016 2017 in the original principal amount of $33,333.34 222,222 is issued by EMS Find, CLS Holdings USA Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest Schedule 2 AMORTIZATION SCHEDULE Transaction Amount Timing Principal Amount: $222,222 March 18, 2016 Amortization Payments First Payment Second Payment Third Payment Fourth payment Fifth Payment Sixth Payment Seventh Payment Eighth Payment Ninth Payment Tenth Payment Eleventh Payment Twelfth Payment Thirteenth Payment Fourteenth Payment Fifteenth Payment Sixteenth payment Seventeenth Payment Eighteenth Payment Nineteenth Payment Twentieth Payment Twenty-First Payment Twenty-Second Payment Twenty-Third Payment Twenty-Fourth Payment

Appears in 1 contract

Samples: CLS Holdings USA, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 254.67% Convertible Promissory Note, 2016 issued by EMS Finddue May 31, 2019 of InterCloud Systems, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Instructions Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 254.67% Convertible Promissory Note, 2016 due on May 31, 2019, in the original principal amount of $33,333.34 2,000,000 is issued by EMS FindInterCloud Systems, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Intercloud Systems, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Discount Senior Secured Convertible Note due May 17, 2016 issued by EMS Find2011 of NXT Nutritionals Holdings, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: _________________ Account No: _________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The Original Issue Discount Senior Secured Convertible Notes due on May 17, 2016 2011 in the original principal amount aggregate Principal Amount of $33,333.34 is ____________ are issued by EMS FindNXT Nutritionals Holdings, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: NXT Nutritionals Holdings, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 259% Secured Convertible Debenture due June 13, 2016 issued by EMS Find2011 of Retail Pro, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: _____________________ Account No: ___________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 9% Secured Convertible Debenture due on June 13, 2016 2011 in the original principal amount of $33,333.34 ____________ is issued by EMS FindRetail Pro, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Retail Pro, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Convertible Debenture due June 9, 2016 issued by EMS Find2023 of Legacy Education Alliance, Inc., Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: ____________ Account No: __________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Convertible Debentures due on June 9, 2016 2023 in the original maximum aggregate principal amount of $33,333.34 is 5,000,000 are issued by EMS FindLegacy Education Alliance, Inc., Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Legacy Education Alliance, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Convertible Promissory Note, 2016 issued by EMS Findwith an issue date of ____________________, Inc.of Applied Minerals, a Nevada corporation Inc. (the “Company”), ) into shares of common stock stock, par value $0.001 per share (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company Companies in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company Companies that its ownership of the Common Stock does not exceed the amounts specified under Section 4 5 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: ANNEX A Schedule 1 CONVERSION SCHEDULE This convertible promissory note 10% Convertible Promissory Note, with an original issue date of July 25______________________, 2016 in the original principal amount of $33,333.34 180,000 is issued by EMS FindApplied Minerals, Inc., a Nevada corporationInc. (the “Company”). This Conversion Schedule with respect to the Common Stock of the Company reflects conversions made under Section 4 5 of the above above-referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount and Guaranteed Interest Remaining Subsequent to Conversion (or original Principal Amount) Company Company’s Attest

Appears in 1 contract

Samples: Applied Minerals, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 255% Convertible Promissory Note due [__________], 2016 issued by EMS Find2015 of Electronic Cigarettes International Group, Inc.Ltd., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: Account No: Appendix A Amortization Schedule Transaction Amount Timing Funding: Amortization Payments Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 255% Convertible Promissory Note due on [__________], 2016 2015 in the original principal amount of $33,333.34 [__________] is issued by EMS FindElectronic Cigarettes International Group, Inc.Ltd., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Electronic Cigarettes International Group, Ltd.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Senior Secured Convertible Debenture due June 30, 2016 issued by EMS Find2013 of SCOLR Pharma, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange ActAct and that the Holder is not otherwise an Affiliate of the Company. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of $ Accrued and Unpaid Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock such Principal to be issuedConverted: ¨ yes ¨ no Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 8% Senior Secured Convertible Debentures due on June 30, 2016 2013 in the original aggregate principal amount of $33,333.34 is $ are issued by EMS FindSCOLR Pharma, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount and Accrued Interest Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: SCOLR Pharma, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Senior Convertible Note due September 29, 2016 2020 issued by EMS FindHealth-Right Discoveries, Inc., a Nevada Florida corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No:___________________ Account No:____________________________________________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The Senior Convertible Note due on September 29, 2016 2020 in the original principal amount of $33,333.34 5,000,000 is issued by EMS FindHealth-Right Discoveries, Inc., a Nevada Florida corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Converted Principal Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Applicable Conversion Price Company Attest

Appears in 1 contract

Samples: Health-Right Discoveries, Inc.

NOTICE OF CONVERSION. To: SYNNEX CORPORATION The undersigned registered owner of this Note hereby elects exercises the option to convert this Note, or the portion hereof (that is $1,000 principal under the convertible promissory note dated July 25, 2016 issued by EMS Find, Inc., a Nevada corporation (the “Company”)amount or an integral multiple thereof) below designated, into shares of common stock (the “Common Stock”)cash, of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock or a combination of cash and shares of Common Stock, as applicable, in accordance with the terms of the Indenture referred to in this Note, and directs that any shares of Common Stock issuable and deliverable upon such conversion, together with any cash comprising the Daily Conversion Values or a portion of the Daily Settlement Amounts for each of the sixty Trading Days during the Cash Settlement Averaging Period and for any fractional shares, and any Notes representing any unconverted principal amount hereof, be issued and delivered to the registered holder hereof unless a different name has been indicated below. If any shares of Common Stock or any portion of this Note not converted are to be issued in the name of a person Person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewiththereto. No fee will Any amount required to be charged paid to the holder for any conversion, except for such transfer taxes, if any. By the delivery undersigned on account of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of interest accompanies this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculationsDated: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $________________ of Interest Accrued on Account of Conversion at Issue. Number of Signature(s) Signature Guarantee Signature(s) must be guaranteed by an eligible Guarantor Institution (banks, stock brokers, savings and loan associations and credit unions) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15 if shares of Common Stock are to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 or Notes to be delivered, other than to and in the original principal amount of $33,333.34 is issued by EMS Find, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 name of the registered holder. Fill in for registration of shares if to be issued, and Notes if to be delivered, other than to and in the name of the registered holder: (Name) (Street Address) (City, State and Zip Code) Please print name and address. Principal amount to be converted (if less than all): $ ,000 NOTICE: The above referenced Notesignature(s) of the holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever. Dated: Date of Conversion (Social Security or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestOther Taxpayer Identification Number ANNEX B

Appears in 1 contract

Samples: Synnex Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Senior Convertible Debenture due ___________ , 2016 issued by EMS Findof Lithium Exploration Group, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: __________ Account No: __________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 Original Issue Senior Convertible Debentures due on __________ in the original aggregate principal amount of $33,333.34 is 1,680,,000.00 are issued by EMS FindLithium Exploration Group, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Lithium Exploration Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Senior Secured Convertible Debenture due March 27, 2016 issued by EMS Find2021 of Ideanomics, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(d) of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ $ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Senior Secured Convertible Debentures due on March 27, 2016 2021 in the original aggregate principal amount of $33,333.34 is 2,500,000 are issued by EMS FindIdeanomics, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion Date of Conversion (or original (or for first entry, Amount of Principal Original Issue Date) Conversion Amount) Company AttestAttest Schedule 2 ASSIGNMENT FORM (To assign the foregoing Debenture, execute this form and supply required information. Do not use this form to convert the Debenture.) FOR VALUE RECEIVED, the foregoing Debenture and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: , Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Ideanomics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Convertible Note due June [ ], 2016 issued by EMS Find2021 of MICT, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: ______________ Account No: ______________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 The Convertible Notes due on [________] in the original aggregate principal amount of $33,333.34 is ____________ are issued by EMS FindMICT, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: MICT, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Senior Unsecured Convertible Promissory Note, 2016 due October 29, 2022, in the original principal amount of $[●] (the “Note”), issued by EMS FindAmerican Noble Gas, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock stock, par value $0.0001 per share, of the Company (the “Common Stock”), of the Company ) according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this the Note, as determined in accordance with Section 13(d) of the Securities Exchange ActAct of 1934, as amended. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25Senior Unsecured Convertible Promissory Note, 2016 due on October 29, 2022, in the original principal amount of $33,333.34 250,000 is issued by EMS FindAmerican Noble Gas, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above above-referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: American Noble Gas, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Convertible Debenture due March 9, 2016 issued by EMS Find2023, Inc.of UAS Drone Corp., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 8% Convertible Debenture due on March 9, 2016 2023, in the original aggregate principal amount of $33,333.34 99,054 is issued by EMS Find, Inc.UAS Drone Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion (Principal $_________ Interest $_________ Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest Schedule A Convertible Loan Lenders Name Loan Already advanced % No. of Shares % of holdings Balance Ansbacher $ 250,000 $ 8,750 25.00 % 2,405,906 6.00 % $ 241,250 25.00 % Xxxxxxx $ 250,000 $ 8,750 25.00 % 2,405,906 6.00 % $ 241,250 25.00 % Xxxxxxxxx $ 134,715 $ 4,715 13.47 % 1,296,447 3.23 % $ 130,000 13.47 % Xxx Marble $ 198,618 $ 6,952 19.86 % 1,911,425 4.77 % $ 191,666 19.86 % Meytal - Alonim ltd. $ 166,667 $ 5,833 16.67 % 1,603,937 4.00 % $ 160,834 16.67 % $ 1,000,000 $ 35,000 100.00 % 9,623,621 24.00 % $ 965,000 100 % Exhibit A Share Exchange Agreement See attached. Exhibit B Convertible Loan Agreement See attached.

Appears in 1 contract

Samples: UAS Drone Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Secured Convertible Debenture due May 31, 2016 issued by EMS Find, Inc.2017 of Healthcare Corporation of America, a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Secured Convertible Debenture due on May 31, 2016 2017 in the original principal amount of $33,333.34 __________is issued by EMS Find, Inc.Healthcare Corporation of America, a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Healthcare Corp of America

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated Convertible Promissory Note due July 2523, 2016 issued by EMS Findof DirectView Holdings, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of Convertible Promissory Note due on July 2523, 2016 in the original principal amount of $33,333.34 429,423.00 is issued by EMS FindDirectView Holdings, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Directview Holdings Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated 10% Convertible Debenture due July 2521, 2016 issued by EMS Find2015 of Medbox, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Appendix A Amortization Schedule Transaction Amount Timing Funding: July 21, 2014 Amortization Payments Cash 30% Premium Common Stock First Payment (month 6) Second Payment (month 7) Third Payment (month 8) Fourth payment (month 9) Fifth Payment (month 10) Sixth Payment (month 11) Seventh Payment (month 12) Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of 10% Convertible Debenture due on July 2521, 2016 2015 in the original principal amount of $33,333.34 ________ is issued by EMS FindMedbox, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Medbox, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Convertible Promissory Note due June 31, 2016 issued by EMS Find, Inc., a Nevada corporation of Force Protection Video Equipment Corp. (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: {00769147.DOCX;1 } Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 258% Convertible Promissory Note due on June 31, 2016 in the original principal amount of $33,333.34 105,000 is issued by EMS Find, Inc., a Nevada corporation. Force Protection Video Equipment Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Force Protection Video Equipment Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Convertible Promissory Note, 2016 issued by EMS Finddue _________________ of Data443 Risk Mitigation, Inc., a Nevada corporation Inc. (the “Company”), ) into shares of common stock (the “Common Stock”), ) of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company Companies in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company Companies that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25Convertible Promissory Note, 2016 due on _________________, in the original principal amount of $33,333.34 750,000 is issued by EMS FindData443 Risk Mitigation, Inc., a Nevada corporationInc. (the “Company”). This Conversion Schedule with respect to the Common Stock of the Company reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Company’s Attest

Appears in 1 contract

Samples: Data443 Risk Mitigation, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Senior Secured Convertible Debenture due May 16, 2016 issued by EMS Find2014 of Recovery Energy, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 8% Senior Secured Convertible Debentures due on May 16, 2016 2014 in the original aggregate principal amount of $33,333.34 is ____________ are issued by EMS FindRecovery Energy, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest ANNEX B PROPERTY SUBJECT TO SECURITY INTEREST Xxxxxx Laramie: T16N61W SEC 26: N/2 (Xxxxx Xxxxxx 42-26, API #490212041 and 41-26, API #4902120949) Xxxxxxxx Laramie: T1563W SEC 2: Lots 1,2,3,4, S/2N/2, N/2SW/4, SW/4SW/4, SE/4 (Xxxxx Xxxxxxxx 32-2, API 4902120989 and Sentry 1-2, API #4902120311) Laramie: T1563W SEC 10: N/2, SW/4, W/2NE/4SE/4, NW/4SE/4, S/2SE/4 Lang Weld: T7N64W SEC 34: NW/4 Xxxxxx Weld: TN65W SEC 32: (Well Xxxxxx 32-2, API #0512314272)

Appears in 1 contract

Samples: Recovery Energy, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated 10% Senior Convertible Debenture due July 2524, 2016 issued by EMS Findof OXIS International, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of The 10% Senior Convertible Debenture due on July 2524, 2016 in the original principal amount of $33,333.34 is ____________ are issued by EMS FindOXIS International, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Oxis International Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Original Issue Discount Senior Secured Convertible Debenture due ___________ of American Natural Energy Corporation, 2016 issued by EMS Find, Inc., a Nevada an Oklahoma corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: ________________________________________ Account No: ______________________________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 8% Original Issue Discount Senior Secured Convertible Debentures due on _____________in the original principal amount of $33,333.34 ____________is issued by EMS FindAmerican Natural Energy Corporation, Inc., a Nevada an Oklahoma corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: American Natural Energy Corp

NOTICE OF CONVERSION. (To be Executed by the Registered Holder in order to Convert the Note) The undersigned hereby irrevocably elects to convert $__________ principal amount of the Note (defined below) and $___________ in accrued and unpaid interest due under the convertible promissory note dated July 25Note into shares of common stock, 2016 issued by EMS Findpar value $.001 per share (“Common Stock”), Inc.of Magellan Gold Corporation, a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company ) according to the conditions hereofof the Unsecured Convertible Note of the Company (the “Note”), as of the date written below. If shares of Common Stock securities are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewithcertificates. No fee will be charged to the holder Holder for any conversion, except for such transfer taxes, if any. By The original certificate evidencing the delivery Note is delivered herewith (or evidence of loss, theft or destruction thereof). The Company shall electronically transmit the Common Stock issuable pursuant to this Notice of Conversion to the account of the undersigned or its nominee with DTC through its Deposit Withdrawal Agent Commission system (“DWAC Transfer”). Name of DTC Prime Broker: Account Number: In lieu of receiving shares of Common Stock issuable pursuant to this Notice of Conversion by way of a DWAC Transfer, the undersigned hereby requests that the Company issue a certificate or certificates for the number of shares of Common Stock set forth below (which numbers are based on the Holder’s calculation attached hereto) in the name(s) specified immediately below or, if additional space is necessary, on an attachment hereto: Name: Address: The undersigned represents and warrants that all offers and sales by the undersigned of the securities issuable to the Company that its ownership undersigned upon conversion of the Common Stock does not exceed Note shall be made pursuant to registration of the amounts specified securities under Section 4 the Securities Act of this Note1933, as determined in accordance with Section 13(d) of amended (the Exchange “Act”), or pursuant to an exemption from registration under the Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer Date of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock :__ yes __ no If yes, $_________________________ of Interest Accrued on Account of Applicable Conversion at Issue. Price:____________________ Number of Shares of Common Stock to be Issued Pursuant to Conversion of the Notes:___________________ Signature:___________________________________ Name:______________________________________ Address:____________________________________ ___________________________________________ SS or Tax I.D. No.____________________________ The Company shall issue and deliver shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date overnight courier not later than three business days following receipt of July 25, 2016 in the original principal amount Note(s) to be converted, and shall make payments pursuant to the Notes for the number of $33,333.34 business days such issuance and delivery is issued by EMS Find, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attestlate.

Appears in 1 contract

Samples: MAGELLAN GOLD Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find10% Senior Replacement Convertible Promissory Note of Grow Solutions Holdings, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), ) of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares Shares of Common Stock to be issuedIssued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 10% Senior Replacement Convertible Promissory Note in the original principal amount of $33,333.34 1,201,441.25 is issued by EMS FindGrow Solutions Holdings, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Grow Solutions Holdings, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Senior Secured Convertible Promissory Note, 2016 issued by EMS Finddue August 29, 2019 of Attis Industries Inc., a Nevada New York corporation (the “Company”), into shares of common stock of the Company (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion Conversion, the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: __________________ Please confirm the following information: Conversion Price: ______________ Please check the following box if the Conversion Price is determined by: EOD Conversion Price ☐ Principal Amount of Note to be Converted: ____________ Payment of Interest in Common Stock __ yes __ no ☐ Yes ☐ No If yesYes, $_____ of Interest Accrued on Account of Conversion at Issue. If Yes, $_____ of Make-Whole Amount on Account of Conversion at Issue Number of shares Shares of Common Stock to be issuedIssued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 258% Senior Secured Convertible Promissory Note, 2016 due August 29, 2019, in the original principal amount of $33,333.34 [●] is issued by EMS Find, Attis Industries Inc., a Nevada New York corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest Schedule 2 PERMITTED INDEBTEDNESS AND LIENS

Appears in 1 contract

Samples: Registration Rights Agreement (Attis Industries Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Senior Secured Convertible Debenture due _____, 2016 issued by EMS Find2012 of UFood Restaurant Group, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock _____ yes _____ no If yes, $$ _____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 8% Senior Secured Convertible Debentures due on _____, 2016 2012 in the original aggregate principal amount of $33,333.34 is $ _____ are issued by EMS FindUFood Restaurant Group, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion Date of Conversion (or original (or for first entry, Amount of Principal Original Issue Date) Conversion Amount) Company Attest

Appears in 1 contract

Samples: UFood Restaurant Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 10% convertible promissory note dated July 25due March 10, 2016 issued by EMS Findof Mantra Venture Group, Inc.Ltd., a Nevada Canadian corporation (the "Company"), into shares of common stock (the "Common Stock"), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_______ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This 10% convertible promissory note with an original issue date of July 25due on March 10, 2016 in the original principal amount of $33,333.34 166,666 is issued by EMS FindMantra Venture Group, Inc.Ltd., a Nevada corporationCanadian Corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Mantra Venture Group Ltd.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Original Issue Discount Convertible Note due ______ __, 2016 issued by EMS Find, Inc.2017 of Orbital Tracking Corp., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest Late Fees in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account Late Fees Accrued. Number of Conversion at Issue. Shares payable on Principal or Accrued Late Fees that would exceed the limits set forth in Section 4(c) of the Note: Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery Instructionsof Common Stock Certificates: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Original Issue Discount Unsecured Convertible Note due on ____________, 2016 2017 in the original principal amount of $33,333.34 ______ is issued by EMS Find, Inc.Orbital Tracking Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Orbital Tracking Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Discount 5% Secured Convertible Debenture due May 30, 2016 issued by EMS Find2010 of Visual Management Systems, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: _______________ Account No: _______________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The Original Issue Discount 5% Secured Convertible Debentures due on May 30, 2016 2010 in the original aggregate principal amount of $33,333.34 is ____________ are issued by EMS FindVisual Management Systems, Inc., a Nevada corporation. Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Visual Management Systems Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% ORIGINAL ISSUE DISCOUNT SENIOR SECURED CONVERTIBLE PROMISSORY NOTE due May 7, 2016 issued by EMS Find2017 of DSG Global, Inc., a Nevada corporation Inc. (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: ______________ Account No:___________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 258% ORIGINAL ISSUE DISCOUNT SENIOR SECURED CONVERTIBLE PROMISSORY NOTE due on May 7, 2016 2017 in the original principal amount of $33,333.34 72,500 is issued by EMS FindDSG Global, Inc., a Nevada corporation. Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: DSG Global Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Senior Secured Convertible Debenture due September 22, 2016 issued by EMS Find, Inc.2009 of IntelGenx Technologies Corp., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: ________________ Account No: ______________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 8% Senior Secured Convertible Debentures due on September 22, 2016 2009 in the original aggregate principal amount of $33,333.34 is 1,500,000 are issued by EMS Find, Inc., a Nevada corporation. IntelGenx Technologies Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Aggregate Principal Amount Date of Conversion Amount of Remaining (or for first entry, Conversion Subsequent to Company Attest Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest)

Appears in 1 contract

Samples: IntelGenx Technologies Corp.

NOTICE OF CONVERSION. The undersigned hereby elects In order for a Holder of Series C Preferred Stock to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Series C Preferred Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid into shares of Common Stock, such Holder shall (a) provide written notice to the Corporation that such Holder elects to convert all or any number of such Holder’s shares of Series C Preferred Stock on the form of conversion notice attached hereto as Annex A (a “Notice of Conversion”), duly completed and executed. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account The Notice of Conversion at Issue. Number shall state the Holder’s name or the names of the nominees in which the Holder wishes the shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 . The calculations set forth in the original principal amount Notice of $33,333.34 Conversion shall control in the absence of manifest or mathematical error. The “Conversion Date” with respect to any conversion of Series C Preferred Stock hereunder (or the date on which any such conversion shall be deemed effective), shall be the date on which the Notice of Conversion with respect to such conversion is issued by EMS Find, Inc., a Nevada corporationdelivered to the Corporation. This Conversion Schedule reflects conversions made under Section 4 The shares of Common Stock issuable upon conversion of the above referenced Note. Dated: Date specified shares of Series C Preferred Stock in a Notice of Conversion shall be deemed to be outstanding of record as of the Conversion Date with respect to such Notice of Conversion. Not later than two (or for first entry2) Trading Days following the Conversion Date with respect to any conversion of Series C Preferred Stock hereunder (the “Share Delivery Date”), Original Issue Date) Amount the Corporation shall cause the shares of Common Stock issuable upon conversion of the shares of Series C Preferred Stock specified in the applicable Notice of Conversion Aggregate Principal Amount Remaining Subsequent to be transmitted by the Corporation’s transfer agent to the Holder or its nominee’s balance account with The Depository Trust Company through its Deposit Withdrawal Agent Commission System, provided that at least one of the following two conditions is met as of the Conversion Date: (1) there is an effective registration statement permitting the issuance of the shares of Common Stock issuable upon conversion of the shares of Series C Preferred Stock specified in the Notice of Conversion or original Principal Amountthe resale of such shares of Common Stock by the Holder and (2) Company Attestthe shares of Common Stock issuable upon conversion of the shares of Series C Preferred Stock specified in the Notice of Conversion are eligible for resale by the Holder pursuant to Rule 144 promulgated under the Securities Act of 1933, as amended (the “DWAC Delivery Conditions”); provided, that solely in the case that neither of the DWAC Delivery Conditions is met as of the Conversion Date, the Corporation shall cause the shares of Common Stock issuable upon conversion of the shares of Series C Preferred Stock specified in the Notice of Conversion to be transmitted by no later than the Share Delivery Date by the Corporation’s transfer agent to the account of the Holder or its nominee by book entry transfer, and shall cause the Transfer Agent to deliver to the Holder evidence of such book entry transfer by no later than the Share Delivery Date. In addition, upon delivery of any Notice of Conversion to the Corporation by a Holder, by no later than the Share Delivery Date, the Corporation shall (i) pay in cash to the Holder such amount as provided in Subsection 5.2 in lieu of any fraction of a share of Common Stock otherwise issuable upon such conversion and (ii) pay all declared but unpaid dividends on the shares of Series C Preferred Stock so converted. If the Corporation fails for any reason to cause delivery to the Holder or its nominee of the shares of Common Stock issuable upon a conversion of Series C Preferred Stock in accordance with this Section 5.3.1 on or prior to the applicable Share Delivery Date, the Corporation shall pay to the Holder, in cash, as liquidated damages and not as a penalty, for each $1,000 of shares of Common Stock issuable pursuant to such conversion (based on the number of shares of Common Stock issuable pursuant to such conversion and the VWAP of the Common Stock on the applicable Conversion Date), $5 per Trading Day (increasing to $10 per Trading Day on the fifth Trading Day after such liquidated damages begin to accrue) for each Trading Day after such Share Delivery Date until such shares of Common Stock are delivered or the Holder rescinds such conversion.

Appears in 1 contract

Samples: Registration Rights Agreement (Eastside Distilling, Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find6% Secured Convertible Debenture of CDKNet.Com, Inc., a Nevada Delaware corporation (the "Company"), due on Decexxxx 00 , 2008 into shares of common stock stock, par value $.0001 per share (the "Common Stock"), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act, specified under Section 4 of this Debenture. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery InstructionsAddress: Schedule SCHEDULE 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 6% Secured Convertible Debentures due on December __, 2016 2008 in the original aggregate principal amount of $33,333.34 is ________ issued by EMS FindCDKNet.com, Inc., a Nevada corporation. Inc. This Conversion Schedule reflects conversions made under Section uxxxx Xxxxxon 4 of the above referenced NoteDebenture. Dated: ================================================================================ Aggregate Principal Amount Remaining Subsequent to Date of Conversion Conversion (or for first entry, Amount of (or original Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest ------------------- ------------------ ------------------- ----------------- ------------------- ------------------ ------------------- ----------------- ------------------- ------------------ ------------------- ----------------- ------------------- ------------------ ------------------- ----------------- ------------------- ------------------ ------------------- ----------------- ------------------- ------------------ ------------------- ----------------- ------------------- ------------------ ------------------- ----------------- ------------------- ------------------ ------------------- ----------------- ------------------- ------------------ ------------------- ----------------- ------------------- ------------------ ------------------- ----------------- ================================================================================

Appears in 1 contract

Samples: Cdknet Com Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% convertible promissory note dated July 25due June 30, 2016 issued by EMS Find, Inc.2017 of Lifelogger Technologies Corp., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: ANNEX A - NOTICE OF CONVERSION Schedule 1 CONVERSION SCHEDULE This 8% convertible promissory note with an original issue date of July 25due on June 30, 2016 2017 in the original principal amount of $33,333.34 550,000.00 is issued by EMS Find, Inc.Lifelogger Technologies Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest SCHEDULE 1 - CONVERSION SCHEDULE

Appears in 1 contract

Samples: Lifelogger Technologies Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Original Issue Discount Convertible Note due ____________, 2016 issued by EMS Find2015 of Nxt-ID, Inc., a Nevada corporation Inc. (the “Company”), into shares of common stock of the Company (the “Common Stock”), of the Company ) according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By After giving effect to the delivery of conversion provided for in this Notice of Conversion Conversion, the undersigned represents and warrants to the Company that (together with its ownership Affiliates) will beneficially own no more than ___________________ shares of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange ActStock. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 258% Original Issue Discount Convertible Note due on ____________, 2016 2015 in the original principal amount of $33,333.34 __________ is issued by EMS FindNxt-ID, Inc., a Nevada corporation. Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: NXT-Id, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Convertible Promissory Note due February 29, 2016 issued by EMS Find2024 of SRAX, Inc., Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No:___________________________ Account No:_________________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25Convertible Promissory Note due on February 29, 2016 2024 in the original principal amount of $33,333.34 150,000 is issued by EMS FindSRAX, Inc., Inc. a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: SRAX, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Convertible Debenture due _____ ___, 2016 issued by EMS Find2019 of Gopher Protocol, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Price: Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: ____________________ Account No: __________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25Convertible Debenture due on ________ ____, 2016 2019 in the original principal amount of $33,333.34 750,000 is issued by EMS Find, Gopher Protocol Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Original Principal Amount) Company Attest

Appears in 1 contract

Samples: Gopher Protocol Inc.

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NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS FindSenior Convertible Debenture due of Company, Inc., a Nevada State corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: ____________________________________ Name: Address for Delivery of Common Stock Certificates: or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 The Senior Convertible Debentures due on in the original aggregate principal amount of $33,333.34 is $ are issued by EMS FindCompany, Inc., a Nevada State corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Fourth Wave Energy, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 255% Original Issue Discount Convertible Promissory Note due May 15, 2016 issued by EMS Findof DirectView, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 255% Original Issue Discount Convertible Promissory Note due on May 15, 2016 in the original principal amount of $33,333.34 50,000 is issued by EMS FindDirectView Holdings, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Directview Holdings Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Discount Convertible Debenture due April __, 2016 issued by EMS Find2017 of Pressure BioSciences, Inc., a Nevada Massachusetts corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Price: Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: ___________________ Account No: __________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25Original Issue Discount Convertible Debenture due on April ____, 2016 2017 in the original principal amount of $33,333.34 _________________ is issued by EMS FindPressure BioSciences, Inc., a Nevada Massachusetts corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original riginal Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Original Principal Amount) Company Attest

Appears in 1 contract

Samples: Pressure Biosciences Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Convertible Promissory Note due March [__], 2016 issued by EMS Find, Inc., a Nevada corporation 2017 of Force Protection Video Equipment Corp. (the “Company”), into shares of common stock of the Company (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares Shares of Common Stock to be issuedIssued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 258% Convertible Promissory Note due on March [__], 2016 2017 in the original principal amount of $33,333.34 157,500 is issued by EMS Find, Inc., a Nevada corporation. Force Protection Video Equipment Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Force Protection Video Equipment Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated 10% Promissory Note, with an issue date of July 2531, 2016 issued by EMS Find2023, Inc., a Nevada corporation of Clean Vision Corporation (the “Company”), ) into shares of common stock stock, par value $0.001 per share (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company Companies in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company Companies that its ownership of the Common Stock does not exceed the amounts specified under Section 4 5 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: __________________ Name: _____________________ Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note 10% Promissory Note, with an original issue date of July 2531, 2016 2023, in the original principal amount of $33,333.34 500,000 is issued by EMS Find, Inc., a Nevada corporationClean Vision Corporation (the “Company”). This Conversion Schedule with respect to the Common Stock of the Company reflects conversions made under Section 4 5 of the above above-referenced Note. Dated: _________________ Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount and Guaranteed Interest Remaining Subsequent to Conversion (or original Principal Amount) Company’s Attest [1] As noted in the Registration Rights Agreement, of even date herewith between the Company Attestand the Holder, if the Company files its initial Registration Statement within forty-five (45) calendar days from the date of this Note, and satisfies all the terms of the note without default, pursuant to its mandatory obligations thereunder, the Investor shall, within ten (10) calendar days of the note being paid in full, return to the Company’s treasury for cancellation fifteen million (15,000,000) shares. In addition, two million (2,000,000) of these shares will be returned to the company's treasury, if the VWAP of the stock is at $0.02 or higher for the 10 trading days preceding the Investor's ability to deposit these free trading shares.

Appears in 1 contract

Samples: Clean Vision Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Convertible Promissory Note due October 8, 2016 issued by EMS Find, Inc., a Nevada corporation (the “of Premier Biomedical Inc.(the "Company"), into shares of common stock (the "Common Stock"), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: ____________________ Principal Amount of Note to be Converted: ____________________ Payment of Interest in Common Stock __ yes __ no If noIf yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: ____________________ Signature: ____________________ Name: ____________________ Delivery Instructions: ____________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 2510% Convertible Promissory Note due on October 8, 2016 in the original principal amount of $33,333.34 131,250 is issued by EMS Find, Premier Biomedical Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Premier Biomedical Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Senior Secured Convertible Debenture due August 22, 2016 issued by EMS Find2020 of Ideanomics, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(d) of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No:_______________________ Account No:______________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Senior Secured Convertible Debentures due on August 22, 2016 2020 in the original aggregate principal amount of $33,333.34 is 2,050,000 are issued by EMS FindIdeanomics, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest Schedule 2 ASSIGNMENT FORM (To assign the foregoing Debenture, execute this form and supply required information. Do not use this form to convert the Debenture.) FOR VALUE RECEIVED, the foregoing Debenture and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Ideanomics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Convertible Promissory Note due December 11, 2016 issued by EMS Find, Inc., a Nevada corporation (the “of Premier Biomedical Inc.(the "Company"), into shares of common stock (the "Common Stock"), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 2510% Convertible Promissory Note due on December 11, 2016 in the original principal amount of $33,333.34 105,000 is issued by EMS Find, Premier Biomedical Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or Conversion(or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or Conversion(or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Premier Biomedical Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Senior Secured Convertible Debenture due December ___, 2016 issued by EMS Find2011 of Jayhawk Energy, Inc., a Nevada Colorado corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: 27 Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Senior Secured Convertible Debenture due on December ___, 2016 2011 in the original principal amount of $33,333.34 ____________ is issued by EMS FindJayhawk Energy, Inc., a Nevada corporation. Inc.. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Jayhawk Energy, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Convertible Debenture due February __, 2016 issued by EMS Findof Novelos Therapeutics, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Consent to payment of interest cash (at Company’s election): ¨ Yes ¨ No Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: ____________ Account No: ___________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 8% Convertible Debentures due on February __, 2016 in the original aggregate principal amount of $33,333.34 is ____________ are issued by EMS FindNovelos Therapeutics, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Novelos Therapeutics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2512% Secured Convertible Note due __________, 2016 2023 issued by EMS FindMEDITE Cancer Diagnostics, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Cash Interest in Common Stock __ yes __ no If yes, $_____ of Cash Interest Accrued on Account of Conversion at Issueissue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 12% Secured Convertible Note due on ______________, 2016 2023 in the original principal amount of $33,333.34 ______________ (the “Note”) is issued by EMS FindMEDITE Cancer Diagnostics, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions Conversions made under Section 4 of the above referenced aforementioned Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Converted Principal Amount Aggregate Principal Amount Remaining Subsequent to Conversion (or original Original Principal Amount) Applicable Conversion Price Company Attest

Appears in 1 contract

Samples: Medite Cancer Diagnostics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2521, 2016 issued by EMS Find, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 2521, 2016 in the original principal amount of $33,333.34 is issued by EMS Find, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Ems Find, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Original Issue Discount Senior Secured Convertible Debenture due April 1, 2016 issued by EMS Find2018 of Soupman, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: _____________ Account No: ____________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 258% Original Issue Discount Senior Secured Convertible Debenture due on April 1, 2016 2018 in the original principal amount of $33,333.34 3,360,000 is issued by EMS FindSoupman, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Soupman, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 10% convertible promissory note dated July 25due _____ ____, 2016 issued by EMS Find2018 of IFAN Financial, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: ANNEX A - NOTICE OF CONVERSION Schedule 1 CONVERSION SCHEDULE This 10% convertible promissory note with an original issue date of July 25due on _____ __, 2016 2018 in the original principal amount of $33,333.34 100,000.00 is issued by EMS FindIFAN Financial, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest SCHEDULE 1 - CONVERSION SCHEDULE

Appears in 1 contract

Samples: Ifan Financial, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS FindOriginal Issue Discount Convertible Debenture due [________ of Immune Pharmaceuticals, Inc., a Nevada Delaware corporation (the “Company“ Company ”), into shares of common stock (the Common StockStock ”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No:_____________ _ Account No: ____________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 The Original Issue Discount Convertible Debentures due on [________ in the original aggregate principal amount of $33,333.34 is ____________ are issued by EMS FindImmune Pharmaceuticals, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Immune Pharmaceuticals Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal and interest under the convertible promissory note dated July 2515.0% OID Convertible Promissory Notes due March 15, 2016 issued by EMS Find2021 of PetVivo Holdings, Inc., a Nevada corporation Inc. (the “Company”), into shares of its common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: __________________________________ Principal Amount of Note to be Converted: _____________________ Payment of Interest in Common Stock ___ yes ___ no If yes, $$ _____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: __________________ Signature Name Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 2515.0% OID Convertible Promissory Notes due March 15, 2016 2021 in the original principal amount of $33,333.34 352,941.17 is issued by EMS FindPetVivo Holdings, Inc., a Nevada corporationInc. (the “Company”). This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: PetVivo Holdings, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 10% convertible promissory note dated July 25due September 8, 2016 issued by EMS Find, Inc.of Lifelogger Technologies Corp., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This 10% convertible promissory note with an original issue date of July 25due on September 8, 2016 in the original principal amount of $33,333.34 473,684.00 is issued by EMS Find, Inc.Lifelogger Technologies Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Lifelogger Technologies Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find, Inc.6% Convertible Debenture of Generex Biotechnology Company, a Nevada Delaware corporation (the "Company"), due on February 10, 2006, into shares of common stock stock, par value $0.001 per share (the "Common Stock"), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act, specified under Section 4 of this Debenture. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debentures to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Is conversion to be applied against next Monthly Redemption Payment and if so, what portion? (note failure to answer deemed entire portion to be applied) $_________ Number of shares of Common Stock to be issued: Signature: Name: Delivery InstructionsAddress: Schedule SCHEDULE 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 6% Convertible Debentures due on February 10, 2016 2006, in the original aggregate principal amount of $33,333.34 is ____________ issued by EMS Find, Inc., a Nevada corporationGenerex Biotechnology Company. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | Aggregate Principal | | | | | Amount Remaining | | | Date of Conversion (or | | Subsequent to | | |(or for first entry, Original | | Conversion | | | Issue Date) | Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion | (or original | Company Attest | | | | Principal Amount) Company Attest| | |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | | | | | | | | | | | | | |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | | | | | | | | |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | | | | | | | | |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | | | | | | | | |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | | | | | | | | |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | | | | | | | | |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | | | | | | | | |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | | | | | | | | |-------------------------------|-------------------------|-----------------------|------------------------------| | | | | | | | | | | | | | | | |-------------------------------|-------------------------|-----------------------|------------------------------|

Appears in 1 contract

Samples: Generex Biotechnology Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Discount Senior Secured Convertible Note due ______ __, 2016 issued by EMS Find, Inc.2013 of Magnolia Solar Corporation, a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The Original Issue Discount Senior Secured Convertible Notes due on ________ __, 2016 2013 in the original principal amount aggregate Principal Amount of $33,333.34 is _______ are issued by EMS Find, Inc.Magnolia Solar Corporation, a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest Exhibit B SECOND AMENDED AND RESTATED WARRANT NO. MSC-001B MAGNOLIA SOLAR CORPORATION 700,000 Shares WARRANT TO PURCHASE COMMON STOCK VOID AFTER 5:30 P.M., EASTERN TIME, ON THE EXPIRATION DATE THIS WARRANT AND ANY SHARES ACQUIRED UPON THE EXERCISE OF THIS WARRANT HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “ACT”), AND MAY NOT BE SOLD, PLEDGED, HYPOTHECATED, DONATED OR OTHERWISE TRANSFERRED WITHOUT COMPLIANCE WITH THE REGISTRATION OR QUALIFICATION PROVISIONS OF APPLICABLE FEDERAL AND STATE SECURITIES LAWS OR APPLICABLE EXEMPTIONS THEREFROM.

Appears in 1 contract

Samples: Second Note Amendment Agreement (Magnolia Solar Corp)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 255% Original Issue Discount Convertible Promissory Note due March 31, 2016 issued by EMS Find2017 of DirectView, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: ______________________________ Account No: ______________________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 255% Original Issue Discount Convertible Promissory Note due on March 31, 2016 2017 in the original principal amount of $33,333.34 105,263.16 is issued by EMS FindDirectView Holdings, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Directview Holdings Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Secured Convertible Note due December 31, 2016 issued by EMS Find2019, of ShiftPixy, Inc., a Nevada Wyoming corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: _____________ Account No: ___________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 8% SENIOR SECURED Convertible Notes due on December 31, 2016 2019 in the original aggregate principal amount of $33,333.34 is ____________ are issued by EMS FindShiftPixy, Inc., a Nevada Wyoming corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: ShiftPixy, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Senior Secured Convertible Promissory Note, 2016 issued by EMS Finddue February 14, Inc.2023 of Giga-tronics Incorporated, a Nevada California corporation (the “Company”), into shares of common stock of the Company (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion Conversion, the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes Yes __ no No If yesYes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares Shares of Common Stock to be issuedIssued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25Senior Secured Convertible Promissory Note, 2016 due February 14, 2023, in the original principal amount of $33,333.34 4,250,000 is issued by EMS Find, Inc.Giga-tronics Incorporated, a Nevada California corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or Conversion(or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or Conversion(or original Principal Amount) Company AttestAttest Schedule 2(e) Mandatory Prepayment

Appears in 1 contract

Samples: Giga Tronics Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find, Inc.10% Senior Secured Convertible Note of Banner Midstream Corp., a Nevada Delaware corporation (the “Company”), due on November 15, 2020, into shares of common stock stock, par value $0.0001 per share of MTB Corp. (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company Mount Txx in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company and Mount Tam that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act, specified under Section 4 of this Note. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Notes to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ _________of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Original Issue Discount Senior Secured Convertible Note due on November 15, 2016 2020 in the original principal amount of $33,333.34 1,666,666.67 is issued by EMS Find, Inc.Banner Midstream Corp., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to To Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Mount TAM Biotechnologies, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal principal, accrued but unpaid interest and/or any of amounts due under the convertible promissory note dated July 257.5% Senior Convertible Promissory Note due March 7, 2016 issued by EMS Find, Inc.2020 of Terra Tech Corp., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person Person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion Conversion, the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock, if the resale of any such shares of Common Stock are covered by and are being sold pursuant to an effective Registration Statement. Conversion calculations: Date to Effect Conversion: ________ Principal Amount of Note to be Converted: ________ Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Other Amounts Owed Under this Note to be Converted including Late Fees: _____ Number of shares of Common Stock to be issued: _______ Signature: ________ Name: __________ Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 257.5% Senior Convertible Promissory Note due on March 7, 2016 2020 in the original principal amount of $33,333.34 4,900,000 is issued by EMS Find, Inc.Terra Tech Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Terra Tech Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Senior Secured Convertible Debenture due March 27, 2016 issued by EMS Find2021 of Ideanomics, Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(d) of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ $ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Senior Secured Convertible Debentures due on March 27, 2016 2021 in the original aggregate principal amount of $33,333.34 is $ are issued by EMS FindIdeanomics, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Aggregate Principal Amount Date of Conversion Remaining (or for first entry, Amount of Subsequent to Company Attest Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestSchedule 2 ASSIGNMENT FORM (To assign the foregoing Debenture, execute this form and supply required information. Do not use this form to convert the Debenture.) FOR VALUE RECEIVED, the foregoing Debenture and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: , Holder’s Signature: Holder’s Address:

Appears in 1 contract

Samples: Ideanomics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Secured Convertible Note due September 30, 2016 issued by EMS Find2012 of Aspen Group, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account Accrued. Number of Conversion at Issue. Shares payable on Principal or Interest that would exceed the limits set forth in Section 4(c) of the Note: Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery Instructionsof Common Stock Certificates: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Secured Convertible Note due on September 30, 2016 2012 in the original principal amount of $33,333.34 ____________ is issued by EMS FindAspen Group, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Aspen Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated Original Issue Discount Senior Secured Convertible Debenture due July 2528, 2016 issued by EMS Find, 2010 of Blink Logic Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of The Original Issue Discount Senior Secured Convertible Debentures due on July 2528, 2016 2010 in the original principal amount aggregate Principal Amount of $33,333.34 is _______ are issued by EMS Find, Blink Logic Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company AttestAttest EXHIBIT B NEITHER THIS SECURITY NOR THE SECURITIES FOR WHICH THIS SECURITY IS EXERCISABLE HAVE BEEN REGISTERED WITH THE SECURITIES AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND, ACCORDINGLY, MAY NOT BE OFFERED OR SOLD EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OR PURSUANT TO AN AVAILABLE EXEMPTION FROM, OR IN A TRANSACTION NOT SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS AS EVIDENCED BY A LEGAL OPINION OF COUNSEL TO THE TRANSFEROR TO SUCH EFFECT, THE SUBSTANCE OF WHICH SHALL BE REASONABLY ACCEPTABLE TO THE COMPANY. THIS SECURITY AND THE SECURITIES ISSUABLE UPON EXERCISE OF THIS SECURITY MAY BE PLEDGED IN CONNECTION WITH A BONA FIDE MARGIN ACCOUNT OR OTHER LOAN SECURED BY SUCH SECURITIES. COMMON STOCK PURCHASE WARRANT BLINK LOGIC INC. Warrant Shares: ________ Initial Exercise Date: July 28, 2008 THIS COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, ___________ (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after the date hereof (the “Initial Exercise Date”) and on or prior to the close of business on the five year anniversary of the Initial Exercise Date (the “Termination Date”) but not thereafter, to subscribe for and purchase from Blink Logic Inc., a Nevada corporation (the “Company”), up to __________ shares (the “Warrant Shares”) of Common Stock. The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, as defined in Section 2(b).

Appears in 1 contract

Samples: Security Agreement (Blink Logic Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find10% Senior Secured Convertible Note of Advanced Environmental Petroleum Producers, Inc., a Nevada Florida corporation (the “Company”), due on November 1, 2018, into shares of common stock stock, par value $0.001 per share (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act, specified under Section 4 of this Note. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Notes to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____________ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery InstructionsAddress: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Senior Secured Convertible Notes due on November 1, 2016 2018, in the original aggregate principal amount of $33,333.34 is up to $ issued by EMS FindAdvanced Environmental Petroleum Producers, Inc., a Nevada Florida corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to To Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Advanced Environmental Petroleum Producers Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 255% Promissory Note, 2016 issued by EMS Findwith an issue date of December 9, Inc.2022, a Nevada corporation of Clean Vision Corporation (the “Company”), ) into shares of common stock stock, par value $0.001 per share (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company Companies in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company Companies that its ownership of the Common Stock does not exceed the amounts specified under Section 4 5 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: _________________ Name: ____________________ Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note 5% Promissory Note, with an original issue date of July 25December 9, 2016 2022, in the original principal amount of $33,333.34 300,000 is issued by EMS Find, Inc., a Nevada corporationClean Vision Corporation (the “Company”). This Conversion Schedule with respect to the Common Stock of the Company reflects conversions made under Section 4 5 of the above above-referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount and Guaranteed Interest Remaining Subsequent to Conversion (or original Principal Amount) Company’s Attest [1] As noted in Section 2(a) of the Registration Rights Agreement, of even date herewith between the Company Attestand the Holder, if the Company files its initial Registration Statement within forty-five (45) calendar days from the date of this Note, then the Holder, pursuant to its mandatory obligations thereunder, shall, within ten (10) calendar days thereafter, return to the Company’s treasury for cancellation twelve million five hundred thousand (12,500,000) shares.

Appears in 1 contract

Samples: Clean Vision Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2515% Senior Secured Convertible Promissory Note due February __, 2016 issued by EMS Find, Inc.2015 of Victory Electronic Cigarettes Corporation, a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 2515% Senior Secured Convertible Promissory Note due on February __, 2016 2015 in the original principal amount of $33,333.34 ________ is issued by EMS Find, Inc.Victory Electronic Cigarettes Corporation, a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Victory Electronic Cigarettes Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS Find, Inc.Variable Rate Senior Secured Convertible Debenture due ________ of Future Healthcare of America, a Nevada Wyoming corporation (the “Company”), into shares of common stock (the “Common Stock”), ) of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 The Variable Rate Senior Secured Convertible Debentures due on ________ in the original aggregate principal amount of $33,333.34 is 1,010,000 are issued by EMS Find, Inc.Future Healthcare of America, a Nevada Wyoming corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Future Healthcare of America

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25, 2016 issued by EMS FindOriginal Issue Discount Convertible Debenture due [________ of Immune Pharmaceuticals, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No:______________ Account No: ____________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 The Original Issue Discount Convertible Debentures due on [________ in the original aggregate principal amount of $33,333.34 is ____________ are issued by EMS FindImmune Pharmaceuticals, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Immune Pharmaceuticals Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2510% Senior Convertible Note due ________ ___, 2016 issued by EMS Find, of BTCS Inc., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 10% Senior Convertible Note due on __________ ___, 2016 in the original principal amount of $33,333.34 is ____________ are issued by EMS Find, BTCS Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Converted Principal Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Applicable Conversion Price Company Attest

Appears in 1 contract

Samples: BTCS Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Original Issue Discount Secured Convertible Note due October 13, 2016 issued by EMS Find2024 of Innovation1 Biotech, Inc., a Nevada corporation Inc. (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 4(e) of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery DWAC Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue Broker No: Account No: EXHIBIT B Form of Warrant NEITHER THIS SECURITY NOR THE SECURITIES FOR WHICH THIS SECURITY IS EXERCISABLE HAVE BEEN REGISTERED WITH THE SECURITIES AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND, ACCORDINGLY, MAY NOT BE OFFERED OR SOLD EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OR PURSUANT TO AN AVAILABLE EXEMPTION FROM, OR IN A TRANSACTION NOT SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS. THIS SECURITY AND THE SECURITIES ISSUABLE UPON EXERCISE OF THIS SECURITY MAY BE PLEDGED IN CONNECTION WITH A BONA FIDE MARGIN ACCOUNT OR OTHER LOAN SECURED BY SUCH SECURITIES. COMMON STOCK PURCHASE WARRANT Innovation1 Biotech, Inc. Warrant Shares: 1,372,549 Initial Exercise Date: April 13, 2024 THIS COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, Cavalry Fund I LP or its assigns (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after the date of July 25hereof (the “Initial Exercise Date”) and on or prior to 5:00 p.m. (New York City time) on April 13, 2016 in 2030 (the original principal amount of $33,333.34 is issued by EMS Find“Termination Date”) but not thereafter, to subscribe for and purchase from Innovation1 Biotech,Inc., a Nevada corporationcorporation (the “Company”), up to 1,372,549 shares (as subject to adjustment hereunder, the “Warrant Shares”) of Common Stock. This Conversion Schedule reflects conversions made The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, as defined in Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest2(b).

Appears in 1 contract

Samples: Securities Purchase Agreement (Innovation1 Biotech Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 258% Original Issue Discount Convertible Note due January 14, 2016 issued by EMS Findof xG Technology, Inc., a Nevada corporation Inc. (the “Company”), into shares of common stock of the Company (the “Common Stock”), of the Company ) according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By After giving effect to the delivery of conversion provided for in this Notice of Conversion Conversion, the undersigned represents and warrants to the Company that (together with its ownership Affiliates) will beneficially own no more than ___________________ shares of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange ActStock. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 258% Original Issue Discount Convertible Note due on January 14, 2016 in the original principal amount of $33,333.34 _________ is issued by EMS FindxG Technology, Inc., a Nevada corporation. Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: xG TECHNOLOGY, INC.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 255% Original Issue Discount Senior Secured Convertible Promissory Note due August 5, 2016 issued by EMS Find, Inc.2015 of Terra Tech Corp., a Nevada corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: __________________________ Name: Delivery _____________________________ DWAC Instructions: __________________ Broker No: __________________________ Account No: ________________________ Appendix A Amortization Schedule Transaction Amount Timing Funding: $ 800,000 February 5, 2014 Amortization Payments First Payment Second Payment Third Payment Fourth payment Fifth Payment Sixth Payment Seventh Payment Eighth Payment Ninth Payment Tenth Payment Eleventh Payment Twelfth Payment Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 255% Original Issue Discount Senior Secured Convertible Promissory Note due on August 5, 2016 2015 in the original principal amount of $33,333.34 842,105.26 is issued by EMS Find, Inc.Terra Tech Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: ____________ Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Terra Tech Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 2520% Original Issue Discount Convertible Debenture due on or before November 30, 2016 issued by EMS Find2017 of Protea Biosciences Group, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this NoteDebenture, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note Debenture to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account Accrued. Number of Conversion at Issue. Shares payable on Principal or Interest that would exceed the limits set forth in Section 4(c) of the Debenture: Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery Instructionsof Common Stock Certificates: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 The 20% Original Issue Discount Unsecured Convertible Debenture due on November 30 2017 in the original principal amount of $33,333.34 ____________ is issued by EMS FindProtea Biosciences Group, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced NoteDebenture. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Protea Biosciences Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 25Convertible Note due June 30, 2016 issued by EMS Find2017 of Protea Biosciences Group, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxes, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be ConvertedtobeConverted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account Accrued. Number of Conversion at Issue. Shares payable on Principal or Interest that would exceed the limits set forth in Section 4(c) of the Note: Number of shares of Common Stock to be issuedtobeissued: Signature: Name: Address for Delivery Instructionsof Common Stock Certificates: Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25, 2016 The 20% Original Issue Discount Unsecured Convertible Note due on September 30 2017 in the original principal amount of $33,333.34 ____________ is issued by EMS FindProtea Biosciences Group, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest

Appears in 1 contract

Samples: Protea Biosciences Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the convertible promissory note dated July 256% Senior Convertible Note (“Note”) due ________ ___, 2016 2017 issued by EMS FindEndonovo Therapeutics, Inc., a Nevada Delaware corporation (the “Company”), into shares of common stock (the “Common Stock”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock are to be issued in the name of a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto and is delivering herewith such certificates and opinions as reasonably requested by the Company in accordance therewith. No fee will be charged to the holder for any conversion, except for such transfer taxestaxes and all fees required by transfer agent, if any. By the delivery of this Notice of Conversion the undersigned represents and warrants to the Company that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this Note, as determined in accordance with Section 13(d) of the Exchange Act. The undersigned agrees to comply with the prospectus delivery requirements under the applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Note to be Converted: Payment of Interest in Common Stock __ yes __ no If yes, $_____ of Interest Accrued on Account of Conversion at Issue. Number of shares of Common Stock to be issued: Signature: Name: Delivery Instructions: ___________________________ Schedule 1 CONVERSION SCHEDULE This convertible promissory note with an original issue date of July 25The 6% Senior Convertible Note due on __________ ___, 2016 2017 in the original principal amount of $33,333.34 is ____________ are issued by EMS FindEndonovo Therapeutics, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Note. Dated: Date of Conversion (or for first entry, Original Issue Date) Amount of Conversion Converted Principal Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Applicable Conversion Price Company Attest

Appears in 1 contract

Samples: Endonovo Therapeutics, Inc.

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