Common use of NOTICE OF CONVERSION Clause in Contracts

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4, 2011 of Hague 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 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 Debenture to be Converted: 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 The 8% Senior Secured Convertible Debentures due on November 4, 2011 in the aggregate principal amount of $1,500,000.00 are issued by Hague Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 3 contracts

Samples: Hague Corp., Hague Corp., Hague Corp.

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NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4July 1, 2011 2017 of Hague Corp.PFO Global, 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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4July 1, 2011 2017 in the aggregate principal amount of $1,500,000.00 _________ are issued by Hague Corp.PFO Global, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 2 contracts

Samples: PFO Global, Inc., PFO Global, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 812% Senior Secured Convertible Debenture due November 42015 of World Moto, 2011 of Hague Corp.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 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. In the event of a partial Conversion, Amortization Dates from which Amortization Amount is to be deducted: Conversion calculations: Date to Effect Conversion: Principal Amount of Debenture to be Converted: 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 The 812% Senior Secured Convertible Debentures due on November 4, 2011 2015 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.World Moto, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 2 contracts

Samples: World Moto, Inc., World Moto, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810% Senior Secured Convertible Debenture Promissory Note due November 4May 19, 2011 2016 of Hague CannaVest 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 DebentureNote, 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 Debenture 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 The 8This 10% Senior Secured Convertible Debentures Promissory Note due on November 4May 19, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 510,000 is issued by Hague CannaVest Corp., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 Amortization Payment Amount Date 1 $34,000 October 19, 2015 2 $34,000 10 Trading Days after prior Amortization Payment 3 $34,000 10 Trading Days after prior Amortization Payment 4 $34,000 10 Trading Days after prior Amortization Payment 5 $34,000 10 Trading Days after prior Amortization Payment 6 $34,000 10 Trading Days after prior Amortization Payment 7 $34,000 10 Trading Days after prior Amortization Payment 8 $34,000 10 Trading Days after prior Amortization Payment 9 $34,000 10 Trading Days after prior Amortization Payment 10 $34,000 10 Trading Days after prior Amortization Payment 11 $34,000 10 Trading Days after prior Amortization Payment 12 $34,000 10 Trading Days after prior Amortization Payment 13 $34,000 10 Trading Days after prior Amortization Payment 14 $34,000 10 Trading Days after prior Amortization Payment 15 $34,000 Maturity Date

Appears in 2 contracts

Samples: CannaVEST Corp., CannaVEST Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Series B Convertible Debenture due November 4March 31, 2011 2017 of Hague Corp.Catasys, 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 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 Debenture to be Converted: 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 The 8% Senior Secured Series B Convertible Debentures due on November 4March 31, 2011 2017 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.Catasys, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 2 contracts

Samples: Catasys, Inc., Catasys, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 86% Senior Secured Convertible Debenture due November 4of Arkados Group, 2011 of Hague Corp.Inc. (formerly XXXXxx.Xxx, Inc.), a Nevada Delaware corporation (the “Company”), due on December 28 , 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 Debenture, 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 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 NoAddress: Schedule 1 CONVERSION SCHEDULE The 86% Senior Secured Convertible Debentures due on November 4December 28, 2011 2008 in the aggregate principal amount of $1,500,000.00 are ________ issued by Hague Corp.Arkados Group, a Nevada corporation. Inc. (formerly XXXXxx.xxx, Inc.) This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 2 contracts

Samples: Arkados Group, Inc., Arkados Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810% Senior Secured Convertible Debenture convertible promissory note due November 4March 9, 2011 2017 of Hague 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 DebentureNote, 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 Debenture 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 The 8This 10% Senior Secured Convertible Debentures convertible promissory note due on November 4March 9, 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 296,153 is issued by Hague Lifelogger Technologies Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 2 contracts

Samples: Securities Purchase Agreement (Lifelogger Technologies Corp), Lifelogger Technologies Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810% Senior Secured Convertible Debenture due November 4convertible promissory note issued on April 7, 2011 of Hague 2017 by 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 DebentureNote, 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 Debenture 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 The 8This 10% Senior Secured Convertible Debentures due convertible promissory note issued on November 4April 7, 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 83,333.33 is issued by Hague Lifelogger Technologies Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 2 contracts

Samples: Lifelogger Technologies Corp, Lifelogger Technologies Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 812% Senior Secured Subordinated Convertible Debenture due November 4December 31, 2011 2020 of Hague Corp.TheMaven, 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 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 Debenture to be Converted: 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 The 812% Senior Secured Convertible Debentures due on November 4December 31, 2011 2020 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.TheMaven, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 2 contracts

Samples: theMaven, Inc., theMaven, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 89% Senior Secured Convertible Debenture due November 4August __, 2011 2014 of Hague Corp.OCZ Technology 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 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 Debenture to be Converted: 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 The 89% Senior Secured Convertible Debentures Debenture due on November 4August , 2011 2014 in the aggregate original principal amount of $1,500,000.00 are $ is issued by Hague Corp.OCZ Technology Group, a Nevada corporation. Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Ocz Technology Group Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note due November 4March [__], 2011 2017 of Hague Corp., a Nevada corporation 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 DebentureNote, 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 Debenture 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: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The This 8% Senior Secured Convertible Debentures Promissory Note due on November 4March [__], 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 157,500 is issued by Hague Corp., a Nevada corporation. Force Protection Video Equipment Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Senior Secured Convertible Debenture due November 4convertible promissory note dated July 14, 2011 of Hague Corp.2016 issued by Cachet Financial Solutions, 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 DebentureNote, 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 Debenture 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 The 8% Senior Secured Convertible Debentures due on November 4This convertible promissory note with an original issue date of July __, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 240,000.00 is issued by Hague Corp.Cachet Financial Solutions, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: Cachet Financial Solutions, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4October 31, 2011 2010 of Hague Corp.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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4October 31, 2011 2010 in the aggregate principal amount Principal Amount of $1,500,000.00 _______ are issued by Hague Corp.Blink Logic Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Blink Logic Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 85% Senior Original Issue Discount Secured Convertible Debenture Promissory Note due November 4April 6, 2011 2018 of Hague Corp.COPsync, Inc., a Nevada Delaware 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 DebentureNote, 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 Debenture Note to be Converted: Number of shares Shares of Common Stock to be issuedIssued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 8This 5% Senior Original Issue Discount Secured Convertible Debentures Promissory Note due on November 4April 6, 2011 2018 in the aggregate principal amount of $1,500,000.00 are ______ is issued by Hague Corp.COPsync, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: COPsync, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 10% convertible promissory note due September 8% Senior Secured Convertible Debenture due November 4, 2011 2016 of Hague 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 DebentureNote, 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 Debenture 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 The 8This 10% Senior Secured Convertible Debentures convertible promissory note due on November 4September 8, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 473,684.00 is issued by Hague Lifelogger Technologies Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Original Issue Discount Senior Secured Convertible Debenture due November 4April 21, 2011 2017 of Hague Corp.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 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 Debenture to be Converted: 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 The This 8% Original Issue Discount Senior Secured Convertible Debentures Debenture due on November 4April 1, 2011 2018 in the aggregate original principal amount of $1,500,000.00 are 120,750 is issued by Hague Corp.Soupman, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 89% Senior Secured Convertible Debenture due November 4June , 2011 2016 of Hague Authentidate Holding 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 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 Debenture to be Converted: 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 The 89% Senior Secured Convertible Debentures Debenture due on November 4June , 2011 2016 in the aggregate original principal amount of $1,500,000.00 are $ is issued by Hague Corp., a Nevada corporation. Authentidate Holding Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Authentidate Holding Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4August 31, 2011 2045 of Hague Corp.Cesca 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 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 Debenture to be Converted: 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 The 8% Senior Secured Convertible Debentures due on November 4August 31, 2011 2045 in the aggregate principal amount of $1,500,000.00 3,500,000.00 are issued by Hague Corp.Cesca Therapeutics Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Cesca Therapeutics Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4July 1, 2011 2015 of Hague Corp.BOLDFACE 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 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 of applicable securities laws in connection with any transfer of the aforesaid shares of Common Stock. Conversion calculations: Date to Effect Conversion: Principal Amount of Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4July 1, 2011 2015 in the aggregate principal amount of $1,500,000.00 281,120.00 are issued by Hague Corp.BOLDFACE Group, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Boldface Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note, due November 4_________________ of Data443 Risk Mitigation, 2011 of Hague Corp., 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 DebentureNote, 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 Debenture Note to be Converted: 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 The 8% Senior Secured This Convertible Debentures Promissory Note, due on November 4_________________, 2011 in the aggregate original principal amount of $1,500,000.00 are 750,000 is issued by Hague Corp.Data443 Risk Mitigation, 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 DebentureNote. 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 8% Senior Secured Convertible Debenture due November 4April 1, 2011 2017 of Hague 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 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 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 The 8% Senior Secured Convertible Debentures due on November 4April 1, 2011 2017 in the aggregate principal amount of $1,500,000.00 300,000.00 are issued by Hague UAS Drone Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 hereby elects to convert principal under the 86% Senior Secured Convertible Debenture due November 428, 2011 2019 of Hague Corp.Microbot Medical 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 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 Debenture to be Converted: Payment of Interest: 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 The 86% Senior Secured Convertible Debentures due on November 428, 2011 2019 in the aggregate principal amount of $1,500,000.00 2,028,767 are issued by Hague Corp.Microbot Medical Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 RIGHT TO SHARES AGREEMENT This Right to Shares Letter Agreement, dated as of November __, 2016 (this “Agreement”) constitutes an agreement between Microbot Medical Inc. (f/k/a Stemcells, Inc.)(the “Company”) and Alpha Capital Anstalt (the “Holder”).

Appears in 1 contract

Samples: Securities Exchange Agreement (Microbot Medical Inc.)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4October___, 2011 2018 of Hague Corp.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 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 Debenture to be Converted: Conversion Price: 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 The 8% Senior Secured This Convertible Debentures Debenture due on November 4October ____, 2011 2018 in the aggregate original principal amount of $1,500,000.00 are 750,000 is issued by Hague Corp.Gopher Protocol Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 85% Senior Secured Convertible Debenture ORIGINAL ISSUE DISCOUNT PROMISSORY NOTE due November 4August 1, 2011 2019, of Hague Corp.Verb Technology Company, Inc., a Nevada corporation formerly known as nFüsz, 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 DebentureNote, 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 Debenture Note to be Converted: Number of shares Shares of Common Stock to be issuedIssued: Signature: Name: Address for Delivery of Common Stock Certificates: Or or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 85% Senior Secured Convertible Debentures ORIGINAL ISSUE DISCOUNT PROMISSORY NOTES due on November 4August 1, 2011 2019 in the aggregate principal amount of $1,500,000.00 500,000 are issued by Hague Corp.Verb Technology Company, Inc., a Nevada corporation. corporation formerly known as nFüsz, Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: Verb Technology Company, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4, 2011 2013 of Hague Corp.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 Debenture, 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 Debenture to be Converted: Number of shares of Common Stock $ Accrued and Unpaid Interest on 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 The 8% Senior Secured Convertible Debentures due on November 4, 2011 2013 in the aggregate principal amount of $1,500,000.00 $ are issued by Hague Corp.SCOLR Pharma, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 810% Senior Secured Convertible Debenture convertible promissory note due November 4October 5, 2011 2016 of Hague Axiom Corp., 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 DebentureNote, 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 Debenture 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 The 8This 10% Senior Secured Convertible Debentures convertible promissory note due on November 4October 5, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are __________ is issued by Hague Axiom Corp., a Nevada Colorado corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: Axiom Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 812% Senior Secured Convertible Debenture Note due November 4February __, 2011 2017 of Hague Corp.Snap Interactive, 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 DebentureNote, 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 Debenture Note to be Converted: Interest to be converted: 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 The 812% Senior Secured Convertible Debentures Note due on November 4February 13, 2011 2017 in the aggregate principal amount of $1,500,000.00 are 3,000,000 is issued by Hague Corp.Snap Interactive, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: Snap Interactive, Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4of US Dataworks, 2011 of Hague Corp.Inc., a Nevada corporation (the “Company”), into shares of common stock stock, par value $0.0001 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 Debenture, 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 Debenture Debentures to be Converted: Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account NoAddress: Schedule 1 CONVERSION SCHEDULE The 8% Senior Secured Convertible Debentures due on November 4, 2011 in the aggregate principal amount of $1,500,000.00 are 770,000 issued by Hague Corp.US Dataworks, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Us Dataworks Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4December 7, 2011 2025 of Hague Corp.DIH Holding US, 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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4December 7, 2011 2025 in the aggregate principal amount of $1,500,000.00 3,300,000 are issued by Hague Corp.DIH Holding US, a Nevada Inc. corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Dih Holding Us, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture ORIGINAL ISSUE DISCOUNT SENIOR SECURED CONVERTIBLE PROMISSORY NOTE due November 4May 7, 2011 2017 of Hague Corp.DSG Global, 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 DebentureNote, 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 Debenture Note to be Converted: 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 The This 8% Senior Secured Convertible Debentures ORIGINAL ISSUE DISCOUNT SENIOR SECURED CONVERTIBLE PROMISSORY NOTE due on November 4May 7, 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 138,888.89 is issued by Hague Corp.DSG Global, a Nevada corporation. Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 84.67% Senior Secured Convertible Debenture Promissory Note, due November 4May 31, 2011 2019 of Hague Corp.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 DebentureNote, 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 Debenture 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: Instructions Schedule 1 CONVERSION SCHEDULE The 8This 4.67% Senior Secured Convertible Debentures Promissory Note, due on November 4May 31, 2011 2019, in the aggregate original principal amount of $1,500,000.00 are 2,000,000 is issued by Hague Corp.InterCloud Systems, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 89% Senior Subordinated Secured Convertible Debenture Note due November 4December 17, 2011 2016 of Hague Authentidate Holding 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 DebentureNote, 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 Debenture Note to be Converted: 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 The 89% Senior Subordinated Secured Convertible Debentures Note due on November 4December 17, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 950,000.00 is issued by Hague Corp., a Nevada corporation. Authentidate Holding Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 `

Appears in 1 contract

Samples: Security Agreement (Authentidate Holding Corp)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4August 20, 2011 2010 of Hague Corp.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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4August 20, 2011 2010 in the aggregate principal amount Principal Amount of $1,500,000.00 _______ are issued by Hague Corp.Blink Logic Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Blink Logic Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 816% Senior Secured Convertible Debenture due November 4June 27, 2011 2014 of Hague Corp.Genius Brands International, 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 Debenture, as determined in accordance with Section 13(d) of the Exchange Act. The If there shall be an effective Registration Statement, 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 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 The 8% Senior Secured Convertible Debentures due on November 4, 2011 in the aggregate principal amount of $1,500,000.00 are issued by Hague Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 Attest1

Appears in 1 contract

Samples: Genius Brands International, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4convertible promissory note dated July 25, 2011 of Hague Corp.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 DebentureNote, 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 Debenture 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 The 8% Senior Secured Convertible Debentures due on November 4This convertible promissory note with an original issue date of July 25, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 33,333.34 is issued by Hague Corp.EMS Find, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Original Issue Discount Senior Secured Convertible Debenture due November 4June 12, 2011 2010 of Hague Corp.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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4June 12, 2011 2010 in the aggregate principal amount Principal Amount of $1,500,000.00 444,400 are issued by Hague Corp.Blink Logic Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Blink Logic Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note due November 4August 5, 2011 2017 of Hague Corp., a Nevada corporation 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 DebentureNote, 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 Debenture 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: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The This 8% Senior Secured Convertible Debentures Promissory Note due on November 4August 5, 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 210,000 is issued by Hague Corp., a Nevada corporation. Force Protection Video Equipment Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Senior Secured Convertible Debenture Promissory Note due November 4October 31, 2011 2018 of Hague Corp., a Nevada corporation 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 DebentureNote, 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 Debenture 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 The This 8% Senior Secured Convertible Debentures Promissory Note due on November 4October 31, 2011 2018 in the aggregate original principal amount of $1,500,000.00 are 120,000 is issued by Hague Corp., a Nevada corporation. Premier Biomedical Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 812% Senior Secured Convertible Debenture due November 42015 of InterCloud Systems, 2011 of Hague Corp.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 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. In the event of a partial Conversion, Amortization Dates from which Amortization Amount is to be deducted: Conversion calculations: Date to Effect Conversion: Principal Amount of Debenture to be Converted: 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 The 812% Senior Secured Convertible Debentures due on November 4, 2011 2015 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.InterCloud Systems, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 8% Senior Secured Convertible Debenture convertible promissory note due November 4March 9, 2011 2017 of Hague 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 DebentureNote, 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 Debenture 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 The This 8% Senior Secured Convertible Debentures convertible promissory note due on November 4March 9, 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 250,000 is issued by Hague Lifelogger Technologies Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 810% Senior Secured Convertible Debenture Promissory Note due November 4December 7, 2011 2016 of Hague Corp., a Nevada corporation (the “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 DebentureNote, 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 Debenture 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 The 8This 10% Senior Secured Convertible Debentures Promissory Note due on November 4December 7, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 78,750 is issued by Hague Corp., a Nevada corporation. Premier Biomedical Inc.This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Original Issue Discount Senior Secured Convertible Debenture due November 4July 28, 2011 2010 of Hague Corp.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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4July 28, 2011 2010 in the aggregate principal amount Principal Amount of $1,500,000.00 _______ are issued by Hague Corp.Blink Logic Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Blink Logic Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 85% Senior Secured Original Issue Discount Convertible Debenture Promissory Note due November 4May 15, 2011 2016 of Hague Corp.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 DebentureNote, 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 Debenture 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 The 8This 5% Senior Secured Original Issue Discount Convertible Debentures Promissory Note due on November 4May 15, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 50,000 is issued by Hague Corp.DirectView Holdings, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Senior Secured Convertible Debenture Promissory Note due November 4July 23, 2011 2016 of Hague Corp.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 DebentureNote, 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 Debenture 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 The 8% Senior Secured This Convertible Debentures Promissory Note due on November 4July 23, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 429,423.00 is issued by Hague Corp.DirectView Holdings, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 89% Senior Secured Convertible Debenture due November 4June 13, 2011 of Hague Corp.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 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 Debenture to be Converted: 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 The 89% Senior Secured Convertible Debentures Debenture due on November 4June 13, 2011 in the aggregate original principal amount of $1,500,000.00 are ____________ is issued by Hague Corp.Retail Pro, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 810% Senior Secured Convertible Debenture Original Issue Discount Promissory Note due November 4April 19, 2011 2019, of Hague Corp.nFüsz, 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 DebentureNote, 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 Debenture Note to be Converted: Number of shares Shares of Common Stock to be issuedIssued: Signature: Name: Address for Delivery of Common Stock Certificates: Or or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 810% Senior Secured Convertible Debentures Original Issue Discount Promissory Notes due on November 4April 19, 2011 2019 in the aggregate principal amount of $1,500,000.00 1,500,000 are issued by Hague Corp.nFüsz, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: nFusz, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note due November 4January 15, 2011 2021 of Hague Corp.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 DebentureNote, 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 Debenture Note to be Converted: 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 The 8% Senior Secured Convertible Debentures Promissory Notes due on November 4January 15, 2011 2021 in the aggregate principal amount of $1,500,000.00 are 1,450,000 is issued by Hague Corp.Precipio, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: www.precipiodx.com

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4convertible promissory note dated July 14, 2011 of Hague Corp.2016 issued by Cachet Financial Solutions, 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 DebentureNote, 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 Debenture 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: Signature Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 8% Senior Secured Convertible Debentures due on November 4This convertible promissory note with an original issue date of July __, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 360,000.00 is issued by Hague Corp.Cachet Financial Solutions, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: Cachet Financial Solutions, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 85% Senior Secured Original Issue Discount Convertible Debenture Promissory Note due November 4of Electronic Cigarettes International Group, 2011 of Hague Corp.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 DebentureNote, 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 Debenture Note to be Converted: 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 The 8This 5% Senior Secured Original Issue Discount Convertible Debentures Promissory Note due on November 4, 2011 in the aggregate original principal amount of $1,500,000.00 are $ is issued by Hague Corp.Electronic Cigarettes International Group, Ltd., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 85% Senior Secured Convertible Debenture due November 4August 28, 2011 2008 of Hague Corp.Adrenalina, 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 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 Debenture to be Converted: 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 The 85% Senior Secured Convertible Debentures due on November 4August 28, 2011 2008 in the aggregate principal amount of $1,500,000.00 2,500,000.00 are issued by Hague Corp.Adrenalina, a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Adrenalina

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810% Senior Secured Convertible Debenture Promissory Note due November 422, 2011 2016 of Hague Corp., a Nevada corporation (the “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 DebentureNote, 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 Debenture Note to be Converted: Payment of Interest in Common Stock __ yes __ noIf 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 The 8This 10% Senior Secured Convertible Debentures Promissory Note due on November 422, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 78,750 is issued by Hague Corp., a Nevada corporation. Premier Biomedical Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 89.0% Senior Secured Convertible Debenture due November 4February 26, 2011 2014 of Hague Corp.Jesup & Xxxxxx, Inc., a Nevada Florida corporation (the “Company”), into shares of common stock stock, par value $0.01 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 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 Debenture to be Converted: Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account NoAddress: Schedule 1 CONVERSION SCHEDULE The 89.0% Senior Secured Convertible Debentures due on November 4February 26, 2011 2014 in the aggregate principal amount of $1,500,000.00 2,000,000.00 are issued by Hague Corp.Jesup & Xxxxxx, a Nevada corporation. Inc.. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. Dated: Aggregate Principal Amount Date of Conversion Amount of Remaining Company Attest (or for first entry, Conversion Subsequent to Original Issue Date) Amount of Conversion Aggregate Principal Amount Remaining Subsequent to Conversion (or original Principal Amount) Company Attest)

Appears in 1 contract

Samples: Jesup & Lamont, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810% Senior Secured Convertible Debenture Promissory Note due November 4April 1, 2011 2017 of Hague Epic Stores 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 DebentureNote, 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 Debenture 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: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 8This 10% Senior Secured Convertible Debentures Promissory Note due on November 4April 1, 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 271,739 is issued by Hague Epic Stores Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: Epic Stores Corp.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810% Senior Secured Convertible Debenture due November 4September 30, 2011 of Hague Corp.Etelos, 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 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 Debenture to be Converted: 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 The 810% Senior Secured Convertible Debentures due on November 4September 30, 2011 in the aggregate principal amount of $1,500,000.00 $ are issued by Hague Corp.Etelos, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Etelos, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4on the Maturity Date of SG Blocks, 2011 of Hague Corp.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 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 Debenture to be Converted: 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 The 8% This Original Issue Discount Senior Secured Convertible Debentures due on November 4, 2011 the Maturity Date in the aggregate original principal amount of $1,500,000.00 are 2,500,000 is issued by Hague Corp.SG Blocks, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Sg Blocks, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Second Amended and Restated Senior Secured Convertible Debenture Note due November 4May 31, 2011 2019 of Hague Corp.InterCloud Systems, Inc., a Nevada Delaware corporation (the “Company”), and VaultLogix, LLC, a Delaware limited liability company (“VaultLogix” and together with the Company, the “Borrowers”), 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 Borrowers that its ownership of the Common Stock does not exceed the amounts specified under Section 4 of this DebentureNote, 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: Conversion Price: Principal Amount of Debenture Note to be Converted: Accrued and unpaid interest thereon: 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 The 8% Second Amended and Restated Senior Secured Convertible Debentures Note due on November 4May 31, 2011 2019, in the aggregate principal amount of $1,500,000.00 are 11,601,054.62 is issued by Hague Corp.InterCloud Systems, Inc., a Nevada Delaware corporation, and VaultLogix, LLC, a Delaware limited liability company. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 Borrowers’ Attest

Appears in 1 contract

Samples: Intercloud Systems, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4October 1, 2011 2010 of Hague Corp.Ecotality, 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 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 Debenture to be Converted: 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 The 8% Senior Secured Convertible Debentures due on November 4October 1, 2011 2010 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.Ecotality, a Nevada corporation. Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Ecotality, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note due November 423, 2011 2017 of Hague Corp., a Nevada corporation 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 DebentureNote, 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 Debenture 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: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The This 8% Senior Secured Convertible Debentures Promissory Note due on November 4October 26, 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 110,000 is issued by Hague Corp., a Nevada corporation. Force Protection Video Equipment Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Original Issue Discount Senior Secured Convertible Debenture due November 4May 1, 2011 2017 of Hague Corp.PFO Global, 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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4May 1, 2011 2017 in the aggregate principal amount of $1,500,000.00 828,800 are issued by Hague Corp.PFO Global, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: PFO Global, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note due November 4February 29, 2011 2024 of Hague Corp.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 DebentureNote, 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 Debenture Note to be Converted: 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 The 8% Senior Secured This Convertible Debentures Promissory Note due on November 4February 29, 2011 2024 in the aggregate original principal amount of $1,500,000.00 are 150,000 is issued by Hague Corp.SRAX, Inc. a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 812% Senior Secured Convertible Debenture due November 4, 2011 2014 of Hague Corp.NewLead Holdings Ltd., a Nevada Bermuda 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 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 Debenture to be Converted: 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 The 812% Senior Secured Convertible Debentures due on November 4, 2011 2014 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.NewLead Holdings Ltd., a Nevada Bermuda corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: NewLead Holdings Ltd.

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NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 427, 2011 2013 of Hague Corp.T3 Motion, 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 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 Debenture to be Converted: 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 The 8% Senior Secured Convertible Debentures due on November 427, 2011 2013 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.T3 Motion, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: T3 Motion, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810% Senior Secured Convertible Debenture due November 4Note of Gaming Technologies, 2011 of Hague Corp.Inc., a Nevada Delaware corporation (the “Company”), due on November 18, 2022, into shares of common stock 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 Debenture, 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 Debenture 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 for Address: Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 810% Original Issue Discount Senior Secured Convertible Debentures Note due on November 418, 2011 2022 in the aggregate original principal amount of $1,500,000.00 are 1,666,666.67 is issued by Hague Corp.Gaming Technologies, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: Gaming Technologies, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 820% Senior Secured Original Issue Discount Convertible Debenture due November 4[_______, 2011 2016] of Hague Corp.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 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 Debenture to be Converted: Payment of Interest in Common Stock ¨ yes ¨ no If yes, $_____ of Interest Accrued. Number of Conversion 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 of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 8% Senior Secured Convertible Debentures due on November 4, 2011 in the aggregate principal amount of $1,500,000.00 are issued by Hague Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 Attest1

Appears in 1 contract

Samples: Protea Biosciences Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810% Senior Secured Convertible Debenture convertible promissory note due November 4March 10, 2011 2016 of Hague Corp.Mantra Venture Group, 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 DebentureNote, 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 Debenture 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 The 8This 10% Senior Secured Convertible Debentures convertible promissory note due on November 4March 10, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 166,666 is issued by Hague Corp.Mantra Venture Group, Ltd., a Nevada corporationCanadian Corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Senior Secured Convertible Debenture Promissory Note due November 4August 29, 2011 2024 of Hague Corp.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 DebentureNote, 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 Debenture Note to be Converted: 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 The 8% Senior Secured This Convertible Debentures Promissory Note due on November 4August 29, 2011 2024 in the aggregate original principal amount of $1,500,000.00 are 100,000 is issued by Hague Corp.SRAX, Inc. a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Senior Secured Convertible Debenture Promissory Note due November 4February [__], 2011 2018 of Hague Corp.MassRoots, 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 DebentureNote, 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 Debenture Note to be Converted: 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 The 8% Senior Secured This Convertible Debentures Promissory Note due on November 4February [__], 2011 2018 in the aggregate original principal amount of $1,500,000.00 are [___] is issued by Hague Corp.MassRoots, Inc. a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: MassRoots, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal and, if specified, interest under the 87.5% Senior Secured Convertible Debenture due November 4of Hxxxxx-Xxxx Pharmaceuticals, 2011 of Hague Corp.Inc., a Nevada corporation (the “Company”)) due on February 25, 2006, into shares of common stock stock, $0.01 par value 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 Company’s Common Stock does not exceed the amounts specified under Section 4 of this Debenture, 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 Debenture Debentures to be Converted: Number of shares of Common Stock to be issuedIssued: Applicable Conversion Price: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account NoAddress: Schedule 1 CONVERSION SCHEDULE The 87.5% Senior Secured Convertible Debentures due on November 4February 25, 2011 2006, in the aggregate principal amount of $1,500,000.00 are $ issued by Hague Corp.Hxxxxx-Xxxx Pharmaceuticals, a Nevada corporation. Inc. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Hollis Eden Pharmaceuticals Inc /De/

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 812% Senior Secured Convertible Debenture Note due November 4February 28, 2011 of Hague Corp.2020 issued by Hemp Naturals 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 DebentureNote, 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 Debenture 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 The 812% Senior Secured Convertible Debentures Note due on November 4February 28, 2011 2020 in the aggregate original principal amount of $1,500,000.00 are 65,000 as issued by Hague Corp.Hemp Naturals Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 AttestAttest Dated:

Appears in 1 contract

Samples: Hemp Naturals, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4March 1, 2011 2016 of Hague Corp.Legend Oil and Gas, Ltd., 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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4March 1, 2011 2016 in the aggregate principal amount of $1,500,000.00 340,000 are issued by Hague Corp.Legend Oil and Gas, Ltd., a Nevada Colorado corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Legend Oil & Gas, Ltd.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note due November 4June 31, 2011 2016 of Hague Corp., a Nevada corporation 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 DebentureNote, 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 Debenture 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: {00769147.DOCX;1 } Schedule 1 CONVERSION SCHEDULE The This 8% Senior Secured Convertible Debentures Promissory Note due on November 4June 31, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 105,000 is issued by Hague Corp., a Nevada corporation. Force Protection Video Equipment Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Senior Secured Original Issue Discount Convertible Debenture due November 4June ___, 2011 of Hague Corp.Vu1 Corporation, a Nevada California 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 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 Debenture to be Converted: 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 The 8% Senior Secured Original Issue Discount Convertible Debentures due on November 4June ___, 2011 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.Vu1 Corporation, a Nevada California corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Vu1 CORP

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 80% Senior Secured Convertible Debenture due November 4October 1, 2011 of Hague Corp.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 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 Debenture to be Converted: 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 The 80% Senior Secured Convertible Debentures due on November 4October 1, 2011 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.OXIS International, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 8% Senior Secured Convertible Debenture Promissory Note due November 423, 2011 2017 of Hague Corp., a Nevada corporation 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 DebentureNote, 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 Debenture 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: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The This 8% Senior Secured Convertible Debentures Promissory Note due on November 423, 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 78,750 is issued by Hague Corp., a Nevada corporation. Force Protection Video Equipment Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Senior Secured Convertible Debenture Promissory Note, due November 4_________________ of Data443 Risk Mitigation, 2011 of Hague Corp., 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 DebentureNote, 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 Debenture Note to be Converted: 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 The 8% Senior Secured This Convertible Debentures Promissory Note, due on November 4_________________, 2011 in the aggregate original principal amount of $1,500,000.00 are 300,000 is issued by Hague Corp.Data443 Risk Mitigation, 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 DebentureNote. 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 810% Senior Secured Replacement Convertible Debenture due November 4Promissory Note of Grow Solutions Holdings, 2011 of Hague Corp.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 DebentureNote, 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 Debenture 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: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 8This 10% Senior Secured Replacement Convertible Debentures due on November 4, 2011 Promissory Note in the aggregate original principal amount of $1,500,000.00 are 1,201,441.25 is issued by Hague Corp.Grow Solutions Holdings, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Original Issue Discount Senior Secured Convertible Debenture due November 4January 1, 2011 2017 of Hague Corp.PFO Global, 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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4January 1, 2011 2017 in the aggregate principal amount of $1,500,000.00 1,120,000.00 are issued by Hague Corp.PFO Global, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: PFO Global, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Original Issue Discount Convertible Debenture due November 4March 17, 2011 2018 of Hague Corp.The Chron Organization, 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 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 Debenture to be Converted: Conversion Price: 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 The 8% Senior Secured This Original Issue Discount Convertible Debentures Debenture due on November 4March 17, 2011 2018 in the aggregate original principal amount of $1,500,000.00 are 82,500 is issued by Hague Corp.The Chron Organization, a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: South American Properties, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810.75% Senior Secured Convertible Debenture due November 4June 18, 2011 2013 of Hague Corp.Teton Energy Corporation, 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 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 Debenture to be Converted: 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 The 810.75% Senior Secured Convertible Debentures due on November 4June 18, 2011 2013 in the aggregate principal amount of $1,500,000.00 40,000,000 are issued by Hague Corp.Teton Energy Corporation, a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Teton Energy Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 88.75% Senior Secured Convertible Debenture due November 4December 31, 2011 2010 of Hague Corp.Axion International Holdings, Inc., a Nevada Colorado corporation (the “Company”), into shares of common stock stock, no par value 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 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 Debenture to be Converted: Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account NoAddress: Schedule 1 CONVERSION SCHEDULE The 88.75% Senior Secured Convertible Debentures due on November 4DECEMBER 31, 2011 2010 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.Axion International Holdings, Inc., a Nevada Colorado corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Harborview Master Fund Lp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 810% Senior Secured Convertible Debenture due November 4June 30, 2011 2019 of Hague Corp.TheMaven, 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 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 Debenture to be Converted: 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 The 810% Senior Secured Convertible Debentures due on November 4June 30, 2011 2019 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.TheMaven, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: theMaven, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note due November 4January 30, 2011 2020 of Hague Corp.Spectrum Global Solutions, Inc., a Nevada 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 DebentureNote, 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 Debenture Note to be Converted: _____ Number of shares Shares of Common Stock to be issuedIssued: _________ Signature: ___________________________ Name: Address for _______________________________ Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 8% Senior Secured This Convertible Debentures Promissory Note due on November 4[ ], 2011 2020 in the aggregate principal amount of $1,500,000.00 are 620,000 is issued by Hague Corp.Spectrum Global Solutions, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: Spectrum Global Solutions, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 812% Senior Secured Subordinated Convertible Debenture due November 4December 31, 2011 2020 of Hague Corp.TheMaven, 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 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 Debenture to be Converted: 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 The 812% Senior Secured Convertible Debentures due on November 4December 31, 2011 2020 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp.TheMaven, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: theMaven, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4, 2011 of Hague Corp.CollPlant Holdings Ltd., a Nevada corporation company organized under the laws of the State of Israel (the “Company”), into shares of common stock American Depositary Shares (the “Common StockADSs”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock ADSs 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 Ordinary Shares underlying the ADSs does not exceed the amounts specified under Section 4 of this 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 StockADSs. Conversion calculations: Date to Effect Conversion: Principal Amount of Debenture to be Converted: Number of shares of Common Stock Conversion ADSs to be issued: Signature: Name: Address for Delivery of Common Stock ADSs Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 8% Senior Secured Convertible Debentures due on November 4, 2011 in the aggregate principal amount of $1,500,000.00 1,000,000 are issued by Hague Corp.CollPlant Holdings Ltd., a Nevada corporationcompany organized under the laws of the State of Israel. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 A Form of Prefunded Warrant

Appears in 1 contract

Samples: CollPlant Holdings Ltd.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note, due November 4_________________ of Data443 Risk Mitigation, 2011 of Hague Corp., 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 DebentureNote, 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 Debenture Note to be Converted: 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 The 8% Senior Secured This Convertible Debentures Promissory Note, due on November 4June 30, 2011 2024, in the aggregate original principal amount of $1,500,000.00 are 812,500.00 is issued by Hague Corp.Data443 Risk Mitigation, 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 DebentureNote. 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 810% Senior Secured Convertible Debenture convertible promissory note due November 4June 9, 2011 2017 of Hague 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 DebentureNote, 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 Debenture 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 The 8This 10% Senior Secured Convertible Debentures convertible promissory note due on November 4June 9, 2011 2017 in the aggregate original principal amount of $1,500,000.00 are 87,912.00 is issued by Hague Lifelogger Technologies Corp., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 (Lifelogger Technologies Corp)

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4March 1, 2011 2018 of Hague Corp.Legend Oil and Gas, Ltd., 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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4March 1, 2011 2018 in the aggregate principal amount of $1,500,000.00 302,500 are issued by Hague Corp.Legend Oil and Gas, Ltd., a Nevada Colorado corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Legend Oil & Gas, Ltd.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4March 1, 2011 2018 of Hague Corp.Legend Oil and Gas, Ltd., 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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4March 1, 2011 2018 in the aggregate principal amount of $1,500,000.00 385,000 are issued by Hague Corp.Legend Oil and Gas, Ltd., a Nevada Colorado corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Legend Oil & Gas, Ltd.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4, 2011 of Hague US Energy Corp., a Nevada Wyoming corporation (the “Company”), due on February__, 2008, into shares of common stock stock, $0.01 par value 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 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 Debenture to be Converted: Principal Amount to be Converted and applied to the next Six Month Redemption Amount: Number of shares of Common Stock to be issued: Signature: Name: Address for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account NoAddress: Schedule 1 CONVERSION SCHEDULE The 8% Senior Secured Convertible Debentures due on November 4February__, 2011 2005, in the aggregate principal amount of $1,500,000.00 are ________ issued by Hague Corp., a Nevada corporation. US Energy Corp. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Us Energy Corp

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4, 2011 February ___ 2012 of Hague Corp.American Scientific Resources Incorporated, 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 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 Debenture to be Converted: 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 The 8% Senior Secured Convertible Debentures due on November 4February __, 2011 2012 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp., American Scientific Resources Inc. a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 Scientific Resources Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Original Issue Discount Senior Secured Convertible Debenture due November 4March 1, 2011 2018 of Hague Corp.Legend Oil and Gas, Ltd., 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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4March 1, 2011 2018 in the aggregate principal amount of $1,500,000.00 410,788 are issued by Hague Corp.Legend Oil and Gas, Ltd., a Nevada Colorado corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Legend Oil & Gas, Ltd.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4March 23, 2011 2012 of Hague Corp.American Scientific Resources Incorporated, 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 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 Debenture to be Converted: 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 The 8% Senior Secured Convertible Debentures due on November 4March 23, 2011 2012 in the aggregate principal amount of $1,500,000.00 ____________ are issued by Hague Corp., American Scientific Resources Inc. a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 Scientific Resources Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Subordinated Secured Convertible Debenture due November 4, 2011 Note of Hague Corp.Pipeline Data Inc., a Nevada Delaware corporation (the “Company”), due on September 30, 2008, into shares of common stock stock, par value $0.001 (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 Debenture, 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 Debenture 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 for Delivery of Common Stock Certificates: Or DWAC Instructions: Broker No: Account NoAddress: Schedule 1 CONVERSION SCHEDULE The 8% Senior Subordinated Secured Convertible Debentures Notes due on November 4September 30, 2011 2008, in the aggregate principal amount of $1,500,000.00 are 2,000,000 issued by Hague Corp.Pipeline Data Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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: Pipeline Data Inc

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4convertible promissory note dated July 21, 2011 of Hague Corp.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 DebentureNote, 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 Debenture 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 The 8% Senior Secured Convertible Debentures due on November 4This convertible promissory note with an original issue date of July 21, 2011 2016 in the aggregate original principal amount of $1,500,000.00 are 33,333.34 is issued by Hague Corp.EMS Find, Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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 8% Original Issue Discount Senior Secured Convertible Debenture due November 4April 1, 2011 2018 of Hague Corp.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 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 Debenture to be Converted: 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 The This 8% Original Issue Discount Senior Secured Convertible Debentures Debenture due on November 4April 1, 2011 2018 in the aggregate original principal amount of $1,500,000.00 are 3,360,000 is issued by Hague Corp.Soupman, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 8% Original Issue Discount Senior Secured Convertible Debenture due November 4March 31, 2011 2015 of Hague Corp.Anpath 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 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 Debenture to be Converted: 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 The 8% Original Issue Discount Senior Secured Convertible Debentures due on November 4March 31, 2011 2015 in the aggregate principal amount of $1,500,000.00 215,250 are issued by Hague Corp.Anpath Group, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Anpath Group, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4_____ ___, 2011 2019 of Hague Corp.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 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 Debenture to be Converted: Conversion Price: 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 The 8% Senior Secured This Convertible Debentures Debenture due on November 4________ ____, 2011 2019 in the aggregate original principal amount of $1,500,000.00 are 750,000 is issued by Hague Corp.Gopher Protocol Inc., a Nevada corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4October 26, 2011 2022 of Hague Corp.CollPlant Holdings Ltd., a Nevada corporation company organized under the laws of the State of Israel (the “Company”), into shares of common stock American Depositary Shares (the “Common StockADSs”), of the Company according to the conditions hereof, as of the date written below. If shares of Common Stock ADSs 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 Ordinary Shares underlying the ADSs does not exceed the amounts specified under Section 4 of this 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 StockADSs. Conversion calculations: Date to Effect Conversion: Principal Amount of Debenture to be Converted: Number of shares of Common Stock Conversion ADSs to be issued: Signature: Name: Address for Delivery of Common Stock ADSs Certificates: Or DWAC Instructions: Broker No: Account No: Schedule 1 CONVERSION SCHEDULE The 8% Senior Secured Convertible Debentures due on November 4October 26, 2011 2022 in the aggregate principal amount of $1,500,000.00 1,375,144.07 are issued by Hague Corp.CollPlant Holdings Ltd., a Nevada corporationcompany organized under the laws of the State of Israel. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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 A Form of Prefunded Warrant

Appears in 1 contract

Samples: CollPlant Holdings Ltd.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture due November 4September 12, 2011 2018 of Hague Corp.Inspyr 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 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 Debenture to be Converted: 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 The 8% Senior Secured Convertible Debentures due on November 4September 12, 2011 2018 in the aggregate principal amount of $1,500,000.00 _______ are issued by Hague Corp.Inspyr Therapeutics, Inc., a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced Debenture. 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: Inspyr Therapeutics, Inc.

NOTICE OF CONVERSION. The undersigned hereby elects to convert principal under the 8% Senior Secured Convertible Debenture Promissory Note due November 4March 29, 2011 2026 of Hague Corp.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 DebentureNote, 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 Debenture Note to be Converted: 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 The 8% Senior Secured This Convertible Debentures Promissory Note due on November 4February 29, 2011 2024 in the aggregate original principal amount of $1,500,000.00 are 150,000 is issued by Hague Corp.SRAX, Inc. a Nevada Delaware corporation. This Conversion Schedule reflects conversions made under Section 4 of the above referenced DebentureNote. 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.

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