Number of Units Subscribed For. One (1) Units against payment in cash in the amount of $ 25,000 , representing $25,000 per Unit, each representing 0.625% of Gross Margin. If the Units hereby subscribed for are to be owned by more than one person in any manner, the Purchaser understands and agrees that all of the co-owners of such Units must sign this Subscription Agreement. Dxxxx Xxxxxx Please print above the exact name(s) in which the Units are to be held.
Number of Units Subscribed For. 2. Payment tendered (number of units subscribed for multiplied by $.50): ______________
Number of Units Subscribed For. 2. Payment tendered (number of Units subscribed for multiplied by $0.01): _______________ (the “Aggregate Purchase Price”). Payment of the Aggregate Purchase Price can be made in cash or by check, bank draft or postal express money order payable to PhytoMedical Technologies, Inc. or by wire transfer of funds as follows: FORWARD THIS SUBSCRIPTION AGREEMENT TO PHYTOMEDICAL TECHNOLOGIES, INC. AT: 000 Xxxxxxxx Xxxxx, 0xx Xxxxx Xxxxxxxxx, Xxx Xxxxxx, 00000 Attention: President and Chief Executive Officer In connection with the offer and sale of the Units, the Company reserves the right, in its sole discretion, to reject any subscription in whole or in part for any reason whatsoever notwithstanding the tender of payment at any time prior to its acceptance of any subscriptions. This Subscription Agreement does not constitute an offer to sell or a solicitation of any offer to buy any Shares by anyone in any jurisdiction in which such offer or solicitation is not qualified to do so or to anyone to whom it is unlawful to make such offer or solicitation. The shares have not been registered in the State of Florida. The sale of the shares pursuant to this Subscription Agreement in the State of Florida shall be voidable by the Purchaser within three days after the receipt of consideration from such purchaser by the the Company. Questions concerning the construction, validity and enforceability of this Subscription Agreement shall be governed by the laws of the State of New York. Florida residents hereby represent that they have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of the investment in PhytoMedical Technologies, Inc. and they are able to bear the economic risk to such investment. SIGNATURE PAGE TO THE PHYTOMEDICAL TECHNOLOGIES, INC. SUBSCRIPTION AGREEMENT _____________________________ _____________________________ Signature Date ____________________________ _____________________________ Print Name of Purchaser Soc. Sec. or Tax ID No. ___________________________________________________________________________ Address for Delivery of Shares ___________________________________________________________________________ Telephone Number Facsimile Number ____________________________________________________________________________ Email Address
Number of Units Subscribed For. $ __________________________(at $1.20 per Unit)
Number of Units Subscribed For. 2,000,000 ------------------------------------------------ Total Dollar Amount: $500,000 ------------------------------------------------ Signature of Subscriber: /s/ Gregory I. Porges ------------------------------------------------ Gregory I. Porges Managing Memxxx Xxxx xx Xxxxcriber: Spectra Capital Management, LLC ------------------------------------------------ Address of Subscriber: 595 Madison Avenue, 37th Floor Xxx Xxxx, XX 00000 ------------------------------------------------ Subscriber's SS# or Tax Identification #: 20-1000866 ---------------------------------------------- Email contact address: gporges@sfgnyc.com ---------------------------------------------- Primary Contact Number: (212) 857 - 9300 Fax Number: (212) 857 - 9301 --- --- ---- --- --- ----- ACCEPTED BY: IVANY MINING, INC. Signature xx Xxthorized Signatory: /s/ Victor Cantore ------------------------------------ Name of Authorized Signatory: Victor Cantore ------------------------------------ Position of Authorized Signatory: Chief Financial Officer ------------------------------------ Date of Acceptance: December 8, 2007 ------------------------------------ ACCREDITED INVESTOR DEFINITION The Subscriber will be an "Accredited Investor" as such term is defined in Rule 501 of Regulation D promulgated under the United States Securities Act of 1933, as amended (the "Act") if the Subscriber is any of the following:
Number of Units Subscribed For. Purchase Price Per Unit (each Unit consists of 147,060 shares of Common Stock of Lightwave Logic, Inc. and a Warrant to purchase 73,530 shares of Common Stock at $0.85 per share and 73,530 shares of Common Stock at $1.02 per share): $100,000 (Minimum purchase is for one (1) Unit unless waived by the Company) Aggregate Purchase Price: $_________________________________________ SUBSCRIPTION PROCEDURES Complete and sign the enclosed Subscription Documents in accordance with the instructions below and return them to: Lightwave Logic, Inc., 0000 Xxxxxxxx Xxxxxx, Xxxxx X, Xxxxxxxx, Xxxxxxxx, XXX, with your payment by either (a) a check or money order payable in United States currency to: “Lightwave Logic, Inc.” in the applicable subscription amount or (b) a wire transfer of immediately available funds to the bank account specified and in accordance with the wire instructions set forth below: Bank Name: Xxxxx Fargo Bank Location: Meadowood Financial Center 0000 Xxxxxxx Xxxxx Xxxxxx, Xxxxxxxx, 00000 XXX Phone: 000-000-0000 Fax: 000-000-0000 Routing Number: Account Number: Name on Account: Lightwave Logic, Inc. * The Company reserves the right to increase the amount of the Offering up to $2,500,000 in Units at its sole discretion. IF YOU WISH TO SUBSCRIBE, PLEASE CAREFULLY FOLLOW THE INSTRUCTIONS BELOW. SUBSCRIPTION DOCUMENTS THAT ARE MISSING REQUESTED INFORMATION OR SIGNATURES CANNOT BE CONSIDERED UNTIL SUCH INFORMATION AND SIGNATURES ARE PROVIDED. ALL SUCH INFORMATION WILL BE TREATED CONFIDENTIALLY. SUBSCRIPTION DOCUMENTS One purpose of the Subscription Documents is to provide the Company with sufficient information in connection with its intended reliance upon certain exemptions from the registration and qualification requirements of federal and state securities laws and to determine whether you meet the minimum legal requirements under such laws to purchase securities in this offering. The Company will be relying on the representations and warranties made in the Subscription Documents and on the information supplied.
Number of Units Subscribed For. Total Purchase Price of Units Subscribed For: $__________ Make Checks payable to "Xxxx Xxxx Development Fund, LLC” and mail payment with a completed and executed Subscription Agreement to: Xxxx Xxxx Development Fund, LLC 00000 X. Xxxxx Xxxxx Xxxxxx Blvd., Suite 200 Scottsdale, Arizona 85260 Attention: Xxxx Xxxx Manner in which title is to be held: _______ Community property (one signature). _______ Individual ownership. _______ Joint tenancy (both sign). _______ Tenancy-in-common (all sign). _______ Corporation _______ Partnership _______ XXX, Xxxxx, Pension or Profit Sharing Plan _______ Trust _______ Other (Please indicate) _________________________ Xxxx Xxxx Development Fund, LLC (For Individuals) TO BE COMPLETED AND SIGNED BY ALL INDIVIDUAL INVESTORS This page constitutes the Signature Page for all of the following documents: (a) Subscription Agreement; (b) Offeree Questionnaire; and (c) LLC Agreement. Execution of this Signature Page constitutes execution of such documents.
Number of Units Subscribed For. Total Purchase Price of Units Subscribed For: $__________ Make Checks payable to "Xxxx Xxxx Development Fund, LLC” and mail payment with a completed and executed Subscription Agreement to: Xxxx Xxxx Development Fund, LLC 00000 X. Xxxxx Xxxxx Xxxxxx Blvd., Suite 200 Scottsdale, Arizona 85260 Attention: Xxxx Xxxx Xxxx Xxxx Development Fund, LLC (For Corporations, Partnerships, Trusts or Other Entities) TO BE COMPLETED AND SIGNED BY ALL INVESTORS WHO ARE PARTNERSHIPS, CORPORATIONS, LIMITED LIABILITY COMPANIES OR TRUSTS This page constitutes the Signature Page for the following documents: (a) Subscription Agreement; (b) LLC Agreement; and (c) Offeree Questionnaire. Execution of this Signature Page constitutes execution of such documents.
Number of Units Subscribed For. Purchase Price ($4.00 times the number of Units): $ We understand that all information submitted on this Agreement will be treated confidentially by the Company. Signature (Subscriber) Date Signature (Subscriber) Date Please print title or capacity Please print title or capacity (if other than as individual unitholder) (if other than as individual unitholder) Xxxxxx Xxxxxxx Xxxxxx Xxxxxxx Xxxx, Xxxxx, Zip Code City, State, Zip Code Telephone Telephone
Number of Units Subscribed For. Total Purchase Price for Units: --------------------- Title to the Stock and Warrants will be held as follows (check one): Sole Ownership ----- Husband and wife, as community property ----- Married person, as separate property ----- Joint tenant, with right of survivorship ----- Tenants in common ----- INDIVIDUAL INVESTORS --------------------------------------- Signature of Subscriber Signature of spouse or Co-Owner, if applicable --------------------------------------- Printed Name of Subscriber Printed Name of spouse or Co-Owner, if applicable --------------------------------------- Date Date ENTITY INVESTORS Printed name of person or entity By: Signature of authorized representative Printed Name of Authorized Representative: Title of Authorized Representative: Date: ACCEPTANCE: International Isotopes Inc. By: Carl Xxxxxx, Xxesident
