SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. INFORMATION IN RESPONSE TO THIS SECTION WILL BE KEPT STRICTLY CONFIDENTIAL DOLLAR AMOUNT INVESTED: $ AMOUNT INVESTED TO BE SENT VIA: ☐ Check (enclosed) ☐ Wire Name in Which Note and Warrants Should Be Issued: Name of Subscriber: Taxpayer ID Number: OR Social Security Number:
SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. Please acknowledge your acceptance of the foregoing Securities Purchase Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. TAURIGA SCIENCES, INC. a Florida Corporation By: Name: Sxxx X. Xxxx Title: CEO/Chairman FORMAL ACCEPTANCE DATE: 04/12/2019 SUBSCRIBER Name: _________________________ Address: _____________________________________________________ If Subscriber is an entity: Form of Entity: _____________________________________________ (i.e., corporation, partnership, etc.) Laws under which Entity is formed: ____________________________ Principal jurisdiction in which business is conducted: ____ ____________ Social Security or Tax Identification Number: ____________ ___________________________________ Signature (If signing as officer or partner, please give title)
SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. Please acknowledge your acceptance of the foregoing Securities Purchase Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. TAURIGA SCIENCES, INC. a Florida Corporation By: /s/ SXXX X. XXXX Name: Sxxx X. Xxxx Title: CEO/Chairman SUBSCRIBER Name: ____Seth M. Shaw_____________________ Address: ___XXXXXXXXXXXXXXXXXXXXX. __________________________________________________ If Subscriber is an entity: Form of Entity: ________Individual (Insider/Affiliate)______________________________________ (i.e., corporation, partnership, etc.) Laws under which Entity is formed: ______________________________ Principal jurisdiction in which business is conducted: ________________ Social Security or Tax Identification Number: __________N/A____________ _________SETH M. SHAW__________________________ Signature (If signing as officer or partner, please give title)
SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. INFORMATION IN RESPONSE TO THIS SECTION WILL BE KEPT STRICTLY CONFIDENTIAL DOLLAR AMOUNT INVESTED: $ NUMBER OF WARRANTS TO BE ISSUED AMOUNT INVESTED TO BE SENT VIA: ☐ Check (enclosed) ☐ Wire Name in Which Note and Warrants Should Be Issued: Name of Purchaser: Taxpayer ID Number: OR Social Security Number: Address Information: For individual subscribers this address should be the Purchaser ’s primary legal residence. For entities other than individual subscribers, please provide address information for the entities primary place of business. Information regarding a joint subscriber should be included in the column at right. Legal Address Legal Address City, State, and Zip Code City, State, and Zip Code AGREED AND SUBSCRIBED ACCEPTED This ___ day of _________, 2018 This ___ day of _______, 2019 By: By: Name: Name: Xxxxxx Xxxxxxx Title (if any): Title: Chief Executive Officer CERTIFICATE OF SIGNATORY (To be completed if the Securities are being subscribed for by an entity) I______________________ am the ___________________________ of ___________________________ (the “Entity”). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of the Securities Purchase Agreement and to purchase and hold the Notes and Warrants, and certify further that the Securities Purchase Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.
SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. Please acknowledge your acceptance of the foregoing Securities Purchase Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. FREEDOM LEAF INC. a Nevada corporation By: ___________________ Name: Xxxxxxxx Xxxxx Title: Chief Executive Officer Address: Facsimile No.: __________ Dated:____________, 2018 PURCHASER Name of Purchaser ______________________________________________________ Address: ______________________________________________________ ______________________________________________________ Fax No.: _______________________________________________ Taxpayer ID# (if applicable): ________________________________ ______________________________________________________ (Signature) By: ___________________________________________________ Dated:____________ , 0000 Xxxxxxxxx Purchase Price: _________________________________ [Signature Page to Freedom Leaf, Inc. Securities Purchase Agreement] SCHEDULE OF BUYERS
SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. Please acknowledge your acceptance of the foregoing Securities Purchase Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. FORCE PROTECTION, INC. a Nevada corporation By: Name: Xxxxxx XxXxxxxx Title: Chief Executive Officer Dated: December 20, 2006 Signature Name Legal Entity Name Subscription Amount in Shares Price Per Share Address TID Phone # Fax # Email Address for certificates to be sent (if different than above) Schedule I Wire Transfer Instructions Schedule II Address for Delivery of Certificates X.X. Xxxxxxxxx, Towbin c/o Xxxxxxxx Xxxxxxxxx Capital Markets 000 Xxxxxxx Xxxxxx Xxx Xxxx, XX 00000 Schedule 3(a)
SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. Please acknowledge your acceptance of the foregoing Securities Purchase Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. CHALLENGER POWERBOATS, INC. a Nevada corporation By: Name: Xxxxxx X. Xxxxxxxx Title: Chief Executive Officer Dated: February 28, 2008 Signature Name Legal Entity Name Subscription Amount in Shares Price Per Share Address TID Phone # Fax # Email Address for certificates to be sent (if different than above) SCHEDULE I WIRE TRANSFER INSTRUCTIONS Account Number ABA: US BANK FBO: Sun Security Bank 100 436 0820 081 000 210 US Bank Further Credit to Xtreme Companies Account 195 366 5506 SCHEDULE 3(A) SUBSIDIARIES
SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. Please acknowledge your acceptance of the foregoing Securities Purchase Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. TOOTIE PIE COMPANY, INC. A Nevada corporation By: /s/ Xxx X. Xxxxxxx, Xx. Name: Xxx X. Xxxxxxx, Xx. Title: Chief Executive Officer Dated: August 26, 2010 XXXXXX HOLDINGS, L.P. A Texas limited liability company By: Xxxxxx Brothers, LLC, a Texas limited liability company, its General Partner /s/ Xxxxxxx X. Xxxxxx By: Xxxxxxx X. Xxxxxx Title: President Dated: August 26, 2010 Exhibit A Form of Class “A” Warrants THIS WARRANT HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “ACT”), OR UNDER ANY STATE SECURITIES LAWS. THESE SECURITIES ARE SUBJECT TO RESTRICTIONS ON TRANSFERABILITY AND RESALE AND MAY NOT BE TRANSFERRED, SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF A REGISTRATION STATEMENT IN EFFECT WITH RESPECT TO THESE SECURITIES UNDER THE ACT OR APPLICABLE STATE SECURITIES LAWS, OR AN OPINION OF COUNSEL OF THE ISSUER THAT ANY PROPOSED TRANSFER OR RESALE IS IN COMPLIANCE WITH THE ACT AND ANY APPLICABLE STATE SECURITIES LAWS. HOLDERS SHOULD BE AWARE THAT THEY MAY BE REQUIRED TO BEAR THE FINANCIAL RISKS OF THIS INVESTMENT FOR AN INDEFINITE PERIOD OF TIME. TOOTIE PIE COMPANY, INC. COMMON SHARE PURCHASE WARRANT FOR VALUE RECEIVED, _________________ (the “Holder”), is entitled to purchase from Tootie Pie Company, Inc., a Nevada corporation (the “Company”), subject to the terms and conditions herein set forth, at any time before the Expiration Date, 3,000,000 shares of duly authorized, validly issued, fully paid and nonassessable shares of Common Stock of the Company, par value $0.001 per share (the “Warrant Shares”), subject to adjustment of the number or kind of shares constituting the Warrant Shares as hereinafter provided. The Holder is entitled to purchase the Warrant Shares for $0.40 per share, subject to adjustment as hereinafter provided (the “Exercise Price”), and is entitled also to exercise the other appurtenant rights, powers, and privileges hereinafter set forth. The Holder may also have certain rights and obligations as described in that certain Securities Purchase Agreement between the Holder and the Company dated August 26, 2010 with an effective date of August 1, 2010 (the “Purchase Agreement”). The Company may lower the Exercise Price or extend the Expiration Day at its sole discretion.
SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. Please acknowledge your acceptance of the foregoing Securities Purchase Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. TAURIGA SCIENCES, INC. a Florida Corporation By: Name: Sxxx X. Xxxx Title: CEO/Chairman SUBSCRIBER Name: Address: If Subscriber is an entity: Form of Entity: Accredited Individual Investor (i.e., corporation, partnership, etc.) Laws under which Entity is formed: N/A Principal jurisdiction in which business is conducted: N/A Social Security or Tax Identification Number: Signature (If signing as officer or partner, please give title)
SIGNATURE PAGE TO SECURITIES PURCHASE AGREEMENT. Please acknowledge your acceptance of the foregoing Securities Purchase Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. COMPUMED, INC. A Delaware corporation By: /s/ Xxxx X. XxXxxxxxxx Name: Xxxx X. XxXxxxxxxx Title: President and Chief Executive Officer Dated: March 12, 0000 XXXXXX XXXXXX CAPITAL, LLC. An Oklahoma limited liability company By: Value Fund Advisors, LLC Manager By: /s/ Xxxxxxx X. Xxxxxxx Name: Xxxxxxx X. Xxxxxxx Title: Manager Dated: March 12, 2007 Schedule I Wire Transfer Instructions Schedule II Address for Delivery of Certificates Schedule III CompuMed, Inc. Capitalization Table 50,000,000 Common Shares Authorized (e) -24,543,041 See below under Shares -50,000 Warrants issued to Synthetica (filed as Exhibits in 10Q 06-30-06) -100,000 Warrants issued to Xxxxx Research Independent Group (Dec 06) (a) -4,200 Reserve for conversion of Class A Preferred (b) -3,000 Reserve for conversion of Class B Preferred (d) -6,741,077 See below under Options (c) -8,334,000 Reserve for conversion of preferred shares issued to Boston Avenue Capital 10,224,682 Sub-Total -4,166,500 Warrants reserved for BAC -500,000 Warrants reserved for Bathgate Capital Partners -200,000 Warrants reserved for issuance to Synthetica 5,358,182 Shares available for future issuance Preferred Stock 1,000,000 Shares Authorized (a) 8,400 Class A Issued and OS- Convert to 4,200 shares of Common (refer to 10-KSB Note C) (b) 300 Class B Issued and OS- Convert to 3,000 shares of Common (refer to 10-KSB Note C) (c) 4,167 Class D - Convert to 8,334,000 shares of Common Options (d) 6,741,077 Outstanding as of 12/31/06 Shares (e) 24,543,041 Shares outstanding at 1/31/07 Additional Issuances to Dutchess Date Number of Shares Amount 1/5/07 15,300 $4,722 1/11/07 98,000 $24,758 1/19/07 19,250 $4,557 1/26/07 150,625 $32,837 2/9/07 80,000 $18,165 Schedule IV Undisclosed Liabilities None. Schedule V Transfer Agent Contact Information Xxxxxxxxx Xxxxx U.S. Stock Transfer Corporation 0000 Xxxxxxx Xxxxxx Xxxxxxxx, XX 00000 Telephone: (000) 000-0000 x000 Fax: (000) 000-0000 Email: XxxxxX@xxxxxxx.xxx
