Common use of STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE Clause in Contracts

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value Received, hereby sells, assigns and transfers unto Decru, Inc., a Delaware corporation (the “Company”), pursuant to the Repurchase Option under that certain Early Exercise Stock Purchase Agreement, dated by and between the undersigned and the Company (the “Agreement”), ( ) shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). and does hereby irrevocably constitute and appoint the Company’s Secretary attorney to transfer said Common Stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option under the Agreement. Dated: (Signature) (Print Name) (Instruction: Please do not fill in any blanks other than the “Signature” line and the “Print Name” line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser of Common Stock of the Company (“Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:

Appears in 1 contract

Samples: Exercise Stock Purchase Agreement (Network Appliance Inc)

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STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value Received, the undersigned hereby sells, assigns and transfers unto DecruHot Topic, Inc., a Delaware California corporation (the “Company”), pursuant to the Repurchase Option Reacquisition Right under that certain Early Exercise Restricted Stock Purchase Bonus Agreement, dated as of October 8, 2010 by and between the undersigned and the Company (the “Agreement”), ( ) _____________________ shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). _______________ (or uncertificated and recorded at the office of the Company’s transfer agent, if applicable) and does hereby irrevocably constitute and appoint the Company’s Secretary as attorney to transfer said Common Stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase reacquisition of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option Reacquisition Right under the Agreement. Dated: _______________ /s/ Xxxxxx X. Xxxxxx (Signature) Xxxxxx X. Xxxxxx (Print Name) (Instruction: Please do not fill in any blanks other than the “Signature” line and the “Print Name” line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir [Note: Director agrees to re-execute documentation as necessary in the event of required notarization or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser of Common Stock of the Company (“Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:medallion guarantee] 504505 v3/SD

Appears in 1 contract

Samples: Restricted Stock Bonus Agreement (Becker Drapkin Management, L.P.)

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value ReceivedFOR VALUE RECEIVED, XXXXXXX X. XXXXXXX hereby sells, assigns and transfers unto Decru, Inc.CATALYTIC CAPITAL INVESTMENT CORPORATION, a Delaware corporation (the “Company”), pursuant to the Repurchase Option under that certain Early Exercise Restricted Stock Purchase Agreement, dated March 1, 2006, by and between the undersigned and the Company (the “Agreement”), ( ) shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). ) and does hereby irrevocably constitute and appoint both the Company’s Secretary attorney and the Company’s attorney, or either of them, to transfer said Common Stock stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option under the Agreement. Dated: (Signature) (Print Name) (InstructionMarch 1, 2006 /s/ XXXXXXX X. XXXXXXX XXXXXXX X. XXXXXXX [INSTRUCTION: Please do not fill in any blanks other than the “Signature” line and the “Print Name” signature line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser . The purpose of Common Stock of this Assignment is to enable the Company (“to exercise its repurchase option set forth in the Agreement without requiring additional signatures on the part of Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:.]

Appears in 1 contract

Samples: Restricted Stock Purchase Agreement (Catalytic Capital Investment Corp)

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value Received, the undersigned hereby sells, assigns and transfers unto DecruHot Topic, Inc., a Delaware California corporation (the “Company”), pursuant to the Repurchase Option Reacquisition Right under that certain Early Exercise Restricted Stock Purchase Bonus Agreement, dated as of October 8, 2010 by and between the undersigned and the Company (the “Agreement”), ( ) _____________________ shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). _______________ (or uncertificated and recorded at the office of the Company’s transfer agent, if applicable) and does hereby irrevocably constitute and appoint the Company’s Secretary as attorney to transfer said Common Stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase reacquisition of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option Reacquisition Right under the Agreement. Dated: _______________ /s/ Xxxxxxx X. Xxxxxxx (Signature) Xxxxxxx X. Xxxxxxx (Print Name) (Instruction: Please do not fill in any blanks other than the “Signature” line and the “Print Name” line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir [Note: Director agrees to re-execute documentation as necessary in the event of required notarization or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser of Common Stock of the Company (“Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:medallion guarantee] 504505 v3/SD

Appears in 1 contract

Samples: Restricted Stock Bonus Agreement (Becker Drapkin Management, L.P.)

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value Received, the undersigned hereby sells, assigns and transfers unto DecruHot Topic, Inc., a Delaware California corporation (the “Company”), pursuant to the Repurchase Option Reacquisition Right under that certain Early Exercise Restricted Stock Purchase Bonus Agreement, dated as of _______________ by and between the undersigned and the Company (the “Agreement”), ( ) _____________________ shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). _______________ (or uncertificated and recorded at the office of the Company’s transfer agent, if applicable) and does hereby irrevocably constitute and appoint the Company’s Secretary as attorney to transfer said Common Stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase reacquisition of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option Reacquisition Right under the Agreement. Dated: _______________ __________________________________________ (Signature) ___________________________________________ (Print Name) (Instruction: Please do not fill in any blanks other than the “Signature” line and the “Print Name” line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir [Note: Director agrees to re-execute documentation as necessary in the event of required notarization or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser of Common Stock of the Company (“Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:medallion guarantee]

Appears in 1 contract

Samples: Restricted Stock Bonus Agreement (Hot Topic Inc /Ca/)

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value ReceivedFOR VALUE RECEIVED, XXXXXX X. XXXXXXXXXXX hereby sells, assigns and transfers unto Decru, Inc.CATALYTIC CAPITAL INVESTMENT CORPORATION, a Delaware corporation (the “Company”), pursuant to the Repurchase Option under that certain Early Exercise Restricted Stock Purchase Agreement, dated March 1, 2006, by and between the undersigned and the Company (the “Agreement”), ( ) shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). ) and does hereby irrevocably constitute and appoint both the Company’s Secretary attorney and the Company’s attorney, or either of them, to transfer said Common Stock stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option under the Agreement. Dated: (Signature) (Print Name) (InstructionMarch 1, 2006 /s/ XXXXXX X. XXXXXXXXXXX XXXXXX X. XXXXXXXXXXX [INSTRUCTION: Please do not fill in any blanks other than the “Signature” line and the “Print Name” signature line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser . The purpose of Common Stock of this Assignment is to enable the Company (“to exercise its repurchase option set forth in the Agreement without requiring additional signatures on the part of Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:.]

Appears in 1 contract

Samples: Restricted Stock Purchase Agreement (Catalytic Capital Investment Corp)

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STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value ReceivedFOR VALUE RECEIVED, XXXXXX X. XXXXXXX hereby sells, assigns and transfers unto Decru, Inc.CATALYTIC CAPITAL INVESTMENT CORPORATION, a Delaware corporation (the “Company”), pursuant to the Repurchase Option under that certain Early Exercise Restricted Stock Purchase Agreement, dated March 1, 2006, by and between the undersigned and the Company (the “Agreement”), ( ) shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). ) and does hereby irrevocably constitute and appoint both the Company’s Secretary attorney and the Company’s attorney, or either of them, to transfer said Common Stock stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option under the Agreement. Dated: (Signature) (Print Name) (InstructionMarch 1, 2006 /s/ XXXXXX X. XXXXXXX XXXXXX X. XXXXXXX [INSTRUCTION: Please do not fill in any blanks other than the “Signature” line and the “Print Name” signature line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser . The purpose of Common Stock of this Assignment is to enable the Company (“to exercise its repurchase option set forth in the Agreement without requiring additional signatures on the part of Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:.]

Appears in 1 contract

Samples: Restricted Stock Purchase Agreement (Catalytic Capital Investment Corp)

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value Received, the undersigned hereby sells, assigns and transfers unto DecruHot Topic, Inc., a Delaware California corporation (the “Company”), pursuant to the Repurchase Option Reacquisition Right under that certain Early Exercise Restricted Stock Purchase Bonus Agreement, dated as of ___________ by and between the undersigned and the Company (the “Agreement”), ( ) _____________________ shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). _______________ (or uncertificated and recorded at the office of the Company’s transfer agent, if applicable) and does hereby irrevocably constitute and appoint the Company’s Secretary as attorney to transfer said Common Stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase reacquisition of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option Reacquisition Right under the Agreement. Dated: _______________ __________________________________________ (Signature) ___________________________________________ (Print Name) (Instruction: Please do not fill in any blanks other than the “Signature” line and the “Print Name” line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir [Note: Director agrees to re-execute documentation as necessary in the event of required notarization or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser of Common Stock of the Company (“Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:medallion guarantee]

Appears in 1 contract

Samples: Restricted Stock Bonus Agreement (Hot Topic Inc /Ca/)

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value ReceivedFOR VALUE RECEIVED, XXXXXXX X. XXXXX hereby sells, assigns and transfers unto Decru, Inc.CATALYTIC CAPITAL INVESTMENT CORPORATION, a Delaware corporation (the “Company”), pursuant to the Repurchase Option under that certain Early Exercise Restricted Stock Purchase Agreement, dated March 1, 2006, by and between the undersigned and the Company (the “Agreement”), ( ) shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). ) and does hereby irrevocably constitute and appoint both the Company’s Secretary attorney and the Company’s attorney, or either of them, to transfer said Common Stock stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option under the Agreement. Dated: (Signature) (Print Name) (InstructionMarch 1, 2006 /s/ XXXXXXX X. XXXXX XXXXXXX X. XXXXX [INSTRUCTION: Please do not fill in any blanks other than the “Signature” line and the “Print Name” signature line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser . The purpose of Common Stock of this Assignment is to enable the Company (“to exercise its repurchase option set forth in the Agreement without requiring additional signatures on the part of Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:.]

Appears in 1 contract

Samples: Restricted Stock Purchase Agreement (Catalytic Capital Investment Corp)

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