Address Information. For individual subscribers this address should be the Subscriber’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 _______, 2018 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.
Address Information e) The obligations and rights of the controller and processor are set out in section (2) and (3) of this agreement. SCHEDULE 2
Address Information. For individual subscribers this address should be Subscriber’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 _________________________________ Tax ID # or Social Security # _________________________________ Tax ID # or Social Security # Alternate Address Information (if applicable) _________________________________ Alternate Address for Correspondence _________________________________ Alternate Address for Correspondence _________________________________ City, State and Zip Code _________________________________ City, State and Zip Code _________________________________ Telephone _________________________________ Telephone _________________________________ Facsimile _________________________________ Facsimile _________________________________ Tax ID # or Social Security # _________________________________ Tax ID # or Social Security #
Address Information. The Tenant must at all times inform the Landlord if the Tenant's address or the Guarantor's address, contact telephone number or email changes. The Landlord will use the address and contact details provided at the outset for all purposes, including enforcement of the terms of the tenancy unless and until a valid UK replacement address is provided in writing.
Address Information. For individual subscribers this address should be the Subscriber’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. 10F ASEM Tower, 517 Yeongdong-daero Legal Address Legal Address Gangnam-gu, Xxxxx, 000-000 Xxxxxxxx of Korea City, State, and Zip Code, Country City, State, and Zip Code, Country Alternate Address Information Subscribers who wish to receive correspondence at an address other than the address listed above should complete the Alternate Address section on the following page. N/A Tax ID # or Social Security # Tax ID # or Social Security # AGREED AND SUBSCRIBED AGREED AND SUBSCRIBED This day of , 2014 SIGNATURE OF JOINT SUBSCRIBER (if any) By: /s/ Baek Yer Hyun This day of , 2014 Name: BAEK YER HYUN By: Title (if any): Name: Title (if any): XXX Overseas Expansion Platform Fund Subscriber Name (Typed or Printed) Additional Subscriber Name (Typed or Printed) ACCEPTED: BIOPHARMX CORPORATION By: /s/ Xxxxx Xxxxxxxx Name: Xxxxx Xxxxxxxx Title: Chief Executive Officer Date of Acceptance: 24 Oct. 2014 Alternate Address Information (if applicable) Alternate Address for Correspondence Alternate Address for Correspondence City, State and Zip Code City, State and Zip Code Telephone Telephone Facsimile Facsimile Tax ID # or Social Security # Tax ID # or Social Security # CERTIFICATE OF SIGNATORY (To be completed if the Shares are being subscribed for by an entity) I, BAEK YER HYUN, am the CEO of XXX Overseas Expansion Platform Fund (the “Entity”). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of the Subscription Agreement and to purchase and hold the Shares, and certify further that the Subscription Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.
Address Information. Checkwriter must have its complete residence address and residence phone number (including area code) preprinted or legibly printed on the check. The residence address must be within the United States. If the preprinted address is a P.O. Box, general delivery, APO, FPO, etc., the street address from the Checkwriter’s driver’s license must be legibly printed on the check by Merchant
Address Information. Notices shall be addressed as follows: IF TO PURCHASERS: Thomson Broadcast & Media Solutions, Inc. 3233 E. Mission Oaks Boulevard Caxxxxxxx, XX 00000 Xxxxxxxxx: +000-000-0000 Attention: General Xxxxxxx and Thomson Licensing, S.A. 46, Quai Alphonse LeGallo 92100 Boulogne-Bxxxxxxxxxx France Xxxxxxxxx: +00 0 0000 0000 Attention: Vice Xxxxxxxxx -- Licensing and Intellectual Property with a mandatory copy to: Morrison & Foerster LLP Attention: Xxxxxt Txxxxxxx, Esq. 425 Market Xxxxxx San Francisco, XX 00000 Xxxxxxxxx: (000) 000-0000 IF TO SELLER: ParkerVision, Inc. 8493 Baymeadows Way Jacksonville, Xxxxxxx 00000 Xxxx: Xxxxx Xxxxxxxxx Xxxxxxx with a mandatory copy to: Graubard Miller Attention: David Xxxx Xxxlxx 600 Third Avenux New York, NY 10000 Xxxxxxxxx: (000) 000-0000
Address Information. Any notices and communications required or permitted to be given hereunder shall be sufficient in all respects if given in writing and delivered personally or sent by bonded overnight courier, or mailed by U.S. Express Mail or by certified or registered United States Mail with postage fully prepaid, or sent by facsimile transmission or other electronic transmission (provided that any such facsimile or other electronic transmission is confirmed either orally or by written confirmation), addressed to the appropriate Party at the address for such Party shown below or at other such address as such Party shall have designated by written notice delivered to the Party giving such notice: 219 If to Contractor: Xxxxxxx Oil, Gas and Chemicals, Inc. 0000 Xxxx Xxx Xxxx. Xxxxxxx, XX 00000 E-mail: [###]@xxxxxxx.xxx Attn: Xxxxxxx Xxxxxxx With a copy to: Xxxxxxx Oil, Gas and Chemicals, Inc. 0000 Xxxx Xxx Xxxx. Xxxxxxx, XX 00000 E-mail: [###]@xxxxxxx.xxx Attn: Manager of Legal If to Owner: Port Xxxxxx LNG, LLC 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxxx, XX 00000 E-mail: [###]@xxxxxxxxxxxx.xxx Attn: Karim El Kheiashy With a copy to: Sempra Energy LNG 000 0xx Xxxxxx Xxx Xxxxx, XX 00000 E-mail: [###]@xxxxxxxxxxxx.xxx Attn: Xxxxxx Xxxxx If to Common Facilities Owner: PALNG Common Facilities Company, LLC 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxxx, XX 00000 E-mail: [###]@xxxxxxxxxxxx.xxx Attn: Karim El Kheiashy With a copy to: Sempra Energy LNG 000 0xx Xxxxxx Xxx Xxxxx, XX 00000 E-mail: [###]@xxxxxxxxxxxx.xxx Attn: Xxxxxx Xxxxx 220 Whenever any notice is required to be given by Applicable Laws or this Agreement, a written waiver thereof, signed by the Person entitled to notice, whether before or after the time stated therein, shall be deemed equivalent to the giving of such notice.
Address Information. For individual subscribers this address should be the Subscriber’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 Alternate Address Information Subscribers who wish to receive correspondence at an address other than the address listed above should complete the Alternate Address section on the following page. _________________________________ Tax ID # or Social Security # _________________________________ Tax ID # or Social Security # AGREED AND SUBSCRIBED This __ day of ______________________, 2012 By:_________________________________ Name: Title (if any): AGREED AND SUBSCRIBED SIGNATURE OF JOINT SUBSCRIBER (if any) This __ day of ______________________, 2012 By:_________________________________ Name: Title (if any): __________________________________ Subscriber Name (Typed or Printed) __________________________________ Additional Subscriber Name (Typed or Printed) ACCEPTED: ISLET SCIENCES, INC. By:_________________________________ Name: Xxxx Xxxxx Title: Chief Executive Officer Date of Acceptance: ____________________ Alternate Address Information (if applicable) _________________________________ Alternate Address for Correspondence _________________________________ Alternate Address for Correspondence _________________________________ City, State and Zip Code _________________________________ City, State and Zip Code _________________________________ Telephone _________________________________ Telephone _________________________________ Facsimile _________________________________ Facsimile _________________________________ Tax ID # or Social Security # _________________________________ Tax ID # or Social Security # CERTIFICATE OF SIGNATORY (To be completed if the Shares 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 Subscription Agreement and to purchase and hold the Shares, and certify further that the Subscription Agreement has b...
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