All Subscribers. If you do not complete the applicable Schedule(s) or Annexes attached hereto, your Subscription Agreement shall be deemed incomplete and will be returned to you.
All Subscribers. In the event that any applicable reduction or exemption from U.S. federal withholding tax is claimed, each Subscriber is required to provide all applicable attachments or addendums as required to claim such exemption or reduction.
All Subscribers. Complete and sign the Face Page. If you are purchasing Units within a corporation, please provide your corporate tax number.
All Subscribers. 1. Complete and sign pages 1 and 2 of the Subscription Agreement.
All Subscribers. All Subscriber information in the boxes on pages 2 and 3. Selling Shareholder Questionnaire attached as Schedule “C”. Subscribers resident in Canada purchasing under the “accredited investor” exemption Schedule “B”, indicating which category is applicable. You may not change any part of this Subscription Agreement without the consent of the Issuer. A completed and executed copy of this Subscription Agreement, including all items required to be completed as set out above, must be delivered no later than April 22, 2015, unless other arrangements acceptable to the Agent and the Issuer have been made, to: Secutor Capital Management Corp. 0000 Xxxxxxxxx Xxxx Xxxxxxx, Xxxxxxx X0X 0X0 Attention: Xxxxx Xxxxxx Fax: 000-000-0000 Email: xxxxxxx@xxxxxxx.xx Payment instructions: Payment of the aggregate Subscription Amount must be made in Canadian dollars (which may be settled in US$ equivalent using the closing Bank of Canada exchange rate on the day immediately prior to the Closing Date (as defined herein)) by bank draft, certified cheque or other form of immediately available funds payable in favour of “Secutor Capital Management Corp.” and must be delivered to the Agents (as defined herein), by no later than 4:00 p.m. (Toronto time) on April 22, 2015, unless other arrangements acceptable to the Agents have been made. ENERGIZER RESOURCES INC. SUBSCRIPTION AGREEMENT FOR SPECIAL WARRANTS (For Non-US Subscribers) TO: ENERGIZER RESOURCES INC. (the “Issuer”) AND TO: SECUTOR CAPITAL MANAGEMENT CORP. MARQUEST CAPITAL MARKETS (together, the “Agents”) The undersigned, on its own behalf, and, if applicable, on behalf of those for whom the undersigned is contracting hereunder as trustee or agent (referred to herein as the “Purchaser”), hereby irrevocably subscribes for and agrees to purchase from the Issuer the number of special warrants (the “Purchased Securities” and each individually, a “Purchased Security”) of the Issuer set out below for a subscription price of C$0.12 (which may be settled at the agreed US$ equivalent) per Purchased Security. This subscription plus the attached terms and conditions (the “Terms and Conditions”), each completed and executed Accredited Investor Status Certificate (as defined in the Terms and Conditions), if applicable, and the schedules attached hereto and thereto, are collectively referred to as the “Subscription Agreement”. The Purchaser agrees to be bound by the Terms and Conditions and agrees that the Issuer and the Agents may rely upon ...
All Subscribers. All Subscribers must complete Schedule 2, which, without limiting any other assurances in this Subscription Agreement, the Subscriber hereby specifically represents and agrees is correct and complete.
All Subscribers. All Subscribers (as defined herein) must complete the information in the boxes on pages 2 and 3. All Subscribers must sign the execution page of this Subscription Agreement on page 2. All Subscribers must wire the appropriate funds to the wire transfer instructions contained in Schedule “F” Non-U.S. Subscribers Subscribers relying on the “Accredited Investor” exemption under Section 2.3 of NI 45-106 (as defined herein) (except those that are not resident in a province of Canada and not otherwise subject to Canadian Securities Laws (as defined herein)) must complete the Canadian Accredited Investor Status Certificate in Schedule “B”, indicating which category is applicable and sign on page B-5. · Subscribers relying on categories (j), (k) or (l) of the “Accredited Investor” exemption (and that do not meet the higher financial asset threshold set out in category (j.1) of Schedule “B”) must complete Exhibit “I” to Schedule “B” and sign on page B-7. Subscribers resident outside of Canada and the United States (as defined herein) must complete Schedule “C”.
All Subscribers. [ ] Subscriber and subscription amount information in the boxes and signature on pg 2; [ ] Attach certified funds or draft payable to Northern Dynasty Minerals Ltd. or wire as per below; [ ] Subscribers who are individuals (natural person) or resident in Canada and who are “Accredited Investors” (as defined herein but generally meaning higher net worth or higher net income persons) must complete and sign Schedule “B” – Accredited Investor Form (Canada); [ ] Subscribers who are not individuals (e.g. corporations, partnerships, or trusts) and are purchasing at least CDN$150,000 of Special Warrants are exempt and do not require additional forms (except U.S. Persons- see below) but if the corporate Subscriber is subscribing for less than CDN$150,000 amount the corporate Subscriber must qualify as an “accredited investor” as defined by section 7(a)(i)(A) (generally net assets of at least $5 million). [ ] Canadian individual Subscribers who are relying on the Family Friends and Business Associates (“FFBA”) exemption must execute the FFBA Risk Acknowledgement attached as Schedule “C” [ ] The above exemptions from prospectus requirements are the most commonly used. Other exemptions from prospectus and registration requirements may be available for certain other types of Subscribers as described in this document in section 7, if you are relying on one of them please tick this box.
All Subscribers. The signature page. All Subscribers must initial next to either Section 4(a) or Section 4(b). If a Subscriber makes the representations in Section 4(a), the Subscriber must also initial next to one of the subsections under Section 4(a).
