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Acknowledgement of Risks Factors Sample Clauses

Acknowledgement of Risks FactorsThe undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks.
Acknowledgement of Risks Factors. Subscriber has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. Subscriber acknowledges that this investment entails significant risks.
Acknowledgement of Risks FactorsThe undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Units as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this ___day of _____, 2022. SUBSCRIBER Signature (Print Name of Subscriber) (Street Address) (City, State and Zip Code) (Social Security or Tax Identification Number) Number of Units ____________ Dollar Amount of Units (At $0.0228 per Unit) ____________________________ PLEASE MAKE CHECKS PAYABLE TO: ________________ (Wire Instruction available upon request)
Acknowledgement of Risks FactorsThe undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this ___ day of _____, 2020. SUBSCRIBER _____________________________________ Signature _____________________________________ (Print Name of Subscriber) _____________________________________ (Xxxxxx Xxxxxxx) _____________________________________ (City, State and Zip Code) _____________________________________ (Social Security or Tax Identification Number) Number of Shares ____________ Dollar Amount of Shares (At $0.11 per Share) ____________________________ PLEASE MAKE CHECKS PAYABLE TO: ________________ (Wire Instruction available upon request)
Acknowledgement of Risks FactorsThe undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this _______ day of ____________, 20_____, at ______________. _____________________________________ Signature _____________________________________ (Print Name of Subscriber) _____________________________________ (Street Address) _____________________________________ (City, State and Zip Code) _____________________________________ (Social Security or Tax Identification Number) Number of Shares: _______________________ Dollar Amount of Shares (At $2.00 per Share): _______________________ _________________________________DATE: ___________________ Alternative Ballistics Corporation By: Sxxxxx Xxxx Its: Chief Executive Officer If you meet one of the following tests you should qualify as an “Accredited Investor,” as defined under Rule 501 of Regulation D under the Securities Act of 1933, as amended (the “Act”): (i) You are a natural person who has had individual income in excess of $200,000 in each of the two most recent years, or joint income with your spouse in excess of $300,000 in each of these years, and have a reasonable expectation of reaching the same income level in the current year; (ii) You are a natural person and your individual net worth, or joint net worth with your spouse, exceeds $1,000,000 at the time you purchase the securities; (iii) You are an executive officer or general partner of the issuer or a director, executive officer, or general partner of the general partner of the issuer; (iv) You are a holder in good standing of the General Securities Representative license (Series 7), the Private Securities Offerings Representative license (Series 82), and the Licensed Investment Adviser Representative (Series 65), each as issued by FINRA; (v) You are a corporation, limited liability company, partnership or are an organization described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended, a corporation or similar business trust or a partnership, not formed for the specific purpose of acquiring our securities, with total assets in excess of $5,000,000; (vi) You are a bank or a savings and loan association or other institution as defined in the Act, a broker or dealer registered pursuant to Section 15 of the Exchange Act, an insura...
Acknowledgement of Risks FactorsThe undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this _____ day of ___________, 2021, at ______________. SUBSCRIBER _____________________________________ Signature _____________________________________ (Print Name of Subscriber) _____________________________________ (Xxxxxx Xxxxxxx) _____________________________________ (City, State and Zip Code) _____________________________________ (Social Security or Tax Identification Number)
Acknowledgement of Risks FactorsThe undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Units as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this SUBSCRIBER day of , 2020, at Signature (Print Name of Subscriber) (Street Address) (City, State and Zip Code) (Social Security or Tax Identification Number) Number of Units: Dollar Amount of Units ($ per Unit) $ SUBSCRIPTION ACCEPTED: By: Zalmi Dutchman Chief Executive Officer DATE: NEITHER THIS SECURITY NOR THE SECURITIES FOR WHICH THIS SECURITY IS EXERCISABLE HAVE BEEN REGISTERED WITH THE SECURITIES AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND, ACCORDINGLY, MAY NOT BE OFFERED OR SOLD EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OR PURSUANT TO AN AVAILABLE EXEMPTION FROM, OR IN A TRANSACTION NOT SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS. THIS SECURITY AND THE SECURITIES ISSUABLE UPON EXERCISE OF THIS SECURITY MAY BE PLEDGED IN CONNECTION WITH A BONA FIDE MARGIN ACCOUNT OR OTHER LOAN SECURED BY SUCH SECURITIES. Warrant Shares: Issue Date: , 2021 THIS COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, or its assigns (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after the date hereof (the “Initial Exercise Date”) and on or prior to 5:00 p.m. (Nevada City time) on the five (5) year anniversary of the Initial Exercise Date (the “Termination Date”) but not thereafter, to subscribe for and purchase from Home Bistro, Inc., a Nevada corporation (the “Company”), up to shares (as subject to adjustment hereunder, the “Warrant Shares”) of Common Stock; provided, however, in the event that the Conversion Price is adjusted pursuant to 2(b) below, then upon each such adjustment the number of Warrant Shares issuable under this Warrant shall increase such that the aggregate Exercise Price immediately prior to such adjustment shall equal the aggregate Exercise Price immediately following such adjustment. The purchase price of one share of Common Stock under this Warrant shall be equal to the Ex...
Acknowledgement of Risks FactorsThe undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this ___ day of _____, 2021. SUBSCRIBER: _____________________________________ Signature _____________________________________ (Print Name of Subscriber) _____________________________________ (Xxxxxx Xxxxxxx) _____________________________________ (City, State and Zip Code) _____________________________________ (Social Security or Tax Identification Number) Number of Shares ____________ Dollar Amount of Shares (At $0.01 per Share) ____________________________ PLEASE MAKE CHECKS PAYABLE TO: (Wire Instruction available upon request) ☐ Community Property* ☐ Individual PropertyJoint Tenancy With Right of Separate Property (what is the underline) Survivorship* ☐ Separate Property ☐ Corporate or Fund Owners ** ☐ Tenants-in-Common* ☐ Pension or Profit Sharing Plan ☐ Tenants-in-Entirety* ☐ Trust or Fiduciary Capacity (trust documents must accompany this form) ☐ Xxxxx Plan ☐ Fiduciary for a Minor ☐ Individual Retirement Account * Signature of all parties required ** In the case of a Fund, state names of all partners. ☐ Other (Please indicate) Xxxx Xxxxx DATE
Acknowledgement of Risks FactorsThe undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Units as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this _____ day of ____________________, 20______, at ___________________________________. SUBSCRIBER (1) SUBSCRIBER (2) Signature Signature (Print Name of Subscriber) (Print Name of Subscriber) (Street Address) (Street Address) (City, State and Zip Code) (City, State and Zip Code)
Acknowledgement of Risks FactorsThe undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this _______ day of ____________, 20_____, at ______________. SUBSCRIBER _____________________________________ Signature _____________________________________ (Print Name of Subscriber) _____________________________________ (Xxxxxx Xxxxxxx) _____________________________________ (City, State and Zip Code) _____________________________________ (Social Security or Tax Identification Number) Number of Shares: _______________________ Dollar Amount of Shares (At $10.00 per Share): _______________________ SUBSCRIPTION ACCEPTED: _________________________________DATE: ___________________ EmpireBIT, Inc. By: Mxxxxxx Xxxxxxx Chief Executive Officer Name of Investor: __________________ Mxxxxxx Xxxxxxx Chief Executive Officer EmpireBIT, Inc. 30 Xxxxxxxxxxx Xxxxxxxx Blvd Jackson, NJ 08527 Re: EmpireBIT, Inc. Offering of up to $50,000,000.00 through the sale of 5,000,000 Shares of Class A Common Stock (the “Shares”)