ANGEION CORPORATION. By: ---------------------------- Title: Exhibit A To: ANGEION CORPORATION ELECTION TO EXERCISE The undersigned hereby exercises its right to subscribe for and purchase from ANGEION CORPORATION ______ fully paid, validly issued and nonassessable shares of Common Stock covered by the within Warrant and tenders payment herewith in the amount of $__________ in accordance with the terms thereof, and requests that certificates for such shares be issued in the name of, and delivered to: -------------------------- -------------------------- -------------------------- Date: [Holder] ------------------- By ------------------------------- Name: Title: Exhibit B ASSIGNMENT FORM To: ANGEION CORPORATION The undersigned hereby assigns and transfers this Warrant to -------------------------------------------------------------------------------- (Insert assignee's social security or tax identification number) -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Print or type assignee's name, address and postal code) and irrevocably appoints ______________________________________________________ to transfer this Warrant on the books of the Company. Date: [Holder] -------------------- By ------------------------------- Name: Title: (Sign exactly as your name appears on the face of this Warrant)
ANGEION CORPORATION. DATED AS OF OCTOBER 9, 1997 Note: Portions of this exhibit marked with "X's" have been omitted pursuant to a request for confidentiality under Rule 24b-2 of the Securities Exchange Act of 1934, as amended. A copy of this exhibit in its entirety has been filed separately with the Securities and Exchange Commission. TABLE OF CONTENTS PAGE ARTICLE I. Definitions........................................................1
ANGEION CORPORATION. By ----------------------------------------- Name: Title: Attest: ---------------------- PURCHASE FORM Dated ______________, The undersigned hereby irrevocably elects to exercise the attached Warrant to the extent of purchasing ____ shares of the Common Stock issuable hereunder and hereby makes payment of $___________ in payment of the exercise price thereof. INSTRUCTIONS FOR REGISTRATION OF COMMON STOCK Name ___________________________________________________________________________ (please typewrite or print in block letters) Address ________________________________________________________________________ Signature ______________________________________________________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, _________________ hereby sells, assigns and transfers unto Name _________________________________________________________ (please typewrite or print in block letters) Address ________________________________________________________________________ its right to purchase _____ shares of the Common Stock represented by this Warrant and does hereby irrevocably constitute and appoint _________________ Attorney, to transfer the same on the books of the Company, with full power of substitution in the premises. Date: ____________________________ Signature Guaranteed:
ANGEION CORPORATION. By: /s/ Xxxxxxx X. XxXxxxxx ------------------------------ Name: Xxxxxxx X. XxXxxxxx Title: Chief Executive Officer ELA MEDICAL, INC. By: /s/ Xxxxxxxx Xxxxx ------------------------------ Name: Xxxxxxxx Xxxxx Title: Chairman of the Board
