Common use of ASSIGNMENT SEPARATE FROM CERTIFICATE Clause in Contracts

ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVED, hereby sell(s), assign(s) and transfer(s) unto (the “Company”) ( ) shares of the common stock of the Company standing in name on the books of the Company represented by Certificate No. herewith and do hereby irrevocably constitute and appoint the Company’s Secretary to transfer the said stock on the books of the Company with full power of substitution in the premises. Dated: Signature Name: INSTRUCTIONS: Please do not fill in any blanks other than the signature line. The purpose of this assignment is to enable the Company to exercise its rights, as set forth in the Class L Common Stock Grant Agreement, without requiring additional signatures on the part of Holder. I, ____________________, spouse of _________, have read and approve the foregoing Class L Common Stock Grant Agreement (the “Agreement”). In consideration of the issuance to my spouse of the shares of Common Stock set forth in the Agreement (the “Restricted Shares”), I hereby appoint my spouse as my attorney-in-fact in respect to the exercise of any rights under the Agreement and agree to be bound by the provisions thereof insofar as I may have any rights therein or in or to any Restricted Shares under the community property laws or similar laws relating to marital property in effect in the state of our residence as of the date of the signing of the Agreement. Dated: ______________________________________ Signature of Spouse [Company] [Address] Dear [______]: As escrow agent (the “Escrow Agent”) for both Sanken North America, Inc., a Delaware corporation (the “Company”), and the undersigned purchaser or transferee of stock of the Company (“Holder”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Class L Common Stock Grant Agreement (the “Agreement”) between the Company and the undersigned (the “Escrow”), in accordance with the following instructions:

Appears in 1 contract

Samples: Class L Common Stock Grant Agreement (Allegro Microsystems Inc)

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ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVED, hereby sell(sRECEIVED and pursuant to the and that certain Restricted Stock Award Agreement between the undersigned (the "Participant") and Forbes Energy Services Ltd. (the "Company") dated _____________ (this "Agreement"), assign(s) the Participant hereby sells, assigns and transfer(s) transfers unto the Company ___________ (the “Company”) ( _______) shares of the common stock Common Stock of the Company Company, standing in the Participant’s name on the books of the Company represented by Certificate No. herewith _____ herewith, and do does hereby irrevocably constitute and appoint the Company’s Secretary _______________ to transfer the said stock such Common Stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only as authorized by this Agreement. Dated: Signature Name_______________,_____ Signature: INSTRUCTIONS: Please do not fill in any blanks other than the signature line. The purpose of this assignment is to enable the Company to exercise its rights, the forfeiture provisions as set forth in the Class L Common Stock Grant this Agreement, without requiring additional signatures on the part of Holderthe Participant. I, ____________________, spouse of _________, have read and approve the foregoing Class L Common Stock Grant Agreement [Name] [ADDRESS] Attn.: Corporate Secretary Dear Sir: As Escrow Agent for both Forbes Energy Services Ltd. (the “Agreement”"Company"). In consideration , and the undersigned Participant of the issuance to my spouse of the shares of Common Stock set forth in the Agreement (the “Restricted Shares”), I hereby appoint my spouse as my attorney-in-fact in respect to the exercise of any rights under the Agreement and agree to be bound by the provisions thereof insofar as I may have any rights therein or in or to any Restricted Shares under the community property laws or similar laws relating to marital property in effect in the state of our residence as of the date of the signing of the Agreement. Dated: ______________________________________ Signature shares of Spouse [Company] [Address] Dear [______]: As escrow agent Common Stock (the “Escrow Agent”"Covered Shares") for both Sanken North America, Inc., a Delaware corporation (the “Company”), and the undersigned purchaser or transferee of stock of the Company (“Holder”the "Participant"), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Class L Common Restricted Stock Grant Award Agreement (the "Agreement") between the Company and the undersigned (the “Escrow”)undersigned, in accordance with the following instructions:

Appears in 1 contract

Samples: Restricted Stock Award Agreement (Forbes Energy Services Ltd.)

ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVED, hereby sell(s), assign(s) and transfer(s) unto (the “Company”) ( ) shares of the common stock of the Company standing in name on the books of the Company represented by Certificate No. herewith and do hereby irrevocably constitute and appoint the Company’s Secretary to transfer the said stock on the books of the Company with full power of substitution in the premises. Dated: Signature Name: INSTRUCTIONS: Please do not fill in any blanks other than the signature line. The purpose of this assignment is to enable the Company to exercise its rights, as set forth in the Class L Common Stock Grant Agreement, without requiring additional signatures on the part of Holder. I, Lia Xxxxxxxxx Xxxxxxx-Xxxxxxx, hereby sell, assign and transfer unto ____________________, spouse of __ _________, have read and approve the foregoing Class L Common Stock Grant Agreement __________ (__________) shares (the “AgreementShares). In consideration ) of the issuance to my spouse of the shares of Common Stock set forth in the Agreement of IdentifySensors Biologics Corp. (the “Restricted SharesCompany), I hereby appoint ) standing in my spouse as my attorney-in-fact in respect to name on the exercise of any rights under the Agreement and agree to be bound by the provisions thereof insofar as I may have any rights therein or in or to any Restricted Shares under the community property laws or similar laws relating to marital property in effect in the state of our residence as books of the date of the signing of the AgreementCompany represented by Certificate No. Dated: _____ herewith and hereby irrevocably constitute and appoint _______________________________, attorney, to transfer the Shares on the books of the Company with full power of substitution in the premises. This Stock Assignment may be used only in accordance with the Restricted Stock Award Agreement between the Company and the undersigned effective as of ________, 2020. Dated: _________________________ _________________________ __________________________ (Awardee’s spouse) indicates by the execution of this Assignment his or her consent to be bound by the terms herein as to his or her interests, whether as community property or otherwise, if any, in the Shares. _________________________ Signature of Spouse [Company] [Address] Dear [______]___________________ Print Name INSTRUCTIONS: As escrow agent (Please do not fill in the blanks other than the signature line. The purpose of this assignment is to enable the Company to exercise its Escrow Agent”Repurchase Option,” as set forth in the Agreement, without requiring additional signatures on the part of Awardee. The undersigned taxpayer hereby makes an election pursuant to Section 83(b) for both Sanken North America, Inc., a Delaware corporation (the “Company”), and the undersigned purchaser or transferee of stock of the Company (“Holder”), you are hereby authorized and directed to hold the documents delivered to you pursuant Internal Revenue Code with respect to the terms of that certain Class L Common Stock Grant Agreement (property described below and supplies the “Agreement”) between the Company and the undersigned (the “Escrow”), following information in accordance with the following instructionsregulations promulgated thereunder:

Appears in 1 contract

Samples: Restricted Stock Award Agreement (IdentifySensors Biologics Corp.)

ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVED, hereby sell(s), assign(sRECEIVED and pursuant to that certain Common Stock Purchase Agreement between the undersigned (“Grantee”) and transfer(s) unto Pacific Energy Development Corp (the “Company”) ( ) shares of the common stock of the Company standing in name on the books of the Company represented by Certificate No. herewith and do hereby irrevocably constitute and appoint the Company’s Secretary to transfer the said stock on the books of the Company with full power of substitution in the premises. Dated: Signature Name: INSTRUCTIONS: Please do not fill in any blanks other than the signature line. The purpose of this assignment is to enable the Company to exercise its rights, as set forth in the Class L Common Stock Grant Agreement, without requiring additional signatures on the part of Holder. I, dated ____________________, spouse of _________, have read and approve the foregoing Class L Common Stock Grant Agreement _ (the “Agreement”). In consideration of , Grantee hereby sells, assigns and transfers unto the issuance to my spouse of the shares of Common Stock set forth in the Agreement (the “Restricted Shares”), I hereby appoint my spouse as my attorney-in-fact in respect to the exercise of any rights under the Agreement and agree to be bound by the provisions thereof insofar as I may have any rights therein or in or to any Restricted Shares under the community property laws or similar laws relating to marital property in effect in the state of our residence as of the date of the signing of the Agreement. Dated: _____Company _________________________________ Signature of Spouse [Company] [Address] Dear [(______]: As escrow agent (__) shares of the “Escrow Agent”) for both Sanken North America, Inc., a Delaware corporation (the “Company”), and the undersigned purchaser or transferee of stock Common Stock of the Company (“Holder”)standing in Grantee’s name on the Company’s books and represented by Certificate No. _____, you are and does hereby authorized irrevocably constitute and directed appoint ______________________ to hold transfer said stock on the documents delivered books of the Company with full power of substitution in the premises. THIS ASSIGNMENT MAY ONLY BE USED AS AUTHORIZED BY THE AGREEMENT AND THE EXHIBITS THERETO. Dated: ______________________ ______________________________ GRANTEE: ___________________ Instruction: Please do not fill in any blanks other than the signature line. The purpose of this assignment is to you pursuant enable the Company to exercise its repurchase option set forth in the Agreement without requiring additional signatures on the part of Grantee. I, _____________________, spouse of ____________________________, have read and approved the foregoing Agreement. In consideration of the right of my spouse to purchase shares of Pacific Energy Development Corp as set forth in the Agreement, I hereby appoint my spouse as my attorney-in-fact in respect to the terms exercise of that certain Class L Common Stock Grant any rights under the Agreement insofar as I may have any rights under the community property laws of the State of California or similar laws relating to marital property in effect in the state of our residence as of the date of the signing of the foregoing Agreement. Dated: ______________ ________________________________ (the “Agreement”) between the Company and the undersigned (the “Escrow”Signature of Spouse), in accordance with the following instructions:

Appears in 1 contract

Samples: Restricted Stock Grant Agreement (Pedevco Corp)

ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVED, I, _________________, hereby sell(s)sell, assign(sassign and transfer unto ______________________ ___________________ (__________) and transfer(sshares (the “Shares”) unto of the Common Stock of IdentifySensors Biologics Corp. (the “Company”) ( ) shares of the common stock of the Company standing in my name on the books of the Company represented by Certificate No. _____ herewith and do hereby irrevocably constitute and appoint the Company’s Secretary to transfer the said stock on the books of the Company with full power of substitution in the premises. Dated: Signature Name: INSTRUCTIONS: Please do not fill in any blanks other than the signature line. The purpose of this assignment is to enable the Company to exercise its rights, as set forth in the Class L Common Stock Grant Agreement, without requiring additional signatures on the part of Holder. I, _______________________________, spouse attorney, to transfer the Shares on the books of the Company with full power of substitution in the premises. This Stock Assignment may be used only in accordance with the Restricted Stock Award Agreement between the Company and the undersigned effective as of _________, have read and approve the foregoing Class L Common Stock Grant Agreement (the “Agreement”). In consideration of the issuance to my spouse of the shares of Common Stock set forth in the Agreement (the “Restricted Shares”), I hereby appoint my spouse as my attorney-in-fact in respect to the exercise of any rights under the Agreement and agree to be bound by the provisions thereof insofar as I may have any rights therein or in or to any Restricted Shares under the community property laws or similar laws relating to marital property in effect in the state of our residence as of the date of the signing of the Agreement_____. Dated: ______________________________ ______________________________ __________________________ (Awardee’s spouse) indicates by the execution of this Assignment his or her consent to be bound by the terms herein as to his or her interests, whether as community property or otherwise, if any, in the Shares. __________________________ Signature of Spouse [Company] [Address] Dear [______]____________________ Print Name INSTRUCTIONS: As escrow agent (Please do not fill in the blanks other than the signature line. The purpose of this assignment is to enable the Company to exercise its Escrow Agent”Repurchase Option,” as set forth in the Agreement, without requiring additional signatures on the part of Awardee. The undersigned taxpayer hereby makes an election pursuant to Section 83(b) for both Sanken North America, Inc., a Delaware corporation (the “Company”), and the undersigned purchaser or transferee of stock of the Company (“Holder”), you are hereby authorized and directed to hold the documents delivered to you pursuant Internal Revenue Code with respect to the terms of that certain Class L Common Stock Grant Agreement (property described below and supplies the “Agreement”) between the Company and the undersigned (the “Escrow”), following information in accordance with the following instructionsregulations promulgated thereunder:

Appears in 1 contract

Samples: Restricted Stock Award Agreement (IdentifySensors Biologics Corp.)

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ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVEDRECEIVED and pursuant to that certain Stock Purchase Agreement between the undersigned ("Purchaser") and RiboGene, hereby sell(sInc. dated _____________, 19___ (the "Agreement"), assign(s) Purchaser hereby sells, assigns and transfer(s) transfers unto _______________ (the “Company”) ( _____) shares of the common stock Common Stock of the Company RiboGene, Inc. standing in Purchaser's name on the books of the Company said corporation represented by Certificate No. herewith and do does hereby irrevocably constitute and appoint the Company’s Secretary ___________________ to transfer the said stock on the books of the Company within-named corporation with full power of substitution in the premises. THIS ASSIGNMENT MAY ONLY BE USED AS AUTHORIZED BY THE AGREEMENT AND THE EXHIBITS THERETO. Dated:____________________, 19__. Signature: Signature Name: INSTRUCTIONS__________________________________ 1* INSTRUCTION: Please do not fill in any blanks other than the signature line. The purpose of this assignment is to enable the Company to exercise its rights, as repurchase option set forth in the Class L Common Stock Grant Agreement, Agreement without requiring additional signatures on the part of HolderPurchaser. CONSENT OF SPOUSE I, ___________________________, spouse of ___________________________, have read and hereby approve the foregoing Class L Common Stock Grant Agreement (the “Agreement”). In consideration of the issuance to Company's granting my spouse of the shares of Common Stock right to purchase the Shares as set forth in the Agreement, I hereby agree to be irrevocably bound by the Agreement (and further agree that any community property or other such interest shall be similarly bound by the “Restricted Shares”), Agreement. I hereby appoint my spouse as my attorney-in-fact in with respect to the any amendment or exercise of any rights under the Agreement and agree to be bound by the provisions thereof insofar as I may have any rights therein or in or to any Restricted Shares under the community property laws or similar laws relating to marital property in effect in the state of our residence as of the date of the signing of the Agreement. Dated: ___________________________________________ Signature Spouse of Spouse [Company] [Address] Dear [______]: As escrow agent (the “Escrow Agent”) for both Sanken North America, Inc., a Delaware corporation (the “Company”), and the undersigned purchaser or transferee of stock of the Company (“Holder”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Class L Common Stock Grant Agreement (the “Agreement”) between the Company and the undersigned (the “Escrow”), in accordance with the following instructions:Purchaser

Appears in 1 contract

Samples: Restricted Stock Purchase Agreement (Ribogene Inc / Ca/)

ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVED, hereby sell(s), assign(sRECEIVED and pursuant to that certain Common Stock Purchase Agreement between the undersigned (“Grantee”) and transfer(s) unto Pacific Energy Development Corp (the “Company”) ( ) shares of dated _______________ (the common stock of “Agreement”), Grantee hereby sells, assigns and transfers unto the Company standing in name on the books of the Company represented by Certificate No. herewith and do hereby irrevocably constitute and appoint the Company’s Secretary to transfer the said stock on the books of the Company with full power of substitution in the premises. Dated: Signature Name: INSTRUCTIONS: Please do not fill in any blanks other than the signature line. The purpose of this assignment is to enable the Company to exercise its rights, as set forth in the Class L Common Stock Grant Agreement, without requiring additional signatures on the part of Holder. I, ____________________, spouse of _________, have read and approve ____ (________) shares of the foregoing Class L Common Stock Grant Agreement (the “Agreement”). In consideration of the issuance Company standing in Grantee’s name on the Company’s books and represented by Certificate No. _____, and does hereby irrevocably constitute and appoint ______________________ to my spouse transfer said stock on the books of the shares Company with full power of Common Stock set forth substitution in the Agreement (the “Restricted Shares”), I hereby appoint my spouse as my attorney-in-fact in respect to the exercise of any rights under the Agreement and agree to be bound by the provisions thereof insofar as I may have any rights therein or in or to any Restricted Shares under the community property laws or similar laws relating to marital property in effect in the state of our residence as of the date of the signing of the Agreementpremises. DatedTHIS ASSIGNMENT MAY ONLY BE USED AS AUTHORIZED BY THE AGREEMENT AND THE EXHIBITS THERETO. Signature: ______________________________________ Signature of Spouse [Company] [Address] Dear [______]__ GRANTEE: As escrow agent (____________________________________ Instruction: Please do not fill in any blanks other than the “Escrow Agent”) for both Sanken North Americasignature line. The purpose 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 Grantee. I, Inc._____________________, a Delaware corporation (spouse of ____________________________, have read and approved the “Company”), and the undersigned purchaser or transferee of stock foregoing Agreement. In consideration of the Company (“Holder”)right of my spouse to purchase shares of Pacific Energy Development Corp as set forth in the Agreement, you are I hereby authorized and directed to hold the documents delivered to you pursuant appoint my spouse as my attorney-in-fact in respect to the terms exercise of that certain Class L Common Stock Grant any rights under the Agreement insofar as I may have any rights under the community property laws of the State of California or similar laws relating to marital property in effect in the state of our residence as of the date of the signing of the foregoing Agreement. Dated: ______________ _____________________________________________ (the “Agreement”) between the Company and the undersigned (the “Escrow”Signature of Spouse), in accordance with the following instructions:

Appears in 1 contract

Samples: Restricted Stock Grant Agreement (Pedevco Corp)

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