Countersigned. By: -------------------------------- Authorized Signature A-3 [Form of Reverse Side of Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED __________________________________ hereby sells, assigns and transfers unto _____________________________________________ _______________________________________________________________________________ (Please print name and address of transferee) this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney to transfer the within Right Certificate on the books of the within-named Corporation, with full power of substitution. Dated: _________________, __________ _________________________________ Signature Signature Guaranteed:
Appears in 2 contracts
Samples: Rights Agreement (Wynns International Inc), Rights Agreement (Wynns International Inc)
Countersigned. By: -------------------------------- By --------------------------------- Authorized Signature A-3 [Form of Reverse Side of Right Certificate] FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Right CertificateCertificates.) FOR VALUE RECEIVED __________________________________________ hereby sells, assigns and transfers unto _____________________________________________ _______________________________________________________________________________ -------------------------------------------------------------------------------- (Please print name and address of transferee) -------------------------------------------------------------------------------- Rights evidenced by this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint ________________________ Attorney to transfer the within Right Certificate on the books of the within-named Corporation, with full power of substitution. Dated: _______________ ___, __________ _________________________________ ----------------------------- Signature Signature Guaranteed:
Appears in 1 contract
Samples: Rights Agreement (Impath Inc)
Countersigned. By: -------------------------------- ------------------------------ Authorized Signature A-3 [B-3 48 Form of Reverse Side of Right Certificate] Certificate FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED ___________________RECEIVED, _______________ hereby sells, assigns and transfers unto _____________________________________________ _______________________________________________________________________________ -------------------------------------------------------------------------------- (Please print name and address of transferee) -------------------------------------------------------------------------------- this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney Attorney, to transfer the within Right Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: _________________, __________ _________________________________ --------------------------- Signature Signature Guaranteed: CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Rights Agreement (Flowers Foods Inc)
Countersigned. By[---------------------------------], as Rights Agent ---------------------------------- Authorized Signatory Date of countersignature: -------------------------------- Authorized Signature A-3 [Form of Reverse Side of Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED __________________________________ hereby sells, assigns and transfers unto _____________________________________________ ___________________________________________(Please print name and address of transferee) ____________________________________ (Please print name and address of transferee) this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney Attorney, to transfer the within Right Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: :_________________, _______,___ _________________________________ Signature Signature Guaranteed:___________
Appears in 1 contract
Samples: Shareholder Rights Agreement (Brooktrout Technology Inc)
Countersigned. [ ] -------------------------- By: -------------------------------- ------------------------------ Authorized Signature A-3 [Form of Reverse Side of Right Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Rights Certificate.) FOR VALUE RECEIVED __________________________________________ hereby sells, assigns and transfers unto _____________________________________________ _______________________________________________________________________________ (Please print name and address of transferee) this Right Rights Certificate, together with will all right, title and interest therein, and does hereby irrevocably constitute and appoint ________________________________ Attorney Attorney, to transfer the within Right Rights Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: _________________, ____, 19__ ______ _________________________________ Signature Signature Guaranteed:
Appears in 1 contract
Samples: 1998 Common Stock Purchase Rights Agreement (Railamerica Inc /De)
Countersigned. By: -------------------------------- By ----------------------------- Authorized Signature A-3 [Form of Reverse Side of Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right CertificateCertificates.) FOR VALUE RECEIVED _________________________________________________ hereby sells, assigns and transfers unto _____________________________________________ ________________________________________________________________________________ (Please print name and address of transferee) ________________________________________________________________________________ Rights evidenced by this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint ________________________ Attorney to transfer the within Right Certificate on the books of the within-named Corporation, with full power of substitution. Dated: _______________ ___, __________ ______________________________________ Signature Signature Guaranteed:4
Appears in 1 contract
Countersigned. By[ ], ----------------------------------- as Rights Agent ----------------------------------- Authorized Signatory Date of countersignature: -------------------------------- Authorized Signature A-3 [Form of Reverse Side of Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED __________________________________ hereby sells, assigns and transfers unto _____________________________________________ ___________________________________________(Please print name and address of transferee) ____________________________________ (Please print name and address of transferee) this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney Attorney, to transfer the within Right Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: _________________, __________ _________________________________ ------------------ -- ------------------------------ Signature Signature Guaranteed: ------------------------- CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Shareholder Rights Agreement (Anika Therapeutics Inc)
Countersigned. By: -------------------------------- By ---------------------------------- Authorized Signature A-3 42 [Form of Reverse Side of Right Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Rights Certificate.) FOR VALUE RECEIVED __________________________________ hereby sells, assigns and transfers unto _____________________________________________ _____________________________hereby sells, assigns and transfers unto __________________________________________________ (Please print name and address of transferee) this Right Rights Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney ________, Attorney, to transfer the within Right Rights Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: _________________, __________ . ________________________________________ Signature Signature Guaranteed: Certificate The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Rights Agreement (Forward Air Corp)
Countersigned. By: -------------------------------- By ------------------------------------ Authorized Signature A-3 Officer -B-4- [Form of Reverse Side of Right Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Rights Certificate.) FOR VALUE RECEIVED ________________________________________ hereby sells, assigns and transfers unto _____________________________________________ _______________________________________________________________________________ (Please print name and address of transferee) this Right Rights Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney Attorney, to transfer the within Right Rights Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: _______________ ___, ________19__ _________________________________ -------------------------------------- Signature Signature Guaranteed: Certificate The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Rights Agreement (Cotelligent Inc)
Countersigned. By: -------------------------------- --------------------------- Authorized Signature A-3 [45 Form of Reverse Side of Right Certificate] Certificate FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED ___________________RECEIVED, _______________ hereby sells, assigns and transfers unto _____________________________________________ _______________________________________________________________________________ -------------------------------------------------------------------------------- (Please print name and address of transferee) ------------------------------------------------------------------------------- this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney Attorney, to transfer the within Right Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: _________________, __________ _________________________________ -------------------------- Signature Signature Guaranteed:
Appears in 1 contract
Countersigned. By: -------------------------------- ---------------------- Authorized Signature A-3 [Form of Reverse Side of Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED __________________________________ hereby sells, assigns and transfers unto _____________________________________________ ___________________. ____________________________________________________________ (Please print name and address of transferee) this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney to transfer the within Right Certificate on the books of the within-named Corporation, with full power of substitution. Dated: _________________, __________ _________________________________ 19 ------------ -- ------------------------------ Signature Signature Guaranteed:
Appears in 1 contract
Samples: Rights Agreement (Talbert Medical Management Holdings Corp)
Countersigned. By: -------------------------------- Authorized Signature A-3 By --------------------- 44 [Form of Reverse Side of Right Certificate] FORM OF ASSIGNMENT Form of Assignment ------------------ (To be executed by the registered holder if such the holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED __________________________________ hereby sells, assigns and transfers unto _____________________________________________ _______________________________________________________________________________ ---------------------------------------------------------------------- (Please print name and address of transferee) this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney as attorney, to transfer the within Right Certificate on the books of the within-named STERIS Corporation, with full power of substitution. Dated: _________________, __________ _________________________________ 19 ------------------ --- -------------------------------- Signature Signature Guaranteed: Certificate ----------- The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Rights Agreement (Steris Corp)
Countersigned. By[--------------------------], as Rights Agent --------------------------- Authorized Signatory Date of countersignature: -------------------------------- Authorized Signature A-3 [Form of Reverse Side of Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED __________________________________ hereby sells, assigns and transfers unto _____________________________________________ ___________________________________________(Please print name and address of transferee) ____________________________________ (Please print name and address of transferee) this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney Attorney, to transfer the within Right Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: _________________, __________ _________________________________ ------------------- ---- ----------------------------- Signature Signature Guaranteed: -------------- CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Shareholder Rights Agreement (Anika Therapeutics Inc)
Countersigned. By: -------------------------------- ---------------------------- Authorized Signature A-3 [B-4 63 Form of Reverse Side of Right Certificate] Certificate FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED __________________________________ RECEIVED, hereby sells, assigns and transfers --------------- unto _____________________________________________ _______________________________________________________________________________ ---------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please print name and address of transferee) -------------------------------------------------------------------------------- this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney Attorney, --------------- to transfer the within Right Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: _________________------------, __________ _________________________________ ---- ------------------------------------ Signature Signature Guaranteed: CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Countersigned. By: -------------------------------- ---------------------------------- Authorized Signature A-3 [48 Form of Reverse Side of Right Certificate] Certificate FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Right Certificate.) FOR VALUE RECEIVED ___________________RECEIVED, _______________ hereby sells, assigns and transfers unto _____________________________________________ _______________________unto________________________________________________________ (Please print name and address of transferee) ------------------------------------------------------------------------------ this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney Attorney, to transfer the within Right Certificate on the books of the within-named CorporationCompany, with full power of substitution. Dated: _________________-----------, __________ _________________________________ ---- ------------------------------------ Signature Signature Guaranteed:: 49
Appears in 1 contract
Samples: Rights Agreement (Flowers Foods Inc)