CRDENTIA CORP. Pursuant to Section 1.5 of the Warrant, the undersigned, the holder of the Warrant attached hereto, hereby irrevocably elects to exercise the net issuance rights with respect to _____________ shares of such Warrant for that number of shares of Stock of Crdentia Corp., determined pursuant to the formula set forth in Section 1.5 of the Warrant, and requests that the certificates for such shares be issued in the name of, and delivered to ___________________, whose address is _________________________________________. ________________________________________ (Signature must conform in all respects to name of the Holder as specified on the face of the Warrant) ________________________________________ (Print Name) ________________________________________ (Address) Dated: ____________________
CRDENTIA CORP. By: /s/ James D. Durham ----------------------------- James D. Duxxxx Xxxxf Executive Officer STOCKHOLDER: /s/ Xxxxxx Xxxxxx ----------------------------- Robert Oliver
CRDENTIA CORP. By: /S/ XXXXX X. XXXXXX ----------------------------- Xxxxx X. Xxxxxx Chief Executive Officer ------------------------------------ ANNEX 1 TO FORM OF WARRANT CERTIFICATE FORM OF ELECTION TO PURCHASE ------------------------------------ ELECTION TO PURCHASE (TO BE EXECUTED UPON EXERCISE OF WARRANT) The undersigned hereby irrevocably elects to exercise the right, represented by this Warrant Certificate, to purchase _____ Warrant Shares and herewith tenders payment for such Warrant Shares to the order of the Issuer in the amount of $_______________ in accordance with the terms hereof. The undersigned requests that a certificate for such Warrant Shares be registered in the name of _______________________________________________ whose address is _____________________________________ and that such certificate be delivered to ___________________ whose address is ________________________. If said number of Warrant Shares is less than all of the Warrant Shares purchasable under this Warrant Certificate, the undersigned requests that a new Warrant Certificate representing the remaining balance of the Warrant Shares be registered in the name of ______________________ whose address is ___________________________ and that such Warrant Certificate be delivered to _________________________ whose address is ___________________________________. Signature: _________________________________________ (Signature must conform in all respects to name of holder as specified on the face of the Warrant Certificate.) Date: ___________________________________ ------------------------------------ EXHIBIT B TO WARRANT AGREEMENT WARRANT REGISTER ------------------------------------
CRDENTIA CORP a Delaware corporation (the "Company"), hereby adopts this Stock Option Plan and Award Agreement (the "Plan and Option Agreement") and, subject to Section 17, reserves 7,000,000 Shares as the maximum aggregate number of Shares which may be issued pursuant to this Plan and Option Agreement.
CRDENTIA CORP. By: ------------------------------------------- Xxxxx X. Xxxxxx Chief Executive Officer INDEMNITEE: ---------------------------------------------- Signature Print Name: ----------------------------------- SCHEDULE A ---------- Xxxxx X. Xxxxxx Xxxxxx Xxxxxxxx Xxxxxxx Xxxxxxxx Xxxxxx XxXxxx Xxxxxx Xxxxxxx Xxxxxx Xxxxxx C. Xxxx Xxxxx Xxxxxx Xxxxxx
CRDENTIA CORP. By: -------------------------------- Name: James D. Durham Its: Cxxxx Xxxxxxxxx Officer ACKNOWLEDGED AND AGREED: MEDCAP PARTNERS L.P. By: MedCap Management & Research LLC Its: General Partner By: ----------------------------- Name: C. Fred Toney Its: Managing Member SCHEDULE 1 SUBSCRIPTION NOTICE (To be signed only on exercise of Warrant for cash)
CRDENTIA CORP. By: --------------------------------------- Name: XXXXXXX X. XXXXXXXX Title: CHIEF FINANCIAL OFFICER Xxxxx Xxxxxxxx Xxxxxxxx, Inc. By: --------------------------------------- Name: XXXXXXX X. XXXXXXXX Title: CHIEF FINANCIAL OFFICER Nurses Network, Inc. By: --------------------------------------- Name: XXXXXXX X. XXXXXXXX Title: CHIEF FINANCIAL OFFICER New Age Staffing, Inc. By: --------------------------------------- Name: XXXXXXX X. XXXXXXXX Title: CHIEF FINANCIAL OFFICER PSR Nurse Recruiting, Inc. By: --------------------------------------- Name: XXXXXX X. XXXXXXXX Title: CHIEF FINANCIAL OFFICER PSR Nurses Holdings Corp. By: --------------------------------------- Name: XXXXXX X. XXXXXXXX Title: CHIEF FINANCIAL OFFICER PSR Nurses, Ltd. By: PSR Nurse Recruiting, Inc. By: --------------------------------------- Name: XXXXXX X. XXXXXXXX Title: CHIEF FINANCIAL OFFICER
CRDENTIA CORP. SELLING SECURITYHOLDER NOTICE AND QUESTIONNAIRE The undersigned beneficial owner of common stock (the “Common Stock”), of Crdentia Corp. (the “Company”) understands that the Company has filed or intends to file with the Securities and Exchange Commission (the “Commission”) a Registration Statement for the registration and resale of the Registrable Securities, in accordance with the terms of the Registration Rights Agreement, dated as of January __, 2007 (the “Registration Rights Agreement”), among the Company and the Investors named therein. A copy of the Registration Rights Agreement is available from the Company upon request at the address set forth below. All capitalized terms used and not otherwise defined herein shall have the meanings ascribed thereto in the Registration Rights Agreement. The undersigned hereby provides the following information to the Company and represents and warrants that such information is accurate: QUESTIONNAIRE
CRDENTIA CORP. By: /s/ Xxxxx X. Xxxxxx -------------------------- Xxxxx X. Xxxxxx Chief Executive Officer NOTEHOLDER: THE XXXXXX TRUST, XXXXXX X. XXXXXX TRUSTEE, DATED 1/7/2000 By: /s/ Xxxxxx X. XxXxxx --------------------------- Xxxxxx X. XxXxxx Trustee [SIGNATURE PAGE TO AMENDMENT TO PROMISSORY NOTE]
