Date of Conversion. Conversion Price: --------------------------------------------------------- Shares To Be Delivered: --------------------------------------------------------- Signature: --------------------------------------------------------- Print Name: --------------------------------------------------------- Address: ---------------------------------------------------------
Appears in 2 contracts
Samples: Secured Convertible Note (Creative Vistas Inc), Note Agreement (Ventures National Inc)
Date of Conversion. Conversion Price: --------------------------------------------------------- -------------------------------------------------------- Shares To Be Delivered: --------------------------------------------------------- -------------------------------------------------------- Signature: --------------------------------------------------------- -------------------------------------------------------- Print Name: --------------------------------------------------------- -------------------------------------------------------- Address: -----------------------------------------------------------------------------------------------------------------
Appears in 2 contracts
Samples: Secured Revolving Note (Gvi Security Solutions Inc), Secured Convertible Minimum Borrowing Note (Gvi Security Solutions Inc)
Date of Conversion. Conversion Price: --------------------------------------------------------- --------------------------------------------------- Shares To Be Delivered: --------------------------------------------------------- --------------------------------------------------- Signature: --------------------------------------------------------- --------------------------------------------------- Print Name: --------------------------------------------------------- --------------------------------------------------- Address: ------------------------------------------------------------------------------------------------------------ Holder DWAC instructions ---------------------------------------------------
Appears in 1 contract
Samples: Secured Convertible Note (Conversion Services International Inc)
Date of Conversion. Conversion Price: --------------------------------------------------------- --------------------------------------------------------------- Shares To Be Delivered: --------------------------------------------------------- Signature: --------------------------------------------------------- Print Name: --------------------------------------------------------- Address: ---------------------------------------------------------
Appears in 1 contract
Samples: Secured Revolving Note (Catalyst Lighting Group Inc)
Date of Conversion. Conversion Price: --------------------------------------------------------- :_____________________________________________________________________ Shares To Be Delivered: --------------------------------------------------------- :_________________________________________________________________ Signature: --------------------------------------------------------- Print Name: --------------------------------------------------------- Address: ---------------------------------------------------------:_________________________________________________________________
Appears in 1 contract
Samples: Subscription Agreement (Cybertel Communications Corp)
Date of Conversion. Conversion Price: --------------------------------------------------------- --------------------------------------------------------------- Shares To Be Delivered: --------------------------------------------------------- Signature: --------------------------------------------------------- ---------------------------------------------------------------------- Print Name: --------------------------------------------------------- --------------------------------------------------------------------- Address: --------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------
Appears in 1 contract
Date of Conversion. Conversion Price: --------------------------------------------------------- ------------------------------------------------------ Shares To Be Delivered: --------------------------------------------------------- ------------------------------------------------------ Signature: --------------------------------------------------------- ------------------------------------------------------ Print Name: --------------------------------------------------------- ------------------------------------------------------ Address: ---------------------------------------------------------------------------------------------------------------
Appears in 1 contract
Samples: Secured Convertible Minimum Borrowing Note (Bp International Inc)
Date of Conversion. Conversion Price: --------------------------------------------------------- --------------------------------------------------- Shares To Be Delivered: --------------------------------------------------------- --------------------------------------------------- Signature: --------------------------------------------------------- --------------------------------------------------- Print Name: --------------------------------------------------------- --------------------------------------------------- Address: ------------------------------------------------------------------------------------------------------------
Appears in 1 contract
Samples: Secured Revolving Note (Conversion Services International Inc)
Date of Conversion. Conversion Price: --------------------------------------------------------- ----------------------------------------------------- Shares To Be Delivered: --------------------------------------------------------- ----------------------------------------------------- Signature: --------------------------------------------------------- ----------------------------------------------------- Print Name: --------------------------------------------------------- ----------------------------------------------------- Address: --------------------------------------------------------------------------------------------------------------
Appears in 1 contract
Date of Conversion. Conversion Price: --------------------------------------------------------- -------------------------------------------------------------- Shares To Be Delivered: --------------------------------------------------------- -------------------------------------------------------- Signature: --------------------------------------------------------- --------------------------------------------------------------------- Print Name: --------------------------------------------------------- -------------------------------------------------------------------- Address: -------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Schedule 4.1(e) Judgments
Appears in 1 contract
