Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on March 23, 2012. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before May 22, 2012 through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.
Appears in 1 contract
Samples: Warrant Purchase Agreement (Corcept Therapeutics Inc)
Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on March 23April 15, 20122010. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before May 22June 14, 2012 2010 through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.
Appears in 1 contract
Samples: Warrant Purchase Agreement (Corcept Therapeutics Inc)
Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on March 23, 2012the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: owner”(1): Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before May 22, 2012 60 days after the date you complete this questionnaire through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.
Appears in 1 contract
Samples: Stock Purchase Agreement (Clearsign Combustion Corp)
Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on March 23, 2012the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before May 22July 16, 2012 2011, through the exercise of options, warrants or otherwise: _______________ Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.
Appears in 1 contract
Samples: Securities Purchase Agreement (World Surveillance Group Inc.)
Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on March 23, 2012the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before May 22July 1, 2012 2011, through the exercise of options, warrants or otherwise: _______________ Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.
Appears in 1 contract
Samples: Securities Purchase Agreement (World Surveillance Group Inc.)