Common use of Delivery of Warrant Shares Clause in Contracts

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 10 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

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Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 4 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. Warrant and, after delivery of such Warrant Shares, _____________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Warrant Shares remain subject to the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company EXHIBIT B ASSIGNMENT FORM VIVOS THERAPEUTICS, INC. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] assigned to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated __Name: (Please Print) Address: (Please Print) Dated: _______________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant__, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: ______ Holder’s Signature:__________________, ____________ Holder’s Signature: Holder’s Address: :_______________________________ NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoeverwhatever. Officers of corporations and those acting in a fiduciary or other representative capacity should file proper evidence of authority to assign the foregoing Warrant.

Appears in 4 contracts

Samples: Vivos Therapeutics, Inc., Vivos Therapeutics, Inc., Vivos Therapeutics, Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder ____________________________ Warrant Shares in accordance with the terms of the Warrant. _________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _________ Physical Delivery Address: Date: _______________ ____, _________ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: _____________________________, ______ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 3 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder _________________ Warrant Shares in accordance with the terms of the Warrant. ____________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: ____________ Physical Delivery Address: Date: ___:____________ ____, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated dated_________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: _______________ ____, ______ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 3 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder holder_________________ Warrant Shares in accordance with the terms of the Warrant. ____________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: ____________ Physical Delivery Address: Date: ___:____________ ____, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated dated_________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: _______________ ____, ______ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 3 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder ____________________________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: :________________ ___, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 3 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder holder_____________________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _:______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated dated_________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: ___:_______________, ______ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 3 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder _____________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _:______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: Date:_________________ __, ______ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 3 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder holder_________________ Warrant Shares in accordance with the terms of the Warrant. ____________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ ______Physical Delivery Address: Date: ___:____________ ____, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated dated_________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: _______________ ____, ______ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 3 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] American Stock Transfer & Trust Company, LLC to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]American Stock Transfer & Trust Company, LLC. PRESTO AUTOMATION INTERACTIVE STRENGTH INC. By: :________________________________ Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 3 contracts

Samples: Assignment Form (Interactive Strength, Inc.), Assignment Form (Interactive Strength, Inc.), Assignment Form (Interactive Strength, Inc.)

Delivery of Warrant Shares. The Company shall deliver to the holder ____________________ Warrant Shares in accordance with the terms of the Warrant. __________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: __________ Physical Delivery Address: Date: _____:__________ ___, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: ____________________, _____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 3 contracts

Samples: Presto Automation Inc., Presto Automation Inc., Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder Holder, or its designee or agent as specified below, __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery shall be made to Holder, or for its benefit, as follows: [ ] Check here if requesting delivery as a certificate to the following name and to the following address: Issue to: [ ] Check here if requesting delivery by Deposit/Withdrawal at Custodian as follows: DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Tax ID: Name: Email: Title: Telephone: Facsimile: EXHIBIT B EXHIBIT C ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature_to issue the above indicated number of Common Shares in accordance with the Transfer Agent Instructions dated _________, 20__, from the Company and acknowledged and agreed to by____________________________. PASITHEA THERAPEUTICS CORP. By: Holder’s Name: Title: ASSIGNMENT FORM (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.(Please Print)

Appears in 2 contracts

Samples: Warrant Agent Agreement (Pasithea Therapeutics Corp.), Warrant Agent Agreement (Pasithea Therapeutics Corp.)

Delivery of Warrant Shares. The Company shall deliver to the holder Holder, or its designee or agent as specified below, __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery shall be made to Holder, or for its benefit, as follows: [ ] Check here if requesting delivery as a certificate to the following name and to the following address: Issue to: [ ] Check here if requesting delivery by Deposit/Withdrawal at Custodian as follows: DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Tax ID: Name: Email: Title: Telephone: Facsimile: EXHIBIT B Bank Name: Account Name: Account Number: Routing Number: Bank Address: Account Address: EXHIBIT C ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature_to issue the above indicated number of Common Shares in accordance with the Transfer Agent Instructions dated _________, 20__, from the Company and acknowledged and agreed to by____________________________. BONE BIOLOGICS CORPORATION By: Holder’s Name: Title: ASSIGNMENT FORM (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.(Please Print)

Appears in 2 contracts

Samples: Warrant Agent Agreement (Bone Biologics Corp), Warrant Agent Agreement (Bone Biologics Corp)

Delivery of Warrant Shares. The Company shall deliver to the holder Holder, or its designee or agent as specified below, __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery shall be made to Holder, or for its benefit, as follows: [ ] Check here if requesting delivery as a certificate to the following name and to the following address: Issue to: [ ] Check here if requesting delivery by Deposit/Withdrawal at Custodian as follows: DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Tax ID: Name: Email: Title: Telephone: Facsimile: EXHIBIT B ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature_to issue the above indicated number of Common Shares in accordance with the Transfer Agent Instructions dated _________, 20__, from the Company and acknowledged and agreed to by____________________________. DIGITAL BRANDS GROUP, INC. By: Holder’s Name: Title: ASSIGNMENT FORM (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.(Please Print)

Appears in 2 contracts

Samples: Warrant Agent Agreement (Digital Brands Group, Inc.), Warrant Agent Agreement (Digital Brands Group, Inc.)

Delivery of Warrant Shares. The Company shall deliver to the holder Holder, or its designee or agent as specified below, __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Addressshall be made to Holder, or for its benefit, to the following address: Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] ______________ to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ , 2008 from the Company and acknowledged and agreed to by [TRANSFER AGENT]_______________. PRESTO AUTOMATION INC. NUTRACEA By: Name: Title: EXHIBIT B ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, [all of or the] [_______] shares of the foregoing Warrant and all rights evidenced thereby [with respect to such shares] are hereby assigned to whose address is . Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 1 contract

Samples: Nutracea

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. ________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: ________ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 1 contract

Samples: Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder Holder, or its designee or agent as specified below, __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery shall be made to Holder, or for its benefit, as follows: [ ] Check here if requesting delivery as a certificate to the following name and to the following address: Issue to: [ ] Check here if requesting delivery by Deposit/Withdrawal at Custodian as follows: DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Tax ID: Name: Email: Title: Telephone: Facsimile: EXHIBIT B ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature_to issue the above indicated number of Ordinary Shares in accordance with the Transfer Agent Instructions dated _________, 20__, from the Company and acknowledged and agreed to by____________________________. G MEDICAL INNOVATIONS HOLDINGS LTD. By: Holder’s Name: Title: ASSIGNMENT FORM (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.(Please Print)

Appears in 1 contract

Samples: Warrant Agent Agreement (G Medical Innovations Holdings Ltd.)

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____________ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 1 contract

Samples: Presto Automation Inc.

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Delivery of Warrant Shares. The Company shall deliver to the holder Holder, or its designee or agent as specified below, __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Addressshall be made to Holder, or for its benefit, to the following address: Date: _______________ ___, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from to issue the Company and acknowledged and agreed to by [TRANSFER AGENT]above indicated number of shares of Series D Preferred Stock in accordance with the terms of the Warrant. PRESTO AUTOMATION INC. NUTRACEA By: Name: Title: EXHIBIT B ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, [all of or the] [_______] shares of the foregoing Warrant and all rights evidenced thereby [with respect to such shares] are hereby assigned to whose address is . Dated: ______________, ____, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 1 contract

Samples: Nutracea

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _________________________ __, ___________________________ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ,______ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 1 contract

Samples: Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ ___________________________ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 1 contract

Samples: Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. Warrant and, after delivery of such Warrant Shares, __________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account NumberWarrant Shares remain subject to the Warrant. Date: _______________ Physical Delivery ____, _______ Name of Registered Holder By: Name: Title: Address: DateTax ID # EXHIBIT B ASSIGNMENT FORM GROWLIFE, INC. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: ______________________________________ (Please Print) Address: ______________________________________ (Please Print) Dated: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: Holder’s Signature:__________________, __ Holder’s Address:_____________________ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoeverwhatever. Officers of corporations and those acting in a fiduciary or other representative capacity should file proper evidence of authority to assign the foregoing Warrant.

Appears in 1 contract

Samples: Letter Agreement (Growlife, Inc.)

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. Warrant and, after delivery of such Warrant Shares, _____________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Warrant Shares remain subject to the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION Address: Tax I.D.# EXHIBIT B ASSIGNMENT FORM BTHC X, INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrantWarrant, execute this form and supply required information. Do not use this form to exercise the warrantpurchase shares.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Name: (Please Print) Address: (Please Print) Dated: _________________ __, ______ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoeverwhatever. Officers of corporations and those acting in a fiduciary or other representative capacity should file proper evidence of authority to assign the foregoing Warrant.

Appears in 1 contract

Samples: Letter Agreement (BTHC X Inc)

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ _______________________________ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 1 contract

Samples: Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. Warrant and, after delivery of such Warrant Shares, _____________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Warrant Shares remain subject to the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: :Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION Address: Tax I.D.# EXHIBIT B ASSIGNMENT FORM GROWLIFE, INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrantWarrant, execute this form and supply required information. Do not use this form to exercise the warrantpurchase shares.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Name: (Please Print) Address: (Please Print) Dated: _________________ __, ______ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoeverwhatever. Officers of corporations and those acting in a fiduciary or other representative capacity should file proper evidence of authority to assign the foregoing Warrant.

Appears in 1 contract

Samples: Letter Agreement (Growlife, Inc.)

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Accoutnt Name: Account Number: _______ Physical Delivery Address: Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 1 contract

Samples: Presto Automation Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder Holder, or its designee or agent as specified below, __________ Warrant Shares in accordance with the terms of the Warrant. _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Addressshall be made to Holder, or for its benefit, to the following address: Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] ______________ to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ , 2008 from the Company and acknowledged and agreed to by [TRANSFER AGENT]_______________. PRESTO AUTOMATION INC. NUTRACEA By: Name: Title: EXHIBIT B ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, [all of or the] [_______] shares of the foregoing Warrant and all rights evidenced thereby [with respect to such shares] are hereby assigned to whose address is . Dated: ______________, ____, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

Appears in 1 contract

Samples: Nutracea

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. Warrant and, after delivery of such Warrant Shares, _____________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Warrant Shares remain subject to the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company EXHIBIT B ASSIGNMENT FORM TITAN PHARMACEUTICALS, INC. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] assigned to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated __Name: (Please Print) Address: (Please Print) Dated: _______________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant__, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated: ______ Holder’s Signature:__________________, ____ Holder’s Signature: Holder’s Address: :_____________________ NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoeverwhatever. Officers of corporations and those acting in a fiduciary or other representative capacity should file proper evidence of authority to assign the foregoing Warrant.

Appears in 1 contract

Samples: Titan Pharmaceuticals Inc

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms name of the Warrant. undersigned holder or in the name of _______ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Date: _______________ __in accordance with the terms of the Warrant or by physical delivery of a certificate to: Date: , ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated _________________ [ ], 2024 from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION ELICIO THERAPEUTICS, INC. By: Name: Title: EXHIBIT B ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or [_______] shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is . Dated: __________________, ____ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.Signature Guaranteed:

Appears in 1 contract

Samples: Elicio Therapeutics, Inc.

Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms of the Warrant. Warrant and, after delivery of such Warrant Shares, _____________ Electronic Delivery DTC Participant: DTC Number: Account Name: Account Number: _______ Physical Delivery Address: Warrant Shares remain subject to the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title: ACKNOWLEDGMENT The Company EXHIBIT B ASSIGNMENT FORM TONIX PHARMACEUTICALS HOLDING CORP. (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby acknowledges this Exercise Notice and hereby directs [TRANSFER AGENT] assigned to issue the above indicated number of shares of Common Stock in accordance with the Transfer Agent Instructions dated __Name: (Please Print) Address: (Please Print) Dated: _______________ from the Company and acknowledged and agreed to by [TRANSFER AGENT]. PRESTO AUTOMATION INC. By: Name: Title: ASSIGNMENT FORM (To assign the foregoing warrant__, execute this form and supply required information. Do not use this form to exercise the warrant.) FOR VALUE RECEIVED, all of or shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to whose address is Dated______ Holder’s Signature: __________________, __ Holder’s Address: _____________________ Holder’s Signature: Holder’s Address: NOTE: The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoeverwhatever. Officers of corporations and those acting in a fiduciary or other representative capacity should file proper evidence of authority to assign the foregoing Warrant.

Appears in 1 contract

Samples: Tonix Pharmaceuticals Holding Corp.

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