EXCHANGE NOTICE. If you want to exchange this Note into Ordinary Shares of the Guarantor, check the box: To exchange only part of this Note, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is $200,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 Attention: Xxxx Xxxxxxxx Facsimile: (000) 000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited (the “Issuer” or the “Company”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereof) below designated, and (2) if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.
Appears in 1 contract
Samples: Indenture (Jazz Pharmaceuticals PLC)
EXCHANGE NOTICE. If you want to exchange being the bearer of this Note into Ordinary Shares Permanent Global Instrument at the time of its deposit with the Fiscal Agent at its specified office for the purposes of the GuarantorInstruments, check hereby exercises the box: To exchange only option set out above to have this Permanent Global Instrument exchanged in whole or in part of this Note, state the principal amount to be exchanged (provided that the for Instruments in [definitive/registered form/[ ] in aggregate principal amount of this Note not so exchanged is $200,000 or an integral multiple Instruments in definitive form and [ ] in aggregate principal amount of $1,000 Instruments in excess thereof): $ If you want registered form]* and directs that such Instruments in definitive form be made available for collection by it from the share certificateFiscal Agent’s specified office and that such Instruments in registered form be made available in accordance with the terms and conditions applicable to the Instruments represented hereby and the Fiscal Agency Agreement. By: * Delete and complete, if anyas appropriate FORM OF DEFINITIVE INSTRUMENT (“ISMA” FORMAT) [On the face of the Instrument:] THIS INSTRUMENT HAS NOT BEEN AND WILL NOT BE REGISTERED UNDER THE U.S. SECURITIES ACT OF 1933, made out AS AMENDED (THE “SECURITIES ACT”), AND MAY NOT BE OFFERED OR SOLD WITHIN THE UNITED STATES OR TO, OR FOR THE ACCOUNT OR BENEFIT OF, U.S. PERSONS EXCEPT IN CERTAIN TRANSACTIONS EXEMPT FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT. TERMS USED IN THIS PARAGRAPH HAVE THE MEANINGS GIVEN TO THEM BY REGULATION S UNDER THE SECURITIES ACT. (incorporated with limited liability in another person’s name, fill Guernsey)] (incorporated in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an State of Delaware with limited liability)] statutory domicile at Amsterdam)] [ ] (the “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Transfer Agent Medallion Program (“STAMPIssuer”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMPfor value received promises, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 Attention: Xxxx Xxxxxxxx Facsimile: (000) 000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited (terms and conditions [endorsed hereon/attached hereto] [and the “Issuer” or the “Company”) as pricing supplement referred to therein and prepared in relation to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer Instruments (“Pricing Supplement”)] to pay to the registered holder bearer upon presentation and, if appropriate, surrender hereof on [maturity date] [by [ ] [equal] successive [semi-annual/quarterly/other] instalments on the dates specified in the Pricing Supplement](18) or on such earlier date as the same may become payable in accordance therewith the principal amount of: [(, in the case of payment on such earlier date, as reduced from time to time in accordance with such terms and conditions)](19) or such other redemption amount as may be specified therein [and to pay in arrear on the applicable provisions of the Indenture referred to in this Note (1) the entire dates specified therein interest on such principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereof) below designated, and (2) if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.amount
Appears in 1 contract
EXCHANGE NOTICE. If you want to exchange this Note into Ordinary Shares ADSs of the Guarantor, check the box: To exchange only part of this Note, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is which must be $200,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank Wilmington Trust, National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. XxxxX. Xxxxx Xxxxxx, MN 55107-2292 Xxxxx 0000 Minneapolis, MN55402 Attention: Xxxx Xxxxxxxx Corsicanto II Designated Activity Company Account Manager Facsimile: (000) -000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited Corsicanto II Designated Activity Company (the “Issuer” or the “Company”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Purchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (that is $200,000 principal amount or an integral multiple of $1,000 thereof) below designated, and (2) if such Fundamental Change Purchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Purchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever. The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Corsicanto II Designated Activity Company (the “Issuer”) as to the occurrence of the Repurchase Date and specifying the Repurchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereofthereafter) below designated, and (2) if such Fundamental Change the Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change the Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever. Signature Guarantee Signature(s) must be guaranteed by an eligible Guarantor Institution (banks, stock brokers, savings and loan associations and credit unions) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15 if Notes are to be delivered, other than to and in the name of the registered holder.
Appears in 1 contract
Samples: Indenture (Amarin Corp Plc\uk)
EXCHANGE NOTICE. If you want to exchange this Note into Ordinary Shares of the Guarantor, check the box: To exchange only part of this Note, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is $200,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 Attention: Xxxx Xxxxxxxx Facsimile: (000) 000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited (the “IssuerCompany” or the “CompanyIssuer”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereof) below designated, and (2) if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.
Appears in 1 contract
Samples: Indenture (Jazz Pharmaceuticals PLC)
EXCHANGE NOTICE. If you want to exchange this Note into Ordinary Shares ADSs of the Guarantor, check the box: To exchange only part of this Note, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is which must be $200,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank Xxxxx Fargo Bank, National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EPMAC X0000-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx000, MN 55107-2292 000Xxxxxxxxx Xxx. Xxxxx Xxxxxxxxxxx, XX 00000 Attention: Xxxx Xxxxxxxx Corsicanto Ltd. Account Manager Facsimile: (000) -000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Corsicanto Limited (the “Issuer” or the “Company”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Purchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (that is $200,000 principal amount or an integral multiple of $1,000 thereof) below designated, and (2) if such Fundamental Change Purchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Purchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever. The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Corsicanto Limited (the “Issuer”) as to the occurrence of a Repurchase Date and specifying the Repurchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereofthereafter) below designated, and (2) if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever. Signature Guarantee Signature(s) must be guaranteed by an eligible Guarantor Institution (banks, stock brokers, savings and loan associations and credit unions) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15 if Notes are to be delivered, other than to and in the name of the registered holder.
Appears in 1 contract
Samples: Indenture (Amarin Corp Plc\uk)
EXCHANGE NOTICE. If you want to To exchange this Note into Ordinary Shares Security for Common Stock of the GuarantorNRF, check the box: To exchange only part of this NoteSecurity for Common Stock of NRF, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is must be $200,000 1,000 or an integral multiple of $1,000): $ . The undersigned Holder of this Security hereby irrevocably exercises the option to exchange this Security, or any portion of the principal amount hereof (which is U.S. $1,000 or an integral multiple of U.S. $1,000 in excess thereof): $ , provided that the unconverted portion of such principal amount is U.S. $1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Common Stock in accordance with the terms of the Indenture referred to in this Security, and directs that such shares, together with a check in payment for any fractional share, any Interest Make-Whole Payment, if and as applicable and any Securities representing any unconverted principal amount hereof, be delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or Securities are to be registered in the name of a Person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto. If you want the share certificate, if any, stock certificate made out in another person’s name, fill in the form below: Your Signature GuaranteeDate: Note(Sign exactly as your name appears on the other side of this Security) * Signature guaranteed by: Signatures * The signature must be guaranteed by an “eligible guarantor institution” meeting the requirements institution which is a member of one of the Registrar, which requirements include membership or participation in following recognized signature guaranty programs: (i) the Note Securities Transfer Agent Medallion Program (“STAMP”); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other “signature guarantee program” as may be determined by guaranty program acceptable to the Registrar in addition toTrustee. SCHEDULE OF EXCHANGES OF SECURITIES The following exchanges, redemptions or in substitution for, STAMP, all in accordance with the Exchange Act purchases of 1934, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 Attention: Xxxx Xxxxxxxx Facsimile: (000) 000-0000 The undersigned registered owner a part of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited Global Security have been made: Re: 11.50% Exchangeable Senior Notes due 2013 (the “Issuer” Securities”) of NRFC NNN Holdings, LLC. This certificate relates to $ principal amount of Securities owned in (check applicable box) o book-entry or o definitive form by (the “Transferor”). The Transferor has requested a Registrar or the “Company”) as Trustee to exchange or register the transfer of such Securities. In connection with such request and in respect of each such Security, the Transferor does hereby certify that the Transferor is familiar with transfer restrictions relating to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer to pay to the registered holder hereof Securities as provided in accordance with the applicable provisions Section 2.14 of the Indenture referred to in this Note (1) the entire principal amount dated as of this NoteMay 28, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereof) below designated2008 among NRFC NNN Holdings, LLC, as Issuer, NorthStar Realty Finance Corp., NorthStar Realty Finance Limited Partnership and NRFC Sub-REIT Corp., as Guarantors, and Wilmington Trust Company, as trustee (2) if the “Indenture”), and the transfer of such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior Security is being made pursuant to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.check applicable box):
Appears in 1 contract
Samples: Indenture (Northstar Realty)
EXCHANGE NOTICE. If you want to exchange being the bearer of this Note into Ordinary Shares Permanent Global Instrument at the time of its deposit with the Fiscal Agent at its specified office for the purposes of the GuarantorInstruments, check hereby exercises the box: To exchange only option set out above to have this Permanent Global Instrument exchanged in whole or in part of this Note, state the principal amount to be exchanged (provided that the for Instruments in [definitive/registered form/[ ] in aggregate principal amount of this Note not so exchanged is $200,000 or an integral multiple Instruments in definitive form and [ ] in aggregate principal amount of $1,000 Instruments in excess thereof): $ If you want registered form]* and directs that such Instruments in definitive form be made available for collection by it from the share certificateFiscal Agent’s specified office and that such Instruments in registered form be made available in accordance with the terms and conditions applicable to the Instruments represented hereby and the Fiscal Agency Agreement. * Delete and complete, if any, made out in another person’s name, fill in as appropriate FORM OF DEFINITIVE INSTRUMENT (“ISMA” FORMAT) [On the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements face of the RegistrarInstrument:] THIS INSTRUMENT HAS NOT BEEN AND WILL NOT BE REGISTERED UNDER THE U.S. SECURITIES ACT OF 1933, which requirements include membership or participation in AS AMENDED (THE “SECURITIES ACT”), AND MAY NOT BE OFFERED OR SOLD WITHIN THE UNITED STATES OR TO, OR FOR THE ACCOUNT OR BENEFIT OF, U.S. PERSONS EXCEPT IN CERTAIN TRANSACTIONS EXEMPT FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT. TERMS USED IN THIS PARAGRAPH HAVE THE MEANINGS GIVEN TO THEM BY REGULATION S UNDER THE SECURITIES ACT. [ ] (the Note Transfer Agent Medallion Program (“STAMPIssuer”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMPfor value received promises, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 Attention: Xxxx Xxxxxxxx Facsimile: (000) 000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited terms and conditions [endorsed hereon/attached hereto] [and the pricing supplement referred to therein and prepared in relation to the Instruments (the “Issuer” or the “CompanyPricing Supplement”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer )] to pay to the registered holder bearer upon presentation and, if appropriate, surrender hereof on [maturity date] [by [ ] [equal] successive [semi-annual/quarterly/other] instalments on the dates specified in the Pricing Supplement](12) or on such earlier date as the same may become payable in accordance therewith the principal amount of: or such other redemption amount as may be specified therein [and to pay in arrear on the dates specified therein interest on such principal amount at the rate or rates specified therein, all subject to and in accordance with the applicable provisions such terms and conditions]. [This [title of Instrument] shall not/Neither this [title of Instrument] nor any of the Indenture referred to in interest coupons appertaining hereto shall] be valid for any purpose until this Note (1) the entire principal amount [title of this NoteInstrument] has been authenticated for and on behalf of Fortis Banque Luxembourg S.A., or the portion thereof (provided that the principal amount as fiscal agent. This [title of this Note not so repurchased Instrument] is $200,000 principal amount or an integral multiple of $1,000 in excess thereof) below designatedgoverned by, and (2) if such Fundamental Change Repurchase Date does not fall during shall be construed in accordance with, English law. AS WITNESS the period after a Regular Record Date and facsimile signature of two duly authorised officers on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers behalf of the Notes to be repurchased are Issuer. By: [facsimile signature] By: [facsimile signature] ISSUED in [ ] as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.[ ] [ ]
Appears in 1 contract
Samples: Fiscal Agency Agreement (Abb LTD)
EXCHANGE NOTICE. If you want to exchange being the bearer of this Global Note into Ordinary Shares at the time of its deposit with the Principal Paying Agent at its specified office for the purposes of the GuarantorNotes, check hereby exercises the box: To exchange only part of option to have this Note, state the principal amount to be Global Note exchanged (provided that the in whole for [Notes in definitive/registered form/[ ] in aggregate principal amount of Notes in definitive form and [ ] in aggregate principal amount of Notes in registered form] and directs that such Notes in definitive form be made available for collection by it from the Principal Paying Agent’s specified office and that such Notes in registered form be made available in accordance with the terms and conditions applicable to the Registered Notes represented hereby and the Paying Agency Agreement. .................................................................. By: (duly authorised) 1[This Note constitutes 2[[commercial paper]/[a shorter/a longer] term debt security] issued in accordance with regulations made under section 4 of the Banking Xxx 0000. The issuer of this Note is [NAME OF ISSUER], which is not so exchanged is $200,000 an authorised institution or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill a European authorised institution (as such terms are defined in the form below: Signature Guarantee: Note: Signatures Banking Xxx 0000 (Exempt Transactions) Regulations 1997). Repayment of the principal and payment of any interest or premium in connection with this Note have been guaranteed by 3 [ ], [which is not] [none of which is] an authorised institution or a European authorised institution.] [On the face of the Notes:] [Denomination] [ANY UNITED STATES PERSON (AS DEFINED IN THE INTERNAL REVENUE CODE OF THE UNITED STATES) WHO HOLDS THIS OBLIGATION WILL BE SUBJECT TO LIMITATIONS UNDER THE UNITED STATES INCOME TAX LAWS, INCLUDING THE LIMITATIONS PROVIDED IN SECTIONS 165(j) AND 1287(a) OF THE INTERNAL REVENUE CODE.]4 [By accepting this obligation, the holder represents and warrants that it is not a United States person (other than an exempt recipient described in Section 6049(b)(4) of the Internal Revenue Code of the United States and the regulations thereunder) and that it is not acting for or on behalf of a United States person (other than an exempt recipient described in Section 6049(b)(4) of the Internal Revenue Code and the regulations thereunder).]5 1 Unless otherwise permitted, text to be included for all Notes (including Notes denominated in sterling) in respect of which the issue proceeds are accepted by the Issuer in the UK. 2 Include “commercial paper” if Notes must be guaranteed redeemed before their first anniversary. Include “shorter” if Notes may not be redeemed before their first anniversary but must be redeemed before their third anniversary. Include “longer” if Notes may not be redeemed before their third anniversary. 3 Insert name of Guarantor. 4 Include bracketed language on all Notes with maturities of more than 183 days. 5 Include bracketed language on all Notes issued by Unilever Capital Corporation with maturities of 183 days or less. [UNILEVER N.V., a company having its corporate seat in Rotterdam, The Netherlands/UNILEVER PLC/UNILEVER CAPITAL CORPORATION]1 [UNILEVER PLC/UNILEVER N.V., a company having its corporate seat in Rotterdam, The Netherlands/UNILEVER N.V., a company having its corporate seat in Rotterdam, The Netherlands, UNILEVER PLC AND UNILEVER UNITED STATES, INC. on a joint and several basis]1 This [title of Notes] forms one of a series of [title of Notes] (the “Notes”) in an aggregate principal amount of [insert aggregate principal amount of series] issued by [Unilever N.V./Unilever PLC/Unilever Capital Corporation] as issuer (the “eligible guarantor institution” meeting Issuer”) and has the requirements benefit of the Registrarguarantee of [Unilever PLC/Unilever N.V./Unilever N.V., which requirements include membership or participation Unilever PLC and Unilever United States, Inc. on a joint and several basis]1 (the “Guarantor” contained in the Note Transfer Agent Medallion Program trust deed defined below) and is issued pursuant to a trust deed (the “STAMP”Trust Deed” which expression shall include any amendments or supplements thereto) or such dated 22nd July 1994 and made between, inter alios, the Issuer and the other “signature guarantee program” companies named therein as may be determined by issuers, the Registrar in addition toGuarantor and The Law Debenture Trust Corporation p.l.c., or in substitution for, STAMPas trustee. The Issuer for value received promises, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 Attention: Xxxx Xxxxxxxx Facsimile: (000) 000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited (terms and conditions [endorsed hereon/attached hereto/incorporated by reference herein] and the “Issuer” or the “Company”) as Pricing Supplement referred to therein and prepared in relation to the occurrence of a Fundamental Change with respect to Notes and the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer Trust Deed, to pay to the registered holder bearer upon surrender hereof on [maturity date] [by [ ] [equal] successive [semi-annual/quarterly/other] instalments on the dates specified in the Pricing Supplement]2 or on such earlier date as the same may become payable in accordance therewith the principal amount of: [(as reduced from time to time in accordance with such terms and conditions)]2 or such other redemption amount as may be specified therein [and to pay in arrear on the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that dates specified therein interest on the principal amount of this Note not so repurchased is $200,000 principal amount hereof [(as reduced from time to time in accordance with such terms and conditions)]2 at the rate or an integral multiple of $1,000 in excess thereof) below designated, and (2) if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whateverrates specified therein]3.
Appears in 1 contract
Samples: Trust Deed (Unilever PLC)
EXCHANGE NOTICE. If you want to exchange this Note into Ordinary Shares ADSs of the Guarantor, check the box: To exchange only part of this Note, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is which must be $200,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank Wilmington Trust, National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. XxxxX. Xxxxx Xxxxxx, MN 55107-2292 Xxxxx 0000 Xxxxxxxxxxx, XX00000 Attention: Xxxx Xxxxxxxx Corsicanto Ltd. Account Manager Facsimile: (000) -000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Corsicanto Limited (the “Issuer” or the “Company”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Purchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (that is $200,000 principal amount or an integral multiple of $1,000 thereof) below designated, and (2) if such Fundamental Change Purchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Purchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever. The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Corsicanto Limited (the “Issuer”) as to the occurrence of a Repurchase Date and specifying the Repurchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereofthereafter) below designated, and (2) if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever. Signature Guarantee Signature(s) must be guaranteed by an eligible Guarantor Institution (banks, stock brokers, savings and loan associations and credit unions) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15 if Notes are to be delivered, other than to and in the name of the registered holder.
Appears in 1 contract
Samples: Indenture (Amarin Corp Plc\uk)
EXCHANGE NOTICE. If you want to exchange this Note into Ordinary Shares ADSs of the GuarantorIssuer, check the box: ¨ To exchange only part of this Note, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is $200,000 or an integral multiple of $1,000 in excess thereof): exchanged: $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Securities Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EPAmarin Corporation plc 0 Xxxxxxxx Xxxxx Xxxxx Xxxxxxxx Xxxxxx 00-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx0, MN 55107-2292 Xxxxxxx Attention: Xxxx Xxxxxxxx VP of Finance Facsimile: (000) -000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited Amarin Corporation plc (the “Issuer” or the “Company”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date Purchase Date, and requests and instructs the Issuer to pay to the registered holder Holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note Note, (1) the entire principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereof) below designated, and (2) if such Fundamental Change Repurchase Purchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Purchase Date. In the case of Physical Notes, the The certificate numbers of the Notes to be repurchased are as set forth belowforth: . Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever. The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Amarin Corporation plc (the “Issuer”) as to the occurrence of a Repurchase Date and specifying the Repurchase Date, and requests and instructs the Issuer to pay to the registered Holder hereof in accordance with the applicable provisions of this Note, (1) the entire principal amount of this Note, or the portion thereof below designated, and (2) if such Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Repurchase Date. The certificate numbers of the Notes to be repurchased are as set forth: . Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever. Signature Guarantee Signature(s) must be guaranteed by an “eligible guarantor institution” (banks, stock brokers, savings and loan associations and credit unions) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15 if Notes are to be delivered, other than to and in the name of the registered holder.
Appears in 1 contract
EXCHANGE NOTICE. If you want to exchange this Note into cash, Ordinary Shares of the GuarantorGuarantor or a combination of cash and Ordinary Shares, at the Issuer’s election, check the box: To exchange only part of this Note, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is $200,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 Attention: Xxxx Xxxxxxxx – Horizon Pharma Corporate Trust Administrator Facsimile: (000) 000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Horizon Pharma Investment Limited (the “Issuer” or the “Company”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereof) below designated, and (2) if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.
Appears in 1 contract
Samples: Indenture (Horizon Pharma PLC)
EXCHANGE NOTICE. If you want to exchange being the bearer of this Global Note into Ordinary Shares at the time of its deposit with the Fiscal Agent at its specified office for the purposes of the GuarantorNotes, check hereby exercises the boxoption to have this Global Note exchanged in whole for Notes in definitive form and directs that such Notes in definitive form be made available for collection by it from the Fiscal Agent's specified office. By: To exchange only part of this Note, state …………………………….. SCHEDULE 3 [On the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is $200,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements face of the RegistrarNote:] [ANY UNITED STATES PERSON WHO HOLDS THIS OBLIGATION WILL BE SUBJECT TO LIMITATIONS UNDER THE UNITED STATES INCOME TAX LAWS, which requirements include membership or participation in INCLUDING THE LIMITATIONS PROVIDED IN SECTIONS 165(j) AND 1287(a) OF THE INTERNAL REVENUE CODE.]6 [UNLESS BETWEEN INDIVIDUALS NOT ACTING IN THE CONDUCT OF A BUSINESS OR PROFESSION, EACH TRANSACTION REGARDING THIS NOTE WHICH INVOLVES THE PHYSICAL DELIVERY THEREOF WITHIN, FROM OR INTO THE NETHERLANDS, MUST BE EFFECTED (AS REQUIRED BY THE DUTCH SAVINGS CERTIFICATES ACT (WET INZAKE SPAARBEWIJZEN) OF 21 MAY 1985 (AS AMENDED)) THROUGH THE MEDIATION OF THE ISSUER OR A MEMBER FIRM OF EURONEXT AMSTERDAM N.V., ADMITTED IN A FUNCTION ON ONE OR MORE OF THE MARKETS OR SYSTEMS OPERATED BY EURONEXT AMSTERDAM N.V. AND MUST BE RECORDED IN A TRANSACTION NOTE WHICH INCLUDES THE NAME AND ADDRESS OF EACH PARTY TO THE TRANSACTION, THE NATURE OF THE TRANSACTION AND THE DETAILS AND SERIAL NUMBER OF THIS NOTE.]7 NORDEA BANK ABP (the Note Transfer Agent Medallion Program (“STAMP”"Issuer") or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMPfor value received promises, all in accordance with the Exchange Act of 1934terms and conditions [endorsed hereon/attached hereto] [and the final terms or, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxxthe case may be, MN 55107-2292 Attention: Xxxx Xxxxxxxx Facsimile: (000) 000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited (pricing supplement prepared by the “Issuer” or the “Company”) as Issuer in relation to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer Notes] to pay to the registered holder bearer upon surrender hereof on [maturity date] or on such earlier date as the same may become payable in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that therewith the principal amount of this Note not so repurchased is $200,000 of: [denomination in words and numerals] or such other redemption amount as may be specified in such terms and conditions and final terms or pricing supplement [and to pay in arrears on the dates specified therein interest on such principal amount at the rate or an integral multiple of $1,000 in excess thereof) below designated, and (2) rates specified therein]. 6 This legend can be deleted if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security have an initial maturity of 1 year or Other Taxpayer Identification Number Principal amount to be repaid (less or if less than all): $ ,000 NOTICE: The above signature(s) of TEFRA C is specified in the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whateverapplicable Final Terms.
Appears in 1 contract
Samples: Fiscal Agency Agreement
EXCHANGE NOTICE. If you want to exchange this Note into Ordinary Shares of the GuarantorNote, check the box: ☐ To exchange only part of this Note, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is $200,000 1,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Exchange Act of 1934, as amended. To: U.S. The Bank National Association of New York Mellon The Bank of New York Mellon 000 Xxxxxxxxx Xxxxxx, Xxxxx 0 Xxxx Xxx Xxxx, Xxx Xxxx 00000 Attention: Corporate Trust Services Global Corporate Trust Services MailcodeAdministration Re: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 Attention: Xxxx Xxxxxxxx Seaspan Corporation 3.75% Exchangeable Senior Notes due 2025 Facsimile: (000) -000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited Seaspan Corporation (the “Issuer” or the “Company”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 1,000 principal amount or an integral multiple of $1,000 in excess thereof) below designated, and (2) if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 1,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.
Appears in 1 contract
Samples: Indenture (Atlas Corp.)
EXCHANGE NOTICE. If you want to exchange this Note into Ordinary Shares Common Stock of the GuarantorCompany, check the box: ¨ To exchange only part of this Note, state the principal amount Principal Amount to be exchanged (provided which must be an amount such that the principal remaining amount of this Note not so exchanged is equal to $200,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Security Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended. To: U.S. Bank Xxxxx Fargo Bank, National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 [ ] Attention: Xxxx Xxxxxxxx [ ] Facsimile: (000) 000-0000 [ ] The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited Oclaro Luxembourg S.A. (the “Issuer” or the “Company”) as to the occurrence of a Fundamental Change with respect to the Issuer Company and specifying the Fundamental Change Repurchase Purchase Date and requests and instructs the Issuer Company to pay to the registered holder Holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided such that the principal remaining amount of this Note not so repurchased purchased is equal to $200,000 principal amount or an integral multiple of $1,000 in excess thereof) below designated, and (2) if such Fundamental Change Repurchase Purchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Purchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.
Appears in 1 contract
Samples: Indenture (Oclaro, Inc.)
EXCHANGE NOTICE. If you want to exchange this Note into Ordinary Shares of the Guarantor, check the box: To exchange only part of this Note, state the principal amount to be exchanged (provided that the principal amount of this Note not so exchanged is $200,000 or an integral multiple of $1,000 in excess thereof): $ If you want the share certificate, if any, made out in another person’s name, fill in the form below: Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Registrar, which requirements include membership or participation in the Note Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Registrar in addition to, or in substitution for, STAMP, all in accordance with the Exchange Act of 1934, as amended. To: U.S. Bank National Association Corporate Trust Services Global Corporate Trust Services Mailcode: EP-MN-WS3C 00 Xxxxxxxxxx Xxxxxx St. Xxxx, MN 55107-2292 Attention: Xxxx Xxxxxxxx Facsimile: (000) 000-0000 The undersigned registered owner of this Note hereby acknowledges receipt of a notice from Jazz Investments I Limited (the “Issuer” or the “Company”) as to the occurrence of a Fundamental Change with respect to the Issuer and specifying the Fundamental Change Repurchase Date and requests and instructs the Issuer to pay to the registered holder hereof in accordance with the applicable provisions of the Indenture referred to in this Note (1) the entire principal amount of this Note, or the portion thereof (provided that the principal amount of this Note not so repurchased is $200,000 principal amount or an integral multiple of $1,000 in excess thereof) below designated, and (2) if such Fundamental Change Repurchase Date does not fall during the period after a Regular Record Date and on or prior to the corresponding Interest Payment Date, accrued and unpaid interest, if any, thereon to, but excluding, such Fundamental Change Repurchase Date. In the case of Physical Notes, the certificate numbers of the Notes to be repurchased are as set forth below: Dated: Signature(s) Social Security or Other Taxpayer Identification Number Principal amount to be repaid (if less than all): $ ,000 NOTICE: The above signature(s) of the Holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.
Appears in 1 contract
Samples: Indenture (Jazz Pharmaceuticals PLC)