Common use of FUNDAMENTAL CHANGE PURCHASE OFFER ACCEPTANCE NOTICE Clause in Contracts

FUNDAMENTAL CHANGE PURCHASE OFFER ACCEPTANCE NOTICE. If you elect to have this Interest Security purchased by the Company pursuant to the applicable provisions of the Indenture, check the box:  If you elect to have only part of this Interest Security purchased by the Company, state the Principal Amount to be purchased (which must be $1,000 or an integral multiple of $1.00 in excess thereof): $_________________________________ The undersigned hereby accepts the Fundamental Change Purchase Offer pursuant to the applicable provisions of the Interest Securities. Date: Signed: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Security Registrar, which requirements include membership or participation in the Security Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Security Registrar in addition to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended. If Certificated Interest Securities have been issued, the certificate numbers shall be stated in this notice.

Appears in 2 contracts

Samples: Restructuring and Note Purchase Agreement (Gold Reserve Inc), Indenture (Gold Reserve Inc)

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FUNDAMENTAL CHANGE PURCHASE OFFER ACCEPTANCE NOTICE. If you elect to have this Interest 2015 Security purchased by the Company pursuant to the applicable provisions of the Indenture, check the box:  If you elect to have only part of this Interest 2015 Security purchased by the Company, state the Principal Amount to be purchased (which must be $1,000 or an integral multiple of $1.00 in excess thereof): $_________________________________ The undersigned hereby accepts the Fundamental Change Purchase Offer pursuant to the applicable provisions of the Interest 2015 Securities. Date: Signed: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Security Registrar, which requirements include membership or participation in the Security Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Security Registrar in addition to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended. If Certificated Interest 2015 Securities have been issued, the certificate numbers shall be stated in this notice.

Appears in 2 contracts

Samples: Restructuring and Note Purchase Agreement (Gold Reserve Inc), Indenture (Gold Reserve Inc)

FUNDAMENTAL CHANGE PURCHASE OFFER ACCEPTANCE NOTICE. If you elect to have this 2018 Interest Security purchased by the Company pursuant to the applicable provisions of the Indenture, check the box:  If you elect to have only part of this 2018 Interest Security purchased by the Company, state the Principal Amount to be purchased (which must be $1,000 or an integral multiple of $1.00 in excess thereof): $_________________________________ The undersigned hereby accepts the Fundamental Change Purchase Offer pursuant to the applicable provisions of the 2018 Interest Securities. Date: Signed: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Security Registrar, which requirements include membership or participation in the Security Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Security Registrar in addition to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended. If Certificated 2018 Interest Securities have been issued, the certificate numbers shall be stated in this notice.

Appears in 1 contract

Samples: Fourth Supplemental Indenture (Gold Reserve Inc)

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FUNDAMENTAL CHANGE PURCHASE OFFER ACCEPTANCE NOTICE. If you elect to have this Interest 2018 Security purchased by the Company pursuant to the applicable provisions of the Indenture, check the box:  If you elect to have only part of this Interest 2018 Security purchased by the Company, state the Principal Amount to be purchased (which must be $1,000 or an integral multiple of $1.00 in excess thereof): $_________________________________ The undersigned hereby accepts the Fundamental Change Purchase Offer pursuant to the applicable provisions of the Interest 2018 Securities. Date: Signed: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee: Note: Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the Security Registrar, which requirements include membership or participation in the Security Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Security Registrar in addition to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended. If Certificated Interest 2018 Securities have been issued, the certificate numbers shall be stated in this notice.

Appears in 1 contract

Samples: Fourth Supplemental Indenture (Gold Reserve Inc)

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