Furnishing statement to employer. A copy of this statement has been furnished to the Company.
Furnishing statement to employer. A copy of this statement has been furnished to Novation Companies, Inc. Dated: [ ] Name: Xxxxxx X. Xxxxxxxxx c/o Novation Companies, Inc. 0000 Xxxxxxx Xxxxxx, Xxxxx 000 Xxxxxx Xxxx, XX 00000 Dear Sir: As Escrow Agent for the undersigned parties, Novation Companies, Inc., a Maryland corporation (the “Corporation”), and Xxxxxx X. Xxxxxx (“Director”), you are hereby authorized and directed to hold the Stock deposited with you pursuant to the terms of that certain Amended and Restated Restricted Stock Award Agreement (the “Agreement”) between the Corporation and the Director, to which a copy of these Joint Escrow Instructions is attached as Exhibit B, in accordance with the following instructions (capitalized terms used herein shall have the meanings set forth in the Agreement):
1. The Director irrevocably authorizes the Corporation to deposit with you the shares of Stock to be held by you hereunder and any additions and substitutions to said shares as defined in the Agreement. The Director does hereby irrevocably constitute and appoint you as his attorney-in-fact and agent for the term of this escrow to execute with respect to such securities all documents necessary or appropriate to make such securities negotiable and to complete any transaction herein contemplated. Subject to the provisions of the Agreement, the Director shall have all rights and privileges of a shareholder of the Corporation while the Stock is held by you.
2. Upon written request of the Director or the Director’s personal representative, the Corporation will confirm to you in writing the number of shares of Stock that are no longer subject to the forfeiture restrictions. Promptly after your receipt of such confirmation, you will deliver to the Director or the Director’s personal representative such number of shares of Stock as are not then subject to the forfeiture restrictions and have not been previously delivered to the Director or the Director’s personal representative. Such shares will be free of legends.
3. If at the time of termination of this escrow you should have in your possession any documents, securities, or other property belonging to the Director, you shall deliver all of same to the Director and shall be discharged of all further obligations hereunder.
4. Your duties hereunder may be altered, amended, modified or revoked only by a writing signed by all of the parties hereto.
5. You shall be obligated only for the performance of such duties as are specifically set forth here...
Furnishing statement to employer. A copy of this election has been furnished to the Company. Dated: , 2007 THE SECTION 83(b) ELECTION MUST BE FILED NO LATER THAN THIRTY (30) DAYS AFTER THE DATE ON WHICH THE SHARES ARE ISSUED TO YOU. ASSUMING A JANUARY 1, 2007 ISSUANCE, THE ELECTION WILL BE DUE NO LATER THAN JANUARY 31, 2007 (“DUE DATE”). Execute four copies of the Election.
a. Retain one executed copy for your files.
b. Deliver one executed copy to Xxxx Xxxxxx at the following address by the Due Date: LECG, LLC 0000 Xxxxxx Xxxxxx, Suite 600 Emeryville, CA 94608 Attention: Xxxx Xxxxxx, Stock Administrator
c. No later than the Due Date, mail one executed copy to the Internal Revenue Service location where your federal income tax returns are filed.
d. No later than the Due Date, mail one executed copy to the California Franchise Tax Board location where your California tax returns are filed. If your state tax return is not filed in California, provide the location where your state tax returns are filed. Inform Xxxx Xxxxxx if you expect to file income tax returns in multiple states. To insure that you have adequate proof of timely filing, all copies should be mailed to the tax authorities by certified mail, return receipt requested, with the certified mail receipt hand-canceled at the Post Office and retained as evidence of timely mailing.
Furnishing statement to employer. A copy of this statement has been furnished to Valley Financial Corporation.
Furnishing statement to employer. A copy of this statement has been furnished to Iatros Health Network, Inc. Dated: --------------- Signature: -------------------------------- Name: -------------------------------- INSTRUCTIONS FOR SECTION 83(B) ELECTION FORM:
1. Review and complete all items on this form, including: - Address and taxpayer identification number (i.e., Social Security number) (Item 1) - Date of transfer (Item 3) - Fair market value per share and in the aggregate (Item 5) - Signature and date (bottom)
2. Provide a copy of this form within 30 days of the date of transfer to: - Iatros Health Network, Inc. - Director, Internal Revenue Service Center, of the Service Center where you expect to file your income tax return
3. Attach a copy of this form to your 1999 Federal income tax return IATROS HEALTH NETWORK, INC. CHANGE OF CONTROL AGREEMENT THIS AGREEMENT made and entered into as of the 26th day of February, 1999, by and between Iatros Health Network, Inc., a Delaware corporation (the "Company") and Xxxxxxx X. Xxxxxxxx, an Executive Vice President of the Company (the "Executive"), and.
Furnishing statement to employer. A copy of this statement has been furnished to Quidel Corporation.
Furnishing statement to employer. A copy of this statement has been furnished to the Company. Dated: _________________ ___, _____ [Name] This PARTICIPANT INTEREST AGREEMENT (this “Agreement”) is made as of October 1, 2017, between AdTheorent Holding Company, LLC, a Delaware limited liability company (the “Company”), and the individual set forth on the signature page hereto (“Optionee”). Optionee is executing this Agreement in connection with Optionee’s receipt of Options (as defined below) pursuant to the AdTheorent Holding Company, LLC 2017 Interest Option Plan (the “Plan”), and employment with the Company and/or its Subsidiaries (each, an “AdTheorent Company” and together the “AdTheorent Companies”). Certain capitalized terms used herein are defined in Section 8 hereof. All capitalized terms not otherwise defined herein shall have the meanings set forth in the Plan, and to the extent not defined in the Plan, then as defined in the Operating Agreement or any Employment Agreement. This Agreement provides for the issuance to Optionee of options (each an “Option” and collectively, the “Options”) to purchase that number of Non-Voting Class C Interests set forth on the signature page hereto (collectively, the “Participant Interests”) subject to the terms and conditions set forth herein and in the Operating Agreement. The parties hereto agree as follows:
Furnishing statement to employer. A copy of this statement has been furnished to Littxx Xxxustries, Inc.
Furnishing statement to employer. A copy of this statement has been furnished to Date: Signature: Printed Name: 2005 Inducement Grant Stock Incentive Plan
Furnishing statement to employer. A copy of this statement has been furnished to Bancorp, as required by Reg. § 1.83(b)-2(d).
