IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: Trustee Name: Does the trust have assets greater than $5 million? YES NO Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? YES NO Indicate how often you invest in: (i) Marketable Securities Often ☐ Occasionally ☐ Seldom ☐ Never ☐ (ii) Restricted Securities Often ☐ Occasionally ☐ Seldom ☐ Never ☐ (iii) Venture Capital Companies Often ☐ Occasionally ☐ Seldom ☐ Never ☐ By signing this Questionnaire, I hereby confirm the following statements: (a) I am aware that the offering of the Securities will involve securities that are not transferable and for which no market exists, thereby requiring my investment to be maintained for an indefinite period of time. (b) I acknowledge that any delivery to me of transactions documents relating to the Securities prior to the determination by the Company of my suitability as an investor, shall not constitute an offer of such Securities until such determination of suitability shall be made, and I agree that I shall promptly return the transaction documents to the Company upon request. (c) My answers to the foregoing questions are, and were on any date (if any) that I previously purchased securities in the Company, true and complete to the best of my information and belief and were true on any date that I previously as of, and I will promptly notify the Company of any changes in the information I have provided. (Print Name) (Signature) (Print Name of Joint Investor) (Signature of Joint Investor) (Print Name of Entity) (Signature) (Print Name and Title of Person Signing) I, , am the of (the “Entity”). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of that certain Subscription Agreement dated as of_____________2022, by and between the Entity and Elite Performance Holding Corp. (the “Subscription Agreement”), and to purchase and hold the Securities (as defined in the Subscription Agreement), and certify further that the Subscription Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.
Appears in 1 contract
Samples: Subscription Agreement (Elite Performance Holding Corp)
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: Trustee Name: Does the trust have assets greater than $5 million? YES NO Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? YES NO Yes o No o Indicate how often you invest in:
(i) Marketable Securities Often ☐ o Occasionally ☐ o Seldom ☐ o Never ☐o
(ii) Restricted Securities Often ☐ o Occasionally ☐ o Seldom ☐ o Never ☐o
(iii) Venture Capital Companies Often ☐ o Occasionally ☐ o Seldom ☐ o Never ☐ o By signing this Questionnaire, I hereby confirm the following statements:
(a) I am aware that the offering of the Securities securities being offered by the Company in the Offering will involve securities that are not transferable and for which no market exists, thereby requiring my investment to be maintained for an indefinite period of time.
(b) I acknowledge that any delivery to me of transactions documents the Transaction Documents relating to the Securities securities being offered by the Company prior to the determination by the Company of my suitability as an investor, shall not constitute an offer of such Securities securities being offered by the Company until such determination of suitability shall be made, and I agree that I shall promptly return the transaction documents Transaction Documents to the Company upon request.
(c) My answers to the foregoing questions are, and were on any date (if any) that I previously purchased subscribed for securities in being offered by the Company, true and complete to the best of my information and belief and were true on any date that I previously as of, and I will promptly notify the Company of any changes in the information I have provided. Dated: ___________________________ __________________________________ ______________________________________ (Print Name) (Signature) __________________________________ ______________________________________ (Print Name of Joint Investor) (Signature of Joint Investor) __________________________________ ______________________________________ (Print Name of Entity) (Signature) ______________________________________ (Print Name and Title of Person Signing) I, , am the of (the “Entity”). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of that certain Subscription Agreement dated as of_____________2022, by and between the Entity and Elite Performance Holding Corp. (the “Subscription Agreement”), and to purchase and hold the Securities (as defined in the Subscription Agreement), and certify further that the Subscription Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.
Appears in 1 contract
Samples: Securities Purchase Agreement (Ads in Motion, Inc.)
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: Trustee Name: Does the trust have assets greater than $5 million? YES NO YES_______ NO_______ Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? YES NO YES_______ NO_______ Indicate how often you invest in:
(i) Marketable Securities Often ☐ o Occasionally ☐ o Seldom ☐ o Never ☐o
(ii) Restricted Securities Often ☐ o Occasionally ☐ o Seldom ☐ o Never ☐o
(iii) Venture Capital Companies Often ☐ o Occasionally ☐ o Seldom ☐ o Never ☐ o [Signature Page follows] By signing this Questionnaire, I hereby confirm the following statements:
(a) I am aware that the offering of the Securities will involve securities that are not transferable and for which no market exists, thereby requiring my investment to be maintained for an indefinite period of time.
(b) I acknowledge that any delivery to me of transactions documents relating to the Securities prior to the determination by the Company of my suitability as an investor, shall not constitute an offer of such Securities until such determination of suitability shall be made, and I agree that I shall promptly return the transaction documents to the Company upon request.
(c) My answers to the foregoing questions are, are and were on any date (if any) that I previously purchased securities in the Company, true and complete to the best of my information and belief and were true on any date that I previously as of, and I will promptly notify the Company of any changes in the information I have provided. Executed: Dated: ___________________________ __________________________________ ______________________________________ (Print Name) (Signature) __________________________________ ______________________________________ (Print Name of Joint Investor) (Signature of Joint Investor) __________________________________ ______________________________________ (Print Name of Entity) (Signature) ______________________________________ (Print Name and Title of Person Signing) I, ____________________________, am the ____________________________ of __________________________________________ (the “Entity”). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of that certain Subscription Agreement dated as of_____________2022of ________________ 2018, by and between the Entity and Elite Performance Holding Corp. (the “Subscription Agreement”), and to purchase and hold the Securities (as defined in the Subscription Agreement), and certify further that the Subscription Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.
Appears in 1 contract
Samples: Subscription Agreement (Elite Performance Holding Corp)
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: Trustee Name: Does the trust have assets greater than $5 million? YES NO Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? YES NO Indicate how often you invest in:
(i) Marketable Securities Often ☐ Occasionally ☐ Seldom ☐ Never ☐
(ii) Restricted Securities Often ☐ Occasionally ☐ Seldom ☐ Never ☐
(iii) Venture Capital Companies Often ☐ Occasionally ☐ Seldom ☐ Never ☐ By signing this Questionnaire, I hereby confirm the following statements:
(a) I am aware that the offering of the Securities will involve securities that are not transferable and for which no market exists, thereby requiring my investment to be maintained for an indefinite period of time.
(b) I acknowledge that any delivery to me of transactions documents relating to the Securities prior to the determination by the Company of my suitability as an investor, shall not constitute an offer of such Securities until such determination of suitability shall be made, and I agree that I shall promptly return the transaction documents to the Company upon request.
(c) My answers to the foregoing questions are, and were on any date (if any) that I previously purchased securities in the Company, true and complete to the best of my information and belief and were true on any date that I previously as of, and I will promptly notify the Company of any changes in the information I have provided. Dated: _____________________________ (Print Name) (Signature) (Print Name of Joint Investor) (Signature of Joint Investor) (Print Name of Entity) (Signature) (Print Name and Title of Person Signing) I, ________________________, am the __________________________ of _________________________ (the “Entity”). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of that certain Subscription Agreement dated as of_____________2022of 2020, by and between the Entity and Elite Performance Holding Corp. (the “Subscription Agreement”), and to purchase and hold the Securities (as defined in the Subscription Agreement), and certify further that the Subscription Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.
Appears in 1 contract
Samples: Subscription Agreement (Elite Performance Holding Corp)