Vendor Agreement Signature Form (Part 1)
SIGNATURE GUARANTEED All endorsements or assignments of ADRs must be guaranteed by a member of a Medallion Signature Program approved by the Securities Transfer Association, Inc.
Signature Signature For the participant For the institution
Contract Signature If the Original Form of Contract is not returned to the Contract Officer (as identified in Section 4) duly completed, signed and dated on behalf of the Supplier within 30 days of the date of signature on behalf of DFID, DFID will be entitled, at its sole discretion, to declare this Contract void.
Electronic and Digital Signatures The parties to this Agreement agree that any electronic and/or digital signatures of the parties included in this Agreement are intended to authenticate this writing and to have the same force and effect as the use of manual signatures.
Signature Guarantee If you want to have only part of the Security purchased by the Company pursuant to Section 4.09 or Section 4.14 of the Indenture, state the amount you elect to have purchased: OPTION OF HOLDER TO ELECT PURCHASE $_________________ If you want to elect to have all or any part of this Security purchased by the Company pursuant to Section 4.09 or Section 4.14 of the ------------ ------------ Indenture, check the appropriate box: Your Signature: ____________________________________ (Sign exactly as your name appears on the face of this Security) ___________________________ Signature Guaranteed EXHIBIT B --------- FORM OF LEGEND FOR GLOBAL SECURITIES Any Global Security authenticated and delivered hereunder shall bear a legend (which would be in addition to any other legends required in the case of a Restricted Security) in substantially the following form: THIS SECURITY IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE HEREINAFTER REFERRED TO AND IS REGISTERED IN THE NAME OF A DEPOSITORY OR A NOMINEE OF A DEPOSITORY. THIS NOTE IS NOT EXCHANGEABLE FOR SECURITIES REGISTERED IN THE NAME OF A PERSON OTHER THAN THE DEPOSITORY OR ITS NOMINEE EXCEPT IN THE LIMITED CIRCUMSTANCES DESCRIBED IN THE INDENTURE, AND NO TRANSFER OF THIS SECURITY (OTHER THAN A TRANSFER OF THIS SECURITY AS A WHOLE BY THE DEPOSITORY TO A NOMINEE OF THE DEPOSITORY OR BY A NOMINEE OF THE DEPOSITORY TO THE DEPOSITORY OR ANOTHER NOMINEE OF THE DEPOSITORY) MAY BE REGISTERED EXCEPT IN THE LIMITED CIRCUMSTANCES DESCRIBED IN THE INDENTURE. UNLESS THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY TRUST COMPANY (A NEW YORK CORPORATION) ("DTC") TO THE COMPANY OR ITS AGENT FOR REGISTRATION OF TRANSFER, EXCHANGE, OR PAYMENT, AND ANY CERTIFICATE ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR IN SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRE SENTATIVE OF DTC (AND ANY PAYMENT IS MADE TO CEDE & CO. OR SUCH OTHER ENTITY AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN. EXHIBIT C --------- Form of Certificate To Be Delivered in Connection with Transfers to Non-QIB Accredited Investors ----------------------------------------- ___________, ____ Re: Samsonite Corporation (the "Company") 10 3/4% Senior Subordinated Notes due 2008 (the "Notes") ---------------------- Dear Sirs: In connection with our proposed purchase of $_______ aggregate principal amount of the Notes, we confirm that:
Your Signature (Sign exactly as your name appears on the face of this Note) Signature Guarantee*: _________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee).
Authorized Signatures Xxxxxxxx X. Xxxxxxxx Director Office of Budget and Management 6/22/2021 Signature: Date Signed: Date Submitted 6/16/2021 Xxxxxx X. Xxxxxx Acting Assistant Commissioner Revenue Collections Management Bureau of the Fiscal Service U.S. Department of the Treasury Signature: Date Signed: 6/28/2021 Federal Agency Payment Type Request Cut-Off Time Receipt Window Agriculture-FNS ACH 11:59 PM 1 day Agriculture-FNS Fedwire 5:45 PM 0 day Agriculture-FS ACH 3:00 PM 1 day Air National Guard ACH 12:00 PM 15 days Army National Guard ACH 12:00 PM 15 days Commerce-NOAA ACH 2:00 PM 1 day Dept of Homeland Security (FEMA) Fedwire 2:00 PM 2 days Dept of Homeland Security (ODP) ACH 2:00 PM 2 days Dept of Homeland Security (ODP) Fedwire 2:00 PM 2 days EPA ACH 2:00 PM 2 days EPA Fedwire 2:00 PM 0 day Education ACH 3:00 PM 1 day Education Fedwire 2:00 PM 0 day Energy ACH 4:00 PM 1 day Energy Fedwire 3:00 PM 0 day HHS ACH 5:00 PM 1 day HHS Fedwire 3:00 PM 0 day HUD ACH 5:30 PM 2 days HUD Fedwire 3:00 PM 0 day Interior-FWS ACH 11:59 PM 1 day Interior-FWS Fedwire 5:45 PM 0 day Interior-OSM ACH 3:00 PM 1 day Interior-OSM Fedwire 1:00 PM 0 day Justice ACH 11:00 PM 6 days Justice Fedwire 2:00 PM 2 days Labor-Non-UTF ACH 3:00 PM 1 day Labor-UTF ACH 3:00 PM 1 day Labor-UTF Fedwire 3:00 PM 0 day National Science Foundation (NSF) ACH 8:00 PM 1 day National Science Foundation (NSF) Fedwire 5:45 PM 0 day Social Security Administration ACH 11:59 PM 1 day Social Security Administration Fedwire 5:45 PM 0 day Transportation (FAA) ACH 2:00 PM 1 day Transportation (FHWA) ACH 12:00 PM 3 days Transportation (FHWA) Fedwire 12:00 PM 0 day Transportation (FTA) ACH 2:00 PM 1 day Veterans Administration ACH 12:00 PM 3 days CFDA Program Name Recipient % Component Technique Rounded days 10.551 Supplemental Nutrition Assistance Program Supplemental Nutrition Assistance Program Department of Job & Family Services Department of Job & Family Services 0.8 Payments to Beneficiaries - Merchant Payments - ACH SSI Cash Out Benefits Actual Clearance, ZBA - ACH Modified Pre- Issuance 0 Days N/A 10.553 School Breakfast Program Department of Education 100.0 All Costs Modified Pre- Issuance N/A 10.555 National School Lunch Program Department of Education 100.0 All Costs Modified Pre- Issuance N/A 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children Department of Health 100.0 All Costs Modified Pre- Issuance N/A 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Department of Job & Family Services 100.0 All Costs Modified Pre- Issuance N/A 17.225 F Unemployment Insurance -- Federal Benefit Account and Administrative Costs Unemployment Insurance -- Federal Benefit Account and Administrative Costs Department of Job & Family Services Department of Job & Family Services
Witness Signature Witness Address …………………………………………..
Signature Pages This Agreement may be executed in any number of counterparts, each of which shall be deemed to be one and the same instrument. The exchange of copies of this Agreement and of signature pages by facsimile transmission shall constitute effective execution and delivery of this Agreement as to the Parties and may be used in lieu of the original Agreement for all purposes. Signatures of the Parties transmitted by facsimile shall be deemed to be their original signatures for all purposes.