Name and Contact Information. Full legal name of record holder: Address of record holder: Social Security Number or Taxpayer identification number of record holder: Identity of beneficial owner (if different than record holder): Name of contact person: Telephone number of contact person: Fax number of contact person: E-mail address of contact person:
Appears in 24 contracts
Samples: Purchase Agreement (Kior Inc), Senior Secured Convertible Promissory Note Purchase Agreement (Kior Inc), Registration Rights Agreement (NxStage Medical, Inc.)
Name and Contact Information. Full legal name of record holder: Address of record holder: Social Security Number or Taxpayer identification number of record holder: Identity of beneficial owner (if different than record holder): Name of contact person: Telephone number of contact person: Fax number of contact person: E-mail address of contact person:
Appears in 3 contracts
Samples: Investment and Securities Subscription Agreement (Grupo Televisa, S.A.B.), Investment and Securities Subscription Agreement (Nii Holdings Inc), Securities Purchase Agreement (Nile Therapeutics, Inc.)
Name and Contact Information. Full legal name of record holder: Address of record holder: Social Security Number or Taxpayer identification number of record holder: Identity of beneficial owner owner(s) (if different than record holder): Name of contact person: Telephone number of contact person: Fax number of contact person: E-mail Email address of contact person:
Appears in 3 contracts
Samples: Stockholder Agreement (Ophthotech Corp.), Merger Agreement (Ophthotech Corp.), Merger Agreement (PTC Therapeutics, Inc.)
Name and Contact Information. Full legal name of record holder: Address of record holder: U.S. Social Security Number or Taxpayer identification number of record holder, if applicable: Identity of beneficial owner (owner, if different than record holderholder (Note: A “beneficial owner” means a person who directly or indirectly alone or with others has power to vote or dispose of the stock covered by this Questionnaire): Name of contact person: Telephone number of contact person: Fax number of contact person: E-mail address of contact person:
Appears in 2 contracts
Samples: Securities Purchase Agreement (American Superconductor Corp /De/), Registration Rights Agreement (American Superconductor Corp /De/)
Name and Contact Information. Full legal name of record holder: Address of record holder: Social Security Number or Taxpayer identification number of record holder: Identity of beneficial owner (if different than record holder): Name of contact person: Telephone number of contact person: Fax number of contact person: E-mail Email address of contact person:
Appears in 1 contract
Samples: Investor Rights Agreement (WisdomTree Investments, Inc.)
Name and Contact Information. Full legal name of record holder: Address of record holder: Social Security Number or Taxpayer identification number of record holder: Identity of beneficial owner (if different than record holder): Name of contact person: Telephone number of contact person: Fax number of contact person: E-mail address of contact person:
Appears in 1 contract
Name and Contact Information. Full legal name of record holder: Address of record holder: Social Security Number or Taxpayer identification number of record holder: holder Identity (and address) of beneficial owner owner1 (if different than record holder): Name of contact person: Telephone number of contact person: Fax number of contact person: E-mail address of contact person:
Appears in 1 contract
Name and Contact Information. Full legal name of record holder: Address of record holder: Social Security Number or Taxpayer identification number of record holderIdentification Number: Identity of beneficial owner (if different than record holder): Name of contact person: Telephone number of contact person: Fax number of contact person: E-mail address of contact person:
Appears in 1 contract
Samples: Registration Rights Agreement (Nuo Therapeutics, Inc.)
