Name of Secretary. Director (print) Signed by the Guarantor XXX in the presence ) of: ) Witness signature ...................................................................... Full name (print) ......................................................................
Name of Secretary. Director
Name of Secretary. Director (print) Name of Director (print) Address: 0 Xxxxxxxxx Xxxx, Xxxx Xxx, XXX, Xxxxxxxxx, 0000 Attention to: Xx Xxxxx Xxxxxxxx & Xx Xxxxxxx Xxxxxxx Facsimile: (00) 0000 0000 & (00) 0000 0000 COMPANY: CELLEGY PHARMACEUTICALS, INC. By: /s/ A. Xxxxxxx Xxxxxx -------------------------------------------------- Title: VP, Finance & CFO ----------------------------------------------- Address: 000 Xxxxxx Xxxxx Xxxx., #000 Xxxxx Xxx Xxxxxxxxx, XX 00000 Attention to: President Facsimile: 000-000-0000 EXHIBIT A NOTICE OF EXERCISE (TO BE SIGNED ONLY UPON EXERCISE OF WARRANT)
Name of Secretary. 1. Definitions In this Lease unless expressed or implied to the contrary: Act means the Retail Leases Act 2003 (Vic).
Name of Secretary. Director (A) miscellaneous financial investment products limited to MDA services; and (b) deal in a financial product by: (i) issuing, applying for, acquiring, varying or disposing of a financial product in respect of the following classes of financial products: (A) financial products limited to: (1) miscellaneous financial investment products limited to MDA services; and (ii) applying for, acquiring, varying or disposing of a financial product on behalf of another person in respect of the following classes of products: (A) deposit and payment products limited to: (1) basic deposit products; (2) deposit products other than basic deposit products; (B) debentures, stocks or bonds issued or proposed to be issued by a government; (C) life products including: (1) investment life insurance products as well as any products issued by a Registered Life Insurance Company that are backed by one or more of its statutory funds; and (2) life risk insurance products as well as any products issued by a Registered Life Insurance Company that are backed by one or more of its statutory funds; (D) interests in managed investment schemes including: (1) investor directed portfolio services; (E) Retirement savings accounts (“RSA”) products (within the meaning of the Retirement Savings Account Act 1997); (F) securities; (G) standard margin lending facility; (H) superannuation; and (I) financial products limited to (1) miscellaneous financial investment products limited to MDA services, to retail and wholesale clients. Financial product advice authorisation restrictions as noted in the Matrix Planning Solutions Limited AFSL 238 256 This licence authorises the licensee to carry on a financial services business to: (a) provide financial product advice for the following classes of financial products: (i) deposit and payment products limited to: (A) basic deposit products; (B) deposit products other than basic deposit products; (ii) derivatives limited to: (A) old law securities options contracts and warrants; (iii) debentures, stocks or bonds issued or proposed to be issued by a government; (iv) life products including: (A) investment life insurance products as well as any products issued by a Registered Life Insurance Company that are backed by one or
Name of Secretary. Director ABN [insert ABN] in accordance with section 127 of the Corporations Act 2001 (Cth): ............................................................
Name of Secretary. DIRECTOR Mr/Mrs/Ms/Miss Surname ■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Given Names ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Position/Title ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Signature of member Date [DDMMYYYY] ■■■■■■■■ Issued by IS Industry Fund Pty Ltd | MySuper Unique Identifier: 65704511371601 | ABN: 45 010 814 623 | AFSL No: 238051 | RSE Licence No: L0001298 | Intrust Super ABN 65 704 511 371 | USI/SPIN: HPP0100AU | RSE Registration No: R1004397
Name of Secretary. Signature:…………………………….................... Signature:……………………………………. Date Signed:……………………………………………… Date Signed:………………………………
