Name of Transferor. REASON FOR TRANSFER – For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY
Appears in 13 contracts
Samples: Warrant Indenture, Warrant Indenture, Warrant Indenture
Name of Transferor. REASON FOR TRANSFER – For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY
Appears in 4 contracts
Samples: Warrant Indenture, Warrant Indenture, Warrant Indenture
Name of Transferor. REASON FOR TRANSFER – For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift in ownership) Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLYCAD OR
Appears in 2 contracts
Samples: Warrant Indenture, Warrant Indenture
Name of Transferor. REASON FOR TRANSFER – For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY
Appears in 1 contract
Samples: Warrant Indenture
Name of Transferor. REASON FOR TRANSFER – For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY
Appears in 1 contract
Samples: Warrant Indenture
Name of Transferor. REASON FOR TRANSFER – For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift ownership) Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant Right on the date of event: CAD OR USD CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY
Appears in 1 contract
Samples: Rights Indenture
Name of Transferor. REASON FOR TRANSFER – For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift ownership) Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY
Appears in 1 contract
Samples: Supplemental Indenture
Name of Transferor. REASON FOR TRANSFER – For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY
Appears in 1 contract
Samples: Warrant Indenture
