NOTICE OF EXERCISE FORM. TO: CELL MEDX CORP. A Nevada corporation (the “Company”) Dear Sirs: The undersigned (the “Subscriber”) hereby exercises the right to purchase and hereby subscribes for _________________________________________ (Insert No. of Shares) shares (the “Option Shares”) of the common stock, par value $0.001 per share (the “Common Stock”) of the Company referred to in the Non-Qualified Stock Option Agreement between the Company and the Optionee dated the ____ day of _______________, 2014 (the “Option Agreement”), in accordance with the terms and conditions thereof, and herewith makes payment by cheque of the purchase price in full for the Option Shares in accordance with the Option Agreement. Please issue a certificate for the shares being purchased as follows in the name of the Subscriber: NAME: (Please Print) ADDRESS: The Subscriber represents and warrants to the Company that:
NOTICE OF EXERCISE FORM. (To be executed only upon exercise of the warrant) The undersigned, registered owner of Warrant No. dated as of , (the “Warrant”) of SFX Entertainment, Inc., a Delaware corporation (the “Company”), irrevocably exercises such Warrant for the purchase of ( ) shares of Common Stock of the Company, purchasable with the Warrant, in consideration for an aggregate warrant price of ($ ) all on the terms and conditions specified in the Warrant. [or] [The undersigned hereby elects irrevocably to convert its right to purchase Shares of the Company under the Warrant for Shares, as determined in accordance with the following formula: X = Y(A-B) A Where, X = The number of Shares to be issued to the Holder; Y = The number of Shares deemed purchased under the Warrant for which the Holder is not paying cash; A = The Fair Market Value of one Share which is equal to $ ; and B = The Warrant Price which is equal to $ per share] The undersigned requests that a certificate for such shares be registered as follows: Name: Address: If the number of shares specified above is less than all the shares of Common Stock purchasable under the Warrant, the undersigned requests that a new warrant representing the remaining balance of such shares be registered as follows: Name: Address: Date: Signature of Registered Owner Xxxxxx Xxxxxxx Xxxx Xxxxx Xxx XXXXXXX X ASSIGNMENT FORM FOR VALUE RECEIVED, the undersigned registered owner of Warrant No. of SFX Entertainment, Inc., a Delaware corporation, (the “Company”) dated as of , (the “Warrant”) hereby assigns and transfers unto the Assignee named below all the rights of the undersigned under this Warrant with respect to the number of shares of Common Stock set forth below: Name of Assignee Address No. of Shares The undersigned hereby irrevocably constitutes and appoints as attorney-in-fact to make such transfer on the books of the Company maintained for such purpose, with full power of substitution in the premises. Dated: Signature of Registered Owner Witness
NOTICE OF EXERCISE FORM. TO: IRELAND INC. A Nevada corporation (the “Corporation”) Dear Sirs: The undersigned (the “Subscriber”) hereby exercises the right to purchase and hereby subscribes for _________________________________________ (Insert No. of Shares) shares (the “Warrant Shares”) of the common stock, par value $0.001 per share (the “Common Stock”) of IRELAND INC. referred to in the Common Stock Purchase Warrant Certificate «Warrant_Cert_No» surrendered herewith according to the terms and conditions thereof and herewith makes payment by cash, certified check or bank draft of the purchase price in full for the Warrant Shares in accordance with the Warrant. Please issue a certificate for the shares being purchased as follows in the name of the Subscriber: NAME: (Please Print) ADDRESS: The Subscriber represents and warrants to the Corporation that:
NOTICE OF EXERCISE FORM. The form attached as Exhibit 1 or any other form accepted by the Secretary of Rockwell Xxxxxxx in his sole discretion.
NOTICE OF EXERCISE FORM. TO: BV NATURAL RESOURCES, LLC An Idaho limited liability company (the “Company”) WITH A COPY TO: I-MINERALS INC. A Canadian federal corporation Dear Sirs: The undersigned (the “Optionee”) hereby exercises the right to purchase: ___________________________________________________________ (Insert No. of Shares) common shares of I-MINERALS INC. (the “Option Shares”) from the Company pursuant to Section 2b. of that Global Settlement and Absolute Release Agreement between the Hoodoo Resources, LLC, Xxxxxx Xxxxx, The Xxxxx Xxxxxxx Family Trust, Xxxxx Xxxxxxx, Idaho Industrial Minerals, LLC, the Estate of Xxxxxx Xxxxxx, Ball Ventures, LLC, the Company, The Xxxxx Xxxx and Xxxxxx Xxxx Family Trust, Xxxxx Xxxx, I-Minerals Inc. and I- Minerals USA, Inc. (the “Settlement Agreement”) and (check one): [ ] herewith makes payment by cash, certified check, bank draft or wire transfer to the account specified by the Company of the full Option Price for the Option Shares in accordance with the terms of the Yearly Options as set forth in the Settlement Agreement; or [ ] hereby notifies the Company that it is exercising the Cashless Exercise Right provided in the Settlement Agreement. (NOTE: On exercise of the Cashless Exercise Right, the Optionee shall not be entitled to that number of Option Shares set out above, but shall instead be entitled to that number of Option Shares resulting from the formula set out in Section 2.b.iii. of the Settlement Agreement, with “Z” being the number of Option Shares set out above.) Please deliver a certificate for the shares being purchased as follows in the name of the Optionee as follows: Address of Optionee: Delivery Address for Certificate (if different than above): Exercise of the Yearly Options is expressly made subject to the terms and conditions of the Settlement Agreement. The Optionee acknowledges the potential right of the Company to exercise the Cash Settlement and/or the Cash Bonus Share Settlement in connection with this Notice of Exercise. Capitalized terms not otherwise defined herein have the meaning set forth in the Settlement Agreement. DATED this day of , . Signature of Optionee: Name of Optionee: (Please Print) Name of Authorized Signatory (if any): Title of Authorized Signatory: GLOBAL SETTLEMENT AND ABSOLUTE RELEASE AGREEMENT – PAGE 37 EXHIBIT “A” Assignment Agreement
NOTICE OF EXERCISE FORM. (To be executed only upon partial or full exercise of the within Warrant) The undersigned registered holder of the within Warrant irrevocably exercises the within Warrant for and purchases ____ Interests of NextWave Wireless LLC and herewith makes payment therefor in the amount of the Exercise Price, all at the price and on the terms and conditions specified in the within Warrant, and requests that a certificate for the Interests of NextWave Wireless LLC hereby purchased be issued in the name of and delivered to (choose one) (a) the undersigned or (b) __________________, whose address is ____________________, and, if such Interests shall not include all the Interests issuable as provided in the within Warrant, that a new Warrant of like tenor for the Interests not being purchased hereunder be issued in the name of and delivered to the undersigned. Dated: ___________, ____ By:______________________________________ (Signature of Registered Holder) Signature Guaranteed: _______________________ By:____________________ [Title:] NOTICE: The signature to this Notice of Exercise must correspond with the name as written upon the face of the within Warrant in every particular, without alteration or enlargement or any change whatever.
NOTICE OF EXERCISE FORM. In order to exercise this Warrant, the notice of exercise form attached hereto must be duly executed and completed and delivered to the Company, together with this Warrant and payment of the Exercise Price for the Warrant Shares being purchased payable in cash by wire transfer of immediately available funds to an account designated by the Company or by certified check. The Holder shall be deemed to have become the holder of record of the Warrant Shares so purchased on the date on which the Holder delivers to the Company the notice of exercise, payment of the Exercise Price and this Warrant in accordance with this Section 2.1, irrespective of the date of delivery of the certificate or certificates representing such Warrant Shares, except that, if the date of such surrender and payment is a date when the stock transfer books of the Company are closed, such person shall be deemed to have become the holder of such shares at the close of business on the next succeeding date on which the stock transfer books are open If the subscription rights represented hereby shall not be exercised at or before 5:00 p.m., Eastern time, on the Expiration Date, this Warrant shall become and be void without further force or effect, and all rights represented hereby shall cease and expire; provided, however, that if this Warrant has not been previously exercised and the fair market value (as defined in Section 2.2 below) on the Expiration Date exceeds the Exercise Price, this Warrant shall be deemed automatically exercised pursuant to Section 2.2 at 5:00 Eastern Time, on the Expiration Date, regardless of delivery of the notice of exercise or a copy of this Warrant.
NOTICE OF EXERCISE FORM. To: Bexil Corporation 11 Hanover Square New York, New York 10005 Attentxxx: Xxxxxxxxx Xxx Xx.: (000) 000-0000
NOTICE OF EXERCISE FORM. (To be executed upon partial or full exercise of the attached Warrant) The undersigned registered Holder of the within Warrant irrevocably exercises the attached Warrant for and purchases ______________ Shares of Common Stock of Cubic Energy, Inc. (the "Company") and herewith makes payment therefor in the amount of $____________, all at the price and on the terms and conditions specified in the attached Warrant, and requests that a certificate (or _________________ certificates in denominations of ____________ Shares) for the Shares of Common Stock of the Company hereby purchased be issued in the name of and delivered to (choose one):
NOTICE OF EXERCISE FORM. To: [Shareholder name]
