NOTICE OF EXERCISE OF WARRANT. To Be Executed by the Registered Holder in Order to Exercise the Warrant The undersigned hereby irrevocably elects to exercise the attached Warrant to purchase [check applicable method] for cash/ * pursuant to the “cashless” exercise provisions of Section 1(b) of the Warrant, of the shares issuable upon the exercise of such Warrant, and requests that certificates for such shares (together with a new Warrant to purchase the number of shares, if any, remaining under this Warrant after exercise) shall be issued in the name of: (Print Name) Please insert social security or other identifying number of registered holder of certificate ( ) (Address) Date: Signature** * If exercise is a “cashless” exercise pursuant to Section 1(b), enclose computation of shares purchased, date of determination of Fair Market Value, and computation of Fair Market Value. ** The signature on the Notice of Exercise of Warrant must correspond to the name as written upon the face of the Warrant in every particular without alteration or enlargement or any change whatsoever. When signing on behalf of a corporation, partnership, trust or other entity, PLEASE indicate your position(s) and title(s) with such entity. ASSIGNMENT FORM To be signed only upon authorized transfer of Warrants. FOR VALUE RECEIVED, the undersigned hereby sells, assigns, and transfers unto the right to purchase the securities of XATA Corporation to which the ______ within Warrant relates and appoints ______, attorney, to transfer said ______ right on the books of XATA Corporation with full power of substitution in the premises. Dated: (Signature) (Address)
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Samples: TCV Vii Lp
NOTICE OF EXERCISE OF WARRANT. To Be Executed by the Registered Holder in Order to Exercise the Warrant To: BEIJING MED-PHARM CORPORATION The undersigned Holder hereby irrevocably elects to exercise exercises the attached Warrant right to purchase [check applicable method] for cash/ * pursuant shares of Common Stock, $.001 par value, of Beijing Med-Pharm Corporation, a Delaware corporation (the “Company”), and delivers to the “cashless” exercise provisions of Section 1(b) Company herewith the Exercise Price. You will kindly forward a certificate or certificates for the shares purchased hereby and, if such shares shall not include all of the shares provided in this Warrant, a new Warrant of like tenor and date for the balance of the shares issuable upon thereunder shall be delivered to the undersigned at the address set forth below. Date: Name of Holder By: Address: Exhibit B-2 Form of Class B Warrant Beijing med-pharm corporation Class B warrant for common stock THIS WARRANT HAS BEEN ACQUIRED FOR INVESTMENT AND HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “ACT”). THIS WARRANT MAY NOT BE SOLD OR TRANSFERRED IN THE ABSENCE OF SUCH REGISTRATION UNLESS THE COMPANY RECEIVES AN OPINION OF COUNSEL REASONABLY ACCEPTABLE TO IT STATING THAT SUCH SALE OR TRANSFER IS EXEMPT FROM THE REGISTRATION AND PROSPECTUS DELIVERY REQUIREMENTS OF THE ACT. Right to purchase ( ) shares (subject to adjustment) of the common stock, $.001 par value (the “Stock”), of BEIJING MED-PHARM CORPORATION, a Delaware corporation (the “Company”). The Company hereby certifies that, for value received, [WARRANT HOLDER] or registered assigns (the “Holder”) is entitled to purchase from the Company at any time or from time to time during the Exercise Period (as hereinafter defined) an aggregate of fully paid and nonassessable shares, subject to adjustment as provided below, of the Stock, on the payment therefor of the exercise of such Warrant, and requests that certificates for such shares price which shall be $12.43 per share (together with a new Warrant subject to purchase adjustment) (the “Per Share Exercise Price”) multiplied by the number of sharesshares of Stock to be issued (the “Exercise Price”), if any, remaining under upon the surrender of this Warrant after duly signed by the registered Holder hereof at the time of exercise) shall be issued in , accompanied by payment of the name of: (Print Name) Please insert social security or other identifying number of registered holder of certificate ( ) (Address) Date: Signature** * If exercise Exercise Price, upon the terms and subject to the conditions hereinafter set forth. The Warrant represented hereby is a “cashless” exercise delivered pursuant to Section 1(b), enclose computation and is subject to that certain [Subscription Agreement] accepted by the Company as of shares purchased, date of determination of Fair Market Value, and computation of Fair Market Value. ** The signature on the Notice of Exercise of Warrant must correspond to the name as written upon the face of the Warrant in every particular without alteration or enlargement or any change whatsoever. When signing on behalf of a corporation, partnership, trust or other entity, PLEASE indicate your position(s) and title(s) with such entity. ASSIGNMENT FORM To be signed only upon authorized transfer of Warrants. FOR VALUE RECEIVED, the undersigned hereby sells, assigns, and transfers unto the right to purchase the securities of XATA Corporation to which the ______ within Warrant relates and appoints ______, attorney, to transfer said ______ right on 2007 by and between the books of XATA Corporation with full power of substitution Company and the Holder (the “Agreement”). Capitalized terms used herein without definition shall have the meanings set forth in the premises. Dated: (Signature) (Address)Agreement.
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NOTICE OF EXERCISE OF WARRANT. To Be Executed by the Registered Holder in Order to Exercise the Warrant The undersigned hereby irrevocably elects to exercise the attached Warrant to purchase [check applicable method] _________ for cash/ cash/_________* pursuant to the “cashless” exercise provisions of Section 1(b) of the Warrant, _________ of the shares issuable upon the exercise of such Warrant, and requests that certificates for such shares (together with a new Warrant to purchase the number of shares, if any, remaining under this Warrant after exercise) shall be issued in the name of: (Print Name) Please insert social security or other identifying number of registered holder of certificate ( (_________) (Address) Date: ________________ Signature** * If exercise is a “cashless” exercise pursuant to Section 1(b), enclose computation of shares purchased, date of determination of Fair Market Value, and computation of Fair Market Value. ** The signature on the Notice of Exercise of Warrant must correspond to the name as written upon the face of the Warrant in every particular without alteration or enlargement or any change whatsoever. When signing on behalf of a corporation, partnership, trust or other entity, PLEASE indicate your position(s) and title(s) with such entity. ASSIGNMENT FORM To be signed only upon authorized transfer of Warrants. FOR VALUE RECEIVED, the undersigned hereby sells, assigns, and transfers unto the right to purchase the securities of XATA Corporation to which the _______________ within Warrant relates and appoints _______________, attorney, to transfer said _______________ right on the books of XATA Corporation with full power of substitution in the premises. Dated: ____________ (Signature) (Address)
Appears in 1 contract
Samples: Warrant And (Xata Corp /Mn/)
NOTICE OF EXERCISE OF WARRANT. To Be Executed be signed by the Registered registered Holder in Order order to Exercise exercise the Warrant TO: CELCUITY INC. The undersigned Holder hereby irrevocably elects to exercise the attached Warrant with respect to purchase [check applicable method] for cash/ * pursuant to the “cashless” exercise provisions of Section 1(b) __________________ of the Warrant, of the shares Warrant Shares issuable upon the exercise of such Warrant, and requests that certificates . Payment of the Warrant Exercise Price for such shares Warrant Shares shall take the form of [check the applicable box below]: ☐ Check payable to the order of the Company or wire transfer of immediately available funds to an account designated in writing by the Company; or ☐ Cancellation of such number of Warrant Shares that have an aggregate Fair Market Value as of the date of this notice of exercise that satisfies the aggregate Warrant Exercise Price for the total number of Warrant Shares set forth above (which is inclusive of the Warrant Shares surrendered to the Company in payment of the aggregate Warrant Price), in accordance with the formula set forth in Section 2(a)(y) of the Warrant.* Please issue such Warrant Shares in book entry form (together with a new Warrant to purchase the number of sharesWarrant Shares, if any, remaining under this with respect to which the attached Warrant after exerciseis not exercised) shall be issued in the name ofof the following person: Name in which Shares shall be registered (Print Nameplease print) Please insert social Social security or other identifying tax identification number: Address: Dated: ______________________ Signature of Holder** Name of Hxxxxx (please print) Title of signatory (if signing for an entity) * The number of registered holder Warrant Shares issued will be the number of certificate ( ) (Address) Date: Signature** * If exercise Warrant Shares with respect to which the Warrant is a “cashless” exercise pursuant exercised, minus the number of Warrant Shares cancelled to Section 1(b), enclose computation of shares purchased, date of determination of Fair Market Value, and computation of Fair Market Valuesatisfy the Warrant Exercise Price. ** The signature on the this Notice of Exercise of Warrant must correspond to the name as written upon the face of the Warrant in every particular without alteration or enlargement or any change whatsoever. When signing on behalf of a corporation, partnership, trust or other entity, PLEASE please indicate your position(s) and title(s) with such entity. ASSIGNMENT FORM To be signed only upon authorized transfer of Warrants. FOR VALUE RECEIVED, the undersigned hereby sells, assigns, and transfers unto the right to purchase the securities of XATA Corporation to which the ______ within Warrant relates and appoints ______, attorney, to transfer said ______ right on the books of XATA Corporation with full power of substitution in the premises. Dated: (Signature) (Address).
Appears in 1 contract
Samples: Celcuity Inc.