Number of Warrants Exercised. (Total number of Warrants being exercised – may be expressed as a percentage)
Number of Warrants Exercised. (Total number of shares of Book-Entry Warrants being exercised – may be expressed as a percentage) The undersigned requests that the shares of Common Stock issuable upon exercise of the Warrants be delivered to the account at the Depositary specified below. THE WARRANT AGENT SHALL NOTIFY YOU (THROUGH THE CLEARING SYSTEM) OF (1) THE WARRANT AGENT’S ACCOUNT AT THE DEPOSITARY TO WHICH YOU MUST DELIVER YOUR WARRANTS, AND PAYMENT, IF ANY, ON THE EXERCISE DATE AND (2) THE ADDRESS, PHONE NUMBER AND FACSIMILE NUMBER WHERE YOU CAN CONTACT THE WARRANT AGENT. AUTHORIZED SIGNATURE: NAME: CAPACITY IN WHICH SIGNING: DATED: NAME OF PARTICIPANT: ADDRESS: CONTACT NAME (if different than above): TELEPHONE (INCLUDING INTERNATIONAL CODE): FAX (INCLUDING INTERNATIONAL CODE): E-MAIL ADDRESS: DEPOSITARY ACCOUNT NO.: EXHIBIT D FORM OF ASSIGNMENT FOR REGISTERED HOLDERS HOLDING DIRECT REGISTRATION WARRANTS (To be executed only upon assignment of Warrants) For value received, the undersigned Registered Holder of Direct Registration Warrants issued pursuant to that certain Warrant Agreement, as dated October 12, 2016, by and among Xxxxxxxx Petroleum Corporation (the “Company”), and American Stock Transfer & Trust Company, LLC (the “Warrant Agent”), hereby sells, assigns and transfers unto the Assignee(s) named below the number of Direct Registration Warrants listed opposite the respective name(s) of the Assignee(s) named below, and all other rights of the Registered Holder under said Direct Registration Warrants, and does hereby irrevocably constitute and appoint attorney, to transfer said Direct Registration Warrants, as and to the extent set forth below, on the Warrant Register maintained for the purpose of registration thereof, with full power of substitution in the premises: Name(s) of Assignee(s) Address of Assignee(s) Number of Warrants Dated: , 20 Signature: Name:
Number of Warrants Exercised. (Total number of Warrants being exercised – may be expressed as a percentage) Method of Exercise: ☐ Check Box for All Cash Exercise. The undersigned shall pay the applicable Aggregate Exercise Price in the sum of $ in accordance with the terms of the Warrant Agreement. ☐ Check Box for All Cashless Exercise (by way of Net Issue). Upon confirmation by the Company of the number of Ordinary Shares to be issued, the undersigned hereby instructs the Company to withhold a number of Ordinary Shares issuable upon exercise of the Warrants being exercised with an aggregate Fair Market Value as of the Exercise Date equal to the Aggregate Exercise Price in return for the issue of the relevant number of Ordinary Shares net of such withholding (as indicated below) and in accordance with the terms of the Warrant Agreement. The undersigned requests that the Ordinary Shares be issued by the Company in the name of the undersigned Warrantholder as indicated below: Name Social Security or Other Taxpayer Identification Number Address If the Warrants are represented by a Warrant Certificate and said number of Ordinary Shares shall not be all the Ordinary Shares issuable upon exercise of the Warrants represented by said Warrant Certificate, the undersigned requests that a new Warrant Certificate representing the balance of such Warrants shall be issued in the name of the undersigned Warrantholder as indicated below: Name Social Security or Other Taxpayer Identification Number Address Dated: , 20 Signature: Name: Reference is made to Sections 3.3 and 8.9 of that certain Tranche 2 Warrant Agreement, dated as of September 30, 2022, as amended (the “Warrant Agreement”), by and between Noble Corporation plc, a public limited company formed under the laws of England and Wales with registered number 12958050 (the “Company”), and Computershare Inc. and Computershare Trust Company, N.A., as warrant agent (the “Warrant Agent”). Each of the undersigned hereby certifies as to the information set forth below and, in addition, hereby certifies that:
Number of Warrants Exercised. If the Corporation selects a cashless exercise of the Warrants (as provided below), the Common Shares (or other securities or property) are to be issued as follows: Name: Address in full: Social Security Number:
Number of Warrants Exercised. (Total number of Warrants being exercised – may be expressed as a percentage) The undersigned requests that all of the Shares be issued pursuant to this Exercise Notice be issued in the name of the undersigned Warrantholder as indicated below: Name Social Security or Other Taxpayer Identification Number Address Dated: , 20 Signature Name: If said number of Shares shall not be all the Shares issuable upon exercise of the Warrant, the undersigned requests that a new Warrant representing the balance of such Warrant shall be issued in the name of the undersigned Warrantholder as indicated below: Name Social Security or Other Taxpayer Identification Number Address Dated: , 20 Signature Name: Exhibit C Form of Transfer Certificate [See attached.] Form of Transfer Certificate Date: _______, 20__ Xxxx Health, Inc. 0000 XX 000xx Xxx, Xxxxx 000 Miami, Florida 33178 Continental Stock Transfer & Trust Company Xxx Xxxxx Xxxxxx, 30th Floor New York, NY 10004 Attention: Compliance Department Email: xxxxxxxxxx@xxxxxxxxxxxxxxxx.xxx Ladies and Gentlemen: The undersigned Warrantholder, in connection with a proposed Transfer of Warrants held by such Warrantholder, does hereby represent, warrant and certify pursuant to Section 9.3 of that certain Warrant Agreement, as dated June 28, 2024 (the “Warrant Agreement”), by and between Xxxx Health, Inc. (the “Company”), and Continental Stock Transfer & Trust Company, as warrant agent, as follows:
Number of Warrants Exercised. Any capitalized term in this Warrant Certificate that is not otherwise defined herein, shall have the meaning ascribed thereto in the Warrant Indenture. If the Corporation selects a cashless exercise of the Warrants (as provided below), the Common Shares (or other securities or property) are to be issued as follows: Name: Address in full: Social Security Number:
Number of Warrants Exercised. The holder is exercising [•] Warrants, for [•] Warrant Shares* to be issued out of the Company’s conditional share capital according to article 5 of the Company’s articles of association at an exercise price per Warrant Share of USD 4.69.
Number of Warrants Exercised. (Total number of Warrants being exercised – may be expressed as a percentage) The undersigned requests that the Warrant Shares be issued in the name of the undersigned Registered Holder or as otherwise indicated below: Name Social Security or Other Taxpayer Identification Number Address If such Warrants shall not constitute all of the Warrants represented hereby, the undersigned requests that a new Warrant Certificate of like tenor and date for the balance of the Warrants represented hereby be issued and delivered in the name of the undersigned Holder or as otherwise indicated as follows: Name Social Security or Other Taxpayer Identification Number Address Dated: , 20 Signature: Name: In addition, this form is accompanied by the transferee certification required by Section 6.2.
Number of Warrants Exercised. (Total number of Warrants being exercised – may be expressed as a percentage) The undersigned requests that the Warrant Shares be issued in the name of the undersigned Registered Holder or as otherwise indicated below: Name Social Security or Other Taxpayer Identification Number
Number of Warrants Exercised. The Common Shares (or other securities or property) are to be issued as follows: Name: Address in full: Social Insurance Number:
