Ownership of the Company’s Securities. This question covers your beneficial ownership of the Company’s securities. Please consult the Appendix A to this Questionnaire for information as to the meaning of “beneficial ownership.” State the number of shares of the Company’s common stock that you beneficially owned as of the date this Questionnaire is signed:
Ownership of the Company’s Securities. This question covers beneficial ownership of the Company’s securities. Please consult Appendix A to this Questionnaire for information as to the meaning of “beneficial ownership.” State (a) the number of shares of the Company’s common stock (including any shares issuable upon exercise of warrants or other convertible securities) that the selling securityholder beneficially owned as of the date this Questionnaire is signed and (b) the number of such shares of the Company’s common stock that the selling securityholder wishes to have registered for resale in the Registration Statement:
(a) Number of shares of common stock, convertible debentures, warrants and other equity securities or convertible securities owned:
(b) Number of shares of common stock and shares of common stock underlying convertible debentures, warrants and other equity securities or convertible securities owned to be registered for resale in the Registration Statement:
Ownership of the Company’s Securities. This question covers beneficial ownership of the Company’s securities. Please consult Appendix A to this Questionnaire for information as to the meaning of “beneficial ownership”. State (a) the number of shares of the Company’s common stock (including any shares issuable upon exercise of warrants or other convertible securities) that the selling shareholder beneficially owned as of the date this Questionnaire is signed (not including the Purchased Securities or Registrable Securities) and (b) the number of Registrable Securities underlying the Purchased Securities purchased in the Offering that the selling shareholder wishes to have registered for resale in the Resale Registration Statement (or, at your convenience, simply specify the number of Purchased Securities and we will be permitted to assume that you wish all underlying Registrable Securities to be included in the Resale Registration Statement):
(a) Number of shares of common stock and other equity securities owned (not including the securities purchased in the Offering): ____________________________________________________________
Ownership of the Company’s Securities. This question covers your beneficial ownership of the Company’s securities as of the date this Questionnaire is signed. Please consult Appendix A to this Questionnaire for information as to the meaning of “beneficial ownership.” In particular, please note that the right to acquire a security within 60 days may deem you a beneficial owner of the underlying shares.
(a) State the number of shares of the Company’s securities that you beneficially own:
(b) State the number of shares of the Company’s securities that you have the right to acquire under any Warrants, Options or other rights, or upon conversion of any security convertible into securities. Please list each Warrant, Option, right, or convertible security separately below (attach additional sheets if necessary):
(c) As to the securities indicated as being beneficially owned, does any person other than you have either: (i) the sole or shared power to vote or to direct the vote of any of such securities and (ii) the sole or shared power to dispose or to direct the disposition of any of such securities? If the answer is “yes” to either of the foregoing questions, please set forth the name, address and title/capacity (e.g., parent, legal guardian, joint owners (if securities are held jointly), executor, etc.) of each person who has such power or with whom the indicated beneficial owner shares such power, together with the number of shares to which such right relates.
(d) As to the securities indicated as being beneficially owned, if you or the beneficial owners listed in response to (c) immediately above are entities (e.g., trusts, corporations, partnerships, LLCs, etc.) rather than individuals, please set forth the name, address and title/capacity (e.g., trustee, president, partner, etc.) of each individual who has (i) the sole or shared power to vote or to direct the vote of any of such securities or (ii) the sole or shared power to dispose or to direct the disposition of any of such securities, together with the number of shares to which such right relates. Please also indicate the state or other jurisdiction in which the entity is organized or domiciled.
(e) State the number of shares of Registrable Securities proposed to be sold under the Registration Statement (including shares of Registrable Securities underlying Warrants and Options, rights or convertible securities):
(f) Have you agreed to act in concert with any other persons or affiliates of the Company for the purpose of selling the Registrabl...
Ownership of the Company’s Securities. This question covers beneficial ownership of the Company's securities. State (a) the number of shares of the Company's common stock (including any shares issuable upon exercise of warrants or other convertible securities) that the selling security holder beneficially owned as of the date this Questionnaire is signed and (b) the number of such shares of the Company's common stock that the selling security holder wishes to have registered for resale in the Registration Statement:
(a) Number of shares of common stock and other equity securities owned:
(b) Number of shares of common stock and other equity securities owned to be registered for resale in the Registration Statement:
Ownership of the Company’s Securities. This question covers beneficial ownership of the Company’s securities. Please consult Appendix A to this Questionnaire for information as to the meaning of “beneficial ownership.” State (a) the number of shares of the Company’s common stock (including any shares issuable upon exercise of warrants or other convertible securities) that the selling securityholder beneficially owned as of the date this Questionnaire is signed and (b) the number of such shares of the Company’s common stock that the selling securityholder wishes to have registered for resale in the Registration Statement:
(a) Number of shares of common stock and other equity securities owned:
(b) Number of shares of common stock and other equity securities owned to be registered for resale in the Registration Statement:
Ownership of the Company’s Securities. This question covers beneficial ownership of the Company's securities. Please consult Appendix A to this Questionnaire for information as to the meaning of "beneficial ownership." State (a) the number of shares of the Company's common stock (including any shares issuable upon exercise of warrants or other convertible securities) that the selling securityholder beneficially owned as of the date this Questionnaire is signed and (b) the number of such shares of the Company's common stock that the selling securityholder wishes to have registered for resale in the Registration Statement:
Ownership of the Company’s Securities. This question covers beneficial ownership of the Company's securities. Please consult Appendix A to this Questionnaire for information as to the meaning of "beneficial ownership." State (a) the number of shares of the Company's common stock (including any shares issuable upon exercise of warrants or other convertible securities) that the selling securityholder beneficially owned as of the date this Questionnaire is signed and (b) the number of such shares of the Company's common stock that the selling securityholder wishes to have registered for resale in the Registration Statement:
a. Number of shares of common stock and other equity securities owned:
b. Number of shares of common stock and other equity securities owned to be registered for resale in the Registration Statement:
c. In addition to the securities identified in paragraphs (a) and (b) of this question, please identify any additional equity securities of the Company as to which there is any arrangement under which you have the right to receive any economic benefits of those securities.
Ownership of the Company’s Securities. This question covers beneficial ownership of the Company's securities. Please consult Appendix A to this Questionnaire for information as to the meaning of "beneficial ownership." State (a) the number of shares of the Company's common stock (including any shares issuable upon exercise of warrants or other convertible securities) that the selling securityholder beneficially owned as of the date this Questionnaire is signed and (b) the number of such shares of the Company's common stock that the selling securityholder wishes to have registered for resale in the Registration Statement:
(a) Number of shares of common stock, convertible debentures, warrants and other equity securities or convertible securities owned: ________________________________________________________________________________________
(b) Number of shares of common stock and shares of common stock underlying convertible debentures, warrants and other equity securities or convertible securities owned to be registered for resale in the Registration Statement: ________________________________________________________________________________________
Ownership of the Company’s Securities. This question covers beneficial ownership of the Company’s Common Stock, other equity securities and securities convertible into Common Stock or other equity securities of the Company. Please consult Appendix A to this Questionnaire for information as to the meaning of “beneficial ownership.” Please complete the table below with the following information: Shares of Common Stock and other equity securities – please fill in the following information with respect to any shares of Common Stock and other equity securities you beneficially own today or which you have the right to acquire within the next 60 days
(a) Total number of Shares of Common Stock owned today (including shares purchased on the open market, shares received in connection with the merger or upon exercise of warrants, options, etc.)
