per Warrant. Any Warrant either not exercised or tendered back to the Corporation by the end of the date specified in the notice of call shall be canceled on the books of the Corporation and have no further value except for the US$.01 call price. This Certificate is not valid unless countersigned by the Warrant Agent and registered by the Registrar. By [seal] ------------------------------- ---------------------------------- Secretary Chief Executive Officer ------------------------------- Warrant Agent SUBSCRIPTION FORM To Be Executed by the Registered Holder in Order to Exercise Warrants The undersigned Registered Holder irrevocably elects to exercise ______________ Warrants represented by this Warrant Certificate, and to purchase the Shares issuable upon the exercise of such Warrants, and requests that Certificates for such shares shall be issued in the name of ________________________________________________________________________________ (PLEASE TYPE OR PRINT NAME AND ADDRESS) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER) and be delivered to ____________________________________________________________ (PLEASE PRINT OR TYPE NAME AND ADDRESS) ________________________________________________________________________________ and, if such number of Warrants shall not be all the Warrants evidenced by this Warrant Certificate, that a new Warrant Certificate for the balance of such Warrants be registered in the name of, and delivered to, the Registered Holder at the address stated below: Dated: ------------------------------ ---------------------------------------- (SIGNATURE) ---------------------------------------- (ADDRESS) ---------------------------------------- ---------------------------------------- (TAX IDENTIFICATION NUMBER) ASSIGNMENT To Be Executed by the Registered Holder in Order to Assign Warrants For Value Received, _______________________ hereby sells, assigns, and transfers unto ________________________________________________________________________________ (PLEASE TYPE OR PRINT NAME AND ADDRESS) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER) and be delivered to ____________________________________________________________ (PLEASE PRINT OR TYPE NAME AND ADDRESS) ______________________ of the Warrants represented by this Warrant Certificate, and hereby irrevocably constitute and appoint _________________________________ Attorney to transfer this Warrant Certificate on the books of the Company, with full power of substitution in the premises. Dated: ------------------------------ ---------------------------------------- (SIGNATURE)
Appears in 3 contracts
Samples: Inter-Atlantic Financial, Inc., Inter-Atlantic Financial, Inc., Inter-Atlantic Financial, Inc.
per Warrant. Any Warrant either not exercised or tendered back to the Corporation Company by the end of the date specified in the notice of call shall be canceled on the books of the Corporation Company and have no further value except for the US$.01 $0.01 call price. This Certificate is not valid unless countersigned by the Warrant Agent and registered by the Registrar. By [seal] ------------------------------- ---------------------------------- Secretary Dated: ----------------------------- ------------------------------------- ---------------------------------------- Chief Executive Officer ------------------------------- Warrant Agent Secretary SUBSCRIPTION FORM To Be Executed by the Registered Holder in Order to Exercise Warrants The undersigned Registered Holder irrevocably elects to exercise ______________ Warrants represented by this Warrant Certificate, and to purchase the Shares shares of Common Stock issuable upon the exercise of such Warrants, and requests that Certificates for such shares shall be issued in the name of ________________________________________________________________________________ (PLEASE TYPE OR PRINT NAME AND ADDRESS) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (SOCIAL SECURITY PLEASE TYPE OR TAX IDENTIFICATION NUMBER) and be delivered to ____________________________________________________________ (PLEASE PRINT OR TYPE NAME AND ADDRESS) ________________________________________________________________________________ (SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER) and be delivered to ________________________________________________________________________________ (PLEASE PRINT OR TYPE NAME AND ADDRESS) and, if such number of Warrants shall not be all the Warrants evidenced by this Warrant Certificate, that a new Warrant Certificate for the balance of such Warrants be registered in the name of, and delivered to, the Registered Holder at the address stated below: Dated: ------------------------------ ---------------------------------------- (SIGNATURE) ---------------------------------------- (ADDRESS) ---------------------------------------- ---------------------------------------- (TAX IDENTIFICATION NUMBER) ASSIGNMENT To Be Executed by the Registered Holder in Order to Assign Warrants For Value Received, _________________________________ hereby sellssell, assignsassign, and transfers transfer unto ________________________________________________________________________________ (PLEASE TYPE OR PRINT NAME AND ADDRESS) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER) and be delivered to ____________________________________________________________ (PLEASE PRINT OR TYPE NAME AND ADDRESS) ______________________ of the Warrants represented by this Warrant Certificate, and hereby irrevocably constitute and appoint ____________________ attorney to transfer this Warrant ____________________ Attorney to transfer this Warrant Certificate on the books of the Company, with full power of substitution in the premises. Dated: Dated ------------------------------ ---------------------------------------- (SIGNATURE)NOTICE: The signature to this assignment must correspond with the name as written upon the face of the certificate in every particular, without alteration or enlargement or any change whatever.
Appears in 1 contract
Samples: Energy Services Acquisition Corp.
per Warrant. Any If notice of redemption shall have been given as provided in the Warrant either not exercised or tendered back to Agreement and cash sufficient for the Corporation redemption be deposited by the end Company for that purpose, the exercise rights of the Warrants identified for redemption shall expire at the close of business on such date specified in of redemption unless extended by the Company. This Warrant Certificate shall not entitle the holder hereof to any of the rights of a holder of Common Stock of the Company, including, without limitation, the right to vote, to receive dividends and other distributions, to exercise any preemptive right, or to receive any notice of, or to attend meetings of call holders of Common Stock or any other proceedings of the Company. This Warrant Certificate shall be canceled void and the Warrants and any rights represented hereby shall cease unless exercised on the books of the Corporation and have no further value except for the US$.01 call priceor before ______ p.m. Minneapolis time on _______________, 2002. This Warrant Certificate is shall not be valid unless for any purpose until it shall have been countersigned by the Warrant Agent and registered by Agent. WITNESS the Registrarfacsimile signature of the Company's duly authorized officers. BUFFALO WILD WINGS, INC. Dated: By [seal] ------------------------------- ---------------------------------- Secretary Chief Executive Officer ------------------------------- ------------------------------------ Its ----------------------------------- COUNTERSIGNED AND REGISTERED: NORWEST BANK MINNESOTA, N.A. as Warrant Agent SUBSCRIPTION By ------------------------------------ Its ----------------------------------- [REVERSE OF WARRANT CERTIFICATE] TO: Buffalo Wild Wings, Inc. c/o Norwest Bank Minnesota, N.A. Warrant Agent PURCHASE FORM (To Be be Executed by the Registered Holder in Order to Exercise Warrants Warrant Certificates) The undersigned Registered Holder hereby irrevocably elects to exercise ______________ _* of the Warrants represented by this the Warrant Certificate, Certificate and to purchase for cash the Shares issuable upon the exercise of such Warrants, said Warrants and requests that Certificates certificates for such shares Shares shall be issued in the name of __________________________________________________PLEASE INSERT SOCIAL SECURITY OR ------------------------------ OTHER IDENTIFYING NUMBER OF REGISTERED HOLDER OF CERTIFICATE ------------------------------ ------------------------------------------ (Print Name) ------------------------------------------ (Address) ------------------------------------------ Dated: ------------------- ------------------------------------------ (Signature) *Insert here the number of Warrants evidenced on the face of this Warrant Certificate (or, in the case of a partial exercise, the portion thereof being exercised), in either case without making any adjustment for additional Common Stock or any other securities or property or cash which, pursuant to the adjustment provisions referred to in this Warrant Certificate, may be deliverable upon exercise. ASSIGNMENT FORM (To be Executed by the Registered Holder in Order to Transfer Warrant Certificates) PLEASE INSERT SOCIAL SECURITY OR ------------------------------ OTHER IDENTIFYING NUMBER OF ASSIGNEE ------------------------------ FOR VALUE RECEIVED, the undersigned hereby sells, assigns, and transfers ______________________________ (PLEASE TYPE OR PRINT NAME AND ADDRESS) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER) and be delivered to ____________________________________________________________ (PLEASE PRINT OR TYPE NAME AND ADDRESS) ________________________________________________________________________________ and, if such number of Warrants shall not be all the Warrants evidenced by this Warrant Certificate, that a new Warrant Certificate for the balance of such Warrants be registered in the name of, and delivered to, the Registered Holder at the address stated below: Dated: ------------------------------ ---------------------------------------- (SIGNATURE) ---------------------------------------- (ADDRESS) ---------------------------------------- ---------------------------------------- (TAX IDENTIFICATION NUMBER) ASSIGNMENT To Be Executed by the Registered Holder in Order to Assign Warrants For Value Received, _______________________ hereby sells, assigns, and transfers unto ________________________________________________________________________________ (PLEASE TYPE OR PRINT NAME AND ADDRESS) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER) and be delivered to ____________________________________________________________ (PLEASE PRINT OR TYPE NAME AND ADDRESS) ______________________ of the Warrants represented by this Warrant Certificate, Certificate unto -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please print or typewrite name and address including postal zip code of assignee) and does hereby irrevocably constitute and appoint _________________________________ ----------------------------- -------------------------------------------------------------------------------- Attorney to transfer this Warrant Certificate on the books records of the Company, Company with full power of substitution in the premises. Dated: ------------------------------ ---------------------------------------- (SIGNATURE)Signature(s) ------------------------ --------------------------- Signature(s) Guaranteed: ---------------------------- ---------------------------------- NOTICE
Appears in 1 contract