RECEIPT AND CONSENT. The undersigned hereby acknowledges receipt of __________ shares of Common Stock of [Company Name], a Delaware corporation (the “Company”). The undersigned further acknowledges that the Secretary of the Company, or his or her designee, is acting as escrow holder pursuant to the Common Stock Purchase Agreement that Purchaser has previously entered into with the Company. As escrow holder, the Secretary of the Company, or his or her designee, holds the aforementioned [shares] OR [certificate] issued in the undersigned’s name. Dated: PURCHASER: (Print Name) By: (Signature) Name: Title:
Appears in 3 contracts
Samples: Common Stock Purchase Agreement, Common Stock Purchase Agreement, Common Stock Purchase Agreement
RECEIPT AND CONSENT. The undersigned hereby acknowledges receipt of __________ a [notice of issuance recorded as] OR [photocopy of] Certificate No. for shares of Common Stock of [Company Name], a Delaware corporation (the “Company”). The undersigned further acknowledges that the Secretary of the Company, or his or her designee, is acting as escrow holder pursuant to the Common Stock Purchase Agreement that Purchaser has previously entered into with the Company. As escrow holder, the Secretary of the Company, or his or her designee, holds the original of the aforementioned [shares] OR [certificate] issued in the undersigned’s name. Dated: PURCHASER: (Print NamePRINT NAME) By: (Signature) Name: Title: Address: Email:
Appears in 3 contracts
Samples: Restricted Stock Purchase Agreement, Common Stock Purchase Agreement, Common Stock Purchase Agreement
RECEIPT AND CONSENT. The undersigned hereby acknowledges receipt of __________ shares of Common Stock of [Company Name], a Delaware corporation (the “Company”). The undersigned further acknowledges that the Secretary of the Company, or his or her designee, is acting as escrow holder pursuant to the Common Restricted Stock Purchase Agreement that Purchaser has previously entered into with the Company. As escrow holder, the Secretary of the Company, or his or her designee, holds the aforementioned [shares] OR [certificate] issued in the undersigned’s name. Dated: PURCHASER: (Print Name) By: (Signature) Name: Title:
Appears in 1 contract
Samples: Restricted Stock Purchase Agreement
RECEIPT AND CONSENT. The undersigned hereby acknowledges receipt of __________ shares of Common Stock of [Company Name], a Delaware corporation (the “Company”). The undersigned further acknowledges that the Secretary of the Company, or his or her designee, is acting as escrow holder pursuant to the Common Restricted Stock Purchase Agreement that Purchaser has previously entered into with the Company. As escrow holder, the Secretary of the Company, or his or her designee, holds the aforementioned [shares] OR [certificate] shares issued in the undersigned’s name. Dated: PURCHASER: (Print Name) By: (Signature) Name: Title:
Appears in 1 contract
Samples: Restricted Stock Purchase Agreement
