Common use of Securities and/or check to be issued to Clause in Contracts

Securities and/or check to be issued to. If in book-entry form through the Depository: Depository Account Number: Name of Agent Member: If in definitive form: Social Security Number or Other Identifying Number: Name: Street Address: City, State and Zip Code: Any unexercised Warrants evidenced by the exercising Warrantholder’s interest in the Global Warrant or Definitive Warrant, as the case may be, to be issued to: If in book-entry form through the Depository: Depository Account Number: Name of Agent Member: If in definitive form: Social Security Number or Other Identifying Number: Name: Street Address: City, State and Zip Code: [Form of Assignment] For value received, the undersigned registered Warrantholder of the within Warrant Certificate hereby sells, assigns and transfers unto the Assignee(s) named below (including the undersigned with respect to any Warrants constituting a part of the Warrants evidenced by the within Warrant Certificate not being assigned hereby) all of the right, title and interest of the undersigned under the within Warrant Certificate with respect to the number of Warrants set forth below, and does irrevocably constitute and appoint [ ], the undersigned’s attorney, to make such transfer on the books of the Company maintained for the purpose, with full power of substitution in the premises. Name of Assignees Address Number of Warrants Social Security Number or other Identifying Number Dated: Holder: By: Name: Title: Signature guaranteed by (if a guarantee is required):

Securities and/or check to be issued to. If in book-entry form through the DepositoryDepositary: Depository Depositary Account Number: Name of Agent Member: If in definitive form: Social Security Number or Other Identifying Number: Name: Street Address: City, State and Zip Code: Any unexercised Warrants evidenced by the exercising Warrantholder’s interest in the Global Warrant or Definitive Warrant, as the case may be, to be issued to: If in book-entry form through the DepositoryDepositary: Depository Depositary Account Number: Name of Agent Member: If in definitive form: Social Security Number or Other Identifying Number: Name: Street Address: City, State and Zip Code: [Form of Assignment] For value received, the undersigned registered Warrantholder of the within Warrant Certificate hereby sells, assigns and transfers unto the Assignee(s) named below (including the undersigned with respect to any Warrants constituting a part of the Warrants evidenced by the within Warrant Certificate not being assigned hereby) all of the right, title and interest of the undersigned under the within Warrant Certificate with respect to the number of Warrants set forth below, . Name of Assignees Address Number of Warrants Social Security Number or other Identifying Number and does irrevocably constitute and appoint [ ], the undersigned’s attorney, to make such transfer on the books of the Company maintained for the purpose, with full power of substitution in the premises. Name of Assignees Address Number of Warrants Social Security Number or other Identifying Number Dated: Holder: By: Name: Title: Signature guaranteed by (if a guarantee is required)::

Securities and/or check to be issued to. If in book-entry form through the DepositoryDepositary: Depository Depositary Account Number: Name of Agent Member: If in definitive form: Social Security Number or Other Identifying Number: Name: Street Address: City, State and Zip Code: Any unexercised Warrants evidenced by the exercising Warrantholder’s interest in the Global Warrant or Definitive Warrant, as the case may be, to be issued to: If in book-entry form through the DepositoryDepositary: Depository Depositary Account Number: Name of Agent Member: If in definitive form: Social Security Number or Other Identifying Number: Name: Street Address: City, State and Zip Code: [Form of Assignment] For value received, the undersigned registered Warrantholder of the within Warrant Certificate hereby sells, assigns and transfers unto the Assignee(s) named below (including the undersigned with respect to any Warrants constituting a part of the Warrants evidenced by the within Warrant Certificate not being assigned hereby) all of the right, title and interest of the undersigned under the within Warrant Certificate with respect to the number of Warrants set forth below, . Name of Assignees Address Number of Warrants Social Security Number or other Identifying Number and does irrevocably constitute and appoint [ ], the undersigned’s attorney, to make such transfer on the books of the Company maintained for the purpose, with full power of substitution in the premises. Name of Assignees Address Number of Warrants Social Security Number or other Identifying Number Dated: Holder: By: Name: Title: Signature guaranteed by (if a guarantee is required):