SIGNATURE GUARANTEED BY. THE SIGNATURE MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR, INSTITUTION BANK, STOCKBROKER, SAVINGS AND LOAN ASSOCIATION OR CREDIT UNION WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15. EXHIBIT B-2 [FORM OF ELECTION TO EXERCISE WARRANT FOR HOLDERS HOLDING WARRANTS THROUGH BOOK-ENTRY FACILITIES OF THE DEPOSITORY TRUST COMPANY WHEN EXERCISE OF WARRANT WILL OCCUR THROUGH SUCH FACILITIES] [TO BE COMPLETED BY DIRECT PARTICIPANT IN THE DEPOSITORY TRUST COMPANY] EXIDE TECHNOLOGIES Warrants to Purchase _______ Shares of Common Stock (TO BE EXECUTED UPON EXERCISE OF THE WARRANT) The undersigned hereby irrevocably elects to exercise the right, represented by ________ Warrants held for its benefit through the book-entry facilities of The Depository Trust Company (the "Depositary"), to purchase ________ newly issued shares of Common Stock of Exide Technologies (the "Company") at the Exercise Price of $________ per share.
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SIGNATURE GUARANTEED BY. THE SIGNATURE MUST BE GUARANTEED BY AN ELIGIBLE GUARANTORSignatures must be guaranteed by a participant in the Securities Transfer Agent Medallion Program, INSTITUTION BANKthe Stock Exchanges Medallion Program or the New York Stock Exchange, STOCKBROKER, SAVINGS AND LOAN ASSOCIATION OR CREDIT UNION WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15Inc. Medallion Signature Program. EXHIBIT B-2 [FORM OF ELECTION TO EXERCISE WARRANT FOR HOLDERS HOLDING WARRANTS THROUGH BOOK-ENTRY FACILITIES OF THE DEPOSITORY TRUST COMPANY WHEN EXERCISE OF WARRANT WILL OCCUR THROUGH SUCH FACILITIES] [TO BE COMPLETED BY DIRECT PARTICIPANT IN THE DEPOSITORY TRUST COMPANY] EXIDE TECHNOLOGIES Warrants to Purchase Countersigned: Dated: _____________________, 20___ Shares of Common Stock (TO BE EXECUTED UPON EXERCISE OF THE WARRANT) AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC, as Warrant Agent Signature Authorized Signatory The undersigned hereby irrevocably elects to exercise the right, represented by ________ ___________Warrants held for its benefit through the book-entry facilities of The Depository Trust Company (the "Depositary"“ Depositary ”), to purchase Warrant Shares and (check one): ☐ herewith tenders payment for ____________________ newly issued shares of Common Stock the Warrant Shares to the order of Exide Technologies (BioScrip, Inc. in the "Company") at the Exercise Price amount of $$ _________________ per sharein accordance with the terms of the Warrant Agreement and this Warrant; or ☐ This exercise and election shall ☐ be immediately effective or ☐ shall be effective as of 5:00 pm., New York time, on ______________________. The undersigned requests that the Warrant Shares issuable upon exercise of the Warrants be in registered form in the authorized denominations, registered in such names and delivered, all as specified in accordance with the instructions set forth below; provided, that if the Warrant Shares are evidenced by global securities, the Warrant Shares shall be registered in the name of the Depositary or its nominee. Dated: __________________ NOTE: THIS EXERCISE NOTICE MUST BE DELIVERED TO THE WARRANT AGENT, PRIOR TO 5:00 P.M., NEW YORK CITY TIME, ON THE EXPIRATION DATE. 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 ON THE EXERCISE DATE AND (2) THE ADDRESS, PHONE NUMBER AND FACSIMILE NUMBER WHERE YOU CAN CONTACT THE WARRANT AGENT AND TO WHICH WARRANT EXERCISE NOTICES ARE TO BE SUBMITTED. NAME OF DIRECT PARTICIPANT IN THE DEPOSITARY: (PLEASE PRINT) SOCIAL SECURITY OR OTHER TAXPAYER IDENTIFICATION NUMBER (IF APPLICABLE): ACCOUNT FROM WHICH WARRANTS ARE BEING DELIVERED:
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SIGNATURE GUARANTEED BY. THE SIGNATURE MUST BE GUARANTEED BY AN ELIGIBLE GUARANTORSignatures must be guaranteed by a participant in the Securities Transfer Agent Medallion Program, INSTITUTION BANKthe Stock Exchanges Medallion Program or the New York Stock Exchange, STOCKBROKERInc. Medallion Signature Program. Countersigned: Dated: _____________________, SAVINGS AND LOAN ASSOCIATION OR CREDIT UNION WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM20___ AMERICAN STOCK TRANSFER & TRUST COMPANY, PURSUANT TO S.E.C. RULE 17Ad-15. LLC, as Warrant Agent Signature Authorized Signatory EXHIBIT B-2 [EXERCISE FORM OF ELECTION TO EXERCISE WARRANT FOR BENEFICIAL HOLDERS HOLDING WARRANTS THROUGH BOOK-ENTRY FACILITIES OF THE DEPOSITORY TRUST COMPANY WHEN EXERCISE OF WARRANT WILL OCCUR THROUGH SUCH FACILITIES] [TO BE COMPLETED BY DIRECT PARTICIPANT IN THE DEPOSITORY TRUST COMPANY] EXIDE TECHNOLOGIES Warrants to Purchase _______ Shares COMPANY (To be executed upon exercise of Common Stock (TO BE EXECUTED UPON EXERCISE OF THE WARRANTWarrant) The undersigned hereby irrevocably elects to exercise the right, represented by ________ ___________Warrants held for its benefit through the book-entry facilities of The Depository Trust Company (the "Depositary"“ Depositary ”), to purchase Warrant Shares and (check one): ☐ herewith tenders payment for ____________________ newly issued shares of Common Stock the Warrant Shares to the order of Exide Technologies (BioScrip, Inc. in the "Company") at the Exercise Price amount of $$ _________________ per sharein accordance with the terms of the Warrant Agreement and this Warrant; or ☐ This exercise and election shall ☐ be immediately effective or ☐ shall be effective as of 5:00 pm., New York time, on ______________________. The undersigned requests that the Warrant Shares issuable upon exercise of the Warrants be in registered form in the authorized denominations, registered in such names and delivered, all as specified in accordance with the instructions set forth below; provided, that if the Warrant Shares are evidenced by global securities, the Warrant Shares shall be registered in the name of the Depositary or its nominee. Dated: __________________ NOTE: THIS EXERCISE NOTICE MUST BE DELIVERED TO THE WARRANT AGENT, PRIOR TO 5:00 P.M., NEW YORK CITY TIME, ON THE EXPIRATION DATE. 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 ON THE EXERCISE DATE AND (2) THE ADDRESS, PHONE NUMBER AND FACSIMILE NUMBER WHERE YOU CAN CONTACT THE WARRANT AGENT AND TO WHICH WARRANT EXERCISE NOTICES ARE TO BE SUBMITTED. NAME OF DIRECT PARTICIPANT IN THE DEPOSITARY: (PLEASE PRINT) WARRANT EXERCISE NOTICES WILL ONLY BE VALID IF DELIVERED IN ACCORDANCE WITH THE INSTRUCTIONS SET FORTH IN THIS NOTIFICATION (OR AS OTHERWISE DIRECTED), MARKED TO THE ATTENTION OF “WARRANT EXERCISE”. WARRANT HOLDER DELIVERING WARRANTS, IF OTHER THAN THE DIRECT DTC PARTICIPANT DELIVERING THIS WARRANT EXERCISE NOTICE: (PLEASE PRINT) (PLEASE PRINT)
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Samples: Common Stock Warrant Agreement
SIGNATURE GUARANTEED BY. THE SIGNATURE MUST BE GUARANTEED BY AN ELIGIBLE GUARANTORSignatures must be guaranteed by a participant in the Securities Transfer Agent Medallion Program, INSTITUTION BANKthe Stock Exchanges Medallion Program or the New York Stock Exchange, STOCKBROKER, SAVINGS AND LOAN ASSOCIATION OR CREDIT UNION WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15Inc. Medallion Signature Program. EXHIBIT B-2 [FORM OF ELECTION TO EXERCISE WARRANT FOR HOLDERS HOLDING WARRANTS THROUGH BOOK-ENTRY FACILITIES OF THE DEPOSITORY TRUST COMPANY WHEN EXERCISE OF WARRANT WILL OCCUR THROUGH SUCH FACILITIES] [TO BE COMPLETED BY DIRECT PARTICIPANT IN THE DEPOSITORY TRUST COMPANY] EXIDE TECHNOLOGIES Warrants to Purchase Countersigned: Dated: _____________________, 20___ Shares of Common Stock (TO BE EXECUTED UPON EXERCISE OF THE WARRANT) AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC, as Warrant Agent Signature Authorized Signatory The undersigned hereby irrevocably elects to exercise the right, represented by ________ ___________Warrants held for its benefit through the book-entry facilities of The Depository Trust Company (the "Depositary"“ Depositary ”), to purchase Warrant Shares and (check one): ☐ herewith tenders payment for ____________________ newly issued shares of Common Stock the Warrant Shares to the order of Exide Technologies (BioScrip, Inc. in the "Company") at the Exercise Price amount of $$ _________________ per sharein accordance with the terms of the Warrant Agreement and this Warrant; or ☐ This exercise and election shall ☐ be immediately effective or ☐ shall be effective as of 5:00 pm., New York time, on ______________________. The undersigned requests that the Warrant Shares issuable upon exercise of the Warrants be in registered form in the authorized denominations, registered in such names and delivered, all as specified in accordance with the instructions set forth below; provided, that if the Warrant Shares are evidenced by global securities, the Warrant Shares shall be registered in the name of the Depositary or its nominee. Dated: __________________ NOTE: THIS EXERCISE NOTICE MUST BE DELIVERED TO THE WARRANT AGENT, PRIOR TO 5:00 P.M., NEW YORK CITY TIME, ON THE EXPIRATION DATE. 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 ON THE EXERCISE DATE AND (2) THE ADDRESS, PHONE NUMBER AND FACSIMILE NUMBER WHERE YOU CAN CONTACT THE WARRANT AGENT AND TO WHICH WARRANT EXERCISE NOTICES ARE TO BE SUBMITTED. NAME OF DIRECT PARTICIPANT IN THE DEPOSITARY: (PLEASE PRINT) ACCOUNT FROM WHICH WARRANTS ARE BEING DELIVERED: WARRANT EXERCISE NOTICES WILL ONLY BE VALID IF DELIVERED IN ACCORDANCE WITH THE INSTRUCTIONS SET FORTH IN THIS NOTIFICATION (OR AS OTHERWISE DIRECTED), MARKED TO THE ATTENTION OF “WARRANT EXERCISE”. WARRANT HOLDER DELIVERING WARRANTS, IF OTHER THAN THE DIRECT DTC PARTICIPANT DELIVERING THIS WARRANT EXERCISE NOTICE: (PLEASE PRINT)
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