Spouse Consent. The undersigned spouse of _______________________ (the “Grantee”) has read, understands, and hereby approves the Restricted Stock Grant Agreement between OriginOil, Inc., a Nevada corporation (the “Company”) and Grantee (the “Agreement”). In consideration of the Company's granting my spouse the right to purchase the Shares as set forth in the Agreement, the undersigned hereby agrees to be irrevocably bound by the Agreement and further agrees that any community property interest shall similarly be bound by the Agreement. The undersigned hereby appoints Grantee as my attorney-in-fact with respect to any amendment or exercise of any rights under the Agreement. Date: Print Name of Grantee's Spouse Signature of Grantee's Spouse (Please print title) Address: o Check this box if you do not have a spouse.
Appears in 4 contracts
Samples: Restricted Stock Grant Agreement (Originoil Inc), Restricted Stock Grant Agreement (Originoil Inc), Restricted Stock Grant Agreement (Originoil Inc)
Spouse Consent. The undersigned spouse of _______________________ (the “Grantee”) has read, understands, and hereby approves the Restricted Stock Grant Agreement between OriginOil, Inc., a Nevada corporation (the “Company”) and Grantee (the “Agreement”). In consideration of the Company's granting my spouse the right to purchase the Shares as set forth in the Agreement, the undersigned hereby agrees to be irrevocably bound by the Agreement and further agrees that any community property interest shall similarly be bound by the Agreement. The undersigned hereby appoints Grantee as my attorney-in-fact with respect to any amendment or exercise of any rights under the Agreement. Date: :________________________________ Print Name of Grantee's Spouse Signature of Grantee's Spouse Address: (Please print title) Address: o ☐ Check this box if you do not have a spouse.
Appears in 2 contracts
Samples: Restricted Stock Award Agreement (Originoil Inc), Restricted Stock Award Agreement (Originoil Inc)
Spouse Consent. The undersigned spouse of _______________________ (the “Grantee”) has read, understands, and hereby approves the Restricted Stock Grant Agreement between OriginOil, Inc., a Nevada corporation (the “Company”) and Grantee (the “Agreement”). In consideration of the Company's granting my spouse the right to purchase the Shares as set forth in the Agreement, the undersigned hereby agrees to be irrevocably bound by the Agreement and further agrees that any community property interest shall similarly be bound by the Agreement. The undersigned hereby appoints Grantee as my attorney-in-fact with respect to any amendment or exercise of any rights under the Agreement. Date: Print Name of Grantee's Spouse (Please print name) Signature of Grantee's Spouse Address: (Please print title) Address: o Check this box if you do not have a spouse.
Appears in 2 contracts
Samples: Restricted Stock Grant Agreement (Originoil Inc), Restricted Stock Grant Agreement (Originoil Inc)
Spouse Consent. The undersigned spouse of _______________________ (the “Grantee”) has read, understands, and hereby approves the Restricted Stock Grant Agreement between OriginOilCarbon Sciences, Inc., a Nevada corporation (the “Company”) and Grantee (the “Agreement”). In consideration of the Company's granting my spouse the right to purchase the Shares as set forth in the Agreement, the undersigned hereby agrees to be irrevocably bound by the Agreement and further agrees that any community property interest shall similarly be bound by the Agreement. The undersigned hereby appoints Grantee as my attorney-in-fact with respect to any amendment or exercise of any rights under the Agreement. Date: Print Name Signature of Grantee's Spouse Signature Print Name of Grantee's Spouse (Please print titlename) Address: o (Please print title) ☐ Check this box if you do not have a spouse.
Appears in 1 contract
Samples: Restricted Stock Award Agreement (Originclear, Inc.)
Spouse Consent. The undersigned spouse of _______________________ (the “Grantee”) has read, understands, and hereby approves the Restricted Stock Grant Agreement between OriginOil, Inc., a Nevada corporation (the “Company”) and Grantee (the “Agreement”). In consideration of the Company's granting my spouse the right to purchase the Shares as set forth in the Agreement, the undersigned hereby agrees to be irrevocably bound by the Agreement and further agrees that any community property interest shall similarly be bound by the Agreement. The undersigned hereby appoints Grantee as my attorney-in-fact with respect to any amendment or exercise of any rights under the Agreement. Date: Print Name of Grantee's Spouse (Please print name) Signature of Grantee's Spouse (Please print title) Address: o Check this box if you do not have a spouse.
Appears in 1 contract
Spouse Consent. The undersigned spouse of _______________________ X. Xxxxx Xxxxxxxxxx (the “Grantee”) has read, understands, and hereby approves the Restricted Stock Grant Agreement between OriginOil, Inc., a Nevada corporation (the “Company”) and Grantee (the “Agreement”). In consideration of the Company's granting my spouse the right to purchase the Shares as set forth in the Agreement, the undersigned hereby agrees to be irrevocably bound by the Agreement and further agrees that any community property interest shall similarly be bound by the Agreement. The undersigned hereby appoints Grantee as my attorney-in-fact with respect to any amendment or exercise of any rights under the Agreement. Date: 10 Jan 2014 Xxxxxx Xxxxxx-Xxxxxxxxxx Print Name of Grantee's Spouse Signature of Grantee's Spouse Self Address: (Please print title) Address: o Check this box if you do not have a spouse.
Appears in 1 contract
Spouse Consent. The undersigned spouse of _______________________ X. Xxxxx Xxxxxxxxxx (the “Grantee”) has read, understands, and hereby approves the Restricted Stock Grant Agreement between OriginOilCarbon Sciences, Inc., a Nevada corporation (the “Company”) and Grantee (the “Agreement”). In consideration of the Company's granting my spouse the right to purchase the Shares as set forth in the Agreement, the undersigned hereby agrees to be irrevocably bound by the Agreement and further agrees that any community property interest shall similarly be bound by the Agreement. The undersigned hereby appoints Grantee as my attorney-in-fact with respect to any amendment or exercise of any rights under the Agreement. Date: Print Name Signature of Grantee's Spouse Signature Print Name of Grantee's Spouse (Please print titlename) Address: o (Please print title) ☐ Check this box if you do not have a spouse.
Appears in 1 contract
Samples: Restricted Stock Award Agreement (Originclear, Inc.)