STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE Sample Clauses

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value Received, hereby sells, assigns and transfers unto Decru, Inc., a Delaware corporation (the “Company”), pursuant to the Repurchase Option under that certain Early Exercise Stock Purchase Agreement, dated by and between the undersigned and the Company (the “Agreement”), ( ) shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). and does hereby irrevocably constitute and appoint the Company’s Secretary attorney to transfer said Common Stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option under the Agreement. Dated: (Signature) (Print Name) (Instruction: Please do not fill in any blanks other than the “Signature” line and the “Print Name” line.) Exhibit C JOINT ESCROW INSTRUCTIONS Mxxx X. Xxxxxxx Cxxxxx Godward LLP Five Palo Alto Square 3000 Xx Xxxxxx Xxxx Xxxx Xxxx, XX 00000 Dear Sir or Madam: As Escrow Agent for both Decru, Inc., a Delaware corporation (“Company”), and the undersigned purchaser of Common Stock of the Company (“Purchaser”), you are hereby authorized and directed to hold the documents delivered to you pursuant to the terms of that certain Early Exercise Stock Purchase Agreement (“Agreement”), dated to which a copy of these Joint Escrow Instructions is attached as Exhibit C, in accordance with the following instructions:
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STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVED, I hereby sell, assign and transfer unto ____________________________________ (_________) shares of Common Stock, $0.0001 par value per share, of Xilio Therapeutics, Inc. (the “Corporation”) standing in my name on the books of the Corporation represented by Certificate(s) Number __________ herewith, and do hereby irrevocably constitute and appoint Xxxxxx Xxxxxx Xxxxxxxxx Xxxx and Xxxx LLP attorney to transfer the said stock on the books of the Corporation with full power of substitution in the premises. Dated: PARTICIPANT: [Name] Name of Spouse (if any): Instructions to Participant: Please do not fill in any blanks other than the signature line(s). The purpose of the Stock Assignment Separate from Certificate is to enable the Company to acquire the Shares upon exercise of its Right of First Refusal and/or Purchase Option without requiring additional signatures on the part of the Participant or Participant’s spouse, if any. The signature(s) to this assignment must correspond with the name as written upon the face of the certificate, in every particular, without alteration, enlargement, or any change whatever. Notice on 83(b) Elections IF YOU WISH TO MAKE A SECTION 83(B) ELECTION, THE FILING OF SUCH ELECTION IS YOUR RESPONSIBILITY. THE FORM FOR MAKING THIS SECTION 83(B) ELECTION IS ATTACHED TO THIS AGREEMENT. YOU MUST FILE THIS FORM WITHIN 30 DAYS OF THE GRANT DATE. YOU (AND NOT THE COMPANY, ANY OF ITS AGENTS OR ANY OTHER PERSON) SHALL BE SOLELY RESPONSIBLE FOR FILING SUCH FORM WITH THE IRS, EVEN IF YOU REQUEST THE COMPANY, ITS AGENTS OR ANY OTHER PERSON TO MAKE THIS FILING ON YOUR BEHALF AND EVEN IF THE COMPANY, ANY OF ITS AGENTS OR ANY OTHER PERSON HAS PREVIOUSLY MADE THIS FILING ON YOUR BEHALF. The 83(b) election should be filed by mailing a signed election form by certified mail, return receipt requested to the IRS Service Center where you file your tax returns. See xxx.xxx.xxx.
Sample 1See All (8)
STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value Received, C-Motech Co., Ltd. hereby sells, assigns and transfers unto Franklin Wireless Corp (the “Company”), pursuant to the Common Stock Repurchase Agreement, dated July 27, 2010 by and between the undersigned and the Company (the “Agreement”), one million five hundred sixty six thousand six hundred seventy two (1,566,672) shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate Numbers _____________and does hereby irrevocably constitute and appoint the Company’s Secretary attorney to transfer said stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase of shares of Common Stock issued to the undersigned. Dated: ______________________ ________________________________________ C-Motech Co., Ltd.
Sample 1
STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For value received, VCA Animal Hospitals, Inc. hereby assigns and transfers unto Xxxxx Fargo Bank, N.A., a corporation, One Hundred (100) shares of the Common Stock of AHC of Southern Saratoga County, Inc., a New York corporation, (the “Corporation”), standing in its name on the books of said Corporation represented by Certificate No. 3 and does hereby irrevocably constitute and appoint any officer of the Corporation to transfer said stock on the books of the Corporation with full power of substitution. VCA Animal Hospitals, Inc. Dated: By: /s/ Xxxxx X. Xxxxxx Xxxxx X. Xxxxxx Its: Chief Financial Officer STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE For value received, VCA Animal Hospitals, Inc. hereby assigns and transfers unto Xxxxx Fargo Bank, N.A., a corporation, One Thousand Forty-Four (1,044) shares of the Common Stock of Apex Veterinary Hospital, Inc., a North Carolina corporation, (the “Corporation”), standing in its name on the books of said Corporation represented by Certificate No. 1 and does hereby irrevocably constitute and appoint any officer of the Corporation to transfer said stock on the books of the Corporation with full power of substitution. VCA Animal Hospitals, Inc. Dated: By: /s/ Xxxxx X. Xxxxxx Xxxxx X. Xxxxxx Its: Chief Financial Officer STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE For value received, NPC Operations, Inc. hereby assigns and transfers unto Xxxxx Fargo Bank, N.A., a corporation, One Thousand (1,000) shares of the Common Stock of Xxxxxx PetCare Center, Inc., a California corporation (the “Corporation”), standing in its name on the books of said Corporation represented by Certificate No. and does hereby irrevocably constitute and appoint any officer of the Corporation to transfer said stock on the books of the Corporation with full power of substitution. DATED: NPC OPERATIONS, INC. /s/ Xxxxx X. Xxxxxx By: Xxxxx X. Xxxxxx Its: Chief Financial Officer STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE For value received, VCA Animal Hospitals, Inc. hereby assigns and transfers unto Xxxxx Fargo Bank, N.A., a corporation, One Hundred (100) shares of the Common Stock of Associates in Pet Care, Inc., a Wisconsin corporation, (the “Corporation”), standing in its name on the books of said Corporation represented by Certificate No. and does hereby irrevocably constitute and appoint any officer of the Corporation to transfer said stock on the books of the Corporation with full power of substitution. Dated: VCA Animal Hospitals, Inc. By: /s/ X...
Sample 1
STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto NUVATION BIO INC., a Delaware corporation (the “Company”), pursuant to the Cancellation Right or Repurchase Option under that certain Stock Restriction Agreement, dated ______________, by and between the undersigned and the Company (the “Agreement”) __________________ shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No[s] ________________ and does hereby irrevocably constitute and appoint both the Company’s Secretary and the Company’s attorney, or either of them, to transfer said stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the cancellation or repurchase of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Cancellation Right or Repurchase Option under the Agreement. Dated: (leave blank) /s/ Xxxxx X. Xxxx (Signature) Xxxxx X. Xxxx Name (Please Print)
Sample 1
STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value Received, [•] hereby sells, assigns and transfers unto Novavax, Inc., a Delaware corporation (the “Company”), pursuant to the Restricted Stock Agreement, dated [•], by and between the undersigned and the Company (the “Agreement”) [•] shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company and does hereby irrevocably constitute and appoint both the Company’s Secretary and the Company’s attorney, or either of them, to transfer said stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the redemption of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain unvested under the Agreement. Dated: (Signature) (Print Name) [Instruction: Please do not fill in any blanks other than the signature line. The purpose of this Assignment is to enable the Company to exercise its redemption rights set forth in the Agreement without requiring additional signatures on the part of Stockholder.]
Sample 1
STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. FOR VALUE RECEIVED, _______________ hereby sells, assigns and transfers unto KAL Energy, Inc., a Delaware corporation (the “Company”), ________________ (_________) shares of the Common Stock of the Company, standing in his, her or its name on the books of said Company represented by Certificate No. ____ herewith and does hereby irrevocably constitute and appoint __________ his, her or its attorney to transfer the said stock on the books of the within named Company with full power of substitution in the premises. Date: September 17, 2008 [Name of Stockholder]
Sample 1
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STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For value received, Pets’ Rx, Inc. hereby assigns and transfers unto Xxxxx Fargo Bank, N.A., a corporation, One Thousand (1,000) shares of the Common Stock of Xxxxxxx X. Xxxxx, Ltd., a Nevada corporation, (the “Corporation”), standing in its name on the books of said Corporation represented by Certificate No. ________ and does hereby irrevocably constitute and appoint any officer of the Corporation to transfer said stock on the books of the Corporation with full power of substitution. Dated: Pets’ Rx, Inc. By: /s/ Xxxxx X. Xxxxxx Xxxxx X. Xxxxxx Its: Chief Financial Officer STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE For value received, NPC Operations, Inc. hereby assigns and transfers unto Xxxxx Fargo Bank, N.A., a corporation, 1,000 shares of the Common Stock of Woodland Animal Medical Center, Inc., an Oklahoma corporation, (the “Corporation”), standing in its name on the books of said Corporation represented by Certificate No. 1 and does hereby irrevocably constitute and appoint any officer of the Corporation to transfer said stock on the books of the Corporation with full power of substitution. Dated: NPC Operations, Inc. By: /s/ Xxxxx X. Xxxxxx Xxxxx X. Xxxxxx Its: Chief Financial Officer SCHEDULE 6.1: INDEBTEDNESS Payee Amount Notes Xxxxxx, Xxxxxxx $ 230,000 Xxxxxxxxx, Xxxxx 105,933 Xxxxxxxxxx, Xxxxx & Coast Pet Clinic of Hermosa Beach, Inc. 262,913 Twin Rivers Animal Hospital, P.C. 19,419 Sahara, Xxxxxx 81,476 Lavac Enterprises, Inc. 641,072 Lavac Enterprises, Inc. 180,000 Companion Pet Clinic P.C. 18,179 Xxxxx, Xxxxx & Xxxxxxx, Xxxx 3,819 Gamer, Xxxxxx 308,634 Gamer, Xxxxxx & Xxxxx Xxxx 548,066 Xxxxxxx, Xxxxxx 4,850 Xxxxxx, Xxxxxxx & Xxxxxxxxx 11,772 Xxxxxx, Xxxxxxx & Gabrielle 201,736 Xxxxxxx, Xxxxxx X. 56,981 Accomero, Xxxx 209,891 $ 2,884,741 Capital Leases American Express $ 4,454 DVI Strategic Partners 8,667 US Bank Corp 33,683 American Express 4,863 Highland 13,021 DVI Strategic Partner Group 16,711 DVI Strategic Partner Group 2.252 DVI Strategic Partner Group 7,102 DVI Strategic Partner 1,913 DVI Strategic Partner 2,402 DVI Strategic Partner Group 4,182 DVI Strategic Partner Group 2,169 DVI Strategic Partner Group 12,134 Banker’s Leasing 4,228 DVI 2,779 American Express 6,311 American Express 5,108 DVI Strategic Partner Group 9,946 USB Bank Corp 11,094 Araneta, Inc. 5,196 Minolta Copier 1,866 American Express 30,362 American Express 6,810 DMD Communications 5,578 American Express 23,535 DVI 14,871 Olympic 2,578 DVI Strategic Partner 8,583 Sou...
Sample 1
STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE. For Value Received, hereby sells, assigns and transfers unto Decru, Inc., a Delaware corporation (the “Company”), pursuant to the Repurchase Option under that certain Early Exercise Stock Purchase Agreement, dated by and between the undersigned and the Company (the “Agreement”), ( ) shares of Common Stock of the Company standing in the undersigned’s name on the books of the Company represented by Certificate No(s). and does hereby irrevocably constitute and appoint the Company’s Secretary attorney to transfer said Common Stock on the books of the Company with full power of substitution in the premises. This Assignment may be used only in accordance with and subject to the terms and conditions of the Agreement, in connection with the repurchase of shares of Common Stock issued to the undersigned pursuant to the Agreement, and only to the extent that such shares remain subject to the Company’s Repurchase Option under the Agreement. Dated: (Signature) (Print Name) (Instruction: Please do not fill in any blanks other than the “Signature” line and the “Print Name” line.)
Sample 1

Related to STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE

  • ASSIGNMENT SEPARATE FROM CERTIFICATE FOR VALUE RECEIVED, I, _____________________, hereby sell, assign and transfer unto ( ) shares of the Common Stock of Heska Corporation, standing in my name on the books of said corporation represented by Certificate No. herewith and do hereby irrevocably constitute and appoint to transfer said stock on the books of the within-named corporation with full power of substitution in the premises. Dated: , 20 .

  • Stock Certificate Please issue a certificate or certificates representing the shares in the name of: ¨ The undersigned ¨ Other—Name: Address:

  • Form of the Certificate The Certificate, upon issuance, will be issued in the form of a typewritten Certificate, substantially in the form of Exhibit A hereto, representing a definitive Certificate and shall be registered in the name of “Volkswagen Auto Lease/Loan Underwritten Funding, LLC” as the initial registered owner thereof. The Owner Trustee shall execute and authenticate, or cause to be authenticated, the definitive Certificate in accordance with the instructions of the Transferor.

  • Stock Power The Grantee agrees to execute a stock power with respect to each stock certificate reflecting the Shares, or other evidence of book-entry stock ownership, in favor of the Corporation. The Shares shall not be issued by the Corporation until the required stock powers are delivered to the Corporation.

  • FORM OF ELECTION TO PURCHASE (To be executed if the registered holder desires to exercise Rights represented by the Rights Certificate.) To: SCIENTIFIC-ATLANTA, INC. The undersigned hereby irrevocably elects to exercise Rights represented by this Rights Certificate to purchase the shares of Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person which may be issuable upon the exercise of the Rights) and requests that certificates for such shares be issued in the name of and delivered to: ------------------------------------------------------------ (Please print name and address) ------------------------------------------------------------ Please insert social security or other identifying number: ------------------------------- If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ------------------------------------------------------------ (Please print name and address) ----------------------------------------------------------- Please insert social security or other identifying number:-------------------------------- ------------------------------------------------------------ Dated: ------------------, 19-- ---------------------------------- Signature Signature Guaranteed:-------------------------- Certificate The undersigned hereby certifies by checking the appropriate boxes that:

  • Stop Transfer Instruction The Company will instruct any transfer agent not to register the Transfer of any Shares until the conditions specified in the foregoing legends are satisfied.

  • Exchange, Transfer or Assignment of Warrant This Warrant is exchangeable, without expense, at the option of the Holder, upon presentation and surrender hereof to the Company or at the office of its stock transfer agent, if any, for other Warrants of different denominations, entitling the Holder or Holders thereof to purchase in the aggregate the same number of shares of Common Stock purchasable hereunder. Upon surrender of this Warrant to the Company or at the office of its stock transfer agent, if any, with the Assignment Form annexed hereto duly executed and funds sufficient to pay any transfer tax, the Company shall, without charge, execute and deliver a new Warrant in the name of the assignee named in such instrument of assignment and this Warrant shall promptly be canceled. This Warrant may be divided or combined with other Warrants that carry the same rights upon presentation hereof at the office of the Company or at the office of its stock transfer agent, if any, together with a written notice specifying the names and denominations in which new Warrants are to be issued and signed by the Holder hereof.

  • ASSIGNMENT FORM (To assign the foregoing Warrant, execute this form and supply required information. Do not use this form to purchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Phone Number: Email Address: Dated: _______________ __, ______ Holder’s Signature: Holder’s Address:

  • Stop Transfer Instructions In order to enforce the foregoing covenants, the Company may impose stop-transfer instructions with respect to the securities of each Holder (and the securities of every other person subject to the restrictions in Section 1.14(a)).

  • Transfer Instructions All transfers into and out of the Trust Unallocated Account shall be made upon receipt of, and in accordance with, instructions given by the Trustee to the Custodian. Such instructions shall be given by authenticated SWIFT message or, if for any reason the SWIFT messaging system is not operational, by such other temporary means as the Trustee and the Custodian may agree from time to time. Other information (which shall not constitute an instruction) related to transfers into and out of the Trust Unallocated Account may be sent between the Trustee and the Custodian by email or by such other means as the Trustee and the Custodian may agree from time to time. Any such communication shall be deemed to have been given, made or served upon actual receipt by the recipient.

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