Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ The undersigned ¨ Other—Name: Address:
Appears in 47 contracts
Samples: Revenue Loan and Security Agreement (NowRx, Inc.), Note and Warrant Purchase Agreement (Knightscope, Inc.), Note and Warrant Purchase Agreement (Miso Robotics, Inc.)
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ ☐ The undersigned ¨ ☐ Other—Name: Address:
Appears in 18 contracts
Samples: Revenue Loan and Security Agreement (T1V, Inc.), Note and Warrant Agreement (NANOMIX Corp), Credit Agreement (Outset Medical, Inc.)
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ o The undersigned ¨ o Other—Name: Address:
Appears in 15 contracts
Samples: Warrant (TrueCar, Inc.), Off Agreement (TrueCar, Inc.), Off Agreement (TrueCar, Inc.)
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ [ ] The undersigned ¨ [ ] Other—Name: Address:
Appears in 14 contracts
Samples: Term Loan Agreement (T2 Biosystems, Inc.), Term Loan Agreement (T2 Biosystems, Inc.), Term Loan Agreement (T2 Biosystems, Inc.)
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ The undersigned ¨ Other—Name: Address:
Appears in 3 contracts
Samples: Grove Collaborative Holdings, Inc., VirnetX Holding Corp, Arrhythmia Research Technology Inc /De/
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ The undersigned ¨ Other—Name: ____________________________________ Address:: __________________________________
Appears in 2 contracts
Samples: Note and Warrant Purchase Agreement (Opti-Harvest, Inc.), Note and Warrant Purchase Agreement (Opti-Harvest, Inc.)
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ The undersigned ¨ Other—Other - Name: Address:
Appears in 2 contracts
Samples: Quantenna Communications Inc, Quantenna Communications Inc
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ The undersigned ¨ Other—Name: Address:
Appears in 2 contracts
Samples: Off Agreement (Organovo Holdings, Inc.), Zap
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ 0 The undersigned ¨ Other—Name: Address:
Appears in 1 contract
Samples: Semler Scientific, Inc.
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ ☐ The undersigned ¨ ☐ Other—Name: Address:
Appears in 1 contract
Samples: Outset Medical, Inc.
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ The The undersigned ¨ Other—Name: Address:
Appears in 1 contract
Samples: Micron Solutions Inc /De/
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ o The undersigned ¨ Other—o Other Name: Address:
Appears in 1 contract
Samples: TrueCar, Inc.
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ o The undersigned ¨ o Other—Name: Address:
Appears in 1 contract
Samples: TrueCar, Inc.
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ □ The undersigned ¨ □ Other—-Name: Address:
Appears in 1 contract
Samples: Knightscope, Inc.
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ □ The undersigned ¨ □ Other—Name: Address:
Appears in 1 contract
Samples: DermTech, Inc.
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ ☐ The undersigned ¨ ☐ Other—–Name: Address:
Appears in 1 contract
Samples: Outset Medical, Inc.
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ ☐ The undersigned ¨ Other—☐ Other Name: Address:
Appears in 1 contract
Samples: Augmedix, Inc.
Stock Certificate. Please issue a certificate or certificates representing the shares Securities in the name of: ¨ The undersigned ¨ Other—Name: Address:
Appears in 1 contract
Samples: Winc, Inc.
Stock Certificate. Please issue a certificate or certificates representing the shares in the name of: ¨ The undersigned ¨ Other—-Name: Address:
Appears in 1 contract
Samples: Knightscope, Inc.
