Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2. (1) Name: Address: Social Security No.: ____________________ (2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”). (3) The date on which the Shares were acquired is ____________________, 20___. (4) The taxable year in which the election is being made is the calendar year 20___. (5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer. (6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share. (7) The amount paid for such property is $__________ per share. (8) A copy of this statement was furnished to [__________], for whom taxpayer rendered the services underlying the transfer of property. (9) This statement is executed as of ____________________, 20___.
Appears in 5 contracts
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: Address: Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ $ per share.
(8) A copy of this statement was furnished to [____________________], for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 4 contracts
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: Address: Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of an employee the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ per share.
(8) A copy of this statement was furnished to [______________], for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 4 contracts
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: Address: Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ per share.
(8) A copy of this statement was furnished to [____________________], for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 4 contracts
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: Address: Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of an employee the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ per share.
(8) A copy of this statement was furnished to [____________________], for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 3 contracts
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: Address: Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of an employee the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ $ per share.
(8) A copy of this statement was furnished to [__________]NeOnc Technologies Holdings, Inc., for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 2 contracts
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: Address: Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ per share.
(8) A copy of this statement was furnished to [______________], for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 2 contracts
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.), Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: ______________________________________________________________ Address: ___________________________________________________________ ___________________________________________________________ Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies HoldingsLoton, Inc.Corp., a Delaware Nevada corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___2017.
(4) The taxable year in which the election is being made is the calendar year 20___2017.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of an employee the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ $ 0 per share.
(8) A copy of this statement was furnished to [__________]Loton, Corp., for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___2017.
Appears in 2 contracts
Sources: Restricted Stock Agreement (Loton, Corp), Restricted Stock Agreement (Loton, Corp)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: Address: Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of an employee the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ per share.
(8) A copy of this statement was furnished to [__________], for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 1 contract
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: ______________________________________________________________ Address: ___________________________________________________________ ___________________________________________________________ Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Impac Mortgage Holdings, Inc., a Delaware corporation Inc. (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director an [employee/director/consultant] of the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ $ per share.
(8) A copy of this statement was furnished to [__________]Impac Mortgage Holdings, Inc., for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 1 contract
Sources: Restricted Stock Award Agreement (Impac Mortgage Holdings Inc)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: Address: Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a an Executive Officer and Director of the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ per share.
(8) A copy of this statement was furnished to [__________], for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 1 contract
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: ______________________________________________________________ Address: ___________________________________________________________ ___________________________________________________________ Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies HoldingsVSee Health, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be [an employee/a Director of service provider] the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ $ per share.
(8) A copy of this statement was furnished to [__________]VSee Health, Inc., for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 1 contract
Sources: Restricted Stock Award Agreement (Vsee Health, Inc.)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: ______________________________________________________________ Address: ___________________________________________________________ __________________________________________________________________ Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation American River Bankshares (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director an [employee/director/consultant] of the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ $ per share.
(8) A copy of this statement was furnished to [__________]American River Bankshares, for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 1 contract
Sources: Restricted Stock Award Agreement (American River Bankshares)
Tax Election. This statement is being made under Section 83(b) of the Internal Revenue Code, pursuant to Treas. Reg. Section 1.83-2.
(1) Name: Address: Social Security No.: ____________________
(2) The property with respect to which the election is being made is ____________________ shares of the common stock of NeOnc Technologies Holdings, Inc., a Delaware corporation (“Shares”).
(3) The date on which the Shares were acquired is ____________________, 20___.
(4) The taxable year in which the election is being made is the calendar year 20___.
(5) The property is subject to surrender and cancellation if for any reason the taxpayer ceases to be a Director of the issuer prior to specified vesting dates. This restriction lapses in accordance with the terms of an agreement between the company and taxpayer.
(6) The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) is $__________ per share.
(7) The amount paid for such property is $__________ per share.
(8) A copy of this statement was furnished to [____________________], for whom taxpayer rendered the services underlying the transfer of property.
(9) This statement is executed as of ____________________, 20___.
Appears in 1 contract
Sources: Restricted Stock Award Agreement (Neonc Technologies Holdings, Inc.)