Common use of Telephone Number   Telephone Number Clause in Contracts

Telephone Number   Telephone Number. Social Security Number/EIN Social Security Number/EIN Date Date * * * * * This Subscription is accepted House Hack, Inc. on __________________, 2023 By: Name: Title: APPENDIX A An accredited investor, as defined in Rule 501(a) of the Securities Act of 1933, as amended, includes the following categories of investor (1) Any bank as defined in section 3(a)(2) of the Act, or any savings and loan association or other institution as defined in section 3(a)(5)(A) of the Act whether acting in its individual or fiduciary capacity; any broker or dealer registered pursuant to section 15 of the Securities Exchange Act of 1934; any investment adviser registered pursuant to section 203 of the Investment Advisers Act of 1940 or registered pursuant to the laws of a state; any investment adviser relying on the exemption from registering with the Commission under section 203(l) or (m) of the Investment Advisers Act of 1940; any insurance company as defined in section 2(a)(13) of the Act; any investment company registered under the Investment Company Act of 1940 or a business development company as defined in section 2(a)(48) of that Act; any Small Business Investment Company licensed by the U.S. Small Business Administration under section 301(c) or (d) of the Small Business Investment Act of 1958; any Rural Business Investment Company as defined in section 384A of the Consolidated Farm and Rural Development Act; any plan established and maintained by a state, its political subdivisions, or any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, if such plan has total assets in excess of $5,000,000; any employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974 if the investment decision is made by a plan fiduciary, as defined in section 3(21) of such act, which is either a bank, savings and loan association, insurance company, or registered investment adviser, or if the employee benefit plan has total assets in excess of $5,000,000 or, if a self-directed plan, with investment decisions made solely by persons that are accredited investors;

Appears in 2 contracts

Samples: Subscription Agreement (House Hack, Inc), Subscription Agreement (House Hack, Inc)

AutoNDA by SimpleDocs

Telephone Number   Telephone Number. Social Security Number/EIN Social Security Number/EIN Date Date * * * * * This Subscription is accepted House HackPSI INTERNATIONAL, Inc. INC. on _____________, 201_____, 2023 By: _ By Name: Rxxxxxx X. Xxxx Title: President APPENDIX A An CERTIFICATE OF ACCREDITED INVESTOR STATUS The undersigned is an individual “accredited investor, ,” as that term is defined in Rule 501(a) of Regulation D under the Securities Act of 1933, as amended, includes amended (the following categories of investor (1) Any “Securities Act”). The undersigned has checked the box below indicating the basis on which it is representing its status as an “accredited investor”: [ ] A bank as defined in section Section 3(a)(2) of the Act, or any savings and loan association or other institution as defined in section Section 3(a)(5)(A) of the Act whether acting in its individual or fiduciary capacity; any a broker or dealer registered pursuant to section Section 15 of the Securities Exchange Act of 1934; any investment adviser registered pursuant to section 203 of the Investment Advisers Act of 1940 or registered pursuant to the laws of a state; any investment adviser relying on the exemption from registering with the Commission under section 203(l) or (m) of the Investment Advisers Act of 1940; any an insurance company as defined in section Section 2(a)(13) of the Act; any an investment company registered under the Investment Company Act of 1940 or a business development company as defined in section Section 2(a)(48) of that Actact; any Small Business Investment Company a small business investment company licensed by the U.S. Small Business Administration under section Section 301(c) or (d) of the Small Business Investment Act of 1958; any Rural Business Investment Company as defined in section 384A of the Consolidated Farm and Rural Development Act; any a plan established and maintained by a state, its political subdivisions, or any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, if such plan has total assets in excess of $5,000,000; any an employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974 1974, if the investment decision is made by a plan fiduciary, as defined in section Section 3(21) of such act, which is either a bank, savings and loan association, insurance company, or registered investment adviser, or if the employee benefit plan has total assets in excess of $5,000,000 or, if a self-directed plan, with investment decisions made solely by persons that are accredited investors;”; [ ] A private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940; [ ] An organization described in Section 501(c)(3) of the Internal Revenue Code, corporation, Massachusetts or similar business trust, or partnership, not formed for the specific purpose of acquiring the securities offered, with total assets in excess of $5,000,000; [ ] A natural person whose individual net worth, or joint net worth with the undersigned’s spouse, excluding the “net value” of his or her primary residence, at the time of this purchase exceeds $1,000,000 and having no reason to believe that net worth will not remain in excess of $1,000,000 for foreseeable future, with “net value” for such purposes being the fair value of the residence less any mortgage indebtedness or other obligation secured by the residence, but subtracting such indebtedness or obligation only if it is a liability already considered in calculating net worth; [ ] A natural person who had an individual income in excess of $200,000 in each of the two most recent years or joint income with the undersigned’s spouse in excess of $300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year; [ ] A trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the securities offered, whose purchase is directed by a person who has such knowledge and experience in financial and business matters that he is capable of evaluating the merits and risks of the prospective investment; or [ ] An entity in which all the equity holders are “accredited investors” by virtue of their meeting one or more of the above standards. [ ] An individual who is a director or executive officer of PSI International, Inc.. Date: Subscriber By:

Appears in 1 contract

Samples: Subscription Agreement (PSI International, Inc.)

Telephone Number   Telephone Number. Social Security Fax Number (if available) Fax Number (if available) E-Mail E-Mail (if available) /s/ Xxxxx Xxxxxx (Signature) (Signature of Additional Subscriber) ACCEPTED as of July 15, 2019, on behalf of the Company. By: /s/ Damon Cuizk President EXECUTION BY SUBSCRIBER WHICH IS AN ENTITY (e.g., corporation, partnership, LLC, trust, etc.) Name of Entity (Please Print) Date of Incorporation or Organization: State of Principal Office: Federal Taxpayer Identification Number/EIN Social Security Number/EIN Date Date * * * * * This Subscription is accepted House Hack: Office Address City, Inc. State and Zip Code Telephone Number Fax Number (if available) E-Mail (if available) By: Name: Title: Address ACCEPTED as of ________, 2019, on behalf of the Company. By: __________________, 2023 By_______________ President Appendix A INVESTOR QUESTIONNAIRE Instructions: Name: Title: APPENDIX A An accredited investorCheck all boxes below which correctly describe you. ☐ The Subscriber is (i) a bank, as defined in Rule 501(aSection 3(a)(2) of the Securities Act of 1933, as amendedamended (the “Securities Act”), includes the following categories of investor (1ii) Any bank as defined in section 3(a)(2) of the Act, or any a savings and loan association or other institution institution, as defined in section Section 3(a)(5)(A) of the Act Securities Act, whether acting in its an individual or fiduciary capacity; any , (iii) a broker or dealer registered pursuant to section Section 15 of the Securities Exchange Act of 1934; any investment adviser registered pursuant to section 203 of , as amended (the Investment Advisers Act of 1940 or registered pursuant to the laws of a state; any investment adviser relying on the exemption from registering with the Commission under section 203(l“Exchange Act”), (iv) or (m) of the Investment Advisers Act of 1940; any an insurance company as defined in section 2(a)(13Section 2(13) of the Securities Act; any , (v) an investment company registered under the Investment Company Act of 1940 or 1940, as amended (the “Investment Company Act”), (vi) a business development company as defined in section Section 2(a)(48) of that the Investment Company Act; any , (vii) a Small Business Investment Company licensed by the U.S. Small Business Administration under section 301(cSection 301 (c) or (d) of the Small Business Investment Act of 1958; any Rural Business Investment Company , as defined in section 384A of the Consolidated Farm and Rural Development Act; any amended, (viii) a plan established and maintained by a state, its political subdivisions, or any an agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, if such plan has employees and you have total assets in excess of $5,000,000; any , or (ix) an employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974 if 1974, as amended (“ERISA”) and (1) the investment decision that you shall subscribe for and purchase the Securities, is made by a plan fiduciary, as defined in section Section 3(21) of such actERISA, which is either a bank, savings and loan association, insurance company, or registered investment adviser, or if the employee benefit plan has (2) you have total assets in excess of $5,000,000 orand the decision that you shall subscribe for and purchase the Securities is made solely by persons or entities that are accredited investors, if as defined in Rule 501 of Regulation D promulgated under the Securities Act (“Regulation D”) or (3) you are a self-directed plan, with investment decisions plan and the decision that you shall subscribe for and purchase the Securities is made solely by persons or entities that are accredited investors;. ☐ The Subscriber is a private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940, as amended. ☐ The Subscriber is an organization described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the “Code”), a corporation, Massachusetts or similar business trust or a partnership, in each case not formed for the specific purpose of making an investment in the Securities and with total assets in excess of $5,000,000. ☒ The Subscriber is a director or executive officer of the Company. ☒ The Subscriber is a natural person whose individual net worth, or joint net worth with my spouse, exceeds $1,000,000 at the time of my subscription for and purchase of the Securities. For purposes of this Subscription Agreement, “net worth” means the excess of total assets at fair market value, including real and personal property, but excluding the value of your primary residence, over total liabilities. Total liabilities excludes any mortgage on the primary residence in an amount of up to the home’s estimated fair market value, but includes (i) any mortgage amount in excess of the home’s fair market value and (ii) any mortgage amount that was borrowed during the 60-day period before the closing date for the sale of Securities for the purpose of investing in the Securities. ☐ The Subscriber is a natural person who had an individual income in excess of $200,000 in each of the two most recent years or joint income with my spouse in excess of $300,000 in each of the two most recent years, and who has a reasonable expectation of reaching the same income level in the current year.

Appears in 1 contract

Samples: Subscription Agreement (EVO Transportation & Energy Services, Inc.)

Telephone Number   Telephone Number. Social Security Number/EIN Social Security Number/EIN Date Date * * * * * This Subscription is accepted House Hack, Inc. on Fax Number (if available) Fax Number (if available) E-Mail E-Mail (if available) /s/ Xxxxxxx Xxxxxx (Signature) (Signature of Additional Purchaser) ACCEPTED this _______ day of ____________, 2023 2019, on behalf of the Company. By: NameChief Executive Officer INVESTOR QUESTIONNAIRE Instructions: Title: APPENDIX A An accredited investorCheck all boxes below which correctly describe you. ☐ I am a (i) a bank, as defined in Rule 501(aSection 3(a)(2) of the Securities Act of 1933, as amendedamended (the “Securities Act”), includes the following categories of investor (1ii) Any bank as defined in section 3(a)(2) of the Act, or any a savings and loan association or other institution institution, as defined in section Section 3(a)(5)(A) of the Act Securities Act, whether acting in its an individual or fiduciary capacity; any , (iii) a broker or dealer registered pursuant to section Section 15 of the Securities Exchange Act of 1934; any investment adviser registered pursuant to section 203 of , as amended (the Investment Advisers Act of 1940 or registered pursuant to the laws of a state; any investment adviser relying on the exemption from registering with the Commission under section 203(l“Exchange Act”), (iv) or (m) of the Investment Advisers Act of 1940; any an insurance company as defined in section 2(a)(13Section 2(13) of the Securities Act; any , (v) an investment company registered under the Investment Company Act of 1940 or 1940, as amended (the “Investment Company Act”), (vi) a business development company as defined in section Section 2(a)(48) of that the Investment Company Act; any , (vii) a Small Business Investment Company licensed by the U.S. Small Business Administration under section 301(cSection 301 (c) or (d) of the Small Business Investment Act of 1958; any Rural Business Investment Company , as defined in section 384A of the Consolidated Farm and Rural Development Act; any amended, (viii) a plan established and maintained by a state, its political subdivisions, or any an agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, if such plan has employees and you have total assets in excess of $5,000,000; any , or (ix) an employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974 if 1974, as amended (“ERISA”) and (1) the investment decision that you shall subscribe for and purchase the Common Stock, is made by a plan fiduciary, as defined in section Section 3(21) of such actERISA, which is either a bank, savings and loan association, insurance company, or registered investment adviser, or if the employee benefit plan has (2) you have total assets in excess of $5,000,000 orand the decision that you shall subscribe for and purchase the Common Stock is made solely by persons or entities that are accredited investors, if as defined in Rule 501 of Regulation D promulgated under the Securities Act (“Regulation D”) or (3) you are a self-directed plan, with investment decisions plan and the decision that you shall subscribe for and purchase the Common Stock is made solely by persons or entities that are accredited investors;. ☐ I am a private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940, as amended. ☐ I am an organization described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the “Code”), a corporation, Massachusetts or similar business trust or a partnership, in each case not formed for the specific purpose of making an investment in the Common Stock and with total assets in excess of $5,000,000. ☐ I am a director or executive officer of the Company. ☒ I am a natural person whose individual net worth, or joint net worth with my spouse, exceeds $1,000,000 at the time of my subscription for and purchase of the Common Stock. For purposes of this Subscription Agreement, “net worth” means the excess of total assets at fair market value, including real and personal property, but excluding the value of your primary residence, over total liabilities. Total liabilities excludes any mortgage on the primary residence in an amount of up to the home’s estimated fair market value, but includes (i) any mortgage amount in excess of the home’s fair market value and (ii) any mortgage amount that was borrowed during the 60-day period before the closing date for the sale of Common Stock for the purpose of investing in the Common Stock. ☒ I am a natural person who had an individual income in excess of $200,000 in each of the two most recent years or joint income with my spouse in excess of $300,000 in each of the two most recent years, and who has a reasonable expectation of reaching the same income level in the current year. ☐ I am a trust, with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the Common Stock, whose subscription for and purchase of the Common Stock is directed by a sophisticated person as described in Rule 506(b)(2)(ii) of Regulation D. ☐ I am an entity in which all of the equity owners are persons or entities described in one of the preceding paragraphs. Note: For Subscribers attempting to qualify under this item, each equity owner must complete, sign and return to the Company a separate copy of this Questionnaire). ☐ I do NOT meet any of the foregoing categories. The undersigned hereby represents and warrants that all of its answers to this Investor Questionnaire are true as of the date of its execution of the Subscription Agreement pursuant to which it purchased Common Stock of the Company. Xxxxxxx X. Xxxxxx Name of Purchaser [please print] Name of Co-Purchaser [please print] /s/ Xxxxxxx X. Xxxxxx Signature of Purchaser (Entities please Signature of Co-Purchaser provide signature of Purchaser’s duly authorized signatory.) 9/16/19 Name of Signatory (Entities only) Date Title of Signatory (Entities only) EXHIBIT A SUBSCRIPTION SECURITIES To Xxxxxxx Xxxxxx: 1,220,491 shares of common stock of the Company, par value $0.0001 per share To Xxxxxxx Xxxxxx: 1,220,491 shares of common stock of the Company, par value $0.0001 per share

Appears in 1 contract

Samples: Subscription Agreement (EVO Transportation & Energy Services, Inc.)

AutoNDA by SimpleDocs

Telephone Number   Telephone Number. Social Security Number/EIN Social Security Number/EIN Date Date * * * * * This Subscription is accepted House Hack, Inc. on Fax Number (if available) Fax Number (if available) E-Mail E-Mail (if available) /s/ Xxxxxxx Xxxxxx (Signature) (Signature of Additional Purchaser) ACCEPTED this _______ day of ____________, 2023 2019, on behalf of the Company. By: NameChief Executive Officer Appendix A INVESTOR QUESTIONNAIRE Instructions: Title: APPENDIX A An accredited investorCheck all boxes below which correctly describe you. ☐ I am a (i) a bank, as defined in Rule 501(aSection 3(a)(2) of the Securities Act of 1933, as amendedamended (the “Securities Act”), includes the following categories of investor (1ii) Any bank as defined in section 3(a)(2) of the Act, or any a savings and loan association or other institution institution, as defined in section Section 3(a)(5)(A) of the Act Securities Act, whether acting in its an individual or fiduciary capacity; any , (iii) a broker or dealer registered pursuant to section Section 15 of the Securities Exchange Act of 1934; any investment adviser registered pursuant to section 203 of , as amended (the Investment Advisers Act of 1940 or registered pursuant to the laws of a state; any investment adviser relying on the exemption from registering with the Commission under section 203(l“Exchange Act”), (iv) or (m) of the Investment Advisers Act of 1940; any an insurance company as defined in section 2(a)(13Section 2(13) of the Securities Act; any , (v) an investment company registered under the Investment Company Act of 1940 or 1940, as amended (the “Investment Company Act”), (vi) a business development company as defined in section Section 2(a)(48) of that the Investment Company Act; any , (vii) a Small Business Investment Company licensed by the U.S. Small Business Administration under section 301(cSection 301 (c) or (d) of the Small Business Investment Act of 1958; any Rural Business Investment Company , as defined in section 384A of the Consolidated Farm and Rural Development Act; any amended, (viii) a plan established and maintained by a state, its political subdivisions, or any an agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, if such plan has employees and you have total assets in excess of $5,000,000; any , or (ix) an employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974 if 1974, as amended (“ERISA”) and (1) the investment decision that you shall subscribe for and purchase the Common Stock, is made by a plan fiduciary, as defined in section Section 3(21) of such actERISA, which is either a bank, savings and loan association, insurance company, or registered investment adviser, or if the employee benefit plan has (2) you have total assets in excess of $5,000,000 orand the decision that you shall subscribe for and purchase the Common Stock is made solely by persons or entities that are accredited investors, if as defined in Rule 501 of Regulation D promulgated under the Securities Act (“Regulation D”) or (3) you are a self-directed plan, with investment decisions plan and the decision that you shall subscribe for and purchase the Common Stock is made solely by persons or entities that are accredited investors;. ☐ I am a private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940, as amended. ☐ I am an organization described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the “Code”), a corporation, Massachusetts or similar business trust or a partnership, in each case not formed for the specific purpose of making an investment in the Common Stock and with total assets in excess of $5,000,000. ☐ I am a director or executive officer of the Company.

Appears in 1 contract

Samples: Subscription Agreement (EVO Transportation & Energy Services, Inc.)

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!