Warrant Shares Exercise Log Sample Clauses

Warrant Shares Exercise Log. Date Number of Warrant Number of Warrant Number of Warrant Shares Available to Shares Exercised Shares Remaining to be Exercised be Exercised ----------- ------------------- ----------------- -------------------------- ----------- ------------------- ----------------- -------------------------- CHINA PHARMA HOLDINGS, INC. WARRANT ORIGINALLY ISSUED JUNE 24, 2008 FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto ________________________________ the right represented by the above-captioned Warrant to purchase ____________ shares of Common Stock to which such Warrant relates and appoints ________________ attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: _______________, ____ ___________________________________ (Signature must conform in all respects to name of holder as specified on the face of the Warrant) ___________________________________ Address of Transferee ___________________________________ ___________________________________ In the presence of: ________________________
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Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised ENER-CORE, INC. WARRANT DATED ________ __, 201_ WARRANT NO. ______________ FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto _________________________ the right represented by the above-captioned Warrant to purchase ________________ shares of Common Stock to which such Warrant relates and appoints _________________ attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee In the presence of:
Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised I-MANY, INC. WARRANT ORIGINALLY ISSUED [ ], 2006 WARRANT NO. [ ] FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto the right represented by the above-captioned Warrant to purchase shares of Common Stock to which such Warrant relates and appoints attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: , (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee In the presence of: ________________________
Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised FLOW INTERNATIONAL CORPORATION WARRANT ORIGINALLY ISSUED [ ], 2005 WARRANT NO. [ ] FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto the right represented by the above-captioned Warrant to purchase shares of Common Stock to which such Warrant relates and appoints attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: , (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee In the presence of:
Warrant Shares Exercise Log. Date Number of Warrant Shares Number of Warrant Shares Number of Warrant Shares Available to be Exercised Exercised Remaining to be Exercised ------------------- ----------------------------- ---------------------------- ---------------------------
Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised DRUGMAX, INC. WARRANT ORIGINALLY ISSUED OCTOBER 3, 2005 FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto the right represented by the above-captioned Warrant to purchase shares of Common Stock to which such Warrant relates and appoints attorney to transfer said right on the books of the Company with full power of substitution in the premises. Dated: , (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee In the presence of:
Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised
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Warrant Shares Exercise Log. Number of
Warrant Shares Exercise Log. Date Number of Number of Warrant Shares Number Warrant Shares Available of Warrant Remaining to be Shares to be Exercised Exercised Exercised -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto ___________ the right represented by the within Warrant to purchase _______ shares of Common Stock of Modern Medical Modalities Corporation to which the within Warrant relates and appoints ___________________ attorney to transfer said right on the books of Modern Medical Modalities Corporation with full power of substitution in the premises. Dated: __________, ____ -------------------------------- (Signature must conform in all ` respects to name of holder as specified on the face of the Warrant) -------------------------------- Address of Transferee -------------------------------- -------------------------------- In the presence of: _______________________________
Warrant Shares Exercise Log. Date Number of Warrant Shares Available to be Exercised Number of Warrant Shares Exercised Number of Warrant Shares Remaining to be Exercised LOTON, CORP WARRANT ORIGINALLY ISSUED ____________________ WARRANT FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto _____________________________ the right represented by the above-captioned Warrant to purchase _______________ shares of Common Stock to which such Warrant relates and appoints ___________________ attorney to transfer said right on the books of the Company with full power of substitution in the premises. In connection with such sale, assignment or transfer of this Warrant, the undersigned hereby confirms that: ¨ such sale, transfer or other disposition may be effected without registration or qualification (under the Securities Act as then in effect and any applicable state securities law then in effect) of this Warrant or the shares of capital stock of the Company issuable thereunder and has attached hereto a written opinion of the undersigned’s counsel to that effect; or ¨ such sale, transfer or other disposition has been registered under the Securities Act of 1933, as amended, and registered and/or qualified under all applicable state securities laws. Dated: _________________, ____ (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Address of Transferee In the presence of:
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