XXXXX CORPORATION. Settlement Administrator XX Xxx 0000 Xxxxxxxx, XX 00000-0000 <<mail id>> <<Name1>> <<Name2>> <<Rep>> <<Biz>> <<Address1>> <<Address2>> <<City>><<State>><<Zip>> <<Foreign Country>> <<Date>> IT IS IMPORTANT THAT YOU TRY TO ANSWER ALL QUESTIONS AS FULLY AND ACCURATELY AS POSSIBLE. FAILURE TO FULLY ANSWER THE QUESTIONS OR TO PROVIDE THE REQUESTED INFORMATION AND/OR DOCUMENTATION MAY IMPACT YOUR ABILITY TO OBTAIN BENEFITS.
I. By submitting this Arbitration Form, I state that I currently own or formerly owned a structure that contains or contained one or more Pella ProLine brand casement, awning and/or transom window manufactured by Pella between January 1, 1991 and December 31, 2006 (collectively “Pella ProLine Casement Window(s)”).
II. Identification of Person Submitting this Form.
XXXXX CORPORATION. By: /s/ Xxxxxx Xxx Xxxxxx --------------------------------------------- Name: Xxxxxx Xxx Xxxxxx Title: President and Chief Executive Officer
XXXXX CORPORATION. By: ------------------------------------------------
XXXXX CORPORATION. No. 1:06-cv-04481 (N.D. Ill.); Rafofsky v. Nissan North America, Inc., No. 2:15-cv-01848 (C.D. Cal.);
XXXXX CORPORATION. By: /s/ Xxxxxx X. Xxxxx ----------------------------------------- Xxxxxx X. Xxxxx, Senior Vice President - Finance, Chief Financial Officer
XXXXX CORPORATION. By: /s/ Xxxxxx X. Xxxxx ------------------------- Name: Xxxxxx X. Xxxxx Title: Senior Vice President - Finance, Chief Financial Officer HILLS & COMPANY By: /s/ Xxxxx X. Hills ------------------------- Name: Xxxxx X. Hills Title: Chair & CEO EXHIBIT A TO WARRANT AGREEMENT FORM OF FACE OF WARRANT CERTIFICATE THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND MAY NOT BE SOLD, TRANSFERRED, ASSIGNED, PLEDGED, OR HYPOTHECATED UNLESS AND UNTIL REGISTERED UNDER SUCH ACT, OR UNLESS THE COMPANY HAS RECEIVED AN OPINION OF COUNSEL OR OTHER EVIDENCE, SATISFACTORY TO THE COMPANY AND ITS COUNSEL, THAT SUCH REGISTRATION IS NOT REQUIRED. THE TRANSFER OF SUCH SHARES IS SUBJECT TO RESTRICTIONS ARISING UNDER THE TERMS OF A WARRANT AGREEMENT DATED AS OF MARCH 22, 2001, BETWEEN THE COMPANY AND THE INITIAL HOLDER OF THE WARRANTS ISSUED THEREUNDER. THE COMPANY WILL MAIL A COPY OF THE WARRANT AGREEMENT TO THE HOLDER WITHOUT CHARGE WITHIN FIVE (5) DAYS AFTER RECEIPT OF A WRITTEN REQUEST THEREFOR. SUCH TRANSFER RESTRICTIONS ARE BINDING ON TRANSFEREES OF THIS WARRANT AND ANY SECURITIES ISSUABLE UPON EXERCISE OF THIS WARRANT. No .1 Certificate for 25,000 Warrants WARRANTS TO PURCHASE COMMON SHARES OF X.X. XXXXX CORPORATION THIS CERTIFIES THAT Hills & Company, or its registered assigns, is the registered holder of the number of Warrants set forth above (the "WARRANTS"). Each Warrant entitles the registered holder thereof (the "HOLDER"), at its option and subject to the provisions contained herein and in the Warrant Agreement referred to below, to purchase from X.X. Xxxxx Corporation, an Ohio corporation (the "COMPANY"), one common share of the Company (the "COMMON SHARES") at the per share exercise price of $2.70 per share (the "EXERCISE PRICE"). This Warrant Certificate shall terminate and become void (i) as of the close of business on March 22, 2004 (the "EXPIRATION DATE"), or (ii) upon the exercise hereof as to all the Common Shares subject hereto. This Warrant Certificate is issued under and in accordance with a Warrant Agreement dated as of March 22, 2001 (the "WARRANT AGREEMENT"), between the Company and Hills & Company (the "INITIAL HOLDER") and is subject to the terms and provisions contained in the Warrant Agreement, to all of which terms and provisions the Holder of this Warrant Certificate consents by acceptance hereof. The Warrant Agreement is hereby incorporated herein by reference and made a part hereof. Reference ...
XXXXX CORPORATION. FINAL PROJECT AGREEMENT SIGNED AUGUST 8, 1996 PROJECT CLOSED OUT JUNE 2, 1999
XXXXX CORPORATION. By: /s/ Xxxxxxx Xxxxxxxx ------------------------------------- Xxxxxxx X. Xxxxxxxx, Vice President
XXXXX CORPORATION. By: /s/ Xxxxx Xxxxxxxxx --------------------------------- Name: Xxxxx Xxxxxxxxx Title: Chief Financial Officer EMED CO., INC. By: /s/ Xxxxxx X. Xxx --------------------------------- Name: Xxxxxx X. Xxx Title: President SUMMIT/EMED HOLDINGS, LLC By: /s/ Xxxxxx X. Xxxxx --------------------------------- Name: Xxxxxx X. Xxxxx Title: Secretary Signature Page to Securities Purchase Agreement FOUNDING STOCKHOLDERS: /s/ Xxxx X. Xxxxxxxxxx --------------------------------------- Xxxx X. Xxxxxxxxxx /s/ Xxxxxx X. Xxxxxxxxxx --------------------------------------- Xxxxxx X. Xxxxxxxxxx Xxxx Xxxxxxxxxx Childs Trust By /s/ Xxxx Xxxxxxxxxx ------------------------------------- Xxxxx X. Xxxxxxxxxx Trust By /s/ Xxxxx X. Xxxxxxxxxx -------------------------------------
