HEARUSA, INC. PURCHASE WARRANT WARRANT (“WARRANT”) TO PURCHASE SHARES OF COMMON STOCK, $0.10 PAR VALUE PER SHARE
Exhibit 4.3
EXHIBIT B
THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE
“ACT”), OR UNDER ANY STATE SECURITIES LAWS, IN RELIANCE UPON EXEMPTIONS FROM REGISTRATION FOR
NON-PUBLIC OFFERINGS. THIS SECURITY MAY NOT BE SOLD OR TRANSFERRED UNLESS IT IS REGISTERED UNDER
THE ACT AND UNDER APPLICABLE STATE SECURITIES LAWS OR UNLESS THE ISSUER RECEIVES AN OPINION OF
COUNSEL REASONABLY SATISFACTORY TO IT THAT AN EXEMPTION FROM REGISTRATION IS AVAILABLE.
Issuance Date: ____________, 2005
Warrant No.: _____________
HEARUSA, INC.
WARRANT (“WARRANT”) TO PURCHASE SHARES OF
COMMON STOCK, $0.10 PAR VALUE PER SHARE
COMMON STOCK, $0.10 PAR VALUE PER SHARE
This
is to certify that, FOR VALUE RECEIVED, _______________________ (“Warrantholder”), is
entitled to purchase, subject to the provisions of this Warrant, from HearUSA, Inc., a corporation
organized under the laws of Delaware (“Company”), at any time and from time to time after the
issuance date hereof (“Exercise Date”) but not later than 5:00 P.M., Eastern time, on the fifth
(5th)
anniversary of such issuance date (“Expiration Date”),
_____________ shares (“Warrant
Shares”) of Common Stock, $0.10 par value (“Common Stock”), of the Company, at an exercise price
per share equal to $___________ (the exercise price in effect from time to time hereafter being herein
called the “Warrant Price”). The number of Warrant Shares purchasable upon exercise of this
Warrant and the Warrant Price shall be subject to adjustment from time to time as described herein.
This Warrant has been issued pursuant to the terms of the Purchase Agreement (“Purchase
Agreement”) dated on or about the date hereof between the Company and the Warrantholder.
Capitalized terms used herein and not defined shall have the meaning specified in the Purchase
Agreement.
Section 1. Registration. The Company shall maintain books for the transfer and
registration of the Warrant. Upon the initial issuance of the Warrant, the Company shall issue and
register the Warrant in the name of the Warrantholder.
Section 2. Transfers. As provided herein, this Warrant may be transferred only
pursuant to a registration statement filed under the Securities Act of 1933, as amended
(“Securities Act”) or an exemption from registration thereunder. Subject to such restrictions, the
Company shall transfer this Warrant from time to time, upon the books to be maintained by the
Company for that purpose, upon surrender hereof for transfer properly endorsed or accompanied by
appropriate instructions for transfer upon any such transfer, and a new Warrant shall be issued to
the transferee and the surrendered Warrant shall be canceled by the Company. References to
Warrantholder or holder shall include any such transferee.
Section 3. Exercise of Warrant.
(a) Subject to the provisions hereof, the Warrantholder may exercise this Warrant to purchase
up to 75% of the Warrant Shares, in whole or in part, at any time and from time to time on and
after the Exercise Date and before the Expiration Date upon surrender of the Warrant, together with
delivery of the duly executed Warrant exercise form attached hereto (the “Exercise Agreement”)
(which may be by fax), to the Company during normal business hours on any business day at the
Company’s principal executive offices (or such other office or agency of the Company as it may
designate by notice to the holder hereof), and upon payment to the Company in cash, by certified or
official bank check or by wire transfer for the account of the Company of the Warrant Price for the
Warrant Shares specified in the Exercise Agreement. The Warrant Shares so purchased shall be
deemed to be issued to the holder hereof or such holder’s designee, as the record owner of such
shares, as of the close of business on the date on which the completed Exercise Agreement shall
have been delivered to the Company (or such later date as may be specified in the Exercise
Agreement). Certificates for the Warrant Shares so purchased, representing the aggregate number of
shares specified in the Exercise Agreement, shall be delivered to the holder hereof within a
reasonable time, not exceeding five (5) business days, after this Warrant shall have been so
exercised. The certificates so delivered shall be in such denominations as may be requested by the
holder hereof and shall be registered in the name of such holder or such other name as shall be
designated by such holder. If this Warrant shall have been exercised only in part, then, unless
this Warrant has expired, the Company shall, at its expense, at the time of delivery of such
certificates, deliver to the holder a new Warrant representing the number of shares with respect to
which this Warrant shall not then have been exercised. In lieu of delivering physical certificates
representing the shares of Common Stock issuable upon exercise of this Warrant, provided the
Company’s transfer agent is participating in the Depository Trust Company (“DTC”) Fast Automated
Securities Transfer (“FAST”) program, upon request of the Warrantholder, the Company shall use
commercially reasonable efforts to cause its transfer agent to electronically transmit such shares
issuable upon exercise to the Warrantholder (or its designee), by crediting the account of the
Warrantholder’s (or such designee’s) prime broker with DTC through its Deposit Withdrawal Agent
Commission system (provided that the same time periods herein as for stock certificates shall
apply).
(b) In the event the Note remains outstanding as of December 31, 2005, subject to the
provisions hereof, the Warrantholder may exercise this Warrant to purchase up to the remaining 25%
of the Warrant Shares, in whole or in part, at any time and from time to time on and after January
1, 2006 and before the Expiration Date upon compliance with the procedures set forth in
subparagraph (a) above. In the event the Note has been repaid as of December 31, 2005, this
Warrant shall represent the right to purchase only 75% of the Warrant Shares as described in
subparagraph (a) above.
Section 4. Compliance with the Securities Act of 1933. Neither this Warrant nor the
Common Stock issued upon exercise hereof nor any other security issued or issuable upon exercise of
this Warrant may be offered or sold except as provided in this Warrant and in conformity with the
Securities Act of 1933, as amended, and then only against receipt of an agreement of such person to
whom such offer of sale is made to comply with the provisions of this Section 4 with respect to any
resale or other disposition of such security. The Company may cause
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the legend set forth on the
first page of this Warrant to be set forth on each Warrant or similar legend on any security issued
or issuable upon exercise of this Warrant until the Warrant Shares have been registered for resale
under the Registration Rights Agreement or until Rule 144 is available, unless counsel for the
Company is of the opinion as to any such security that such legend is unnecessary.
Section 5. Payment of Taxes. The Company will pay any documentary stamp taxes
attributable to the initial issuance of Warrant Shares issuable upon the exercise of the Warrant;
provided, however, that the Company shall not be required to pay any tax or taxes which may be
payable in respect of any transfer involved in the issuance or delivery of any certificates for
Warrant Shares in a name other than that of the registered holder of this Warrant in respect of
which such shares are issued. The holder shall be responsible for income taxes due under federal
or state law, if any such tax is due.
Section 6. Mutilated or Missing Warrants. In case this Warrant shall be mutilated,
lost, stolen, or destroyed, the Company shall issue in exchange and substitution of and upon
cancellation of the mutilated Warrant, or in lieu of and substitution for the Warrant lost, stolen
or destroyed, a new Warrant of like tenor and for the purchase of a like number of Warrant Shares,
but only upon receipt of evidence reasonably satisfactory to the Company of such loss, theft or
destruction of the Warrant, and with respect to a lost, stolen or destroyed Warrant, reasonable
indemnity or bond with respect thereto, if reasonably requested by the Company.
Section 7. Reservation of Common Stock. The Company hereby represents and warrants
that there have been reserved, and the Company shall at all applicable times keep reserved, out of
the authorized and unissued Common Stock, a number of shares sufficient to provide for the exercise
of the rights of purchase represented by the Warrant in full (without regard to any restrictions on
beneficial ownership contained herein), and the transfer agent for the Common Stock, including
every subsequent transfer agent for the Common Stock or other shares of the Company’s capital stock
issuable upon the exercise of any of the right of purchase aforesaid (“Transfer Agent”), shall be
irrevocably authorized and directed at all times to reserve such number of authorized and unissued
shares of Common Stock as shall be requisite for such purpose. The Company agrees that all Warrant
Shares issued upon exercise of the Warrant in accordance with its terms shall be, at the time of
delivery of the certificates for such Warrant Shares, duly authorized, validly issued, fully paid
and non-assessable shares of Common Stock of the Company. The Company will keep a conformed copy
of this Warrant on file with its Transfer Agent. The Company will supply from time to time the
Transfer Agent with duly executed stock certificates required to honor the outstanding Warrant.
Section 8. Warrant Price. The Warrant Price, subject to adjustment as provided in
Section 9, shall, if payment is made in cash or by certified check, be payable in lawful money of
the United States of America.
Section 9. Adjustment of Warrant Exercise Price and Number of Shares. If the Company
at any time after the date of issuance of this Warrant subdivides (by any stock split, stock
dividend, recapitalization or otherwise) one or more classes of its outstanding shares of Common
Stock into a greater number of shares, the Warrant Price in effect immediately prior to such
subdivision will be proportionately reduced and the number of shares of Common Stock obtainable
upon exercise of this Warrant will be proportionately increased. If the Company at any time after
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the date of issuance of this Warrant combines (by combination, reverse stock split or otherwise)
one or more classes of its outstanding shares of Common Stock into a smaller number of shares, the
Warrant Price in effect immediately prior to such combination will be proportionately increased and
the number of shares of Common Stock obtainable upon exercise of this Warrant will be
proportionately decreased. Any adjustment under this Section 9 shall become effective at the close
of business on the date the subdivision or combination becomes effective.
Section 10. Fractional Interest. The Company shall not be required to issue
fractions of Warrant Shares upon the exercise of the Warrant. If any fraction of a Warrant Share
would, except for the provisions of this Section, be issuable upon the exercise of the Warrant (or
specified portions thereof), the Company shall round such calculation to the nearest whole number
and disregard the fraction.
Section 11. Benefits. Nothing in this Warrant shall be construed to give any
person, firm or corporation (other than the Company and the Warrantholder) any legal or equitable
right, remedy or claim, it being agreed that this Warrant shall be for the sole and exclusive
benefit of the Company and the Warrantholder.
Section 12. Notices to Warrantholder. Upon the happening of any event requiring an
adjustment of the Warrant Price, the Company shall forthwith give written notice thereof to the
Warrantholder at the address appearing in the records of the Company, stating the adjusted Warrant
Price and the adjusted number of Warrant Shares resulting from such event and setting forth in
reasonable detail the method of calculation and the facts upon which such calculation is based. In
the event of a dispute with respect to any such calculation, the certificate of the Company’s
independent certified public accountants shall be conclusive evidence of the correctness of any
computation made, absent manifest error. Failure to give such notice to the Warrantholder or any
defect therein shall not affect the legality or validity of the subject adjustment. At the
Warrantholder’s request, the Company shall deliver to the Warrantholder as of a requested date a
notice specifying the Warrant Price and the number of Warrant Shares into which this Warrant is
exercisable as of such date.
Section 13. Identity of Transfer Agent. The Transfer Agent for the Common Stock is
American Stock Transfer and Trust Company. Forthwith upon the appointment of any subsequent
transfer agent for the Common Stock or other shares of the Company’s capital stock issuable upon
the exercise of the rights of purchase represented by the Warrant, the Company will fax to the
Warrantholder a statement setting forth the name and address of such transfer agent.
Section 14. Notices. Any notice pursuant hereto to be given or made by the
Warrantholder to or on the Company shall be sufficiently given or made if delivered personally or
by facsimile or if sent by an internationally recognized courier, addressed as follows:
HearUSA, Inc.
0000 Xxxxxxxxxx Xxxxxxx
Xxxx Xxxx Xxxxx, XX 00000
Fax: 561/000-0000
Attention: CEO
0000 Xxxxxxxxxx Xxxxxxx
Xxxx Xxxx Xxxxx, XX 00000
Fax: 561/000-0000
Attention: CEO
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With a copy to:
Xxxxx Xxxx LLP
000 Xxxxxxxxxx Xxxxxx, X.X.
Washington, D.C. 00000-0000
Fax: (000) 000-0000
Attention: XxXxxx Xxxxxx, Esq.
000 Xxxxxxxxxx Xxxxxx, X.X.
Washington, D.C. 00000-0000
Fax: (000) 000-0000
Attention: XxXxxx Xxxxxx, Esq.
or such other address as the Company may specify in writing by notice to the Warrantholder
complying as to delivery with the terms of this Section 14.
Any notice pursuant hereto to be given or made by the Company to or on the Warrantholder shall
be sufficiently given or made if personally delivered or if sent by an internationally recognized
courier service by overnight or two-day service, to the address set forth on the books of the
Company or, as to each of the Company and the Warrantholder, at such other address as shall be
designated by such party by written notice to the other party complying as to delivery with the
terms of this Section 14.
All such notices, requests, demands, directions and other communications shall, when sent by
courier, be effective two (2) days after delivery to such courier as provided and addressed as
aforesaid. All faxes shall be effective upon receipt.
Section 15. Registration Rights. The holder of this Warrant is entitled to the
benefit of certain registration rights in respect of the Warrant Shares as provided in the
Registration Rights Agreement.
Section 16. Successors. All the covenants and provisions hereof by or for the benefit
of the Warrantholder shall bind and inure to the benefit of its respective successors and assigns
hereunder.
Section 17. Governing Law. This Warrant shall be deemed to be a contract made under
the laws of the State of New York, without giving effect to its conflict of law principles, and for
all purposes shall be construed in accordance with the laws of said State.
Section 18. 9.9% Limitations. Notwithstanding anything to the contrary contained
herein, the number of shares of Common Stock that may be acquired by the holder upon exercise
pursuant to the terms hereof shall not exceed a number that, when added to the total number of
shares of Common Stock deemed beneficially owned by such holder at such time (other than by virtue
of the ownership of securities or rights to acquire securities (including the Warrant Shares) that
have limitations on the holder’s right to convert, exercise or purchase similar to the limitation
set forth herein), together with all shares of Common Stock deemed beneficially owned (other than
by virtue of the ownership of securities or rights to acquire securities that have limitations on
the right to convert, exercise or purchase similar to the limitation set forth herein) by the
Warrantholder’s “affiliates” at such time (as defined in Rule 144 of the Act) (“Aggregation
Parties”) that would be aggregated for purposes of determining whether a group under Section 13(d)
of the Securities Exchange Act of 1934, as amended, exists, would exceed 9.9% of the total issued
and outstanding shares of the Common Stock (the “Restricted Ownership Percentage”). Each holder
shall have the right (x) at any time and from time to time to reduce its Restricted Ownership
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Percentage immediately upon notice to the Company and (y) (subject to waiver) at any time and from
time to time, to increase its Restricted Ownership Percentage immediately in the event of the
announcement as pending or planned, of a Change in Control Transaction (as defined in the Note).
Section 19. Replacement Warrants. The Company agrees that within ten (10) business
days after any request from time to time of the Warrantholder, it shall deliver to such holder a
new Warrant in substitution of this Warrant which is identical in all respects except that the then
Warrant Price shall be appropriately specified in the Warrant, and the Warrant shall specify the
fixed number of Warrant Shares into which this Warrant is then exercisable. Such changes are
intended not as amendments to the Warrant but only as clarification of the foregoing numbers for
convenience purposes, and such changes shall not affect any provisions concerning adjustments to
the Warrant Price or number of Warrant Shares contained herein.
Section 20. Absolute Obligation to Issue Warrant Shares. The Company’s obligations to
issue and deliver Warrant Shares in accordance with the terms hereof are absolute and
unconditional, irrespective of any action or inaction by the holder hereof to enforce the same, any
waiver or consent with respect to any provision hereof, the recovery of any judgment against any
person or entity or any action to enforce the same, or any setoff, counterclaim, recoupment,
limitation or termination, or any breach or alleged breach by the holder hereof or any other Person
of any obligation to the Company or any violation or alleged violation of law by the holder or any
other Person, and irrespective of any other circumstance which might otherwise limit such
obligation of the Company to the holder hereof in connection with the issuance of Warrant Shares.
The Company will at no time close its shareholder books or records in any manner which interferes
with the timely exercise of this Warrant.
Section 21. Assignment, etc. The Warrantholder may assign or transfer this Warrant to
any transferee only with the prior written consent of the Company, which may not be unreasonably
withheld or delayed, provided that the Warrantholder may assign or transfer this Warrant to any of
such Warrantholder’s affiliates without the consent of the Company. The Warrantholder shall notify
the Company of any such assignment or transfer promptly. This Warrant shall be binding upon the
Company and its successors and shall inure to the benefit of the Warrantholder and its successors
and permitted assigns.
Section 22. Judicial Proceedings. Any legal action, suit or proceeding brought
against the Company with respect to this Warrant may be brought in any federal court of the
Southern District of New York or any state court located in New York County, State of New York, and
by execution and delivery of this Warrant, the Company hereby irrevocably and unconditionally
waives any claim (by way of motion, as a defense or otherwise) of improper venue, that it is not
subject personally to the jurisdiction of such court, that such courts are an inconvenient forum or
that this Warrant or the subject matter may not be enforced in or by such court. The Company
hereby irrevocably and unconditionally consents to the service of process of any of the
aforementioned courts in any such action, suit or proceeding by the mailing of copies thereof by
registered or certified mail, postage prepaid, at its address set forth or provided for in Section
14, such service to become effective 10 days after such mailing. Nothing herein contained shall be
deemed to affect the right of any party to serve process in any manner permitted by law or commence
legal proceedings or otherwise proceed against any other party in any other jurisdiction to enforce
judgments obtained in any action, suit or proceeding brought pursuant to this Section.
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The Company
irrevocably submits to the exclusive jurisdiction of the aforementioned courts in such action, suit
or proceeding.
[Balance of page intentionally blank; signature pages follow]
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IN WITNESS WHEREOF, the Company has caused this Warrant to be duly executed as of the date
first written above.
HEARUSA, INC. |
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By: | ||||
Name: | ||||
Title: | ||||
Attest:
Sign:______________________________
Print Name:
Print Name:
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EXHIBIT B
HEARUSA, INC.
WARRANT EXERCISE FORM
WARRANT EXERCISE FORM
HearUSA, Inc.
0000 Xxxxxxxxxx Xxxxxxx
Xxxx Xxxx Xxxxx, XX 00000
Fax: _____________________
Attention: _______________
0000 Xxxxxxxxxx Xxxxxxx
Xxxx Xxxx Xxxxx, XX 00000
Fax: _____________________
Attention: _______________
This undersigned hereby irrevocably elects to exercise the right of purchase represented by
the within Warrant (“Warrant”) for, and to purchase
thereunder ____________________ shares of Common
Stock (“Warrant Shares”) provided for therein, and requests that certificates for the Warrant
Shares be issued as follows:
_________________________
Name
_________________________
Address
_________________________
_________________________
Name
_________________________
Address
_________________________
_________________________
and, if the number of Warrant Shares shall not be all the Warrant Shares purchasable upon exercise
of the Warrant, that a new Warrant for the balance of the Warrant Shares.
In lieu of delivering physical certificates representing the Warrant Shares purchasable upon
exercise of this Warrant, provided the Company’s transfer agent is participating in the Depository
Trust Company (“DTC”) Fast Automated Securities Transfer (“FAST”) program, upon request of the
Holder, the Company shall use its best efforts to cause its transfer agent to electronically
transmit the Warrant Shares issuable upon conversion or exercise to the undersigned, by crediting
the account of the undersigned’s prime broker with DTC through its Deposit Withdrawal Agent
Commission (“DWAC”) system.
Dated: _________________ | Signature: ______________________________ | |||
______________________________________ Name (please print) |
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______________________________________ Address |
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