SOUTHERN IOWA BIOENERGY LLC SUBSCRIPTION AGREEMENT Limited Liability Company Membership Units $1,000.00 per Unit Minimum Investment of 20 Units ($20,000)
Limited
Liability Company Membership Units
$1,000.00
per Unit
Minimum
Investment of 20 Units ($20,000)
1
Unit Increments Thereafter ($1,000)
The
undersigned subscriber (hereafter sometimes referred to as “you” or the
“Subscriber”), desiring to become a member of Southern Iowa BioEnergy LLC, an
Iowa limited liability company, with its principal place of business at 000
Xxxxx Xxxxxx Xxxxxx, Xxxxxx, Xxxx (hereafter sometimes referred to as “we” or
“SIBE”), hereby subscribes for the purchase of the membership units of SIBE and
agrees to pay the related purchase price identified below.
A. SUBSCRIBER
INFORMATION. Please
print your individual or entity name and address. Joint subscribers should
provide their respective names. Your name and address will be recorded exactly
as printed below.
1.
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Subscriber’s
Printed Name
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_________________________________________________
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2.
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Title,
if applicable:
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_________________________________________________
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3.
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Subscriber’s
Address:
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Street
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_________________________________________________
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City,
State, Zip Code
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_________________________________________________
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4.
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Telephone:
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_________________________________________________
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4.
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E-mail
Address:
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_________________________________________________
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B. NUMBER
OF UNITS PURCHASED. Indicate
the number of units to be purchased. You
must
purchase at least 20 units. We presently have 2,172 units outstanding. The
maximum number of units to be sold is 30,250.
C. PURCHASE
PRICE. Indicate
the dollar amount of your investment (minimum investment is
$20,000).
1.
Total
Purchase Price
($1,000.00
Per Unit multiplied by the number in box B above.)
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=
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(10%
of the Total Purchase Price)
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+
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3.
2nd
Installment
(90%
of the Total Purchase Price)
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=
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+
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D. GENERAL
INSTRUCTIONS FOR SUBSCRIBERS:
You
should read the Prospectus dated [180
days from the effective date of our post-effective amendment]
(the
“Prospectus”) in its entirety, including exhibits, for a complete explanation of
an investment in SIBE. To subscribe, you must:
INSTRUCTIONS
IF YOU ARE SUBSCRIBING PRIOR
TO RELEASE OF FUNDS FROM ESCROW: If
you
are subscribing prior to the Company’s release of funds from escrow, you must
follow Steps 1 through 5 below:
1. Complete
all information required in this Subscription Agreement and date and sign the
Subscription Agreement on page 6 and the Member Signature Page to our Amended
And Restated Operating Agreement attached to this Subscription Agreement as
EXHIBIT “A”.
1
2. Immediately
provide your personal (or business) check for the first installment of ten
percent (10%) of your investment amount made payable to "Great Western Bank,
escrow agent for Southern Iowa BioEnergy LLC”. You will determine this amount in
box C.2 on page 1 of this Subscription Agreement.
3. Execute
the Promissory Note and Security Agreement on page 7 of this Subscription
Agreement evidencing your commitment to pay the remaining ninety percent (90%)
due for the Units and granting SIBE a security interest in your
Units.
4.
Deliver
each of the original executed documents referenced in numbered paragraphs 1
and
3 of these instructions, together with your personal or business check
referenced in numbered paragraph 2 of these instructions to either of the
following:
Southern Iowa BioEnergy LLC | Great Western Bank |
Attention: Xxxxxxx X. Xxxxxx | Attention: Trust Department |
000 Xxxxx Xxxxxx Xxxxxx | X.X. Xxx 0000 |
Xxxxxx, XX 00000 | Xxxxx, XX 00000 |
5. Within
thirty (30) days of your receipt of written notice from SIBE stating that its
sales of Units have exceeded the minimum offering amount of $17,600,000, you
must deliver to SIBE at either of the addresses referenced in numbered paragraph
4 of these instructions an additional personal (or business) check for the
remaining ninety percent (90%) of your investment amount made payable to Great
Western Bank, escrow agent for SIBE in satisfaction of your deferred payment
obligations under the Promissory Note and Security Agreement. You will determine
this amount in box C.3 on page 1 of this Subscription Agreement. If you fail
to
pay the second installment pursuant to the Promissory Note and Security
Agreement, SIBE shall be entitled to retain your first installment and to seek
other damages, as provided in the Promissory Note and Security
Agreement.
If
you
are subscribing prior to release of funds from escrow, your funds will be placed
in SIBE’s escrow account at Great Western Bank. The funds will be released to
SIBE or returned to you in accordance with the escrow arrangements described
in
the Prospectus. SIBE may, in its sole discretion, reject or accept any part
or
all of your subscription. If SIBE rejects your subscription, your Subscription
Agreement and investment will be promptly returned to you, plus nominal
interest, minus escrow fees. SIBE may not consider the acceptance or rejection
of your subscription until a future date near the end of this offering.
INSTRUCTIONS
IF YOU ARE SUBSCRIBING AFTER
RELEASE OF FUNDS FROM ESCROW: If
you
are subscribing after the Company’s release of funds from escrow, you must
follow Steps 1 through 3 below:
1. Complete
all information required in this Subscription Agreement and date and sign the
Subscription Agreement on page 6 and the Member Signature Page to our Amended
And Restated Operating Agreement attached to this Subscription Agreement as
EXHIBIT “A”.
2. Immediately
provide your personal (or business) check for the entire amount of your
investment (as determined in Box C.1 on page 1) made payable to “Southern
Iowa BioEnergy LLC.”
3.
Deliver
the original executed documents referenced in Item 1 of these Instructions,
together with your personal (or business) check referenced in numbered paragraph
2 of these instructions to the following:
Attention:
Xxxxxxx X. Xxxxxx
000
Xxxxx
Xxxxxx Xxxxxx
Xxxxxx,
Xxxx 00000
If
you
are subscribing after release of funds from escrow and we accept your
investment, your funds will be immediately at-risk as described in the
Prospectus. SIBE may, in its sole discretion, reject or accept any part or
all
of your subscription. If SIBE rejects your subscription, your Subscription
Agreement and investment will be returned to you promptly, plus nominal
interest, minus escrow fees. SIBE may not consider the acceptance or rejection
of your subscription until a future date near the end of this offering.
2
You
may direct your questions to one of our directors listed below or to SIBE at
000-000-0000
Director
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Cell
Number
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Home
Number
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Xxxxxxx
X. Xxxxxx
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000-000-0000
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000-000-0000
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Xxxx
Xxxxxxx
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000-000-0000
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Xxxxx
Xxxxxx
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000-000-0000
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000-000-0000
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Xxxxxxx
X. Xxxxxx
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000-000-0000
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000-000-0000
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Xxxx
Xxxxxx
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000-000-0000
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000-000-0000
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J.R.
Xxxxxxx
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000-000-0000
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000-000-0000
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Xxxx
Xxxxxx
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000-000-0000
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000-000-0000
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Xxxxx
Xxxxxxxxx
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000-000-0000
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E. Additional
Subscriber Information. The
subscriber, named above, certifies the following under penalties of
perjury:
1.
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Form
of Ownership.
Check the appropriate box (one only) to indicate form of ownership.
If the
subscriber is a Custodian, Corporation, Partnership or Trust, please
provide the additional information requested.
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o
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Individual
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o
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Joint
Tenants with Right of Survivorship (Both signatures must appear on
Page
6.)
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o
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Corporation,
Limited Liability Company or Partnership (Corporate Resolutions,
Operating
Agreement or Partnership Agreement must be
enclosed.)
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o
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Trust
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Trustee’s Name: __________________________________________ |
Trust Date: ______________________________________________ |
o
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Other: Provide detailed information in the space immediately below. |
__________________________________________________________ |
__________________________________________________________ |
__________________________________________________________ |
2.
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Subscriber’s
Taxpayer Information.
Check the appropriate box if you are a non-resident alien, a U.S.
Citizen
residing outside the United States or subject to backup withholding.
Trusts should provide their taxpayer identification number. Custodians
should provide the minor’s Social Security Number. All individual
subscribers should provide their Social Security Number. Other entities
should provide their taxpayer identification
number.
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o
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Check
box if you are a non-resident alien
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o
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Check
box if you are a U.S. citizen residing outside of the United
States
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o
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Check
this box if you are subject to backup
withholding
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Subscriber’s
Social Security No. _____________________
Joint
Subscriber’s Social Security No.
_____________________
Taxpayer
Identification No.
_____________________
3.
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Member
Report Address.
If
you would like duplicate copies of member reports sent to an address
that
is different than the address identified in Section A, please complete
this section.
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Address: ___________________________________________
___________________________________________
4.
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State
of Residence.
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State
of
Principal Residence:
_____________________________
State
where driver’s license is
issued:
_____________________________
State
where resident income taxes are filed: _____________________________
State(s)
in which you have maintained your principal residence during the past three
years:
a
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b.
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c.
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3
5.
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Suitability
Standards.
You cannot invest in SIBE unless you meet one, or more, of the following
suitability tests (a or b) set forth below. Please review the suitability
tests and check the box(es) next to the following suitability test
that
you meet. For husbands and wives purchasing jointly, the tests below
will
be applied on a joint basis.
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a. o
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I
(We) have annual income from whatever source of at least $45,000
and
a
net worth of at least $45,000, exclusive of home, furnishings and
automobiles; or
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b. o
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I
(We) have a net worth of at least $100,000, exclusive of home, furnishings
and automobiles.
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6.
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Subscriber’s
Representations and Warranties.
You must read and certify your representations and warranties and
sign and
date this Subscription Agreement.
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By
signing below the subscriber represents and warrants to SIBE that he, she or
it:
a.
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has
received a copy of SIBE’s Prospectus dated [180
days from the effective date of our post-effective amendment]
and
all exhibits thereto;
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b.
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has
been informed that the Units of SIBE are offered and sold in reliance
upon: (i) a federal securities registration; (ii) Alaska, Colorado,
Illinois, Iowa, Missouri and Kansas securities registrations; and
(iii)
exemptions from securities registrations in various other
states;
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c.
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understands
that the Units to be issued pursuant to this Subscription Agreement
can
only be sold to a person meeting requirements of
suitability;
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d.
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has
been informed that the Units to be issued pursuant to this Subscription
Agreement have not been registered under the securities laws of any
state
other than the states of Alaska, Illinois, Iowa, Missouri, Kansas
and
Colorado, and that SIBE is relying in part upon the representations
of the
undersigned Subscriber contained
herein;
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e.
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has
been informed that the Units subscribed for have not been approved
or
disapproved by the Alaska, Illinois, Iowa, Missouri, Kansas and Colorado
securities agencies or regulators or any other regulatory authority,
nor
has any regulatory authority passed upon the accuracy or adequacy
of the
Prospectus;
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f.
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intends
to acquire the Units for his/her/its own account without a view to
public
distribution or resale and has no contract, undertaking, agreement
or
arrangement to sell or otherwise transfer or dispose of any Units
or any
portion thereof to any other
person;
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g.
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understands
that there is no present market for SIBE’s Units, that the Units will not
trade on an exchange or automatic quotation system, that no such
market is
expected to develop in the future and that there are significant
restrictions on the transferability of the Units;
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h.
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has
been encouraged to rely upon the advice of his legal counsel and
accountants or other financial advisers with respect to the tax and
other
considerations relating to the purchase of Units;
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i.
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has
received a copy of SIBE’s Amended And Restated Operating Agreement, dated
May 4, 2005, and understands that upon closing the escrow by SIBE,
the
Subscriber and the Units will be bound by the provisions of the Amended
And Restated Operating Agreement, which contains, among other things,
provisions that restrict the transfer of Units;
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j.
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understands
that the Units are subject to substantial restrictions on transfer
under
state securities laws in addition to the restrictions contained in
SIBE’s
Amended And Restated Operating Agreement, and agrees that if the
Units or
any part thereof are sold or distributed in the future, the Subscriber
shall sell or distribute them only in strict accordance with the
terms of
SIBE’s Amended And Restated Operating Agreement, the requirements of the
Securities Act of 1933, as amended, and applicable state securities
laws;
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4
k.
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meets
the suitability test marked in numbered paragraph 5 above and is
capable
of bearing the economic risk of this investment, including the possible
total loss of the investment;
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l.
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understands
that SIBE will place a restrictive legend on any certificate representing
Units containing substantially the following language as the same
may be
amended by SIBE’s Board of Directors in its sole
discretion:
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THE
TRANSFERABILITY OF THE MEMBERSHIP UNITS REPRESENTED BY THIS CERTIFICATE IS
RESTRICTED. SUCH UNITS MAY NOT BE SOLD, ASSIGNED, OR TRANSFERRED, AND NO
ASSIGNEE, VENDEE, TRANSsFEREE OR ENDORSEE THEREOF WILL BE RECOGNIZED AS HAVING
ACQUIRED ANY SUCH UNITS FOR ANY PURPOSES, UNLESS AND TO THE EXTENT SUCH SALE,
TRANSFER, HYPOTHECATION, OR ASSIGNMENT IS PERMITTED BY, AND IS COMPLETED IN
STRICT ACCORDANCE WITH, APPLICABLE FEDERAL AND STATE LAW AND THE TERMS AND
CONDITIONS SET FORTH IN THE OPERATING AGREEMENT OF THE COMPANY, AS AMENDED
FROM
TIME TO TIME.
THE
SECURITIES REPRESENTED BY THIS CERTIFICATE MAY NOT BE SOLD, OFFERED FOR SALE
OR
TRANSFERRED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION UNDER THE SECURITIES
ACT
OF 1933, AS AMENDED, AND UNDER APPLICABLE STATE SECURITIES LAWS, OR AN OPINION
OF COUNSEL SATISFACTORY TO THE COMPANY THAT SUCH TRANSACTION IS EXEMPT FROM
REGISTRATION UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND UNDER APPLICABLE
STATE SECURITIES LAWS.
m.
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understands
that, to enforce the above legend, SIBE may place a stop transfer
order
with its registrar and stock transfer agent (if any) covering all
certificates representing any of the membership
units;
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n.
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has
sufficient knowledge and experience in business and financial matters
so
as to be able to evaluate the merits and risks of an investment in
the
Units, believes that the investment in Units is suitable for the
Subscriber and that the Subscriber can bear the economic risk of
the
purchase of Units, including the total loss of the undersigned’s
investment;
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o.
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may
not transfer or assign this Subscription Agreement, or any of the
Subscriber’s interest herein;
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p.
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has
written his, her, or its correct taxpayer identification number under
numbered paragraph E.2 of this Subscription Agreement;
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q.
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is
not subject to back up withholding either because he, she or it has
not
been notified by the Internal Revenue Service (“IRS”) that he, she or it
is subject to backup withholding as a result of a failure to report
all
interest or dividends, or the IRS has notified him, her or it that
he is
no longer subject to backup withholding (Note this clause (q) should
be
crossed out if the backup withholding box in numbered paragraph E.2
is
checked);
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r.
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understands
that execution of the attached Promissory Note and Security Agreement
will
allow SIBE and its successors and assigns to pursue the Subscriber
for
payment of the amount due thereon by any legal means, including,
but not
limited to, acquisition of a judgment against the Subscriber in the
event
that the Subscriber defaults on the Promissory Note and Security
Agreement; and
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5
s.
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acknowledges
that SIBE may retain possession of certificates representing the
Subscriber’s Units to perfect its security interest in those
Units.
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Signature
of Subscriber/ Joint Subscriber:
Date: _______________________________
Individuals: | Entities: |
Name of Individual Subscriber (Please Print) |
Name of Entity (Please Print) |
Signature of Individual |
Print Name and Title of Officer |
Name of Joint Individual Subscriber (Please Print) |
Signature of Officer |
Signature of Joint Individual Subscriber |
ACCEPTANCE
OF SUBSCRIPTION BY SOUTHERN IOWA BIOENERGY LLC:
Southern
Iowa BioEnergy LLC hereby accepts the subscription for the above
Units.
Dated
this __ day
of
___________,
200_ .
By:
Its:
6
PROMISSORY
NOTE
AND SECURITY AGREEMENT
Date
of
Subscription Agreement: ___________________________________, 200__.
$1,000.00
per Unit
Minimum
Investment of 20 Units ($20,000), 1 Unit Increments Thereafter
($1,000)
Number
of Units subscribed
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Total
Purchase Price ($1,000.00 per Unit multiplied by number of Units
subscribed)
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(
)
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Less
Initial Payment (10% of Principal Amount)
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Principal
Balance
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FOR
VALUE
RECEIVED, the undersigned hereby promises to pay to the order of Southern Iowa
BioEnergy LLC, an Iowa limited liability company (“SIBE”), at its principal
office located 000 Xxxxx Xxxxxx Xxxxxx, Xxxxxx, Xxxx 00000, or at such other
place as required by SIBE, the Principal Balance set forth above in one lump
sum
to be paid without interest within 30 days following the call of the SIBE Board
of Directors, as described in the attached Subscription Agreement. In the event
the undersigned fails to timely make any payment owed, the entire balance of
any
amounts due under this full recourse Promissory Note and Security Agreement
shall be immediately due and payable in full with interest at the rate of 12%
per annum from the due date and any amounts previously paid in relation to
the
obligation evidenced by this Promissory Note and Security Agreement may be
forfeited at the discretion of SIBE.
The
undersigned agrees to pay to SIBE on demand, all costs and expenses incurred
to
collect any indebtedness evidenced by this Promissory Note and Security
Agreement, including, without limitation, reasonable attorneys’ fees. This
Promissory Note and Security Agreement may not be modified orally and shall
in
all respects be governed by, construed, and enforced in accordance with the
laws
of the State of Iowa.
The
provisions of this Promissory Note and Security Agreement shall inure to the
benefit of SIBE and its successors and assigns, which expressly reserve the
right to pursue the undersigned for payment of the amount due hereon by any
legal means in the event that the undersigned defaults on obligations provided
in this Promissory Note and Security Agreement.
The
undersigned waives presentment, demand for payment, notice of dishonor, notice
of protest, and all other notices or demands in connection with the delivery,
acceptance, performance or default of this Promissory Note and Security
Agreement.
The
undersigned hereby grants to SIBE, and its successors and assigns (“Secured
Party”), a purchase money security interest in and to all of the undersigned’s
Membership Units of SIBE now owned or hereafter acquired. This security interest
is granted as non-exclusive collateral to secure payment and performance of
the
obligation owed to Secured Party from the undersigned pursuant to this
Promissory Note and Security Agreement. The undersigned further authorizes
Secured Party to retain possession of certificates representing such Membership
Units and to take any other actions necessary to perfect the security interest
granted herein without the need of obtaining any further assent or signature
from the undersigned.
Dated: ,
200
.
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OBLIGOR/DEBTOR:
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JOINT
OBLIGOR/DEBTOR:
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Printed
or Typed Name of Joint Obligor/Debtor
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Printed
or Typed Name of Obligor/Debtor
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By:
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(Signature)
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By:
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(Signature)
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Officer
Title if Obligor/Debtor is an Entity
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Address
of Obligor/Debtor
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7
EXHIBIT
“A”
MEMBER
SIGNATURE PAGE
ADDENDUM
TO THE
AMENDED
AND RESTATED OPERATING AGREEMENT
OF
SOUTHERN IOWA BIOENERGY LLC
The
undersigned does hereby warrant, represent, covenant and agree that: (i) the
undersigned, as a condition to becoming a Member in Southern Iowa BioEnergy
LLC,
has received a copy of the Amended And Restated Operating Agreement dated May
4,
2005, and, if applicable, all amendments and modifications thereto; (ii) the
undersigned shall be subject to and comply with all terms and conditions of
such
Amended And Restated Operating Agreement in all respects, as if the undersigned
had executed said Amended And Restated Operating Agreement on the original
date
thereof; and (iii) the undersigned is and shall be bound by all of the
provisions of said Amended And Restated Operating Agreement from and after
the
date of execution of this Addendum.
Individuals:
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Entities:
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Name of Individual Member (Please Print) |
Name of Entity (Please Print) |
Signature of Individual |
Print Name and Title of Officer |
Name of Joint Individual Member (Please Print) |
Signature of Officer |
Signature of Joint Individual Member |
Agreed
to and Accepted on Behalf of the
Company
and its Members:
SOUTHERN
IOWA BIOENERGY LLC
By:
Its: