Exhibit 1.3
SHARE PURCHASE AGREEMENT
(For assistance in filling out this form, please see the reverse side)
Mail Completed Form to: Xxxxxxxxx Communities Inc.
0000 Xxxxxxx Xxxxxxx, Xxxxx 000
Xxxxxxx, XX 00000
Please issue shares of Xxxxxxxxx Communities Inc. Series A convertible
preferred stock in the amount(s) and name(s) shown below. I have received the
Prospectus by which the shares are offered. I am purchasing for investment.
Signature:
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Date
Signature:
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Date
Enclosed is payment for _____ (minimum 100 shares)
at $10.00 per share, totaling $______________.
Make checks payable to: Regions Bank, as Escrow Agent
Register the shares in the following name(s):
Name (1) __________________________
Social Security or Taxpayer ID number*______________Birthdate__________
Name (2) __________________________
Social Security or Taxpayer ID number*______________Birthdate__________
* (I certify (i) that this is my correct taxpayer identification number, and
(ii) that I am not subject to backup withholding.)
As (check one):
Individual __ Joint Tenants __ Custodial (for shares to be owned by minors) __
Tenants in Common __ Corporation __ Trust __ Other __
RETIREMENT ACCOUNT ( ) Traditional XXX ( ) Xxxx XXX ( ) XXXXX
Custodian:__________________________________
Mailing Address for the person(s) who will be registered shareowner(s):
Address:
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City, State & Zip Code:
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Telephone Number: Business: ( ) Home: ( )
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Yes, I want to save the cost of printing and mailing financial reports, proxy
statements, and other documents. Please send all shareowner communications to my
email address: __________________________ Signature: _______________________
(Please attach any special mailing instructions other than shown above)
NO SUBSCRIPTION IS EFFECTIVE UNTIL ACCEPTANCE
(You will be mailed a signed copy of this
agreement to retain for your records.)
Subscription accepted by Xxxxxxxxx Communities Inc.:
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Xxxx X. Xxxxxxxx, President Date
Share Purchase Agreement page 2
How to Complete the Share Purchase Agreement
How can I purchase shares? Personal check, bank check, or money orders are the
only acceptable forms of payment. No cash or credit cards accepted.
Who should sign it? The person who is making the decision to buy shares. This
may be different from the persons in whose names the shares are being
registered.
Whose check can be used for payment? It should be either an account in the name
of the person signing the share purchase agreement or the name(s) in which the
shares are to be registered. We can not, for instance, accept a check on a
corporate bank account, where the registered shareowner is to be an
individual--unless there is an accompanying certified corporate resolution
authorizing the use of corporate funds for that purpose.
Can I buy shares for more than one person on the same form? Yes, you can either
squeeze in the other names and numbers of shares, or put "see attached" or
"over" next to "Name(s)" on the form and put the names and number of shares on
another sheet or the back of the form.
How can I buy shares for a person who is under 18 years old? There are Uniform
Gift to Minors Acts in the states. The "Custodial" box can be checked and the
shares can be registered in a form like: "Xxxx Xxx, as custodian for Minor Doe,
under UGMA." The effect is that Xxxx Xxx can sell the shares, receive dividends
and otherwise manage the investment, until Minor Doe becomes 18. Then, Xxxx Xxx
can request a replacement certificate in Minor Doe's name. If you want some
other legal arrangement, such as holding the shares until the minor is older
than 18, you would have to create a trust agreement, using a lawyer or a
do-it-yourself guide. You would then check the "Trust" box and fill in the name
something like: "Xxxx Xxx, trustee for Minor Doe," or "Xxxx Xxx, Trustee under
Trust Agreement dated June 30, 2003."
Can I purchase shares for an XXX or other retirement account? If your trust
agreement permits it--that's between the investors and their trustees. If your
trust agreement does not permit it (many brokerage, mutual fund or bank trustees
will not permit it), then you may choose to "roll over" or open a new account
with another trustee. The check needs to be from the trustee. You would check
"Trust" on the form and write in something like: "ABC Company, trustee for Xxxx
Xxx XXX."
Guide to registering investments
Joint Tenants: two or more persons jointly own Shares. If one person passes
away, all of the shares are transferred to the surviving
partner(s).
Tenants In Common: Shares are jointly owned by two or more persons. If one
person passes away, half (or whatever individual share)
automatically goes to the deceased's estate and not to the
surviving partner(s).
Trust: If you have an established Trust for yourself, Family or
Children. Please be sure to include exact name of Trust and
the Trust's taxpayer ID number.
Custodial: Usually established for a minor to maintain control/voting
rights of the stock until the minor becomes of legal age
(18). Registration should read as follows: Xxxx Xxx as
Custodian for Minor Doe under UGMA. Make sure to list the
minor's social security number, not yours.
Other: 1) Partnership - Make sure to list Tax ID #
2) XXX (Xxxxx, SEP or other retirement plan): Make sure your
trust agreement allows for investments of this kind, check
with your plan administrator. If not, you can establish a
new XXX. Registration for all IRA's should read as follows:
[(Trustee or name of Plan) as Trustee for Xxxx Xxxxx XXX
Account # _________]
