EXHIBIT 4.1
EAC INDUSTRIES, INC.
RIGHTS EXERCISE AGREEMENT
CUSIP NO. 268226 10 7
THE TERMS AND CONDITIONS OF THE RIGHTS OFFERING ARE SET FORTH IN THE
PROSPECTUS OF EAC INDUSTRIES, INC. (THE "COMPANY") DATED _________, 1997
(THE "PROSPECTUS") AND ARE INCORPORATED HEREIN BY REFERENCE. COPIES OF THE
PROSPECTUS ARE AVAILABLE UPON REQUEST FROM THE COMPANY.
THIS RIGHTS EXERCISE AGREEMENT MUST BE RECEIVED BY THE COMPANY AS THE
EXERCISE AGENT WITH PAYMENT IN FULL BY 5:00 P.M., NEW YORK CITY TIME, ON
OCTOBER 31, 1997 OR SUCH LATER DATE TO WHICH THE RIGHTS OFFERING MAY HAVE
BEEN EXTENDED AT THE OPTION OF THE COMPANY (THE "EXPIRATION DATE").
The Rights which are exercisable by this Rights Exercise Agreement
may be exercised by duly completing Form 1 or may be exercised through a
bank or broker by duly completing Form 2. Rights holders are advised to
review the Prospectus, copies of which are available from the Company as
the exercise agent, before exercising their Rights. IMPORTANT: Complete
the appropriate FORM and SIGN as noted.
EAC INDUSTRIES, INC.
By_______________________________
Xxxxx X. Xxxxxxxxx
President and CEO
AN EXERCISE OF RIGHTS EVIDENCED HEREBY IS IRREVOCABLE. NO PARTIAL
EXERCISE IS PERMITTED.
FORM 1 - RIGHTS EXERCISE AND SUBSCRIPTION: The undersigned hereby
irrevocably exercises all Rights to subscribe for shares of Common Stock as
indicated below, on the terms and subject to the conditions specified in
the Prospectus, receipt of which is hereby acknowledged.
(a) Number of shares owned by the undersigned which is the
same number subscribed for pursuant to the Subscription Privilege
(one Right needed to subscribe for each full share):
(b) Total Exercise Price (total number of shares subscribed
for times the Exercise Price of $.22): $_________
METHOD OF PAYMENT
CHECK, BANK DRAFT OR MONEY ORDER PAYABLE TO EAC INDUSTRIES,
INC. Amount: ______________
---------------------
Partial exercises are not permitted. However, if the amount
enclosed or transmitted is not sufficient to pay the Exercise Price for all
shares subscribed for, or if the number of shares being subscribed for is
not specified, the Company has the right and option to take the position
that the number of shares subscribed for will be assumed to be the maximum
number that could be subscribed for upon payment of such amount.
WIRE TRANSFER DIRECTED TO THE COMPANY ACCOUNT AT MANUFACTURERS
HANOVER BANK, Account No. __________; ABA No. __________.
Amount: ______________
FORM 2 - TO EXERCISE YOUR RIGHTS THROUGH YOUR BANK OR BROKER: For
value received, Rights represented by this Rights Exercise Agreement are
hereby assigned to (please print name and address and Social Security No.
of transferee in full):
Name: ____________________________________
Address: _________________________________
Social Security Number ___________________
FORM 3 - SPECIAL DELIVERY INSTRUCTIONS: Name and/or address for
mailing any stock certificate if other than shown on the face hereof:
Name:_____________________________________
Address:__________________________________
__________________________________________
(including zip code)
IMPORTANT
RIGHTS HOLDER SIGN HERE
AND, IF RIGHTS ARE BEING EXERCISED
COMPLETE SUBSTITUTE FORM W-9
_________________________________
(Signature(s) of Registered
Holder(s))
Dated: _________________, 199_
(Must be signed by the registered holder(s) exactly as name(s) appear(s) on
the Stock Certificate representing shares of EAC Industries, Inc. If
signature is by trustee(s), executor(s), administrator(s), guardian(s),
attorney(s)-in-fact, agent(s), officer(s) or a corporation or another
acting in a fiduciary or representative capacity, please provide the
following information.)
Name(s)
__________________________________________
(Please Print)
Capacity _________________________________
Address __________________________________
(Including Zip Code)
Area Code and Telephone Number ___________
(Home)
___________
(Business)
Tax Identification or Social
Security No. ___________________________
(Complete Substitute
Form W-9)
