SECURITIES PURCHASE AGREEMENT
Exhibit
10.19
THIS SECURITIES PURCHASE AGREEMENT (this
“Agreement”),
dated as of September 5, 2018, by and between Blockchain
Industries, Inc., a Nevada corporation with its headquarters
located at 000 Xxxxxxx Xxx., Xxxxx 000, Xxxxx Xxxxxx, Xxxxxxxxxx
00000 (the “Company”), and the investors
identified on the signature page hereto (the “Purchaser”).
WHEREAS, the Company deems it in the
best interests of the Company and its stockholders to conduct a
private placement offering consisting of a promissory note and
warrants up to the principal aggregate amount of up to $100,000
(the “Offering”);
WHEREAS, the Company and Purchaser are
executing and delivering this Agreement in reliance upon an
exemption from securities registration afforded by the provisions
of Section 4(a)(2) and/or Regulation D (“Regulation D”) promulgated by the
United States Securities and Exchange Commission (the
“Commission”)
under the Securities Act of 1933, as amended (the
“Securities
Act”); and
WHEREAS, the parties hereto desire that,
upon the terms and subject to the conditions contained herein, the
Company shall issue and sell to Purchaser, and Purchaser shall
purchase, (i) a Secured Promissory Note in the form of Exhibit A hereto (the
“Note”) in the
principal amount set forth on the signature page hereto (the
“Note Price”)
and (ii) a warrant in the form of Exhibit C permitting the
Purchaser to purchase that certain amount of common stock, par
value $0.001 per share, of the Company (the “Common Stock”) as is set forth on
the signature page hereto, subject to the terms and conditions
therein contained (the “Warrant”, and together with the
Note, the “Securities”).
NOW, THEREFORE, in consideration of the
mutual covenants and other agreements contained in this Agreement,
the Company and Purchaser hereby agree as follows:
(a) The
Purchaser has read this Agreement. The Purchaser acknowledges that
this Securities Purchase Agreement is not intended to set forth all
of the information which might be deemed pertinent by an investor
who is considering an investment in the Securities. It is the
responsibility of the Purchaser (i) to determine what additional
information he desires to obtain in evaluating this investment, and
(ii) to obtain such information from the Company;
(e) Information
on Purchaser. Such Purchaser is an “accredited investor,” as such term
is defined in Rule 501(a) of Regulation D promulgated by the
Commission under the Securities Act and affirmed by Purchaser in
the completed Purchaser Questionnaire attached hereto as
Exhibit B, is
experienced in investments and business matters, has made
investments of a speculative nature and has purchased securities of
United States publicly-owned companies in private placements in the
past and, with its representatives, has such knowledge and
experience in financial, tax and other business matters as to
enable Purchaser to utilize the information made available by the
Company to evaluate the merits and risks of and to make an informed
investment decision with respect to the proposed purchase, which
represents a speculative investment. Purchaser is able to bear the
risk of such investment for an indefinite period and to afford a
complete loss thereof. The information in any documents delivered
by the Purchaser in connection with this Agreement, including, but
not limited to the Purchaser Questionnaire, is true, correct and
complete in all respects as of the date hereof. The Purchaser
agrees promptly to notify the Company in writing of any change in
such information after the date hereof. Purchaser is not required
to be registered as a broker-dealer under Section 15 of the
Securities Exchange Act of 1934, as amended (the
“Exchange
Act”);
(i) Legends.
The Purchaser understands that the Securities and the shares of
Common Stock to be issued pursuant to the Warrant, may bear one or
all of the following legends:
THIS SECURITY HAS NOT BEEN REGISTERED WITH THE SECURITIES AND
EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN
RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES
ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND,
ACCORDINGLY, MAY NOT BE OFFERED OR SOLD EXCEPT PURSUANT TO AN
EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OR
PURSUANT TO AN AVAILABLE EXEMPTION FROM, OR IN A TRANSACTION NOT
SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND
IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS. THIS SECURITY
MAY BE PLEDGED IN CONNECTION WITH A BONA FIDE MARGIN ACCOUNT WITH A
REGISTERED BROKER-DEALER OR OTHER LOAN WITH A FINANCIAL INSTITUTION
THAT IS AN “ACCREDITED INVESTOR” AS DEFINED IN RULE
501(a) UNDER THE SECURITIES ACT OR OTHER LOAN SECURED BY SUCH
SECURITIES.
(i) Shell
Company Status. The Purchaser has been provided an
opportunity for a reasonable period of time prior to the date
hereof to obtain additional information concerning this Agreement,
the Company and all other information the undersigned deems
relevant, to the extent the Company possesses such information or
can acquire it without unreasonable effort or expense; and the
Purchaser understands that as of the date of this Agreement and
perhaps for the foreseeable future, the Company is not a reporting
company under nor has it fully complied with the Exchange Act.
Notwithstanding the foregoing, the undersigned acknowledges that
the Company has filed certain reports with the Commission The
Investor understands that Blockchain Industries, Inc. may have once
been considered a “shell company” as defined in Rule
405 of the Exchange Act and therefore the shares of Common Stock to
be issued pursuant to the Warrant will not be able to be sold
pursuant to Rule 144 until twelve (12) months have elapsed from the
filing of “Form 10 information” (as defined in
Securities Act Rule 144(i)(3)) with the Commission;
(i) violate,
conflict with, result in a breach of, or constitute a default (or
an event which with the giving of notice or the lapse of time or
both would be reasonably likely to constitute a default) under (a)
the charter or bylaws of the Company or (b) any decree, judgment,
order or determination applicable to the Company of any court,
governmental agency or body having jurisdiction over the Company or
over the properties or assets of the Company or (c) any contract,
agreement, instrument or undertaking to which the Company or any
subsidiary is a party; or
(ii) result
in the creation or imposition of any lien, charge or encumbrance
upon the Securities except in favor of Purchaser as described
herein;
(d) Law
Governing this Agreement. This Agreement shall be governed
by and construed in accordance with the laws of the State of New
York without regard to principles of conflicts of laws. Any action
brought by either party hereto against the other concerning the
transactions contemplated by this Agreement shall be brought only
in the state courts of New York or in the federal courts located in
the state of New York. The parties to this Agreement hereby
irrevocably waive any objection to jurisdiction and venue of any
action instituted hereunder and shall not assert any defense based
on lack of jurisdiction or venue or based upon forum non conveniens. The
parties hereto agree to submit to the in personam jurisdiction of
such courts and hereby irrevocably waive trial by jury. The
prevailing party shall be entitled to recover from the other party
its reasonable attorney’s fees and costs.
(h) Entire
Agreement. This Securities Purchase Agreement (including the
Exhibits attached hereto) and other offering documents delivered at
the closing pursuant hereto, contain the entire understanding of
the parties in respect of its subject matter and supersedes all
prior agreements and understandings between or among the parties
with respect to such subject matter. The Exhibits constitute a part
hereof as though set forth in full above.
(i) Amendment;
Waiver. This Securities Purchase Agreement may not be
modified, amended, supplemented, canceled or discharged, except by
written instrument executed by both parties. No failure to exercise
and no delay in exercising, any right, power or privilege under
this Securities Purchase Agreement shall operate as a waiver, nor
shall any single or partial exercise of any right, power or
privilege hereunder preclude the exercise of any other right, power
or privilege. No waiver of any breach of any provision shall be
deemed to be a waiver of any proceeding or succeeding breach of the
same or any other provision, nor shall any waiver be implied from
any course of dealing between the parties. No extension of time for
performance of any obligations or other acts hereunder or under any
other agreement shall be deemed to be an extension of the time for
performance of any other obligations or any other acts. The rights
and remedies of the parties under this Securities Purchase
Agreement are in addition to all other rights and remedies, at law
or equity, that they may have against each other.
[signature page follows]
INFORMATION IN RESPONSE TO THIS SECTION WILL BE KEPT STRICTLY
CONFIDENTIAL
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DOLLAR AMOUNT INVESTED:
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$
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100,000
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AMOUNT INVESTED TO BE SENT VIA: ☐ Check
(enclosed) ☐ Wire
Name in Which Note and Warrants Should Be
Issued:
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Xxx Xxxxxxxx
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Name of Subscriber:
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Xxx Xxxxxxxx
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Taxpayer ID Number:
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N/A
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OR
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Social Security Number:
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For
individual subscribers this address should be the
Subscriber’s primary legal residence. For entities other than
individual subscribers, please provide address information for the
entities primary place of business. Information regarding a joint
subscriber should be included in the column at right.
000 Xxxxxxxxx Xxxxxx Xxxxx
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Xxxxx
Address
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Xxxxx
Xxxxxxx
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Xxxxxxxx, Xxxxxxx, X0X 0X0Xxxxxx
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City,
State, and Zip Code
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City,
State, and Zip Code
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AGREED AND SUBSCRIBED
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ACCEPTED
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This ___ day of _________, 2018
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This ___ day of _______, 2018
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By:
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By:
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Name: Xxx Xxxxxxxx
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Name: Xxxxxxx Xxxxxxxx
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Title (if any):
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Title: Chief Executive Officer
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CERTIFICATE OF SIGNATORY
(To be
completed if the Securities are
being
subscribed for by an entity)
I,
___________________, am the
________________ of
____________________ (the
“Entity”).
I
certify that I am empowered and duly authorized by the Entity to
execute and carry out the terms of the Securities Purchase
Agreement and to purchase and hold the Note and Warrants, and
certify further that the Securities Purchase Agreement has been
duly and validly executed on behalf of the Entity and constitutes a
legal and binding obligation of the Entity.
______________________________________
(Signature)
Exhibit B
INVESTOR QUESTIONNAIRE
This Questionnaire must be answered fully and returned along with
your completed Subscription Agreement (the “Subscription
Agreement”) by and among you and Blockchain Industries, Inc.
(the “Company”) in connection with your prospective
acquisition of the Securities from the Company. Capitalized terms
used herein without definition shall have the respective meanings
given such terms as set forth in the Subscription
Agreement.
CONFIDENTIAL. The undersigned agrees to furnish any additional
information which the Company deems necessary in order to verify
the answers set forth below.
GENERAL INFORMATION
Name:
Xxx
Xxxxxxxx
Date of
Birth:
Residence
Address:
000
Xxxxxxxxx Xxxxxx Xxxxx, Xxxxxxxx, Xxxxxxx, X0X 0X0,
Xxxxxx
Business
Address:
Home Telephone
No.:
000-000-0000
Business Telephone
No.:
E-mail
Address:
xxx.xxxxxxxx@xxxxx.xxx
Preferred Mailing
Address:
Business
or
Home
(check one)
Tax ID or Social Sec. No.:
Marital
Status:
(1)
STATUS.
The undersigned represents and warrants that he, she or it comes
within at least one category marked below, and that for any
category marked, he, she or it has truthfully set forth, where
applicable, the factual basis or reason the undersigned comes
within that category. The undersigned agrees to furnish any
additional information which the Company deems necessary in order
to verify the answers set forth below.
The
undersigned is an individual (not a partnership, corporation, etc.)
whose individual net worth, or joint net worth with his or her
spouse, presently exceeds $1,000,000.
Note:
When determining net worth, you must exclude the value of your
primary residence. The related amount of indebtedness secured by
your primary residence up to its fair market value should also be
excluded. However, indebtedness secured by your primary residence
in excess of the value of your home should be considered a
liability and deducted from your net worth.
The
undersigned is an individual (not a partnership, corporation,
limited liability company, trust, etc.) who had an income in excess
of $200,000 in each of the two most recent years, or joint income
with his or her spouse in excess of $300,000 in each of those years
(in each case including foreign income, tax exempt income and full
amount of capital gains and losses but excluding any income of
other family members and any unrealized capital appreciation) and
has a reasonable expectation of reaching the same income level in
the current year.
The
undersigned is a director or executive officer of the Company which
is selling the Securities.
The
undersigned is a bank, as defined in Section 3(a)(2) of the
Securities Act; a savings and loan association or other institution
as defined in Section 3(a)(5)(A) of the Securities Act, whether
acting in its individual or fiduciary capacity; any broker or
dealer registered pursuant to Section 15 of the Exchange Act; any
insurance company as defined in Section 2(13) of the Securities
Act; any investment company registered under the Investment Company
Act of 1940 or a business development company as defined in Section
2(a)(48) of such act; any Small Business Investment Company
licensed by the U.S. Small Business Administration under Section
301(c) or (d) of the Small Business Investment Act of 1958; any
plan established and maintained by a state, its political
subdivisions, or any agency or instrumentality of a state or its
political subdivisions, for the benefit of its employees, if such
plan has total assets in excess of $5,000,000; any employee benefit
plan within the meaning of the Employee Retirement Income Security
Act of 1974 if the investment decision is made by a plan fiduciary,
as defined in Section 3(21) of such act, which is either a bank,
savings and loan association, insurance company, or registered
investment advisor, or if the employee benefit plan has total
assets in excess of $5,000,000 or, if a self-directed plan, with
investment decisions made solely by persons that are accredited
investors (describe entity).
The
undersigned is a private business development company as defined in
Section 202(a)(22) of the Investment Advisors Act of 1940 (describe
entity).
The
undersigned is either a corporation, partnership, Massachusetts or
similar business trust, or non profit organization within the
meaning of Section 501(c)(3) of the Internal Revenue Code, in each
case not formed for the specific purpose of acquiring the
Securities and with total assets in excess of $5,000,000 (describe
entity).
The
undersigned is a trust with total assets in excess of $5,000,000,
not formed for the specific purpose of acquiring the Securities,
where the purchase is directed by a “sophisticated
person” as defined in Rule 506(b)(2)(ii) of the Securities
Act.
The
undersigned is an entity (other than a trust) in which all of the
equity owners are “accredited investors” within one or
more of the above categories. If relying upon this category alone,
each equity owner must complete a separate copy of this
questionnaire (describe entity).
The
undersigned is not a U.S. Person (as described in Regulation S
under the Securities Act). The undersigned is not within any of the
categories above.
THE UNDERSIGNED AGREES THAT THE UNDERSIGNED WILL NOTIFY THE COMPANY
AT ANY TIME ON OR PRIOR TO THE CLOSING DATE IN THE EVENT THAT THE
REPRESENTATIONS AND WARRANTIES MADE BY THE UNDERSIGNED IN THIS
AGREEMENT SHALL CEASE TO BE TRUE, ACCURATE AND
COMPLETE.
(2)
SUITABILITY (please answer each question below).
(a)
For
an individual Investor, please describe your current employment,
including the company by which you are employed, its principal
business, and your title:
(b)
For
an individual Investor, please describe any college or graduate
degrees held by you:
(c)
For
all Investors, please list types of prior investments:
(d)
For all Investors, please state whether you have
participated in private placements in the past:
YES NO
(e)
If
your answer to question (d) above is “YES”, please
indicate the frequency of such prior participation in private
placements of:
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Public Companies
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Private
Companies
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Frequently
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Occasionally
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Never
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(f)
For
individual Investors, do you expect your current level of income to
significantly decrease in the foreseeable future?
YES
NO
(g)
For
trust, corporate, partnership and other institutional Investors, do
you expect your total assets to significantly decrease in the
foreseeable future?
YES
NO
(h)
For
all Investors, do you have any other investments or contingent
liabilities which you reasonably anticipate could cause you to need
sudden cash requirements in excess of cash readily available to
you?
YES
NO
(i)
For
all Investors, are you familiar with the risk aspects and the
non-liquidity of investments such as the Securities for which you
seek to subscribe?
YES
NO
(j)
For
all Investors, do you understand that there is no guarantee of
financial return on this investment and that you run the risk of
losing your entire investment?
YES
NO
(3)
MANNER
IN WHICH TITLE IS TO BE HELD (please check the appropriate
box).
Individual
Ownership Community Property
Joint
Tenant with Right of Survivorship (both parties must sign)
Partnership*
Tenants
in Common Company*
Trust*
Other *
IF SECURITIES ARE BEING PURCHASED BY AN ENTITY, THE CERTIFICATE OF
SIGNATORY ATTACHED AS SCHEDULE A HERETO MUST ALSO BE
COMPLETED.
(4)
FINRA AFFILIATION.
Are
you affiliated or associated with a FINRA member firm (please check
one)?
YES
NO
If
your answer to the question above is “YES”, please
describe:
If
the Investor is a Registered Representative with a FINRA member
firm, have the following acknowledgment signed by the appropriate
party:
The
undersigned FINRA member firm acknowledges receipt of the notice
required by the Rules of Fair Practice.
Name
of FINRA Member Firm
By:
Authorized
Officer
Date:
(5)
FOR
TRUST INVESTORS.
(a)
Certain
trusts generally may not qualify as accredited investors except
under special circumstances. Therefore, if you intend to purchase
the Securities in whole or in part through a trust, please answer
each of the following questions.
(i)
Certain
trusts generally may not qualify as accredited investors except
under special circumstances. Therefore, if you intend to purchase
the Securities in whole or in part through a trust, please answer
each of the following questions.
YES
NO
(ii)
Does
this investment in the Company exceed 10% of the trust
assets?
YES
NO
(b)
If
the trust is a revocable trust, please complete question (i) below.
If the trust is an irrevocable trust, please complete question (ii)
below.
(i)
Can
the trust be amended or revoked at any time by its
grantors?
YES
NO
If
your answer to the question above is “YES”, answer the
following questions relating to EACH grantor (please add sheets if
necessary):
(A)
Grantor
Name:
(1)
Net
worth of grantor (including spouse, if applicable) exceeds
$1,000,000?
Note:
When determining net worth, the value of the grantor’s
primary residence must be excluded. The related amount of
indebtedness secured by the grantor’s primary residence up to
its fair market value should also be excluded. However,
indebtedness secured by the grantor’s primary residence in
excess of the value of the grantor’s home should be
considered a liability and deducted from the grantor’s net
worth.
YES
NO
OR
(2)
Income
(exclusive of any income attributable to spouse) was in excess of
$200,000 for 2016 and 2017 and is reasonably expected to be in
excess of $200,000 for 2018?
YES
NO
OR
[Question
continued on next page]
(3)
Income
(including income attributable to spouse) was in excess of $300,000
for 2016 and 2017 and is reasonably expected to be in excess of
$300,000 for 2018?
YES
NO
(ii)
(A) Please
provide the name of each trustee of the trust:
(B)
Does
the trust have assets greater than $5 million?
YES
NO
(C)
Does
the trust have assets greater than $5 million?
YES
NO
[Signature Page follows]
By
signing this Questionnaire, I hereby confirm the following
statements:
(a) I
am aware that the sale of the Securities will involve securities
that are not transferable and for which no market exists, thereby
requiring my investment to be maintained for an indefinite period
of time.
(b) I
acknowledge that any delivery to me of transactions documents
relating to the Securities prior to the determination by the
Company of my suitability as an investor, shall not constitute an
offer of such Securities until such determination of suitability
shall be made, and I agree that I shall promptly return the
transaction documents to the Company upon request.
(c) My
answers to the foregoing questions are, and were on any date (if
any) that I previously purchased securities in the Company, true
and complete to the best of my information and belief and were true
on any date that I previously as of, and I will promptly notify the
Company of any changes in the information I have
provided.
Executed:
Dated:
INDIVIDUAL INVESTOR:
Xxx Xxxxxxxx
(Print
Name)
(Signature)
(Print Name of Joint
Investor)
(Signature
of Joint Investor)
PARTNERSHIP, CORPORATION, TRUST, LLC OR OTHER ENTITY:
(Print Name of
Entity)
(Signature)
(Print
Name and Title of Person Signing)
CERTIFICATE OF SIGNATORY
I,
,
am
the
of
(the
“Entity”).
I
certify that I am empowered and duly authorized by the Entity to
execute and carry out the terms of that certain Subscription
Agreement dated as of August 14, 2018, by and between the Entity
and Blockchain Industries, Inc. (the “Subscription
Agreement”), and to purchase and hold the Securities (as
defined in the Subscription Agreement), and certify further that
the Subscription Agreement has been duly and validly executed on
behalf of the Entity and constitutes a legal and binding obligation
of the Entity.
(Signature)