EXHIBIT 4.7 (iii)
SUBSCRIPTION AGREEMENT
Subject to the terms and conditions hereinafter set forth, the undersigned (the
"Subscriber"), hereby subscribes and purchases the securities of SUNRISE U.S.A.
INCORPORATED ("USA" or the "Company") a Nevada corporation, as follows:
USA Securities Subscribed For:
500,000 Shares of USA common stock $0.01 par value (the "Shares")
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1. A purchaser of USA Securities will be unable to resell them unless they
are registered pursuant to a current registration statement and qualified for
sale in jurisdictions in which the holder resides or an exemption from such
registration and/or qualification exists in each jurisdiction. (Further see
paragraph 9 hereto).
2. The undersigned hereby represents that he has been furnished by the
Company with the Company's financial statements for the period 1999-2000, and
with all information regarding the Company which the Subscriber has or had
requested or desires or desired to know. Additional information may be
requested from the Company in writing or by oral request made to the Company at
the address or telephone number set forth below.
3. Except as provided by applicable state securities ("Blue Sky") laws, the
Subscriber does not have the right to withdraw or revoke his subscription unless
it has not been accepted by the final closing date. If this subscription is
rejected, the securities representing all of the Subscriber's subscription
payments will be promptly returned and this Agreement will be deemed canceled
and of no further force and effect.
4. AN INVESTMENT IN THE SECURITIES OF THE COMPANY HEREBY INVOLVES A HIGH
DEGREE OF RISK, RESTRICTED TRANSFERABILITY AND SUBSTANTIAL DILUTION.
ACCORDINGLY, THESE SECURITIES SHOULD BE PURCHASED ONLY BY THOSE PERSONS WHO CAN
AFFORD A LOSS OF THEIR ENTIRE INVESTMENT, PROSPECTIVE INVESTORS, PRIOR TO MAKING
AN INVESTMENT SHOULD CAREFULLY CONSIDER, AMONG OTHERS, THE FOLLOWING RISK
FACTORS IN MAKING AN INVESTMENT IN THE COMPANY. The fact that certain risks are
discussed herein does not mean there are not other material risks of which a
purchaser should be aware. The undersigned purchaser hereby acknowledges that
he or she is aware that:
(a) NEITHER THE SECURITIES AND EXCHANGE COMMISSION (the "SEC") NOR
ANY STATE AGENCY HAS PASSED ON THE ADQEQUACY OR ACCURACY OF THIS AGREEMENT NOR
MADE ANY FINDING OR DETERMINATION AS TO THE FAIRNESS OF THIS INVESTMENT ANY
REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.
(b) None of the securities of USA offered hereby have been
registered under the Securities Act of 1933, as amended (the "Securities Act")
or the securities laws of any state, and will be distributed and sold by USA in
reliance on exemptions from the registration requirements of these laws,
including, but not limited to, Sections 4(2) and 4(6) of the Securities Act
and/or Regulation D promulgated thereunder ("Regulation D"), and that reliance
on such exemption is based, in part, upon the securities USA hereunder are being
purchased by persons who are either "accredited investors" as such term is
defined in Rule 501 of Regulation D or who otherwise qualify as a non-accredited
investor in accordance with such rules and regulations.
(c) An investment in the Company depends upon the undersigned's
particular circumstances. No information concerning the Company other than that
contained herein or therein has been provided to subscribers. The information
presented herein and therein is not complete. Subscribers are cautioned not to
construe this Subscription Agreement, the accompanying documents or any prior or
subsequent communications as constituting investment, legal, tax or accounting
advice. AN INVESTOR SHOULD CONFER WITH AND RELY ON HIS OWN INVESTMENT AND TAX
ADVISORS AS TO THE SUBSTANTIAL RISKS INHERENT IN AN INVESTMENT HEREIN AND THE
TAX CONSEQUENCES TO HIM AS A RESULT OF HIS INVESTMENT. THE COMPANY AND ITS
OFFICERS, DIRECTORS, EMPLOYEES AND REPRESENTATIVES MAKE NO REPRESENTATIONS OR
WARRANTIES WITH RESPECT TO THE COMPANY EXCEPT AS SPECIFICALLY SET FORTH HEREIN
OR IN THE OFFERING DOCUMENTS.
(d) This Subscription Agreement does not constitute an offer to sell
or a solicitation of an offer to buy any of the USA Securities to anyone in any
state or in any other jurisdiction in which an offer or solicitation is not
authorized.
(e) The Company will provide additional information, if such is
reasonably available, which a Subscriber or his representative may request for
the purpose of evaluating the merits and risks of this subscription including
any such information, if available, as would be included in a registration
statement. The Company will also provide each Subscriber or his representative
with an opportunity to meet and confer with its principals regarding all aspects
of the Company's business. No offering literature or advertising in any form is
being employed in the subscription except for this Subscription Agreement and
the accompanying documents. No person is authorized to give any information or
to make any representation not contained in this Subscription Agreement or the
accompanying documents. Any representation not contained herein or therein must
not be relied upon as having been authorized by the Company or its officers.
Any distribution or reproduction of this Subscription Agreement or of the
accompanying documents, in whole or part, or the divulgence of any of their
contents, without the prior written consent of the Company, is prohibited.
(f) An investment in the Company is an illiquid investment. In
particular, the undersigned recognizes that: the undersigned must bear the
economic risk of investment in the Company for an indefinite period of time
since the USA Securities have not been registered under the Securities Act, and,
therefore, cannot be sold unless either they are subsequently registered under
the Securities Act or an exemption from such registration is available and a
favorable opinion of counsel for the Company to such effect is obtained.
The Company may place a legend on the certificates evidencing the USA Securities
stating that they have not been registered under the Securities Act and setting
forth or referring to the restriction on the sale, transfer or disposition
thereof. The Subscriber is aware that the Company will make a notation in its
appropriate records with respect to the restrictions on the sale, transfer, or
disposition of the USA Securities.
5. The undersigned represents and warrants to the Company that:
(a) The undersigned has reviewed this Subscription Agreement and the
accompanying documents, in connection with deciding to acquire the USA
Securities.
(b) The undersigned or the undersigned's duly appointed and
qualified investment advisor has the requisite knowledge and experience in
financial and business matters for properly evaluating the merits and risks of
investment in the Company and of making an informed investment decision. The
undersigned acknowledges that he also has significant prior investment
experience; including investment in non-registered securities and that he
recognizes the highly speculative nature of this investment.
(c) The undersigned has evaluated the risks of receiving the USA
Securities as consideration for the amount invested in the Company.
(d) The undersigned has sufficient available financial resources to
provide adequately for his current needs, including possible personal
contingencies, and can bear the economic risk of a complete loss of his
investment hereunder without materially affecting his financial condition.
(e) The undersigned understands that the Company's operations are
subject to all the risks inherent in financing the operations of a new business;
the Company is, accordingly, subject to numerous risks; and the USA Securities
are, therefore, a speculative investment which involves a high degree of risk of
loss, including the potential loss of his entire investment in the Company.
(f) The undersigned has been given the opportunity to ask questions
of the Company concerning the financial condition of the Company and to obtain
additional information necessary to verify the accuracy of the information, as
the undersigned desires.
(g) The undersigned is familiar with the financial condition and
prospects of the business of the Company, has reviewed the Company's and its
most recent financial statements, has been furnished any materials relating to
the Company and its activities, the offering of the USA Securities or anything
set forth in the Subscription Agreement which he has requested and has been
afforded the opportunity to obtain any additional information necessary to
verify the accuracy of any representation or information set forth in the
Subscription Agreement.
(h) The Company, its officers, directors and employees have answered
all inquiries that the undersigned has put to them concerning the Company and
its activities and this subscription.
(i) The undersigned has not been furnished any literature other than
this Subscription Agreement and the accompanying documents and the undersigned
has relied only on the information contained herein, in the accompanying and the
information furnished or made available to him by the Company as described
hereinabove. Furthermore, as set forth above, no representations or warranties
have been made to the undersigned, or to his advisors, by the Company, or its
officers, directors, employees or representatives with respect to the business
of the Company, and/or the economic, tax or any other aspects or consequences
of a purchase of the USA Securities and that the undersigned has not relied upon
any information concerning this subscription, written or oral, other than
contained in this Subscription Agreement and the accompanying documents, or
provided by the Company upon request.
(j) The undersigned is relying upon his own counsel, accountant,
business advisor(s) and/or others, concerning legal, tax, business and related
aspects of his subscription hereunder and his investment in the Company.
(k) The undersigned understands (i) the Company's financial and
operating history is set forth in the Company's financial statements (ii) that
the USA Securities are speculative investments which involve a high degree of
risk, and (iii) that the Company, its officers, directors, and employees, and
their affiliates may perform services on behalf of the Company and may receive
substantial fees, distributions, and compensation for performing these services.
(l) The undersigned understands that the USA Securities have not
been registered under the Securities Act or under any applicable Blue Sky law,
and agrees that the USA Securities may not be sold, USA for sale, transferred,
pledged, hypothecated, or otherwise disposed of except in compliance with the
Securities Act and any applicable state securities laws or pursuant to an
acceptable and proper exemption therefrom, and that the USA Securities will
bear an appropriate legend setting forth these restrictions. The undersigned
further understands and acknowledges that the undersigned has been advised that
the Company has no obligation to cause the USA Securities to be registered under
any other provision of the Securities Act or any other applicable Blue Sky laws
or to comply with any exemption under the Securities Act or any Blue Sky law
that would permit the USA Securities to be sold by the undersigned. The
undersigned understands the legal consequences of the foregoing to mean that the
undersigned must bear the economic risk of an investment in the USA Securities
for an indefinite period of time.
(m) The undersigned understands that the neither this Subscription
Agreement nor the accompanying documents have not been approved or disapproved
by the SEC or any state securities commission, nor has any such commission
passed upon the accuracy or adequacy of the such documents or the fairness of
this subscription. Any representation to the contrary is unlawful.
(n) Except as otherwise set forth below, the undersigned is not (i)
a person who is a citizen of a country other than the United States, (ii) an
entity organized under the laws of a government other than the government of the
United States or any of its states, territories or possessions, (iii) a
government other than the government of the United States or any of its states,
territories or possessions or (iv) a representative of, or an individual or
entity controlled by any of the foregoing (collectively, an "Alien"), and the
undersigned hereby agrees not to transfer, assign, hypothecate or otherwise
dispose of the USA Securities to any Alien.
(o) The undersigned is acquiring the USA Securities for which he
hereby subscribes for his own account, as principal, and no other person has a
direct or indirect beneficial interest in the USA Securities. The undersigned
agrees that he will not sell, transfer or otherwise dispose of any of the USA
Securities unless they are registered under the Securities Act or unless an
exemption from such registration is available.
(p) The undersigned is not directly or indirectly in any way
affiliated with any entity that is a competitor of the Company, exclusive of an
equity ownership of not more than 2% in any publicly owned company.
(q) All of the information which the undersigned has furnished to
the Company with respect to his financial position and business experience, and
all representations provided by the undersigned, are correct and complete as of
the date of this Agreement, and the undersigned covenants that until the closing
on the USA Securities subscribed for, he shall inform the Company of any changes
in the representations provided by the undersigned hereunder.
(r) The address set forth below is the undersigned's correct home
address or, if he is other than an individual, the correct address of the
undersigned's principal office and he has no present intention of changing such
address. If an individual, he is at least 21 years old.
(s) The undersigned hereby authorizes the Company to call his bank
and/or place of employment or otherwise inquire regarding his financial
standing.
(t) The undersigned's overall commitment to investments which are
not readily marketable is not disproportionate to his net worth and his
investment in the USA Securities will not cause such overall commitment to
become excessive. If he is a Massachusetts resident, the undersigned certifies
that his proposed investment in the Company does not exceed 25% of his net
worth, which includes the net worth of his spouse, excluding his residence and
furnishings therein.
(u) If the undersigned is a corporation, partnership, trust or other
entity, (i) it is authorized and qualified to become a stockholder in, and
authorized to make its investment in, the Company; (ii) in the event all of its
equity owners are not accredited investors, it has not been formed for the
purpose of acquiring any interest in the Company, has been in existence for more
than 90 days prior to the date hereof, and on a consolidated basis, it meets the
net worth requirements for qualifying as an accredited investor, as indicated by
its most recent financial statement; and (iii) the person signing this
Subscription Agreement on behalf of such entity has been authorized to do so.
(v) The undersigned acknowledged that the offer and sale of the USA
Securities is intended to be exempt from registration under the securities laws
of certain states. If he resides in any of the following states, he has noted
the language below, which he understands is required to be included in this
Agreement by the securities laws of those states:
Indiana. The undersigned hereby acknowledges that the USA Securities have not
been registered under Section 23-2-1-3 of the Indiana Blue Sky Laws and are
subject to restrictions on transferability and sale of securities as set forth
herein. The undersigned hereby agrees that the USA Securities will not be
transferred or resold without registration under such Laws or exemption
therefrom.
Connecticut. The undersigned hereby acknowledges that the USA Securities have
not been registered under Section 36-485 of the Connecticut Uniform Securities
Act, as amended and are subject to restrictions on transferability and sale of
securities as set forth herein. The undersigned hereby agrees that the USA
Securities will not be transferred or resold without registration under such Act
or exemption therefrom.
Texas. The undersigned hereby acknowledges that the USA Securities have not
been registered under any state securities law and cannot be transferred or
resold unless they are subsequently registered under applicable securities laws
or exempt therefrom.
Utah. The undersigned hereby acknowledges that the USA Securities have not been
registered under Utah Uniform USA Securities Act, as amended, and are subject
to restrictions on transferability and sale of securities as set forth herein.
The undersigned hereby agrees that the USA Securities will not be transferred or
resold without registration under such Laws or exemption therefrom.
Washington. The undersigned hereby acknowledges that the USA Securities are
subject to restrictions on transferability and resale and may not be
transferred or resold except as permitted under the Securities Act and the
applicable state securities laws, pursuant to registration or exemption
therefrom. The undersigned further acknowledges that the undersigned must bear
the financial risks of this investment for an indefinite period of time.
New York. The undersigned hereby acknowledges that the USA Securities have not
been registered under Section 359-e of the New York Blue Sky Laws and are
subject to restrictions on transferability and sale of securities as set forth
herein. The undersigned hereby agrees that the USA Securities will not be
transferred or resold without registration under such Laws or exemption
therefrom.
New Jersey. The undersigned hereby acknowledges that the USA Securities have
not been registered under Section 49:3-56 of the New Jersey Blue Sky Laws and
are subject to restrictions on transferability and sale of securities as set
forth herein. The undersigned hereby agrees that the USA Securities will not be
transferred or resold without registration under such Laws or exemption
therefrom.
Georgia. The undersigned hereby acknowledges that the USA Securities have not
been registered under Section 10-5-5 of the Georgia Blue Sky Laws and are
subject to restrictions on transferability and sale of securities as set forth
herein. The undersigned hereby agrees that the USA Securities will not be
transferred or resold without registration under such Laws or exemption
therefrom.
Pennsylvania. The undersigned hereby acknowledges that the USA Securities have
not been registered under Section 201 of the Pennsylvania Blue Sky Laws and are
subject to restrictions on transferability and sale of securities as set forth
herein. The undersigned hereby agrees that the USA Securities will not be
transferred or resold without registration under such Laws or exemption
therefrom. Furthermore, the undersigned acknowledges that he is aware of his
right, pursuant to Sec. 207(m)(2) to withdraw his acceptance without incurring
any liability to the seller within two (2) business days from the date of
receipt by the issuer of his written binding contract of purchase.
Illinois. The undersigned hereby acknowledges that the USA Securities have not
been registered under Section 5 of the Illinois Blue Sky Laws and are subject to
restrictions on transferability and sale of securities as set forth herein.
The undersigned hereby agrees that the USA Securities will not be transferred or
resold without registration under such Laws or exemption therefrom.
Florida. The undersigned hereby acknowledges that the USA Securities have not
been registered under Section 517.07 of the Florida Blue Sky Laws and are
subject to restrictions on transferability and sale of securities as set forth
herein. The undersigned hereby agrees that the USA Securities will not be
transferred or resold without registration under such Laws or exemption
therefrom.
California. The undersigned hereby acknowledges that the USA Securities have
not been registered under Section 25110 of the California Blue Sky Laws and
are subject to restrictions on transferability and sale of securities as set
forth herein. The undersigned hereby agrees that the USA Securities will not be
transferred or resold without registration under such Laws or exemption
therefrom.
Maryland. The undersigned hereby acknowledges that the USA Securities have not
been registered under Section 11-501 of the Maryland Blue Sky Laws and are
subject to restrictions on transferability and sale of securities as set forth
herein. The undersigned hereby agrees that the USA Securities will not be
transferred or resold without registration under such Laws or exemption
therefrom.
(w) The foregoing representations, warranties, agreements, undertakings,
and acknowledgments are made by the undersigned with the intent that they be
relied upon in determining the Undersigned's suitability as a subscriber of USA
Securities, and the undersigned agrees that those representations, warranties,
agreements, undertakings, and acknowledgments shall survive the undersigned's
admission as a USA Security holder of the Company. In addition, the undersigned
undertakes to notify the Company immediately of any change in any
representation, warranty, or other information relating to the undersigned set
forth in this Subscription Agreement.
6. The undersigned's representations and warranties in paragraph 5 hereof
shall survive the delivery of this Subscription Agreement, the issuance and
delivery of the USA Securities. The undersigned agrees to hold the Company and
the Company's directors, officers, employees, agents, counsel and controlling
persons (and their respective heirs, representatives, successors and assigns)
harmless and to indemnify them against all liabilities, costs and expenses
incurred by them as a result of any breach by the undersigned of any such
representations and warranties, or as a result of any sale or distribution by
the undersigned of the USA Securities in violation of any securities laws.
7. The undersigned agrees that he cannot cancel, terminate or revoke this
Subscription Agreement or any of this agreements provisions hereunder, that
this Subscription Agreement is not transferable or assignable by the
undersigned, and that, if he is an individual, this Subscription Agreement shall
survive his death or disability, except as provided by any applicable Blue Sky
laws.
8. If the undersigned is more than one person, the obligations of the
undersigned shall be joint and several and the representations and warranties
herein contained shall be deemed to be made by and be binding upon each such
person and his heirs, executors, administrators, successors and assigns.
9. Registration Rights.
(a) Right to Piggyback. If The Company or its successor proposes to
register any of its securities under the Securities Act on any registration
form (otherwise than for the registration of securities to be USA and sold by
The Company pursuant to (i) an employee benefit plan or any registration of any
securities using SEC Form S-8, (ii) a dividend or interest reinvestment plan,
(iii) other similar plans or (iv) reclassification of securities, mergers,
consolidations and acquisitions of assets) permitting a secondary offering or
distribution, not less than 90 days prior to each such registration, the Company
shall give the Subscriber written notice of such proposal which shall describe
in detail the proposed registration and distribution (including those
jurisdictions where registration or qualification under the securities or blue
sky laws is intended) and, upon the written request of a subscriber to the USA
Securities (a "USA Subscriber") furnished within 30 days after the date of any
such notice, proceed to include in such registration his or her shares of USA
common stock (the "Piggy-Back Shares") as have been requested by a USA
Subscriber to be included in such registration. The requesting USA Subscriber
shall in his or her request describe briefly the proposed disposition of such
Piggy-Back Shares. The Company will in each instance use its best efforts to
cause all such Piggy-Back Shares to be registered under the Securities Act and
qualified under the securities or blue sky laws of any jurisdiction requested
by the USA Subscriber, all to the extent necessary to permit the sale or other
disposition thereof (in the manner stated in such request) by such USA
Subscriber.
(b) Limitation. If the managing underwriter, who shall be selected
by The Company advises The Company in writing that, in its opinion, the
inclusion of the Piggy-Back Shares with the securities being registered by the
Company would materially adversely affect the distribution of all such
securities, then the Company will include in such registration (i) first, the
securities the Company proposes to sell and (ii) second, the Piggy-Back Shares
requested to be included in such registration, pro rata among the USA
Subscriber's.
(c) Selection of Underwriter; Participation in Underwritten
Registrations. For inclusion of Piggy-Back Shares in any registration of
securities by the Company a requesting USA Subscriber will be required to accept
the selection of an underwriter by the Company and will be required to execute
an underwriting agreement with such underwriter that is in customary form. No
USA Subscriber may participate in any registration hereunder which is
underwritten unless such USA Subscriber (i) agrees to sell his Piggy-Back Shares
on the basis provided in any underwriting arrangements approved by the Company,
and (ii) completes and executes all questionnaires, powers of attorney,
indemnities, underwriting agreements and other documents required under the
terms of such underwriting arrangements; provided that no holder of Piggy-Back
Shares included in any underwritten registration shall be required to make any
representations or warranties to the Company or the underwriters other than
representations and warranties regarding the USA Subscriber and the USA
Subscriber's intended method of distribution.
(d) Withdrawal of Registration. Nothing in this Agreement shall be
deemed to require The Company to proceed with any registration of its securities
after giving the notice as provided herein; provided, however, that the Company
shall pay all expenses incurred pursuant to such notice.
(e) Registration and Qualification Procedures. Whenever the
Company is required by the provisions of this Subscription Agreement to
effect the registration of any of its securities under the Securities Act,
the Company will, as expeditiously as is practicable prepare and file with the
SEC a registration statement with respect to such Piggy-Back Shares and shall
reasonably cooperate with each USA Subscriber whose Piggy-Back Shares are to
be included therein and shall use its reasonable best efforts to register or
qualify the securities covered by such registration statement under the
securities or blue sky laws of such jurisdictions within the United States as
the USA Subscriber shall reasonably request, and do such other reasonable
acts and things as may be required of it to enable the USA Subscriber to
conclude the sale or other disposition in such jurisdictions of the Piggy-Back
Shares owned by him or her; provided, however, that the Company shall not be
required to (a) qualify as a foreign corporation or consent to a general and
unlimited service of process in any such jurisdiction, (b) subject itself to
any material taxation in any such jurisdiction, or (iii) qualify as a dealer
in securities.
(f) Registration Expenses. If The Company is required by the
provisions of this Section to use its best efforts to effect the registration
or qualification under the Securities Act or any state securities or blue sky
laws of any of the Piggy-Back Shares, the Company shall pay all expenses in
connection therewith, including (i) all expenses incident to filing with the
National Association of Securities Dealers, Inc., (ii) registration fees, (iii)
printing expenses, (iv) accounting and legal fees and expenses, (v) expenses of
any special audits incident to or required by any such registration or
qualification, and (vi) expenses of complying with the securities or blue sky
laws of any jurisdictions in connection with such registration or qualification;
provided, however, the Company shall not be liable for (1) any discounts or
commissions to any underwriter attributable to Piggy-Back Shares being sold; (2)
any stock transfer taxes incurred in respect of the Piggy-Back Shares being
sold; or (3) the legal fees of any USA Subscriber.
10. Miscellaneous.
(a) All notices or other communications given or made hereunder
shall be in writing and shall be delivered by hand, against written receipt, or
mailed by registered or certified mail, return receipt requested, postage
prepaid, to the undersigned at his address set forth below and to the Company at
their address set forth above. Notices shall be deemed given on the date of
receipt or, if mailed, three business days after mailing, except notices of
change of address, which shall be deemed given when received.
(b) Notwithstanding the place where this Agreement may be executed
by the undersigned or the Company, they agree that all the terms and provisions
hereof shall be construed in accordance with and governed by the laws of the
State of Delaware without regard to principles of conflict of laws.
(c) This Agreement constitutes the entire agreement between the
undersigned and the Company with respect to the subject matter hereof and may be
amended only by a writing executed by each of them.
(d) This Agreement shall be binding upon and inure to the benefit of
each of the undersigned and the Company and their respective heirs, legal
representatives, successors and assigns.
(e) In order to discourage frivolous claims, the undersigned and
the Company agree that, unless the party who is a claimant succeeds in
obtaining a judgment against the other in an action or proceeding, the other
shall be entitled to recover all of their legal costs and expenses relating to
such action or proceeding and/or incurred in the preparation therefor.
(f) The invalidity or unenforceability of any provision of this
Agreement shall not affect the validity or enforceability of any other provision
of this Agreement.
(g) The waiver by either the undersigned or the Company of a breach
of any provision of this Agreement shall not operate, or be construed, as a
waiver of any subsequent breach of any provision of this Agreement.
(h) The undersigned and the Company agree to execute and deliver all
further documents, agreements and instruments and to take such further action as
may be necessary or appropriate to carry out the purposes and intent of this
Agreement.
(i) This Agreement may be executed in one or more counterparts, each
of which shall be deemed an original, but all of which shall together constitute
one and the same instrument.
(j) References in this Agreement to the pronouns "him", "he" and
"his" are not intended to convey the masculine gender and are employed in a
generic sense and apply equally to the male and female genders or to an entity.
(Remainder of this page intentionally left blank)
11. The undersigned is delivering herewith: (i) the securities as first
described above in the amount of the subscription; (ii) one copy of the
Investor Questionnaire, completed, dated and signed by the Investor; and (iii)
two signed copies of this Subscription Agreement, one of which will be
countersigned by the Company and returned to the undersigned. The undersigned
has signed this Subscription Agreement as of the date indicated below.
Dated: March 31st. 2003
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/S/ XXXX X. XXXX
----------------------- ----------------------------------
Signature of subscriber Signature of spouse, joint tenant,
Tenant in common or other signature,
if required
Xxxx X. Xxxx
-------------------------------- -----------------------------------
Type or print name of subscriber Type or print name of spouse, joint
Tenant, tenant in common or other
(000) 000-0000 signer
--------------------------------
Telephone number of subscriber
0000 Xxxxxxx Xxxx
------------------------------------ ---------------------------------------
Address of subscriber Address of spouse, joint tenant, tenant
in common or other signer
Xxxxxxxx, Xxxx 00000
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City State Zip Code
------------------------------------ ---------------------------------------
Social security or taxpayer Social security or taxpayer
identification number of subscriber identification number of other signatory
------- Is an Alien as defined in
Yes Paragraph 5(o) above
Subscription Accepted:
SUNRISE U.S.A. INCORPORATED.
By: /S/ XXXX XXXXXXXXXX
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Title
Dated:
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