CHINESEWORLDNET.COM INC. NON-US-PURCHASER SUBSCRIPTION AGREEMENT
Exhibit
10.1
XXXXXXXXXXXXXXX.XXX
INC.
NON-US-PURCHASER
THIS
SUBSCRIPTION AGREEMENT
(this
“
Agreement”
), is
made and entered into as of the date set forth on the signature page hereto,
by
the undersigned person on the signature page hereto (“Investor”)
and
XxxxxxxXxxxxXxx.xxx Inc., a company established under the laws of the Cayman
Islands (the “Company”).
WITNESSETH :
WHEREAS,
this
Agreement is being entered into in connection with the purchase by Investor
of
Common Stock (as defined below) of the Company, and the issuance by the Company
of such Common Stock to Investor;
WHEREAS,
Investor desires to purchase Common Stock from the Company, and the Company
desires to sell such Common Stock to Investor;
NOW,
THEREFORE,
in
consideration of the mutual agreements herein contained and other good and
valuable consideration, receipt of which are hereby acknowledged, the parties
hereto agree as follows:
ARTICLE
1
DEFINITIONS
AND OTHER TERMS
Section
1.01 Definitions.
As used
in this Agreement, the following terms shall have the following meanings (such
meanings to be equally applicable to both the singular and plural forms of
the
terms defined):
“Additional
Closings” has
the
meaning set forth in Section
2.04.
“Agreement”
has the
meaning set forth in the preamble.
“Closing”
means
the
closing of the purchase and sale of the Common Stock pursuant to this
Agreement.
“Common
Stock” means
the
common stock of the Company, par value $0.001.
“Company”
has the
meaning set forth in the preamble.
“Control”
(including, with its correlative meanings, “Controlled
by”,
“Controlling”
and
“under
common Control with”)
means,
with respect to any Person, any of the following: (i) ownership, directly or
indirectly, by such Person of equity securities entitling it to exercise in
the
aggregate more than 50% of the voting power of the entity in question, or (ii)
the possession by such Person of the power, directly or indirectly, (A) to
elect
a majority of the board of directors (or equivalent governing body) of the
entity in question, or (B) to direct or cause the direction of the management
and policies of or with respect to the entity in question, whether through
ownership of securities, by contract or otherwise.
“Offering”
means
the
sale of Common Stock by the Company.
“Person” means
any
individual, partnership (whether general or limited), limited liability Company,
corporation, trust, estate, nominee or other entity.
“Piggyback
Registration Rights Agreement” means
that certain Piggyback Registration Rights Agreement by and among the Company
and the Investors named therein entered into in connection with this
Agreement.
“Purchase
Price”
has the
meaning set forth in Section
2.01.
“Purchased
Common Stock”
means
those Common Stock to be issued to Investor pursuant to this Agreement, as
more
particularly described in Section
2.01.
“Regulation
S” has
the
meaning set forth in Section
4.01.
“SEC”
means
the U.S. Securities and Exchange Commission.
“Securities
Act”
means
the Securities Act of 1933, as amended, and the rules and regulations
promulgated thereunder.
Section
1.02 Certain
References.
Unless
otherwise indicated, references in this Agreement to articles, sections,
clauses, recitals and exhibits are to the same contained in or attached to
this
Agreement.
Section
1.03 Currency.
Unless
otherwise specified, all dollar amounts in this Agreement, including the symbol
“$”, are expressed in U.S. dollars
ARTICLE
2
PURCHASE
AND SALE OF COMMON STOCK
Section
2.01 Purchase
and Sale of Common Stock.
Subject
to the terms herein, on the Closing Date, Investor shall purchase from the
Company, in exchange for the purchase price set forth on the signature page
hereto (the “Purchase
Price”)
in cash
in immediately available funds, the number of shares of Common Stock set forth
on the signature page hereto, constituting the purchased Common Stock (the
“Purchased
Common Stock”).
Section
2.02 Offering.
The
Offering of the shares of Common Stock pursuant to a private placement
commencing on the date hereof will continue until ,
unless
extended by the Company without notice to investors to a date not later than
(the
“Termination
Date”);
provided however, that the Offering will terminate in all event upon the sale
of
all of the shares of Common Stock.
Section
2.03 Shares
Offered.
The
Company is offering up to a maximum of 2.25
million shares of
Common
Stock at a Subscription Price of $1.08
per share
of
Common Stock for aggregate proceeds up to $2,430,000.
Section
2.04 Additional
Closings.
The
Company may sell Common Stock at an additional closing or closings prior to
or
subsequent to the Closing Date hereof, but in no event later than the
Termination Date (the “Additional
Closings”),
subject to the same procedures as set forth in Section 2 hereof. The purchase
price of the Common Stock sold in such Additional Closings may be the same
or
different from the Closing contemplated in this Agreement. Upon fulfillment
of
the conditions to closing similar to those set forth in Section 2.06, the
investor(s) in such Additional Closing(s) may become parties to the Piggyback
Registration Rights Agreement, without further action by the Investor or the
Company, by executing and delivering a counterpart signature page thereto.
This
Agreement is subject to acceptance by the Company. The Company may accept this
Agreement at any time for all or any portion of the shares of Common Stock
subscribed for by executing a copy hereof and notifying the Investor within
a
reasonable time thereafter. If not accepted by the Company, or if accepted
and
thereafter rejected by the Company in accordance with Section
2.06(b),
this
Agreement shall be of no further force and effect (except with respect to the
Company’s obligation to return the Purchase Price to the Investor to the extent
the Purchase Price has already been paid to the Company).
Section
2.05
Effective Time.
The
effective time of the consummation of the transactions contemplated hereby
is
12:01 p.m., Eastern time, on the Closing Date. The
Common Stock subscribed for herein will not be deemed issued to or owned by
the
Investor until consummation of the Closing.
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Section
2.06 Conditions
to Closing.
(a) The
Investor acknowledges and agrees that the obligations of the Company hereunder
are conditional on the accuracy of the representations and warranties of the
Investor contained in this Agreement as of the date of this Agreement, and
as of
the Closing Date as if made at and as of the Closing Date, and the fulfillment
of the following additional conditions as soon as possible and in any event,
not
later than the Closing Date:
(i)
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The
Investor having properly completed, signed and delivered this Agreement
to:
XxxxxxxXxxxxXxx.xxx
Inc.
000-0000
Xxxx Xxxxxx Xxxxxx
Xxxxxxxxx,
XX
Xxxxxx
X0X 0X0
Fax:
(000) 000-0000;
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(ii)
|
The
Company and the Investor, and other investors as required thereunder,
having entered into the Piggyback Registration Rights Agreement;
and
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(iii)
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Payment
by the Investor of the Purchase Price in U.S. dollars, by certified
check,
bank draft payable to the Company, or bank wire transfer to the following
account:
Please
see the attached Appendix A - Wire Instruction
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(b) The
Company has the right to reject this subscription for the shares of Common
Stock, in whole or in part for any reason and at any time prior to the Closing,
notwithstanding that a notice of acceptance of this subscription may have been
delivered to the Investor.
Section
2.07 The
Closing.
(a) The
Closing of the purchase and sale of the Purchased Common Stock shall take place
on _________________, 2007 (the “Closing
Date”),
at
the offices of the Company, 368-1199 West Xxxxxx Street, Vancouver, B.C. Canada,
or such other date or place as the Company may require.
(b) Subject
to the terms of this Agreement, the Company shall deliver to the Investor within
ten (10) days after the Closing Date certificates representing the Purchased
Common Stock against payment of the Investor’s Purchase Price.
ARTICLE
3
REPRESENTATIONS
AND WARRANTIES
OF
INVESTOR
Investor
represents and warrants to the Company as follows:
Section
3.01 Securities
Laws Representations.
(a)
that he,
she or it is acquiring the Purchased Common Stock for his, her or its own
account, as principal, for investment and not with a view toward resale or
distribution and that he, she or it will not sell or otherwise transfer the
Purchased Common
Stock except
in
compliance with state and federal law, including but not limited to Regulation
S
under the Securities Act;
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(b)
that he,
she or it has, either alone or together with his, her or its investment
advisors, if any, such knowledge and experience in financial and business
matters that he, she or it (or they) are capable of evaluating the merits and
risks of the investment in the Purchased
Common
Stock;
(c) that
he,
she or it has the experience in financial and business matters as to be capable
of assessing and evaluating the merits and risks of an investment in the
Common
Stock and
is
able to bear the economic risk of losing his or her entire investment in the
Purchased
Common
Stock;
(d)
that
his, her or its overall commitment to investments which are not readily
marketable is not disproportionate to his or her net worth, and his, her or
its
investment in the Purchased Common
Stock will
not
cause such overall commitment to become excessive;
(e) that
he,
she or it has not been solicited by a general solicitation or general
advertising within the meaning of Section 502(c) of Regulation D under the
Securities Act to subscribe for or purchase the Purchased
Common
Stock,
or to
otherwise undertake or make any investment in the Company, including but not
limited to any advertisement in printed media of general and regular paid
circulation, radio, television, the internet or any other form of electronic
media or communications;
(f) that
he,
she or it understands that the Purchased Common
Stock have
not
been registered under the Securities Act, or the securities law of any state
and, as the result thereof, are subject to substantial restrictions on
transfer;
(g) that
he,
she or it understands that (i) except as may be expressly set forth in this
Agreement or the Piggyback Registration Rights Agreement, the Company has no
obligation or intention to register the Purchased Common
Stock for
resale under any federal, provincial or state securities laws or to take any
action (including the filing of reports or the publication of information
required by Rule 144 under the Securities Act) which would make available any
exemption from the registration requirements of the Securities Act; and (ii)
it
is likely the Investor therefore may be precluded from selling or otherwise
transferring or disposing of the Purchased Common
Stock or
any
portion thereof and may therefore have to bear the economic risk of investment
in the Common
Stock for
an
indefinite period;
(h) that
he,
she or it understands that an investment in the Company involves certain risks
and has taken full cognizance of and understands all of the risk factors
relating to the purchase of the Purchased
Common
Stock;
(i) that
he,
she or it understands that no federal or state agency has approved or
disapproved the issuance of the Purchased
Common
Stock,
passed
upon or endorsed the merits of the Offering, or made any finding or
determination as to the fairness of the Common
Stock for
investment;
(j) that
he,
she or it acknowledges that, if he, she or it is purchasing the Purchased
Common
Stock subscribed
for hereby in a fiduciary capacity, the representations and warranties in this
Section
3.01
shall be
deemed to have been made on behalf of the person or persons for whom he, she
or
it is so purchasing;
(k) that
he,
she or it acknowledges that the Company has made available to him, her or it
and
his, her or its investment advisors, if any, the opportunity to ask questions
of, and receive answers from, the offering and to obtain any additional
information, to the extent that the Company possesses such information, or
can
acquire it without unreasonable effort or expense, necessary to verify the
accuracy of the information given to him, her or it or otherwise to make an
informed investment decision;
(l) that
if
the Investor is a corporation, the Investor is a valid and subsisting
corporation, has the necessary corporate capacity and authority to execute
and
deliver this Agreement and to observe and perform its covenants and obligations
hereunder and has taken all necessary corporate action in respect thereof.
If
the Investor is a partnership, syndicate, trust or other form of unincorporated
organization, the Investor has the necessary legal capacity and authority to
execute and deliver this Agreement an to observe and perform its covenants
and
obligations hereunder and has obtained all necessary approvals in respect
thereof; and
(p) THAT
HE,
SHE OR IT ACKNOWLEDGES THAT THE PURCHASED COMMON
STOCK ARE
BEING
ISSUED PURSUANT TO A CLAIM OF EXEMPTION FROM THE REGISTRATION OR QUALIFICATION
PROVISIONS OF FEDERAL AND STATE SECURITIES LAWS AND MAY NOT BE SOLD OR
TRANSFERRED WITHOUT COMPLIANCE WITH THE REGISTRATION OR QUALIFICATION PROVISIONS
OF APPLICABLE FEDERAL AND STATE SECURITIES LAWS OR APPLICABLE EXEMPTION
THEREFROM.
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Section
3.02 Transfer;
Legend. That
he,
she or it hereby acknowledges and agrees that the following legend may be placed
upon the shares of the Purchased Common Stock:
“THIS
COMMON STOCK HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
AMENDED (THE “SECURITIES ACT”) OR APPLICABLE SALE, SECURITIES OR “BLUE SKY” LAWS
AND THE TRANSFERABILITY OF SUCH COMMON STOCK IS RESTRICTED. SUCH COMMON
STOCK MAY NOT BE SOLD, PLEDGED ASSIGNED, OR OTHERWISE TRANSFERRED, NOR WILL
ANY ASSIGNEE, VENDEE, TRANSFEREE, OR ENDORSEE THEREOF BE RECOGNIZED BY THE
COMPANY AS HAVING ACQUIRED ANY SUCH COMMON STOCK FOR ANY PURPOSES, UNLESS
(I) A
REGISTRATION STATEMENT UNDER THE SECURITIES ACT WITH RESPECT TO SUCH COMMON
STOCK SHALL THEN BE IN EFFECT AND SUCH TRANSFER HAS BEEN QUALIFIED UNDER
ALL
APPLICABLE STATE SECURITIES LAWS OR (II) AN EXEMPTION FROM SUCH REGISTRATION
AND
QUALIFICATION SHALL BE AVAILABLE UNDER THE SECURITIES ACT AND SUCH LAWS,
SUPPORTED BY AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY AND ITS COUNSEL
THAT SUCH REGISTRATION IS NOT REQUIRED.”
Section
3.03
Binding Effect.
This
Agreement is the legal, valid and binding obligation of Investor, enforceable
in
accordance with its terms, subject, however, to the application by a court
of
general principles of equity and to the effect of any applicable bankruptcy,
insolvency, reorganization, moratorium or similar laws affecting creditors’
rights generally.
ARTICLE
4
REGULATION
S EXEMPTION
Section
4.01 Representations
of the Investor. The
Investor understands that the Common Stock is being offered and sold to it
in
reliance on an exemption from the registration requirements of United States
federal and state securities laws pursuant to Regulation S promulgated by the
SEC pursuant to the Securities Act (“Regulation
S”)
and
that the Company is relying upon the truth and accuracy of the representations,
warranties, agreements, acknowledgments and understandings of the Investor
set
forth herein in order to determine the applicability of such exemptions and
the
suitability of the Investor to acquire the Common Stock . The representations
and warranties are in addition to those made in other parts of this Agreement.
In this regard, the Investor represents, warrants and agrees that:
(a) The
Investor is not a “U.S. Person” as defined in Rule 902(k) of Regulation S. The
Investor will notify the Company immediately if the Investor has become a U.S.
Person and understands that the Investor will be required to transfer its
Purchased Common Stock in such event. If the Investor is a passive investment
entity, the Investor hereby certifies that there are no U.S. Persons who own
equity interests in the Investor. In this regard, the Investor acknowledges
that
the following persons are considered to be “U.S. Persons”:
(i) Any
natural person resident in the United States;
(ii) Any
partnership or corporation organized or incorporated under the laws of the
United States;
(iii) Any
estate of which any executor or administrator is a U.S. person;
(iv) Any
trust
of which any trustee is a U.S. person;
(v) Any
agency or branch of a foreign entity located in the United States;
(vi) Any
non-discretionary account or similar account (other than an estate or trust)
held by a dealer or other fiduciary for the benefit or account of a U.S.
person;
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(vii) Any
discretionary account or similar account (other than an estate or trust) held
by
a dealer or other fiduciary organized, incorporated, or (if an individual)
resident in the United States; and
(viii) Any
partnership or corporation if:
(1) Organized
or incorporated under the laws of any foreign jurisdiction; and
(2) Formed
by
a U.S. person principally for the purpose of investing in securities not
registered under the Securities Act, unless it is organized or incorporated,
and
owned, by accredited investors (as defined under the Securities Act) who are
not
natural persons, estates or trusts.
(b) No
offer
to purchase the Common Stock was made to the Investor in the United States,
and
at the time of the origination of contact concerning this Agreement and the
date
of the execution and delivery of this Agreement, the Investor was outside of
the
United States.
(c) The
Investor will not, during the period commencing on the date of issuance of
the
Purchased Common Stock and ending on the first anniversary of such date, or
such
shorter period as may be permitted by Regulation S or other applicable
securities law (the “Restricted
Period”),
offer,
sell, pledge or otherwise transfer the shares in the United States, or to a
U.S.
Person for the account or for the benefit of a U.S. Person, or otherwise in
a
manner that is not in compliance with Regulation S.
(d) The
Investor will, after expiration of the Restricted Period, offer, sell, pledge
or
otherwise transfer the Purchased Common Stock only pursuant to registration
under the Securities Act or an available exemption thereunder and, in accordance
with all applicable state and foreign securities laws.
(e) The
Investor has not in the United States, engaged in, and prior to the expiration
of the Restricted Period will not engage in, any short selling of or any hedging
transaction with respect to the Purchased Common Stock, including without
limitation, any put, call or other option transaction, option writing or equity
swap.
(f) Neither
the Investor nor or any person acting on its behalf has engaged, nor will
engage, in any directed selling efforts (as defined in Regulation S) to a U.S.
Person with respect to the Purchased Common Stock and the Investor and any
person acting on its behalf have complied and will comply with the “offering
restrictions” requirements of Regulation S.
(g) The
transactions contemplated by this Agreement have not been pre-arranged with
a
buyer located in the United States or with a U.S. Person, and are not part
of a
plan or scheme to evade the registration requirements of the Securities
Act.
(h) Neither
the Investor nor any person acting on its behalf has undertaken or carried
out
any activity for the purpose of, or that could reasonably be expected to have
the effect of, conditioning the market in the United States, its territories
or
possessions, for any of the Purchased Common Stock. The Investor agrees not
to
cause any advertisement of the Purchased Common Stock to be published in any
newspaper or periodical or posted in any public place and not to issue any
circular relating to the Purchased Common Stock, except such advertisements
that
include the statements required by Regulation S, and only offshore and not
in
the U.S. or its territories, and only in compliance with any local applicable
securities laws.
(i) Each
certificate representing the Purchased Common Stock shall be endorsed with
the
following legends, in addition to any other legend required to be placed thereon
by applicable federal or state securities laws or pursuant to any other
provision of this Agreement:
(A)
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“THIS
COMMON STOCK IS BEING OFFERED TO INVESTORS WHO ARE NOT U.S. PERSONS
(AS
DEFINED IN REGULATION S UNDER THE SECURITIES ACT of 1933, AS AMENDED
(“SECURITIES ACT”)) AND WITHOUT REGISTRATION WITH THE UNITED STATES
SECURITIES AND EXCHANGE COMMISSION UNDER THE SECURITIES ACT IN RELIANCE
UPON REGULATION S PROMULGATED UNDER THE SECURITIES
ACT.”
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6
(B)
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“TRANSFER
OF THESE SHARES OF COMMON STOCK IS PROHIBITED, EXCEPT IN ACCORDANCE
WITH
THE PROVISIONS OF REGULATION S, PURSUANT TO REGISTRATION UNDER THE
SECURITIES ACT, OR PURSUANT TO AVAILABLE EXEMPTION FROM REGISTRATION.
HEDGING TRANSACTIONS MAY NOT BE CONDUCTED UNLESS IN COMPLIANCE WITH
THE
SECURITIES ACT.”
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Section
4.02 The
Investor consents to the Company making a notation on its records or giving
instructions to any transfer agent of the Company in order to implement the
restrictions on transfer of the Purchased Common Stock set forth in this Section
4, and the Investor acknowledges, and the Company covenants that the Company
shall not register any transfer of the Purchased Common Stock if the transfer
of
any such security in not made in accordance to the provisions of Regulation
S,
pursuant to a registration under the Securities Act or pursuant to an available
exemption from registration.
ARTICLE
5
INDEMNIFICATION.
Section
5.01 The
Investor hereby agrees to indemnify and hold harmless, the
Company their respective officers, directors, stockholders, employees, agents
and attorneys against any and all losses, claims, demands, liabilities, and
expenses (including reasonable legal or other expenses incurred by each such
person in connection with defending or investigating any such claims or
liabilities, whether or not resulting in any liability to such person or whether
incurred by the indemnified party in any action or proceeding between the
indemnitor and indemnified party or between the indemnified party and any third
party) to which any such indemnified party may become subject, insofar as such
losses, claims, demands, liabilities and expenses (a) arise out of or are based
upon any untrue statement or alleged untrue statement of a material fact made
by
Investor and contained herein or (b) arise out of or are based upon any breach
by me of any representation, warranty or agreement made by Investor contained
herein.
ARTICLE
6
MISCELLANEOUS
PROVISIONS
Section
6.01
Survival of Representations, Warranties, Covenants and
Agreements.
The
representations, warranties, covenants and agreements contained in this
Agreement or in any certificate or other document delivered pursuant hereto
or
in connection herewith shall survive after the Closing Date without limitation
as to time.
Section
6.02
Amendments; Waiver. This
Agreement
may not
be amended except by a written agreement executed by the party to be charged
with the amendment. Any provision of this Agreement
may be
waived if, and only if, such waiver is in writing and signed by the party
against whom the waiver is to be effective. No failure or delay by any party
in
exercising any right, power or privilege under this Agreement
shall
operate as a waiver thereof nor shall any single or partial exercise thereof
preclude any other or further exercise thereof or the exercise of any other
right, power or privilege.
Section
6.03
Successors, Assigns and Third Party Beneficiaries.
This
Agreement shall be binding upon and inure to the benefit of the parties hereto
and their respective successors and permitted assigns; provided that neither
this Agreement nor any of the rights hereunder may be assigned by Investor
without the written consent of the Company. Except as expressly provided herein,
nothing
expressed or referred to in this Agreement
shall be
construed to give any Person other than the parties to this Agreement
any
legal or equitable right, remedy, or claim under or with respect to this
Agreement
or any
provision of this Agreement. This Agreement
and all
of its provisions and conditions are for the sole and exclusive benefit of
the
parties to this Agreement
and
their permitted successors and assigns.
Section
6.04
Expenses.
Whether
or not the transactions contemplated by this Agreement shall be consummated,
except as otherwise expressly provided herein, all fees and expenses (including
all fees of counsel and accountants) incurred by any party in connection with
the negotiation and execution of this Agreement shall be borne by such
party.
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Section
6.05
Further Assurances.
From
time to time, at the reasonable request of a party and without further
consideration, a party hereto, at its own expense, will promptly execute and
deliver all other documents, and take all further actions, that another party
may reasonably request in order to vest in Investor, respectively, good and
marketable title to the Purchased Common Stock purchased hereunder and to
protect the rights and remedies of the parties created or intended to be created
hereunder.
Section
6.06 Governing
Law.
This
Agreement shall be governed by and construed in accordance with the laws of
the
Province of British Columbia and the laws of Canada, without regard to its
choice of law principles.
Section
6.07 Execution
in Counterparts.
This
Agreement may be executed in any number of counterparts, each of which shall
be
deemed an original and all of which when taken together shall constitute one
and
the same agreement.
Section
6.08 Notices.
All
notices and other communications provided for hereunder shall be in writing
and
shall be deemed to have been duly given if delivered by hand, received by
registered or certified mail (return receipt requested), or given by facsimile
or telecopy, to the parties at the following addresses (or at such other address
for a party as shall be specified by like notice):
If
to
Investor:
At
the
address set forth on the signature page hereof
If
to the
Company:
XxxxxxxXxxxxXxx.xxx
Inc.
000
-0000
Xxxx Xxxxxx Xxxxxx
Xxxxxxxxx,
XX
Xxxxxx
X0X 0X0
Fax:
(000) 000-0000
Attn:
Xx.
Xxx Xxx, President & CEO
Section
6.09
Sections; Headings.
Sections and
other
headings contained in this Agreement
are for
reference purposes only and are not intended to describe, interpret, define,
or
limit the scope, extent, or intent of this Agreement or any provision
hereof.
Section
6.10
Entire Agreement.
This
Agreement constitutes the entire agreement and understanding among the parties
hereto and supersedes any and all prior agreements and understandings, oral
or
written, relating to the subject matter hereof.
SECTION
5.11. Severability.
Any
provision of this Agreement that is prohibited or unenforceable in any
jurisdiction shall, as to such jurisdiction, be ineffective to the extent of
such prohibition or enforceability without invalidating the remaining provisions
hereof or affecting the validity or enforceability of such provisions in any
other jurisdiction.
IN
WITNESS WHEREOF,
the
parties hereto have executed or have caused this Agreement to be executed by
their respective authorized officers or representatives on the date first above
written.
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SIGNATURE
PAGE FOR
INDIVIDUAL INVESTORS
-
COMPLETE ALL INFORMATION
Name:
_____________________________
Residence
Address:
__________________________________________________________
Telephone:
(H)________________ (W)____________________ Fax __________________
Business
Address:
____________________________________________________________
Send
communications to:
¨ Home
¨ Office
¨ E-Mail:
_________________________
Amount
of Investment:
Number
of
shares of Common Stock :______________ (“Purchased
Common Stock”)
Corresponding
dollar amount: $_______________(“Purchase
Price”)
Accredited
Investor Status For Individuals.
(INVESTORS THAT ARE CORPORATIONS, LIMITED LIABILITY COMPANIES, PARTNERSHIPS,
REVOCABLE TRUSTS, IRREVOCABLE TRUSTS, EMPLOYEE BENEFIT PLAN TRUSTS AND
INDIVIDUAL RETIREMENT ACCOUNTS SHOULD IGNORE THE FOLLOWING QUESTIONS AND PROCEED
TO THE ENTITY SIGNATURE PAGE).
I
am an
accredited investor within the meaning of Section 2(15) of the Securities Act
and Rule 501 promulgated thereunder because (check any boxes that
apply):
o |
My
individual annual income during each of the two most recent years
exceeded
$200,000 and I expect my annual income during the current year
will exceed
$200,000.
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o |
If
I am married, my joint annual income with my spouse during each
of the two
most recent years exceeded $300,000 and I expect my joint annual
income
with my spouse during the current year will exceed
$300,000.
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o |
My
individual or joint (together with my spouse) net worth (including
my
home, home furnishings and automobiles) exceeds
$1,000,000.
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9
The
undersigned Investor hereby confirms the information set forth above is true
and
correct in all respects as of the date hereof and will be on the date of the
purchase of Common Stock.
INVESTOR:
Signature:
________________________
Print
Name: ______________________
Date:
____________________________
|
The
foregoing subscription is accepted and the Company hereby agrees
to be
bound by its terms.
XXXXXXXXXXXXXXX.XXX
INC.
By:
_____________________________
Name:
___________________________
Title:
____________________________
Date:
____________________________
|
10
SIGNATURE
PAGE FOR ENTITY
INVESTORS
-
COMPLETE ALL INFORMATION
Name
of Entity:
_________________________________________________________________
Address
of Principal Office:________________________________________________________
Telephone:
____________________________ Fax:
_________________________________
Check
type of Entity:
¨
|
Limited
Partnership
|
¨
|
General
Partnership
|
|||||||
¨
|
Limited
Liability Company
|
¨
|
Corporation
|
¨
|
Other
(please
indicate)
|
Amount
of Investment:
Number
of
shares of Common Stock:______________ (“Purchased
Common Stock”)
Corresponding
dollar amount: $_______________ (“Purchase
Price”)
Jurisdiction
of Formation: _____________________
11
Accredited
Investor Status for Entities.
(a) Check
all
boxes which apply:
o
|
The
Entity was not
formed for the specific purpose of investing in the
Company
|
o
|
The
Entity has total assets in excess of $5 million
dollars
|
(Both
statements above need to apply in order for an entity to qualify as an
Accredited Investor)
The
undersigned Investor hereby confirms the information set forth above is true
and
correct in all respects as of the date hereof and will be on the date of the
purchase of Common Stock.
INVESTOR:
________________________
Signature
of Authorized Signatory
Name:
_____________________________
Title:
______________________________
Date:
______________________________
|
The
foregoing subscription is accepted and the Company hereby agrees
to be
bound by its terms.
XXXXXXXXXXXXXXX.XXX
INC.
By:
_________________________________
Name:
_______________________________
Title:
________________________________
Date:
________________________________
|
12
APPENDIX
A - XxxxxxxXxxxxXxx.xxx Inc Wire Instructions
Please
T/T remit USD funds to the following:
Pay
to
|
:
|
|
||
|
||||
|
||||
|
||||
|
||||
|
||||
For
Account of
|
:
|
|
||
|
||||
|
||||
|
||||
|
||||
In
Favor of
|
:
|
|
||
|
||||
Payment
details
|
:
|
|
||
Message
|
:
|
|
||
|
||||
|
MT-103
MAS
(Monetary Authority) implementation wef 1Jul07 - All incoming funds from all
over the world, the remitting bank must provide under field 50K "ordering
customer" the following information:
MT103
- field 50K "ordering customer"
(1)
ordering customer name
(2)
a/c
no. with the ordering bank
or
unique
identification no. assigned by the ordering bank
(3)
Address (NOTE: No P.O. Box address)
or
unique
identification no.
or
date
& place of birth (individual) / date & place of registration (business
entities) or unique transaction reference no.
13