Contract
THIS
NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE HAVE NOT BEEN
REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR ANY STATE SECURITIES
LAWS. THIS NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE MAY
NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN
EFFECTIVE REGISTRATION STATEMENT AS TO THIS NOTE AND THE COMMON SHARES ISSUABLE
UPON CONVERSION OF THIS NOTE UNDER SAID ACT AND ANY APPLICABLE STATE SECURITIES
LAWS OR AN OPINION OF COUNSEL REASONABLY SATISFACTORY TO HOUSE OF BRUSSELS
CHOCOLATES INC. THAT SUCH REGISTRATION IS NOT REQUIRED.
SECURED
CONVERTIBLE MINIMUM BORROWING NOTE
FOR VALUE
RECEIVED, each of HOUSE OF BRUSSELS CHOCOLATES INC., a Nevada corporation (the
“Parent”), and
the other companies listed on Exhibit
A attached
hereto (such other companies together with the Parent, each a “Company” and
collectively, the “Companies”),
jointly and severally, promises to pay to LAURUS MASTER FUND, LTD., c/o M&C
Corporate Services Limited, P.O. Box 309 GT, Xxxxxx House, South Church Street,
Xxxxxx Town, Grand Cayman, Cayman Islands, Fax: 000-000-0000 (the “Holder”) or its
registered assigns or successors in interest, on order, the sum of One Million
Dollars ($1,000,000), or, if different, the aggregate principal amount of all
Loans (as defined in the Security Agreement referred to below), together with
any accrued and unpaid interest hereon, on March 29, 2008 (the “Maturity
Date”) if not
sooner paid.
Capitalized
terms used herein without definition shall have the meanings ascribed to such
terms in the Security Agreement among the Companies and the Holder dated as of
the date hereof (as amended, modified and supplemented from time to time, the
“Security
Agreement”).
The
following terms shall apply to this Minimum Borrowing Note (the “Note”):
ARTICLE
I
CONTRACT
RATE
1.1 Contract
Rate.
Subject to Sections 4.2 and 5.10, interest payable on the outstanding principal
amount of this Note (the “Principal
Amount”) shall
accrue at a rate per annum equal to the “prime rate” published in The
Wall Street Journal from
time to time (the “Prime
Rate”), plus
two percent (2%) (the “Contract
Rate”). The
Contract Rate shall be increased or decreased as the case may be for each
increase or decrease in the Prime Rate in an amount equal to such increase or
decrease in the Prime Rate; each change to be effective as of the day of the
change in the Prime Rate. Subject to Section 1.2, the Contract Rate shall not be
less than six percent (6%).
1.2 Contract
Rate Adjustments and Payments.
The Contract Rate shall be calculated on the last business day of each calendar
month hereafter (other than for increases or decreases in the Prime Rate which
shall be calculated and become effective in accordance with the terms of Section
1.1) until the Maturity Date (each a “Determination
Date”) and
shall be subject to adjustment as set forth herein. If (i) the Parent shall have
registered the shares of the Common Stock underlying the conversion of each
Minimum Borrowing Note and each Warrant on a registration statement declared
effective by the Securities and Exchange Commission (the “SEC”), and
(ii) the market price (the “Market
Price”) of the
Common Stock as reported by Bloomberg, L.P. on the Principal Market for the five
(5) trading days immediately preceding a Determination Date exceeds the then
applicable Fixed Conversion Price by at least twenty-five percent (25%), the
Contract Rate for the succeeding calendar month shall automatically be reduced
by 200 basis points (200 b.p.) (2%) for each incremental twenty-five percent
(25%) increase in the Market Price of the Common Stock above the then applicable
Fixed Conversion Price. Notwithstanding the foregoing (and anything to the
contrary contained herein), in no event shall the Contract Rate be less than
zero percent (0%). Interest shall be (i) calculated on the basis of a 360 day
year, and (ii) payable monthly, in arrears, commencing on April 1, 2005 and on
the first business day of each consecutive calendar month thereafter until the
Maturity Date (and on the Maturity Date), whether by acceleration or
otherwise.
ARTICLE
II
LOANS;
PAYMENTS UNDER THIS NOTE
2.1 Loans.
All Loans evidenced by this Note shall be made in accordance with the terms and
provisions of the Security Agreement.
2.2 No
Effective Registration.
Notwithstanding anything to the contrary herein, the Holder shall not be
required to accept shares of Common Stock as payment following a conversion by
the Holder if there fails to exist an effective current Registration Statement
(as defined in the Registration Rights Agreement) covering the shares of Common
Stock to be issued, or if an Event of Default hereunder exists and is
continuing, unless such requirement is otherwise waived in writing by the Holder
in whole or in part at the Holder’s option.
2.3 Optional
Redemption in Cash.
The Companies will have the option of prepaying this Note (“Optional
Redemption”) by
paying to the Holder a sum of money equal to one hundred twenty percent (120%)
of the principal amount of this Note together with accrued but unpaid interest
thereon and any and all other sums due, accrued or payable to the Holder arising
under this Note, the Security Agreement, or any other Ancillary Agreement (the
“Redemption
Amount”)
outstanding on the Redemption Payment Date (as defined below). The Companies
shall deliver to the Holder a written notice of redemption (the “Notice
of Redemption”)
specifying the date for such Optional Redemption (the “Redemption
Payment Date”), which
date shall be seven (7) days after the date of the Notice of Redemption (the
“Redemption
Period”). A
Notice of Redemption shall not be effective with respect to any portion of this
Note for which the Holder has previously delivered a Notice of Conversion
(defined below) pursuant to Section 3.1, or for conversions elected to be made
by the Holder pursuant to Section 3.1 during the Redemption Period. The
Redemption Amount shall be determined as if such Xxxxxx’s conversion elections
had been completed immediately prior to the date of the Notice of Redemption. On
the Redemption Payment Date, the Redemption Amount (plus any additional interest
and fees accruing on the Notes during the Redemption Period) must be irrevocably
paid in full in immediately available funds to the Holder. In the event the
Companies fail to pay the Redemption Amount on the Redemption Payment Date, then
such Redemption Notice shall be null and void.
2
ARTICLE
III
CONVERSION
RIGHTS AND FIXED CONVERSION PRICE
3.1 Optional
Conversion.
Subject to the terms of this Article III, the Holder shall have the right, but
not the obligation, at any time until the Maturity Date, or during an Event of
Default (as defined in Article IV), and, subject to the limitations set forth in
Section 3.2 hereof, to convert all or any portion of the outstanding Principal
Amount and/or accrued interest and fees due and payable into fully paid and
nonassessable shares of the Common Stock at the Fixed Conversion Price. For
purposes hereof, subject to Section 3.6 hereof, the initial “Fixed
Conversion Price” means
$0.88. The shares of Common Stock to be issued upon such conversion are herein
referred to as the “Conversion
Shares.”
3.2 Conversion
Limitation.
Notwithstanding anything contained herein to the contrary, the Holder shall not
be entitled to convert pursuant to the terms of this Note an amount that would
be convertible into that number of Conversion Shares which would exceed the
difference between (i) 4.99% of the outstanding shares of Common Stock and (ii)
the number of shares of Common Stock beneficially owned by the Holder. For
purposes of the immediately preceding sentence, beneficial ownership shall be
determined in accordance with Section 13(d) of the Exchange Act and Regulation
13d-3 thereunder. The Conversion Shares limitation described in this Section 3.2
shall automatically become null and void without any notice to any Company upon
the occurrence and during the continuance of an Event of Default, or upon 75
days prior notice to the Parent. Notwithstanding anything contained herein to
the contrary, the provisions of this Section 3.2 are irrevocable and may not be
waived by the Holder or any Company.
3.3 Mechanics
of Xxxxxx’s Conversion.
In the event that the Holder elects to convert this Note into Common Stock, the
Holder shall give notice of such election by delivering an executed and
completed notice of conversion (“Notice
of Conversion”) to the
Parent and such Notice of Conversion shall provide a breakdown in reasonable
detail of the Principal Amount, accrued interest and fees that are being
converted. On each Conversion Date (as hereinafter defined) and in accordance
with its Notice of Conversion, the Holder shall make the appropriate reduction
to the Principal Amount, accrued interest and fees as entered in its records and
shall provide written notice thereof to the Parent within two (2) Business Days
after the Conversion Date. Each date on which a Notice of Conversion is
delivered or telecopied to the Parent in accordance with the provisions hereof
shall be deemed a Conversion Date (the “Conversion
Date”). A
form of Notice of Conversion is annexed hereto as Exhibit
B.
Pursuant to the terms of the Notice of Conversion, the Parent will issue
instructions to the transfer agent accompanied by an opinion of counsel within
one (1) Business Day of the date of the delivery to the Parent of the Notice of
Conversion and shall cause the transfer agent to transmit the certificates
representing the Conversion Shares to the Holder by crediting the account of the
Holder’s designated broker with the Depository Trust Corporation (“DTC”)
through its Deposit Withdrawal Agent Commission (“DWAC”) system
within three (3) Business Days after receipt by the Parent of the Notice of
Conversion (the “Delivery
Date”). In
the case of the exercise of the conversion rights set forth herein the
conversion privilege shall be deemed to have been exercised and the Conversion
Shares issuable upon such conversion shall be deemed to have been issued upon
the date of receipt by the Parent of the Notice of Conversion. The Holder shall
be treated for all purposes as the record holder of the Conversion Shares,
unless the Holder provides the Parent written instructions to the contrary.
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3.4 Late
Payments.
Each Company understands that a delay in the delivery of the Conversion Shares
in the form required pursuant to this Article beyond the Delivery Date could
result in economic loss to the Holder. As compensation to the Holder for such
loss, the Companies shall, jointly and severally, pay late payments to the
Holder for any late issuance of Conversion Shares in the form required pursuant
to this Article III upon conversion of this Note, in the amount equal to $500
per Business Day after the Delivery Date. Notwithstanding the foregoing, the
Company will not owe the Holder any late payments if the delay in the delivery
of the Conversion Shares beyond the Delivery Date is solely out of the control
of the Company and the Company is actively trying to cure the cause of the
delay. The Companies shall, jointly and severally, make any payments incurred
under this Section in immediately available funds upon demand.
3.5 Conversion
Mechanics.
The number of shares of Common Stock to be issued upon each conversion of this
Note shall be determined by dividing that portion of the principal and interest
and fees to be converted, if any, by the then applicable Fixed Conversion Price.
The issuance of Conversion Shares to the Holder shall be deemed payment for that
portion of the principal and interest and fees, if any, that were
converted.
3.6 Adjustment
Provisions.
The Fixed Conversion Price and number and kind of shares or other securities to
be issued upon conversion determined pursuant to Section 3.1 shall be subject to
adjustment from time to time upon the happening of certain events while this
conversion right remains outstanding, as follows:
(a) Reclassification.
If the Parent at any time shall, by reclassification or otherwise, change the
Common Stock into the same or a different number of securities of any class or
classes, this Note, as to the unpaid Principal Amount and accrued interest
thereon, shall thereafter be deemed to evidence the right to purchase an
adjusted number of such securities and kind of securities as would have been
issuable as the result of such change with respect to the Common Stock (i)
immediately prior to or (ii) immediately after such reclassification or other
change at the sole election of the Holder.
(b) Stock
Splits, Combinations and Dividends.
If the shares of Common Stock are subdivided or combined into a greater or
smaller number of shares of Common Stock, or if a dividend is paid on the Common
Stock or any preferred stock issued by the Parent in shares of Common Stock, the
Fixed Conversion Price shall be proportionately reduced in case of subdivision
of shares or stock dividend or proportionately increased in the case of
combination of shares, in each such case by the ratio which the total number of
shares of Common Stock outstanding immediately after such event bears to the
total number of shares of Common Stock outstanding immediately prior to such
event.
(c) Share
Issuances.
Subject to the provisions of this Section 3.6, if the Parent shall at any time
prior to the conversion or repayment in full of the Principal Amount issue any
shares of Common Stock or securities convertible into Common Stock to a person
other than the Holder (except (i) pursuant to Sections 3.6(a) or (b) above; (ii)
pursuant to options, warrants, or other obligations to issue shares outstanding
on the date hereof as disclosed to the Holder in writing; (iii) pursuant to
options that may be issued under any employee incentive stock option and/or any
qualified stock option plan adopted by the Parent or (iv) shares issued in
connection with a settlement or judgement of the litigation styled Xxxxxxx
Xxxxxxxxxxx and Xxxxxxx Xxxxxx v. House of Brussels Chocolates, Inc., et
al.; Case
No. A482600, in the District Court of Xxxxx County, Nevada, so long as such
shares are restricted and do not become freely or publicly traded in any respect
prior to the one year anniversary of the issuance thereof) for a consideration
per share (the “Offer
Price”) less
than the Fixed Conversion Price in effect at the time of such issuance, then the
Fixed Conversion Price shall be immediately reset to such lower Offer Price. For
purposes hereof, the issuance of any security of the Parent convertible into or
exercisable or exchangeable for Common Stock shall result in an adjustment to
the Fixed Conversion Price upon the issuance of such securities.
4
(d) Computation
of Consideration.
For purposes of any computation respecting consideration received pursuant to
Section 3.6(c) above, the following shall apply:
(i) in the
case of the issuance of shares of Common Stock for cash, the consideration shall
be the amount of such cash, provided that in no case shall any deduction be made
for any commissions, discounts or other expenses incurred by the Parent for any
underwriting of the issue or otherwise in connection therewith;
(ii) in the
case of the issuance of shares of Common Stock for a consideration in whole or
in part other than cash, the consideration other than cash shall be deemed to be
the fair market value thereof as determined in good faith by the Board of
Directors of the Parent (irrespective of the accounting treatment thereof); and
(iii) upon any
such exercise, the aggregate consideration received for such securities shall be
deemed to be the consideration received by the Parent for the issuance of such
securities plus the additional minimum consideration, if any, to be received by
the Parent upon the conversion or exchange thereof (the consideration in each
case to be determined in the same manner as provided in subsections (i) and (ii)
of this Section 3.6(d)).
3.7 Reservation
of Shares.
During the period the conversion right exists, the Parent will reserve from its
authorized and unissued Common Stock a sufficient number of shares to provide
for the issuance of Conversion Shares upon the full conversion of this Note. The
Parent represents that upon issuance, the Conversion Shares will be duly and
validly issued, fully paid and non-assessable. The Parent agrees that its
issuance of this Note shall constitute full authority to its officers, agents,
and transfer agents who are charged with the duty of executing and issuing stock
certificates to execute and issue the necessary certificates for the Conversion
Shares upon the conversion of this Note.
3.8 Registration
Rights.
The Holder has been granted registration rights with respect to the Conversion
Shares as set forth in a Registration Rights Agreement.
5
ARTICLE
IV
EVENTS
OF DEFAULT AND DEFAULT RELATED PROVISIONS
4.1 Events
of Default.
The occurrence of an Event of Default under the Security Agreement shall
constitute an event of default (“Event
of Default”)
hereunder.
4.2 Default
Interest.
Following the occurrence and during the continuance of an Event of Default, the
Companies shall, jointly and severally, pay additional interest on the
outstanding principal balance of this Note in an amount equal to two percent
(2%) per month, and all outstanding Obligations, including unpaid interest,
shall continue to accrue interest at such additional interest rate from the date
of such Event of Default until the date such Event of Default is cured or
waived.
4.3 Default
Payment.
Following the occurrence and during the continuance of an Event of Default, the
Holder, at its option, may elect, in addition to all rights and remedies of the
Holder under the Security Agreement and the Ancillary Agreements and all
obligations of each Company under the Security Agreement and the Ancillary
Agreements, to require the Companies, jointly and severally, to make a Default
Payment (“Default
Payment”). The
Default Payment shall be 115% of the outstanding principal amount of the Note,
plus accrued but unpaid interest, all other fees then remaining unpaid, and all
other amounts payable hereunder. The Default Payment shall be applied first to
any fees due and payable to the Holder pursuant to the Notes and/or the
Ancillary Agreements, then to accrued and unpaid interest due on the Notes and
then to the outstanding principal balance of the Notes. The Default Payment
shall be due and payable immediately on the date that the Holder has exercised
its rights pursuant to this Section 4.3.
ARTICLE
V
MISCELLANEOUS
5.1 Conversion
Privileges.
The conversion privileges set forth in Article III shall remain in full force
and effect immediately from the date hereof until the date this Note is
indefeasibly paid in full and irrevocably terminated.
5.2 Cumulative
Remedies.
The remedies under this Note shall be cumulative.
5.3 Failure
or Indulgence Not Waiver.
No failure or delay on the part of the Holder hereof in the exercise of any
power, right or privilege hereunder shall operate as a waiver thereof, nor shall
any single or partial exercise of any such power, right or privilege preclude
other or further exercise thereof or of any other right, power or privilege. All
rights and remedies existing hereunder are cumulative to, and not exclusive of,
any rights or remedies otherwise available.
5.4 Notices.
Any notice herein required or permitted to be given shall be in writing and
provided in accordance with the terms of the Security Agreement.
5.5 Amendment
Provision.
The term “Note” and all references thereto, as used throughout this instrument,
shall mean this instrument as originally executed, or if later amended or
supplemented, then as so amended or supplemented, and any successor instrument
as such successor instrument may be amended or supplemented.
6
5.6 Assignability.
This Note shall be binding upon each Company and its successors and assigns, and
shall inure to the benefit of the Holder and its successors and assigns, and may
be assigned by the Holder in accordance with the requirements of the Security
Agreement. No Company may assign any of its obligations under this Note without
the prior written consent of the Holder, any such purported assignment without
such consent being null and void.
5.7 Cost
of Collection.
In case of any Event of Default under this Note, the Companies shall, jointly
and severally, pay the Holder’s reasonable costs of collection, including
reasonable attorneys’ fees.
5.8 Governing
Law, Jurisdiction and Waiver of Jury Trial.
(a) THIS NOTE
SHALL BE GOVERNED BY AND CONSTRUED AND ENFORCED IN ACCORDANCE WITH THE LAWS OF
THE STATE OF NEW YORK, WITHOUT REGARD TO PRINCIPLES OF CONFLICTS OF
LAW.
(b) EACH
COMPANY HEREBY CONSENTS AND AGREES THAT THE STATE OR FEDERAL COURTS LOCATED IN
THE COUNTY OF NEW YORK, STATE OF NEW YORK SHALL HAVE EXCLUSIVE JURISDICTION TO
HEAR AND DETERMINE ANY CLAIMS OR DISPUTES BETWEEN ANY COMPANY, ON THE ONE HAND,
AND THE HOLDER, ON THE OTHER HAND, PERTAINING TO THIS NOTE, THE SECURITY
AGREEMENT OR ANY OF THE OTHER ANCILLARY AGREEMENTS OR TO ANY MATTER ARISING OUT
OF OR RELATED TO THIS NOTE, THE SECURITY AGREEMENT OR ANY OF THE OTHER ANCILLARY
AGREEMENTS; PROVIDED, THAT
EACH COMPANY ACKNOWLEDGES THAT ANY APPEALS FROM THOSE COURTS MAY HAVE TO BE
HEARD BY A COURT LOCATED OUTSIDE OF THE COUNTY OF NEW YORK, STATE OF NEW YORK;
AND FURTHER PROVIDED, THAT
NOTHING IN THIS NOTE SHALL BE DEEMED OR OPERATE TO PRECLUDE THE HOLDER FROM
BRINGING SUIT OR TAKING OTHER LEGAL ACTION IN ANY OTHER JURISDICTION TO COLLECT
THE OBLIGATIONS, TO REALIZE ON THE COLLATERAL OR ANY OTHER SECURITY FOR THE
OBLIGATIONS, OR TO ENFORCE A JUDGMENT OR OTHER COURT ORDER IN FAVOR OF THE
HOLDER. EACH COMPANY EXPRESSLY SUBMITS AND CONSENTS IN ADVANCE TO SUCH
JURISDICTION IN ANY ACTION OR SUIT COMMENCED IN ANY SUCH COURT, AND EACH COMPANY
HEREBY WAIVES ANY OBJECTION WHICH IT MAY HAVE BASED UPON LACK OF PERSONAL
JURISDICTION, IMPROPER VENUE OR FORUM
NON CONVENIENS. EACH
COMPANY HEREBY WAIVES PERSONAL SERVICE OF THE SUMMONS, COMPLAINT AND OTHER
PROCESS ISSUED IN ANY SUCH ACTION OR SUIT AND AGREES THAT SERVICE OF SUCH
SUMMONS, COMPLAINT AND OTHER PROCESS MAY BE MADE BY REGISTERED OR CERTIFIED MAIL
ADDRESSED TO THE PARENT AT THE ADDRESS SET FORTH IN THE SECURITY AGREEMENT AND
THAT SERVICE SO MADE SHALL BE DEEMED COMPLETED UPON THE EARLIER OF THE PARENT’S
ACTUAL RECEIPT THEREOF OR THREE (3) DAYS AFTER DEPOSIT IN THE U.S. MAILS, PROPER
POSTAGE PREPAID.
7
(c) EACH
COMPANY DESIRES THAT ITS DISPUTES BE RESOLVED BY A JUDGE APPLYING SUCH
APPLICABLE LAWS. THEREFORE, TO ACHIEVE THE BEST COMBINATION OF THE BENEFITS OF
THE JUDICIAL SYSTEM AND OF ARBITRATION, EACH COMPANY HERETO WAIVES ALL RIGHTS TO
TRIAL BY JURY IN ANY ACTION, SUIT, OR PROCEEDING BROUGHT TO RESOLVE ANY DISPUTE,
WHETHER ARISING IN CONTRACT, TORT, OR OTHERWISE BETWEEN THE HOLDER, AND/OR ANY
COMPANY ARISING OUT OF, CONNECTED WITH, RELATED OR INCIDENTAL TO THE
RELATIONSHIP ESTABLISHED BETWEEN THEM IN CONNECTION WITH THIS NOTE, THE SECURITY
AGREEMENT, ANY OTHER ANCILLARY AGREEMENT OR THE TRANSACTIONS RELATED HERETO OR
THERETO.
5.9 Severability.
In the event that any provision of this Note is invalid or unenforceable under
any applicable statute or rule of law, then such provision shall be deemed
inoperative to the extent that it may conflict therewith and shall be deemed
modified to conform with such statute or rule of law. Any such provision which
may prove invalid or unenforceable under any law shall not affect the validity
or enforceability of any other provision of this Note.
5.10 Maximum
Payments.
Nothing contained herein shall be deemed to establish or require the payment of
a rate of interest or other charges in excess of the maximum permitted by
applicable law. In the event that the rate of interest required to be paid or
other charges hereunder exceed the maximum rate permitted by such law, any
payments in excess of such maximum rate shall be credited against amounts owed
by the Companies to the Holder and thus refunded to the Companies.
5.11 Security
Interest and Guarantee.
The Holder has been granted a security interest (i) in certain assets of the
Companies as more fully described in the Security Agreement and (ii) pursuant to
the Master Security Agreement and the Stock Pledge Agreement, each dated as of
the date hereof. The obligations of the Companies under this Note are guaranteed
by certain Subsidiaries of the Parent pursuant to the Guaranty dated as of dated
as of the date hereof.
5.12 Construction.
Each party acknowledges that its legal counsel participated in the preparation
of this Note and, therefore, stipulates that the rule of construction that
ambiguities are to be resolved against the drafting party shall not be applied
in the interpretation of this Note to favor any party against the
other.
[Balance
of page intentionally left blank; signature page follows]
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IN
WITNESS WHEREOF, each
Company has caused this Secured Convertible Minimum Borrowing Note to be signed
in its name effective as of this 29th day of March, 2005.
By: |
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Name: |
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Title: |
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WITNESS: |
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HOUSE
OF BRUSSELS CHOCOLATES (USA) LTD. |
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By: |
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Name: |
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Title: |
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WITNESS: |
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DEBAS
CHOCOLATE INC. |
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By: |
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Name: |
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Title: |
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WITNESS: |
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9
CHOCOMED,
INC. |
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By: |
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Name: |
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Title: |
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WITNESS: |
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10
EXHIBIT
A
OTHER
COMPANIES
a. |
House
of Brussels Chocolates (USA) Ltd., a Nevada corporation | ||
x. |
XxXxx
Chocolate Inc., a California corporation | ||
c. |
ChocoMed,
Inc., a Nevada corporation |
11
EXHIBIT
B
NOTICE
OF CONVERSION
(To be
executed by the Holder in order to convert the
Secured
Convertible Minimum Borrowing Note)
The
undersigned hereby elects to convert $_________ of the principal and $_________
of the interest due on the Secured Convertible Minimum Borrowing Note dated as
of March __, 2005 (the “Note”) issued
by House of Brussels Chocolates Inc. (the “Parent”) and
the other Companies named and as defined therein into shares of Common Stock of
the Parent in accordance with the terms and conditions set forth in the Note, as
of the date written below.
Date
of Conversion: |
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Conversion
Price: |
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Shares
To Be Delivered: |
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Signature: |
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Print
Name: |
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Address: |
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Holder
DWAC instructions |
12