SUBSCRIPTION PROCEDURES
SUBSCRIPTION PROCEDURES
The minimum investment amount is $25,000 for 50,000 Shares, unless we (AuraSource, Inc.), in our sole discretion, permit the purchase of fewer Shares. In order to subscribe to purchase the Shares, a prospective investor must:
1. Complete and execute the Subscription Agreement and deliver it along with payment to the Placement Agent as follows:
Source Capital Group, Inc.
0000 X. Xxxxxxxxxx Xxxxx Xxxx, Xxxxx 000
Scottsdale, AZ 85258
Tel: 000-000-0000
Fax: 000-000-0000
2. Pay the amount for the Shares subscribed ($0.50 multiplied by the number of Shares to be purchased) by check or wire transfer.
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Payments by check should be made payable to AuraSource, Inc. and delivered to AuraSource, Inc. at the address noted above. |
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Payments by wire transfer should be made as follows: |
Bank of America, AZ3-173-01-01 |
0000 X. Xxxxxx Xxxx |
Scottsdale, AZ 85258 |
Credit: AuraSource, Inc. |
SWIFT No.: BofAUS3N |
Account No.: 457-007-008-849 |
ABA Routing No.: 000-000-000 |
We reserve the right, in our sole discretion, to reject the subscription of any potential investor. If the offering is oversubscribed, we may prorate any or all subscriptions received or reject any subscription entirely. Prospective investors will be notified of the
acceptance or rejection of their subscriptions within five (5) days of receipt of payment and a completed Subscription Agreement. We will deposit all funds in a segregated account we control at Bank of America pending our acceptance or rejection of the subscription. Upon acceptance of the subscription, we will release the subscription amount for the Shares from our segregated account to our general operating account. If we reject the subscription, we will promptly refund the subscriber’s
funds without interest thereon.
Corporations, partnerships, trustees, agents or other persons acting in a representative capacity are required, except at our discretion, to furnish with the Subscription Agreement, further evidence that such investor has the authority to invest in the Shares or an opinion of counsel acceptable
to us to the effect that such investor has such authority.
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(For Accredited Investors)
Gentlemen:
The following information is furnished as the undersigned’s subscription for shares (the “Shares”) issued by AURASOURCE, INC., a Nevada corporation (the “Company”),
and for you to determine whether I am qualified to purchase Shares from the Company pursuant to Regulation D promulgated under the Securities Act of 1933, as amended (the “Securities Act”), and comparable provisions of applicable state securities laws. Each Share is composed of one ordinary share of our stock. I, the undersigned, understand that you will rely upon the following information for purposes of such determination,
and that the Shares will not be registered under the Securities Act in reliance upon the exemption from registration provided by Section 4(2) of the Securities Act, Regulation D promulgated under the Securities Act (“Regulation D”), and comparable provisions of applicable state securities laws.
I further understand I may be required to supply a balance sheet, prior years’ federal income tax returns or other appropriate documentation to verify and substantiate my status as an Accredited Investor (as defined in Rule 501(a) of Regulation D).
ALL INFORMATION CONTAINED IN THIS SUBSCRIPTION AGREEMENT WILL BE TREATED CONFIDENTIALLY. However, it is agreed that you may present this document to such parties as you deem appropriate if called upon to establish that the proposed offer and sale of the Shares is exempt from registration under the Securities Act and meets the
requirements of applicable state securities laws. I understand that if I make a false statement, it will constitute a violation of my representations and warranties contained in this Subscription Agreement and may also constitute a violation of law, for which the Company can make a claim for damages against me. I understand that my investment in the Shares will not be accepted until the Company determines that I satisfy all of the suitability standards set forth in the Private Placement
Memorandum, dated June 5, 2009 (the “Memorandum”). See “Who May Invest.”
I, the undersigned Subscriber, hereby supply you with the following information and representations:
1. |
Full name: |
__________________________________________________________________________________
__________________________________________________________________________________
2. |
Residence address (not a P.O. Box address) and telephone number: |
__________________________________________________________________________________
__________________________________________________________________________________
( ) -
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3. |
Business address and telephone number: |
______________________________________________________________________________
______________________________________________________________________________
( ) -
4. |
State in which the undersigned maintains principal residence: |
______________________________________________________________________________
5. |
State in which the undersigned is registered to vote: |
______________________________________________________________________________
6. |
If this investment is to be made by an entity (i.e. a company, corporation, Pension Plan, Profit-Sharing Plan), the undersigned further represents to you as follows: |
(a) |
Name and address of entity making purchase (use full legal name): |
______________________________________________________________________________
______________________________________________________________________________
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______________________________________________________________________________ |
(b) |
Name and address of person making investment decision on behalf of above entity: |
______________________________________________________________________________
______________________________________________________________________________
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______________________________________________________________________________ |
(c) |
Position or title of person making investment decision in the above entity: |
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______________________________________________________________________________ |
7A. |
I certify that I am an Accredited Investor because I qualify under at least one of the following categories: |
(PLEASE CHECK APPROPRIATE CATEGORY)
a. |
$1,000,000 Net Worth Natural Person. |
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A natural person whose individual net worth, or joint net worth with that person’s spouse, at the time of his or her purchase exceeds $1,000,000. |
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b. |
$200,000 Income Natural Person. |
A natural person who had individual income in excess of $200,000 in each of the two most recent years or joint income with that person’s spouse in excess of $300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year.
c. |
Company, Corporate or Other Entity Investors. |
The investor is a partnership, corporation or unincorporated association and all of the equity owners of that entity qualify as Accredited Investors under subparagraph (a) or (b) above. Investors that check this subparagraph (c) must furnish a separate copy of this Subscription Agreement for each equity owner with items 1 through
7B completed and executed on the Investor Signature Page by each such equity owner.
d. |
Revocable or Grantor Trust. |
The investor is a revocable or grantor trust and each person with the power to revoke the trust qualifies as an Accredited Investor under subparagraph (a) or (b) above. Investors that check this subparagraph (d) must furnish a separate copy of this Subscription Agreement for each person with the power to revoke the trust with
items 1 through 7B completed and executed on the Investor Signature Page by each such person.
e. |
Investment Decision by Plan Fiduciary. |
The investor is an employee benefit plan within the meaning of Title I of the Employee Retirement Income Security Act of 1974, and the investment decision is made by a plan fiduciary, as defined in Section 3(21) of such Act, which is a bank, savings and loan association, insurance company or registered investment advisor.
f. |
Self-Directed Plan -- Investment Decision Solely by Accredited Investor. |
The investor is a qualified profit sharing or pension trust, the Plan provides for segregated accounts for each Plan participant, the governing documents of the Plan provide that each participant may direct the trustee to invest his or her funds in the investment vehicles of his or her choice and the
purchase of the Shares is made pursuant to an exercise by the Plan participant, who is an Accredited Investor under subparagraph (a) or (b) above, of such power to direct the investments of his or her segregated account. This Subscription Agreement must be completed and executed by such Plan participant.
g. |
Institutional Investor. |
Any organization described in Section 501(c)(3) of the Internal Revenue Code, corporation, Massachusetts or similar business trust, or partnership, not formed for the specific purpose of acquiring the Shares offered through the Memorandum, with total assets in excess of $5,000,000.
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h. Director, Executive Officer, or General Partner of the Issuer.
Any director, executive officer, or general partner of the issuer of the securities being offered or sold, or any director, executive officer, or general partner of a general partner of that issuer.
7B. |
I further represent to you as follows: |
(i) |
Employer and position of person making investment decision: |
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(ii) |
Prior employment (five years) of person making investment decision: |
Employer (1)______________________________________________________________
(2)______________________________________________________________
Nature of Duties (1)______________________________________________________________
(2)______________________________________________________________
Dates of Employment (1)______________________________________________________________
(2)______________________________________________________________
8. |
Representations and Warranties. I, the undersigned, represent and warrant as follows: |
(a) |
I have received the Memorandum, have carefully reviewed the Memorandum, and have relied solely on the information contained therein, and information otherwise provided to me in writing by the Company. I understand that all documents, records and books pertaining to this investment have been made available by the Company for inspection by me or my attorney, accountant and Purchaser Representative
(as defined in Regulation D). I am familiar with the Company’s business objectives and the financial arrangements in connection therewith. The Shares that I am purchasing are the kind of securities that I wish to hold for investment and the nature of the Shares is consistent with my investment program. My advisor(s) and I have had a reasonable opportunity to ask questions of and receive answers from the directors of the Company concerning the Company and the Shares. All
such questions have been answered to my full satisfaction. I, or my |
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representatives, have made such investigation of the facts and circumstances set forth in the Memorandum and exhibits thereto in connection with any purchase of the Shares as I have deemed necessary. No representations have been made or information furnished to me or my advisor(s) relating to the Company or the Shares that are
in any way inconsistent with the Memorandum.
(b) |
Subject to the terms and conditions hereof, I hereby irrevocably tender this Subscription Agreement for the purchase of the Shares indicated in Paragraph 12 below and shall pay for such Shares in the manner set forth in such Paragraph. I am aware that the subscription made herein is irrevocable, but that the Company has the unconditional right to accept or reject this subscription, in whole or in part,
and that the sale of the Shares pursuant hereto is subject to the approval of certain legal matters by legal counsel and to other conditions. If my subscription is not accepted for any reason whatsoever, or, if the offering made through the Memorandum is terminated, my money will be returned in full, without any interest that may be earned thereon, and the Company will be relieved of any responsibility or liability that might be deemed to arise out of my offer to subscribe for the Shares. |
(c) |
I and, if applicable, my Purchaser Representative have carefully reviewed the Memorandum. I have, either alone or together with my Purchaser Representative, such knowledge and experience in business and financial matters as will enable me to evaluate the merits and risks of the prospective investment and to make an informed investment decision. I am also aware that no state or federal agency
has reviewed or endorsed the Memorandum or the Shares, that the Shares involve a high degree of economic risk, and that there is no public market, and there may not be a public market in the future, for the Shares. |
(d) |
I have been advised and am fully aware that investing in the Shares is a speculative and uncertain undertaking, the advantages and benefits of which are generally limited to a certain class of investors, and that the Shares may be sold only to persons who understand the nature of the proposed operations of the Company and for whom the investment is suitable. I represent that I meet such suitability requirements. |
(e) |
I have relied on my own tax and legal adviser and my own investment counselor with respect to the income tax and investment considerations of being an investor in the Company as described in the Memorandum. |
(f) |
I meet the requirements of a purchaser as set forth in the Memorandum under the caption “Who May Invest.” |
(g) |
I understand that the Company has not registered the Shares under the Securities Act or the applicable securities laws of any state in reliance on exemptions from registration. I further understand that such exemptions depend upon my investment intent at the time I acquire the Shares. I therefore represent and warrant that I am purchasing
the Shares for my own account for investment and not with a view to securities distribution, assignment, resale or other transfer of the Shares. Except as specifically stated herein, no other person has a direct or indirect beneficial interest in the Shares. Because the Shares are not registered, I am aware that I must hold them indefinitely unless they are registered under the Securities Act and any applicable state securities laws or I must obtain exemptions from such registration. I
acknowledge that the Company is under no duty to register the Shares or comply with any exemption in connection with my sale, transfer or other disposition under applicable rules and regulations, except as described in the Memorandum. I understand that if I desire to sell, assign, transfer, hypothecate or in any way alienate or encumber the Shares in the future, the Company can require that I provide, at my own expense, an opinion of counsel satisfactory to the Company to the effect that such action
will not result in a violation of applicable federal or state securities laws and regulations or other applicable federal or state laws and regulations. |
(h) |
The solicitation of an offer to purchase the Shares was directly communicated to me and any Purchaser Representative that I might have through the Memorandum to which this Subscription Agreement is attached as an Exhibit. At no time was I presented with or solicited by or through any leaflet, public promotional meeting, circular, newspaper or magazine article, radio or television advertisement or any other
form of general advertising in connection with such communicated offer. |
(i) |
I recognize that my investment in the Shares involves certain risks and I (and my Purchaser Representative) have taken full cognizance of and understand all of the risk factors related to the business objectives of the Company and the purchase of the Shares, including those risk factors set forth under the caption “RISK FACTORS” in the Memorandum. |
(j) |
All information that I have provided herein, including, without limitation, information concerning myself, my financial position and my knowledge of financial and business matters and that of my Purchaser Representative, is correct and complete as of the date hereof, and if there should be any material change in such information prior to the acceptance of this Subscription Agreement, I will immediately provide the
Company with such information. |
(k) |
If the undersigned is a corporation, partnership, trust, unincorporated association or other entity, it is authorized and otherwise duly qualified to purchase and hold the Shares subscribed hereunder, and such entity has not been formed for the specific purpose of acquiring the Shares. If the undersigned is a trustee and is acquiring the Shares for the trust of which he or she is a trustee, he or she has
sought the advice of counsel regarding whether the purchase of the Shares is an authorized trust investment and has been advised by counsel that after reviewing the applicable state law and the terms of the trust instrument, such counsel is of the opinion that the undersigned has the authority to purchase the Shares for the trust. |
(l) |
If the undersigned is an individual, he or she is 21 years of age, or if the undersigned is an association, all of its members are of such age. |
9. |
Restrictive Legend. I hereby acknowledge and consent to the placement of the following restrictive legend on the certificate(s) and other documents(s) representing the Shares: |
THE SECURITIES REPRESENTED BY THIS INSTRUMENT HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR THE SECURITIES LAWS OF ANY STATE AND MAY NOT BE SOLD,
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PLEDGED, HYPOTHECATED OR OTHERWISE TRANSFERRED, EXCEPT UPON DELIVERY TO THE COMPANY OF AN OPINION OF COUNSEL, SATISFACTORY TO THE BOARD OF DIRECTORS, THAT AN EXEMPTION FROM SUCH
REGISTRATION IS AVAILABLE AND THAT SUCH TRANSFER WILL NOT RESULT IN ANY VIOLATION OF THE LAW.
10. |
Indemnification. I agree to indemnify and hold harmless the Company, its officers and directors from and against all damages, losses, costs and expenses (including reasonable attorney’s fees) which they may incur by reason of my failure to fulfill any of the terms or conditions of this Subscription Agreement, or by reason of any untrue statement
made herein or any breach of the representations and warranties made herein or in any document that I have provided to the Company. |
11. |
Miscellaneous. |
(a) |
I agree that I may not cancel, terminate or revoke this Subscription Agreement or any covenant hereunder and that this Subscription Agreement shall survive my death or disability and shall be binding upon my heirs, executors, administrators, successors and assigns. |
(b) |
This Subscription Agreement shall be enforced, governed and construed in all respects in accordance with the laws of the State of Arizona. |
(c) |
Within five (5) days after receipt of a written request from the Company, I agree to provide such information and to execute and deliver such documents as may reasonably be necessary to comply with any and all laws and ordinances to which the Company is subject. |
12. Subscription.
(a) |
I hereby subscribe for ________________________ Shares at a price of $0.50 per Share for a total subscription amount of $______________________ (minimum of 50,000 Shares for $25,000 unless the Company permits the purchase of a smaller number of Shares). |
(b) |
I hereby tender to the Company a check made payable to AuraSource, Inc. in the amount subscribed above under 12(a) above; |
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Signature |
Date |
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Printed Name |
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Name of Entity (if Entity is the Subscriber) |
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Position of Person Signing on Behalf of Entity (if Entity is the Subscriber) |
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13. Registration and address
Mr./Mrs./Ms.___________________________________________________________________
(Please print name(s) in which the Shares are to be registered on the books of the Company.)
______________________________________________________________________________
(Please print the social security or taxpayer ID number of each Subscriber)
Communications to be sent to (check one):
Home Business
Please check which address you use on your income tax returns:
Home Business
Form of Ownership (check one)
____ |
(a) Individual ownership |
____ |
(b) Joint tenants with right of survivorship (both or all parties’ signatures required) |
____ |
(c) Community property (one signature required if the Shares are to be held in one name; two if held in both names) |
____ |
(d) Tenants in common (all parties’ signatures required) |
____ |
(e) Company* |
____ |
(f) Corporation* |
____ |
(g) Partnership* |
____ |
(h) Other* (trust, etc.) (please specify) |
*IF (e), (f), (g), or (h) ARE CHECKED, DOCUMENTS, INCLUDING PARTNERSHIP OR CORPORATE RESOLUTION, AUTHORIZING SUBSCRIBER TO MAKE INVESTMENT MUST ACCOMPANY SUBSCRIPTION.
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Mail or deliver subscription funds and documents to:
c/o Source Capital Group, Inc.
0000 Xxxx Xxxxxxxxxx Xxxxx Xxxx
Suite 290
Scottsdale, AZ 85258
SUBSCRIPTION ACCEPTED:
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AURASOURCE, INC., a Nevada corporation |
____________________________________
Name:
Its:
Date:
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