SOUTHERN IOWA BIOENERGY LLC SUBSCRIPTION AGREEMENT Limited Liability Company Membership Units $1,000.00 per Unit Minimum Investment of 20 Units ($20,000) 1 Unit Increments Thereafter ($1,000)
Exhibit 4.2
Limited Liability Company Membership Units
$1,000.00 per Unit
Minimum Investment of 20 Units ($20,000)
1 Unit Increments Thereafter ($1,000)
1 Unit Increments Thereafter ($1,000)
The undersigned subscriber (hereafter sometimes referred to as “you” or the “Subscriber”), desiring
to become a member of Southern Iowa BioEnergy LLC, an Iowa limited liability company, with its
principal place of business at 000 Xxxxx Xxxxxx Xxxxxx, Xxxxxx, Xxxx (hereafter sometimes referred
to as “we” or “SIBE”), hereby subscribes for the purchase of the membership units of SIBE and
agrees to pay the related purchase price identified below.
A. SUBSCRIBER INFORMATION. Please print your individual or entity name and address. Joint
subscribers should provide their respective names. Your name and address will be recorded exactly
as printed below.
1.
|
Subscriber’s Printed Name | |||
2.
|
Title, if applicable: | |||
3.
|
Subscriber’s Address: | |||
Street | ||||
City, State, Zip Code | ||||
4.
|
Telephone: | |||
4.
|
E-mail Address: | |||
B. NUMBER OF UNITS PURCHASED. You must purchase at least 20 units. We presently have 2,172
units outstanding. The maximum number of units to be sold is 30,250.
C.
|
PURCHASE PRICE. Indicate the dollar amount of your investment (minimum investment is $20,000). |
0.Xxxxx Purchase Price
|
= | 2. 1st Installment | + | 3. 2nd Installment | |||||||||
($1,000.00 Per Unit multiplied
by the number in box B above.)
|
(10% of the Total Purchase Price) | (90% of the Total Purchase Price) | |||||||||||
= | + |
D. GENERAL INSTRUCTIONS FOR SUBSCRIBERS:
You should read the Prospectus dated [Date of Effectiveness] (the “Prospectus”) in its entirety,
including exhibits, for a complete explanation of an investment in SIBE. To subscribe, you must:
INSTRUCTIONS IF YOU ARE SUBSCRIBING PRIOR TO RELEASE OF FUNDS FROM ESCROW: If you
are subscribing prior to the Company’s release of funds from escrow, you must follow Steps 1
through 5 below:
1. Complete all information required in this Subscription Agreement and date and sign
the Subscription Agreement on page 6 and the Member Signature Page to our Amended And
Restated Operating Agreement attached to this Subscription Agreement as EXHIBIT “A”.
2. Immediately provide your personal (or business) check for the first installment of
ten percent (10%) of your investment amount made payable to “ , escrow agent
for
1
Southern Iowa BioEnergy LLC”. You will determine this amount in box C.2 on page 1 of
this Subscription Agreement.
3. Execute the Promissory Note and Security Agreement on page 7 of this Subscription
Agreement evidencing your commitment to pay the remaining ninety percent (90%) due for the
Units and granting SIBE a security interest in your Units.
4. Deliver each of the original executed documents referenced in numbered paragraphs 1
and 3 of these instructions, together with your personal or business check referenced in
numbered paragraph 2 of these instructions to either of the following:
Attention: Xxxxxxx X. Xxxxxx
|
Attention: , Trust Officer | |
000 Xxxxx Xxxxxx Xxxxxx
|
||
Xxxxxx, XX 00000
|
5. Within thirty (30) days of your receipt of written notice from SIBE stating that its
sales of Units have exceeded the minimum offering amount of $16,500,000, you must deliver to
SIBE at either of the addresses referenced in numbered paragraph 4 of these instructions an
additional personal (or business) check for the remaining ninety percent (90%) of your
investment amount made payable to , N.A., escrow agent for SIBE in satisfaction
of your deferred payment obligations under the Promissory Note and Security Agreement. You
will determine this amount in box C.3 on page 1 of this Subscription Agreement. If you fail
to pay the second installment pursuant to the Promissory Note and Security Agreement, SIBE
shall be entitled to retain your first installment and to seek other damages, as provided in
the Promissory Note and Security Agreement.
If you are subscribing prior to release of funds from escrow, your funds will be placed
in SIBE’s escrow account at . The funds will be released to SIBE or returned
to you in accordance with the escrow arrangements described in the Prospectus. SIBE may, in
its sole discretion, reject or accept any part or all of your subscription. If SIBE rejects
your subscription, your Subscription Agreement and investment will be promptly returned to
you, plus nominal interest, minus escrow fees. SIBE may not consider the acceptance or
rejection of your subscription until a future date near the end of this offering.
INSTRUCTIONS IF YOU ARE SUBSCRIBING AFTER RELEASE OF FUNDS FROM ESCROW: If you are
subscribing after the Company’s release of funds from escrow, you must follow Steps 1
through 3 below:
1. Complete all information required in this Subscription Agreement and date and sign
the Subscription Agreement on page 6 and the Member Signature Page to our Amended And
Restated Operating Agreement attached to this Subscription Agreement as EXHIBIT “A”.
2. Immediately provide your personal (or business) check for the entire amount of your
investment (as determined in Box C.1 on page 1) made payable to “Southern Iowa BioEnergy
LLC.”
3. Deliver the original executed documents referenced in Item 1 of these Instructions,
together with your personal (or business) check referenced in numbered paragraph 2 of these
instructions to the following:
If you are subscribing after release of funds from escrow and we accept your
investment, your funds will be immediately at-risk as described in the Prospectus. SIBE
may, in its sole discretion, reject or accept any part or all of your subscription. If SIBE
rejects your subscription, your Subscription Agreement and investment will be returned to
you promptly, plus nominal interest, minus escrow fees. SIBE may not consider the
acceptance or rejection of your subscription until a future date near the end of this
offering.
You may direct your questions to one of our directors listed below or to SIBE at 000-000-0000
2
Director | Cell Number | Home Number | ||||||
Xxxxxxx X. Xxxxxx |
000-000-0000 | 000-000-0000 | ||||||
Xxxx Xxxxxxx |
000-000-0000 | |||||||
Xxxxx Xxxxxx |
000-000-0000 | 000-000-0000 | ||||||
Xxxxxxx X. Xxxxxx |
000-000-0000 | 000-000-0000 | ||||||
Xxxx Xxxxxx |
000-000-0000 | 000-000-0000 | ||||||
J.R. Xxxxxxx |
000-000-0000 | 000-000-0000 | ||||||
Xxxx Xxxxxx |
000-000-0000 | 000-000-0000 | ||||||
Xxxxx Xxxxxxxxx |
000-000-0000 |
E. Additional Subscriber Information. The subscriber, named above, certifies the following under
penalties of perjury:
1. | Form of Ownership. Check the appropriate box (one only) to indicate form of ownership. If the subscriber is a Custodian, Corporation, Partnership or Trust, please provide the additional information requested. |
o | Individual | |||
o | Joint Tenants with Right of Survivorship (Both signatures must appear on Page 6.) | |||
o | Corporation, Limited Liability Company or Partnership (Corporate Resolutions, Operating Agreement or Partnership Agreement must be enclosed.) | |||
o | Trust | |||
Trustee’s Name: | ||||
Trust Date: | ||||
o | Other: Provide detailed information in the space immediately below. | |||
2. | Subscriber’s Taxpayer Information. Check the appropriate box if you are a non-resident alien, a U.S. Citizen residing outside the United States or subject to backup withholding. Trusts should provide their taxpayer identification number. Custodians should provide the minor’s Social Security Number. All individual subscribers should provide their Social Security Number. Other entities should provide their taxpayer identification number. |
o Check box if you are a non-resident alien
o Check box if you are a U.S. citizen residing outside of the United States
o Check this box if you are subject to backup withholding
o Check box if you are a U.S. citizen residing outside of the United States
o Check this box if you are subject to backup withholding
Subscriber’s Social Security No. | ||||
Joint Subscriber’s Social Security No. | ||||
Taxpayer Identification No. |
3. | Member Report Address. If you would like duplicate copies of member reports sent to an address that is different than the address identified in Section A, please complete this section. |
Address: | ||||
4. | State of Residence. |
State of Principal Residence: | ||||
State where driver’s license is issued: | ||||
State where resident income taxes are filed: |
State(s) in which you have maintained your principal residence during the past three
years:
a | b. | c. | |||||||||
3
5. | Suitability Standards. You cannot invest in SIBE unless you meet one, or more, of the following suitability tests (a or b) set forth below. Please review the suitability tests and check the box(es) next to the following suitability test that you meet. For husbands and wives purchasing jointly, the tests below will be applied on a joint basis. |
a. | o | I (We) have annual income from whatever source of at least $45,000 and a net worth of at least $45,000, exclusive of home, furnishings and automobiles; or | |
c. | o | I (We) have a net worth of at least $100,000, exclusive of home, furnishings and automobiles. |
6. | Subscriber’s Representations and Warranties. You must read and certify your representations and warranties and sign and date this Subscription Agreement. | ||
By signing below the subscriber represents and warrants to SIBE that he, she or it: |
a. | has received a copy of SIBE’s Prospectus dated [effective date] and all exhibits thereto; | ||
b. | has been informed that the Units of SIBE are offered and sold in reliance upon: (i) a federal securities registration; (ii) Alaska, Iowa, Missouri and Nebraska securities registrations; and (iii) exemptions from securities registrations in various other states; | ||
c. | understands that the Units to be issued pursuant to this Subscription Agreement can only be sold to a person meeting requirements of suitability; | ||
d. | has been informed that the Units to be issued pursuant to this Subscription Agreement have not been registered under the securities laws of any state other than the states of Alaska, Iowa, Missouri and Nebraska, and that SIBE is relying in part upon the representations of the undersigned Subscriber contained herein; | ||
e. | has been informed that the Units subscribed for have not been approved or disapproved by the Alaska, Iowa, Missouri or Nebraska securities agencies or regulators or any other regulatory authority, nor has any regulatory authority passed upon the accuracy or adequacy of the Prospectus; |
f. | intends to acquire the Units for his/her/its own account without a view to public distribution or resale and has no contract, undertaking, agreement or arrangement to sell or otherwise transfer or dispose of any Units or any portion thereof to any other person; |
g. | understands that there is no present market for SIBE’s Units, that the Units will not trade on an exchange or automatic quotation system, that no such market is expected to develop in the future and that there are significant restrictions on the transferability of the Units; | ||
h. | has been encouraged to rely upon the advice of his legal counsel and accountants or other financial advisers with respect to the tax and other considerations relating to the purchase of Units; | ||
i. | has received a copy of SIBE’s Amended And Restated Operating Agreement, dated May 4, 2005, and understands that upon closing the escrow by SIBE, the Subscriber and the Units will be bound by the provisions of the Amended And Restated Operating Agreement, which contains, among other things, provisions that restrict the transfer of Units; | ||
j. | understands that the Units are subject to substantial restrictions on transfer under state securities laws in addition to the restrictions contained in SIBE’s Amended And Restated Operating Agreement, and agrees that if the Units or any part thereof are sold or distributed in the future, the Subscriber shall sell or distribute them only in strict accordance with the terms of SIBE’s Amended And Restated Operating Agreement, the requirements of the Securities Act of 1933, as amended, and applicable state securities laws; |
4
k. | meets the suitability test marked in numbered paragraph 5 above and is capable of bearing the economic risk of this investment, including the possible total loss of the investment; | ||
l. | understands that SIBE will place a restrictive legend on any certificate representing Units containing substantially the following language as the same may be amended by SIBE’s Board of Directors in its sole discretion: |
THE TRANSFERABILITY OF THE MEMBERSHIP UNITS REPRESENTED BY THIS
CERTIFICATE IS RESTRICTED. SUCH UNITS MAY NOT BE SOLD, ASSIGNED, OR
TRANSFERRED, AND NO ASSIGNEE, VENDEE, TRANSFEREE OR ENDORSEE THEREOF
WILL BE RECOGNIZED AS HAVING ACQUIRED ANY SUCH UNITS FOR ANY
PURPOSES, UNLESS AND TO THE EXTENT SUCH SALE, TRANSFER,
HYPOTHECATION, OR ASSIGNMENT IS PERMITTED BY, AND IS COMPLETED IN
STRICT ACCORDANCE WITH, APPLICABLE FEDERAL AND STATE LAW AND THE
TERMS AND CONDITIONS SET FORTH IN THE OPERATING AGREEMENT OF THE
COMPANY, AS AMENDED FROM TIME TO TIME.
THE SECURITIES REPRESENTED BY THIS CERTIFICATE MAY NOT BE SOLD,
OFFERED FOR SALE OR TRANSFERRED IN THE ABSENCE OF AN EFFECTIVE
REGISTRATION UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND UNDER
APPLICABLE STATE SECURITIES LAWS, OR AN OPINION OF COUNSEL
SATISFACTORY TO THE COMPANY THAT SUCH TRANSACTION IS EXEMPT FROM
REGISTRATION UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND UNDER
APPLICABLE STATE SECURITIES LAWS.
m. | understands that, to enforce the above legend, SIBE may place a stop transfer order with its registrar and stock transfer agent (if any) covering all certificates representing any of the membership units; | ||
n. | has sufficient knowledge and experience in business and financial matters so as to be able to evaluate the merits and risks of an investment in the Units, believes that the investment in Units is suitable for the Subscriber and that the Subscriber can bear the economic risk of the purchase of Units, including the total loss of the undersigned’s investment; | ||
o. | may not transfer or assign this Subscription Agreement, or any of the Subscriber’s interest herein; | ||
p. | has written his, her, or its correct taxpayer identification number under numbered paragraph E.2 of this Subscription Agreement; | ||
q. | is not subject to back up withholding either because he, she or it has not been notified by the Internal Revenue Service (“IRS”) that he, she or it is subject to backup withholding as a result of a failure to report all interest or dividends, or the IRS has notified him, her or it that he is no longer subject to backup withholding (Note this clause (q) should be crossed out if the backup withholding box in numbered paragraph E.2 is checked); | ||
r. | understands that execution of the attached Promissory Note and Security Agreement will allow SIBE and its successors and assigns to pursue the Subscriber for payment of the amount due thereon by any legal means, including, but not limited to, acquisition of a judgment against the Subscriber in the event that the Subscriber defaults on the Promissory Note and Security Agreement; and | ||
s. | acknowledges that SIBE may retain possession of certificates representing the Subscriber’s Units to perfect its security interest in those Units. |
5
Signature of Subscriber/ Joint Subscriber: | ||||||
Date: |
||||||
Individuals:
|
Entities: | |||||
Name of Individual Subscriber (Please Print) | Name of Entity (Please Print) | |||||
Signature of Individual | Print Name and Title of Officer | |||||
Name of Joint Individual Subscriber (Please Print) | Signature of Officer | |||||
Signature of Joint Individual Subscriber |
ACCEPTANCE OF SUBSCRIPTION BY SOUTHERN IOWA BIOENERGY LLC: | ||||||
Southern Iowa BioEnergy LLC hereby accepts the subscription for the above Units. | ||||||
Dated this day of , 200 . | ||||||
SOUTHERN IOWA BIOENERGY LLC | ||||||
By: |
||||||
Its: |
||||||
6
PROMISSORY NOTE AND SECURITY AGREEMENT
Date of Subscription Agreement: , 200 .
$1,000.00 per Unit
Minimum Investment of 20 Units ($20,000), 1 Unit Increments Thereafter ($1,000) | ||
Number of Units subscribed | ||
Total Purchase Price ($1,000.00 per Unit multiplied by number of Units subscribed) | ||
( )
|
Less Initial Payment (10% of Principal Amount) | |
Principal Balance | ||
FOR VALUE RECEIVED, the undersigned hereby promises to pay to the order of Southern Iowa BioEnergy
LLC, an Iowa limited liability company (“SIBE”), at its principal office located 000 Xxxxx Xxxxxx
Xxxxxx, Xxxxxx, Xxxx 00000, or at such other place as required by SIBE, the Principal Balance set
forth above in one lump sum to be paid without interest within 30 days following the call of the
SIBE Board of Directors, as described in the attached Subscription Agreement. In the event the
undersigned fails to timely make any payment owed, the entire balance of any amounts due under this
full recourse Promissory Note and Security Agreement shall be immediately due and payable in full
with interest at the rate of 12% per annum from the due date and any amounts previously paid in
relation to the obligation evidenced by this Promissory Note and Security Agreement may be
forfeited at the discretion of SIBE.
The undersigned agrees to pay to SIBE on demand, all costs and expenses incurred to collect any
indebtedness evidenced by this Promissory Note and Security Agreement, including, without
limitation, reasonable attorneys’ fees. This Promissory Note and Security Agreement may not be
modified orally and shall in all respects be governed by, construed, and enforced in accordance
with the laws of the State of Iowa.
The provisions of this Promissory Note and Security Agreement shall inure to the benefit of SIBE
and its successors and assigns, which expressly reserve the right to pursue the undersigned for
payment of the amount due hereon by any legal means in the event that the undersigned defaults on
obligations provided in this Promissory Note and Security Agreement.
The undersigned waives presentment, demand for payment, notice of dishonor, notice of protest, and
all other notices or demands in connection with the delivery, acceptance, performance or default of
this Promissory Note and Security Agreement.
The undersigned hereby grants to SIBE, and its successors and assigns (“Secured Party”), a purchase
money security interest in and to all of the undersigned’s Membership Units of SIBE now owned or
hereafter acquired. This security interest is granted as non-exclusive collateral to secure payment
and performance of the obligation owed to Secured Party from the undersigned pursuant to this
Promissory Note and Security Agreement. The undersigned further authorizes Secured Party to retain
possession of certificates representing such Membership Units and to take any other actions
necessary to perfect the security interest granted herein without the need of obtaining any further
assent or signature from the undersigned.
Dated:
|
, 200 . | |||||
OBLIGOR/DEBTOR: | JOINT OBLIGOR/DEBTOR: | |||||
Printed or Typed Name of Joint Obligor/Debtor | Printed or Typed Name of Obligor/Debtor | |||||
By:
|
By: | |||||
(Signature) | (Signature) | |||||
Officer Title if Obligor/Debtor is an Entity | ||||||
Address of Obligor/Debtor |
7
EXHIBIT “A”
MEMBER SIGNATURE PAGE
ADDENDUM TO THE
AMENDED AND RESTATED OPERATING AGREEMENT
OF SOUTHERN IOWA BIOENERGY LLC
AMENDED AND RESTATED OPERATING AGREEMENT
OF SOUTHERN IOWA BIOENERGY LLC
The undersigned does hereby warrant, represent, covenant and agree that: (i) the undersigned,
as a condition to becoming a Member in Southern Iowa BioEnergy LLC, has received a copy of the
Amended And Restated Operating Agreement dated May 4, 2005, and, if applicable, all amendments and
modifications thereto; (ii) the undersigned shall be subject to and comply with all terms and
conditions of such Amended And Restated Operating Agreement in all respects, as if the undersigned
had executed said Amended And Restated Operating Agreement on the original date thereof; and (iii)
the undersigned is and shall be bound by all of the provisions of said Amended And Restated
Operating Agreement from and after the date of execution of this Addendum.
Individuals:
|
Entities: | |||
Agreed to and Accepted on Behalf of the Company and its Members: |
||||
SOUTHERN IOWA BIOENERGY LLC | ||||
By: |
||||
Its: |
||||
1