AMERICAN DISTRIBUTED GENERATION INC. SUBSCRIPTION AGREEMENT
Exhibit
10.12
AMERICAN
DISTRIBUTED GENERATION INC.
Dear Sir
or Madam:
1. Subscription. The
undersigned, intending to be legally bound, irrevocably subscribes for and
agrees to purchase the aggregate number of shares of the common stock (“Common
Stock”), par value $.001 per share (each a “Share” and collectively, the
“Shares”), and warrants to purchase shares of Common Stock (each a
“Warrant” and collectively, the “Warrants”) of American Distributed Generation
Inc., a Delaware corporation (the “Company”), indicated on the
signature page hereof, on the terms and conditions described herein and in the
Confidential Private Placement Memorandum dated July 25, 2003 (which, together
with all exhibits, attachments, amendments and supplements thereto, is referred
to as the “Memorandum”). The undersigned has also completed the Accredited
Investor Questionnaire attached to this Agreement.
The
undersigned herewith delivers to the Company the consideration (“Purchase
Price”) required to purchase the Shares and the Warrants subscribed for
hereunder by wire transfer funds payable to: American Distributed Generation
Inc., 00 Xxxxx Xxxxxx, Xxxxxxx, XX 00000. The minimum investment is for $50,000
unless otherwise determined in the discretion of the Company. The Shares and the
Warrants will be issued in accordance with the terms and conditions set forth in
the Memorandum. Capitalized terms not otherwise defined in this Agreement have
the meanings specified in the Memorandum.
2. Investor Representations,
Warranties and Covenants. The undersigned hereby acknowledges, represents
and warrants to, and agrees with the Company as follows:
(a) The
undersigned is acquiring the Shares and the Warrants for the undersigned’s own
account as principal, for investment purposes only, and not with a view to, or
for, resale or distribution of all or any part of the Shares and the Warrants,
and no other person has a direct or indirect beneficial interest in such Shares
or Warrants;
(b) The
undersigned acknowledges its understanding that the offering and sale of the
Shares and the Warrants is intended to be exempt from registration under the
Securities Act of 1933, as amended (the “Securities Act”), by virtue of Section
4(2) of the Securities Act and Rule 505 of Regulation D (“Regulation D”)
promulgated thereunder and Section 4(6) of the Securities Act, and, in
furtherance thereof, the undersigned represents and warrants to and agrees with
the Company that the undersigned has the financial ability to bear the economic
risk of the undersigned’s investment, has adequate means for providing for the
undersigned’s current needs and contingencies and has no need for liquidity with
respect to the undersigned’s investment in the Shares and the
Warrants.
(c) The
undersigned is an “accredited investor” as defined in Rule 501(a) of Regulation
D under the Securities Act. The undersigned hereby certifies that the
information set forth in the attached Accredited Investor Questionnaire is
accurate and complete as of the date of this Agreement.
(d) The
undersigned:
(1) has
been furnished with a copy of the Memorandum and any other documents which have
been made available upon request and the undersigned has carefully read the
Memorandum and understands and has evaluated the risks of a purchase of the
Shares and the Warrants, including the risks set forth under “Risk Factors” in
the Memorandum; and has relied solely on the information contained in the
Memorandum, and any supplemental written information furnished pursuant to
Subsection (ii) below;
(2) has
been given the opportunity to ask questions of and receive answers from the
Company concerning the terms and conditions of the Offering of the Shares and
the Warrants, and has been given the opportunity to obtain additional
information necessary to satisfy the undersigned as to the accuracy of the
information contained in the Memorandum to the extent that the Company possesses
such information or can acquire it without unreasonable effort or expense and
has not been furnished with any other offering literature except as referred to
in the Memorandum;
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(3) has
not relied on any oral representation, warranty or information in connection
with the Offering of the Shares and the Warrants by the Company, or any officer,
employee, agent or affiliate of the Company;
(4) has
determined that the Shares and the Warrants are a suitable investment for the
undersigned and that at this time the undersigned can bear a complete loss of
the undersigned’s investment therein;
(5) has
such knowledge and experience in financial and business matters that the
undersigned is capable of evaluating the merits and risks of the undersigned’s
investment in the Shares and the Warrants;
(e) If
the undersigned is a corporation, limited liability company, partnership, trust,
qualified plan or other entity, it is authorized and qualified to
become a holder of the Shares and the Warrants, and the person signing this
Subscription Agreement on behalf of such entity has been duly authorized to do
so;
(f)
Any information which the undersigned has heretofore furnished and herewith
furnishes to the Company with respect to the undersigned’s financial position
and business experience is correct and complete as of the date of this Agreement
and if there should be any material change in such information prior to issuance
to the undersigned of the Shares and the Warrants, the undersigned will
immediately furnish such revised or corrected information to the
Company;
(g) The
foregoing acknowledgments, representations, warranties and agreements shall
survive the closing at which the Shares and the Warrants are
issued;
(h) The
undersigned acknowledges that the undersigned has not purchased the Shares or
the Warrants as a result of any general solicitation or general advertising;
and
(i)
The undersigned’s overall commitment to investments which are not readily
marketable is not disproportionate to the undersigned’s net worth, and the
undersigned’s prospective investment in the Company and will not cause such
overall commitment to become excessive.
3. Investor
Awareness. The undersigned acknowledges that:
(a) No
federal or state agency has passed upon the Shares or the Warrants or made any
finding or determination as to the fairness of this investment;
(b) There
is no established market for the Shares or the Warrants and no assurance has
been given that any public market for them will develop;
(c) Neither
the Shares nor the Warrants may be sold, pledged or otherwise transferred,
except as may be permitted under the Securities Act and applicable state
securities laws pursuant to registration or exemption therefrom; and
accordingly, the undersigned may be required to bear the financial risks of an
investment in the Shares and the Warrants for an indefinite period of
time;
(d) The
undersigned consents to (i) the placing of a legend substantially in the form
set forth below on the certificates representing the Shares (or upon any
certificates representing shares of Common Stock issued upon exercise of the
Warrants) stating that the securities have not been registered and setting forth
the restriction on transfer contemplated hereby, and (ii) the placing of a stop
transfer order on the books of the Company and with any transfer agents against
the Shares.
“The
shares represented by this certificate have not been registered under the
Securities Act of 1933, as amended. These shares have been acquired
for investment and not with a view to distribution or resale and may not be
sold, mortgaged, pledged, hypothecated or otherwise transferred without an
effective registration statement for such sales under the Securities Act of
1933, or an opinion of counsel for the corporation that registration is not
required under such Act.
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The
shares represented by this certificate are also subject to the provisions of a
certain Investor Rights Agreement dated July 25, 2003 and may not be transferred
except in accordance with the provisions of that agreement.”
4. Miscellaneous.
(a) Indemnity. The
undersigned agrees to indemnify and hold harmless the Company, its affiliates,
directors, officers, employees, agents and controlling persons (the Company and
each such person being an “Indemnified Party”), from and against any and all
losses, claims, damages, liabilities and expenses whatsoever (including, but not
limited to, any and all expenses whatsoever reasonably incurred investigating,
preparing or defending against any litigation commenced or threatened or any
claim whatsoever), joint or several, as incurred, to which such Indemnified
Party may become subject under any applicable United States federal or state law
or the laws of any other domestic or foreign jurisdiction, or otherwise, and
related to or arising out of or based upon any false representation, warranty or
acknowledgment, or breach or failure by the undersigned to comply with any
covenant or agreement made by the undersigned herein or in any other document
furnished by the undersigned to any of the foregoing in connection with this
transaction.
(b) Modification. Except
as otherwise provided herein, neither this Agreement nor any provisions hereof
shall be modified, discharged or terminated except by an instrument in writing
signed by the party against whom any waiver, change, discharge or termination is
sought.
(c) Binding
Effect. Except as otherwise provided herein, this Agreement
shall be binding upon and inure to the benefit of the parties and their heirs,
executors, administrators, successors, legal representatives and assigns. If the
undersigned is more than one person, the obligation of the undersigned shall be
joint and several and the agreements, covenants, representations, warranties and
acknowledgments herein contained shall be deemed to be made by and be binding
upon each such person and his heirs, executors, administrators and
successors.
(d) Entire
Agreement. This instrument contains the entire agreement of
the parties and there are no representations, warranties, acknowledgments,
covenants or other agreements except as stated or referred to
herein.
(e) Assignability. This
Agreement is not transferable or assignable by the undersigned.
(f) Governing Law and
Forum. Notwithstanding the place where this Agreement may be
executed by any of the parties hereto, all the terms and provisions hereof shall
be construed in accordance with and governed by the laws of the Commonwealth of
Massachusetts, without giving effect to its conflict of law principles. Any
dispute which may arise out of or in connection with this Agreement shall be
adjudicated before a court located in Middlesex County, Massachusetts and the
parties hereby submit to the exclusive jurisdiction of the courts of the
Commonwealth of Massachusetts located in Boston, Massachusetts and of the
federal courts in Boston, Massachusetts with respect to any action or legal
proceeding commenced by any party, and irrevocably waive any objection they now
or hereafter may have respecting the venue of any such action or proceeding
brought in such a court or respecting the fact that such court is an
inconvenient forum, relating to or arising out of this Agreement or any acts or
omissions relating to the sale of the Shares or the Warrants, and the
undersigned consents to the service of process in any such action or legal
proceeding by means of registered or certified mail, return receipt requested,
in care of the address set forth below or such other address as the undersigned
shall furnish in writing to the Company. In the event any such action is
brought, whether at law or in equity, then the prevailing party shall be paid
its reasonable attorney's fees, expenses and disbursements arising out of such
action. The undersigned hereby waives trial by jury in any action or proceeding
involving, directly or indirectly, any matter (whether sounding in tort,
contract, fraud or otherwise) in any way arising out of or in connection with
this Agreement or the Holder’s purchase of the Shares and the
Warrants.
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ALL SUBSCRIBERS MUST
COMPLETE THIS PAGE
IN
WITNESS WHEREOF, the undersigned has executed this Subscription Agreement on the
day of
___________________,
2003.
Number of Shares and Warrants
Subscribed for: ____________
Purchase
Price: $______________
Manner in
which Title is to be held (Please Check One):
1.
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_____
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Individual
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2.
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_____
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Joint
Tenants with Right of Survivorship
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3.
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_____
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Community
Property
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4.
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_____
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Tenants
in Common
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5.
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_____
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Corporation
/ Limited Liability Company /
Partnership
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6.
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_____
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XXX
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7.
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_____
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Trust
/ Estate / Pension or Profit Sharing
Plan
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Date
Opened: __________
8.
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_____
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As
a Custodian for __________________ Under the Uniform Gift to Minors
Act
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of the State of
__________________
9.
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_____
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Married
with Separate Property
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10.
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_____
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Xxxxx
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11.
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_____
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Tenants
by the Entirety
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IF
MORE THAN ONE SUBSCRIBER, EACH SUBSCRIBER MUST SIGN
INDIVIDUAL
SUBSCRIBERS MUST COMPLETE PAGES A4 AND A5
SUBSCRIBERS
WHICH ARE ENTITIES MUST COMPLETE PAGES A4 AND A6
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EXECUTION BY NATURAL
PERSONS
Exact
Name in Which Title is to be Held
Name
of Purchaser (Print)
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Name
of Additional Purchaser
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Xxxxxxx
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Xxxxxxx
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Xxxx,
Xxxxx xxx Xxx Xxxx
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Xxxx,
Xxxxx and Zip Code
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Social
Security Number
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Social
Security Number
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Signature
of Purchaser
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Signature
of Additional
Purchaser
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ACCEPTED
this
day of _______________, 2003 on behalf of the Company.
By:
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Name:
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Title:
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5
EXECUTION BY SUBSCRIBER THAT
IS AN ENTITY
(Corporation,
Limited Liability Company, Partnership, Trust, Etc.)
Name of
Entity (Please Print)
Date of
Incorporation or
Organization: _________________________________________
State of
Principal Offices:
_____________________________________________________
Federal
Taxpayer Identification Number:
________________________________________
By:
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Title:
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Attest:
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Address: |
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(If
Entity is a Corporation)
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Taxpayer
Identification
Number
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ACCEPTED this ____ day of
_______________, 2003 on behalf of the Company.
By:
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Name:
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Title:
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ACCREDITED
INVESTOR QUESTIONNAIRE
Please
check the box below that best characterizes the person or entity subscribing for
the Shares and the Warrants under the terms of the foregoing Subscription
Agreement.
o
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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 purchase exceeds US
$1,000,000.
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o
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a
natural person who had an 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.
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o
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an
organization described in Section 501(c)(3) of the Internal Revenue Code,
a corporation, a Massachusetts or similar business trust or a partnership,
in each case, not formed for the purpose of this investment, with total
assets in excess of US $5,000,000.
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o
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a
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.
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o
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a
trust with total assets in excess of US $5,000,000, not formed for the
specific purpose of acquiring the securities offered, whose purchase is
directed by a sophisticated person as described in Rule 506(b)(2)(ii) of
the Securities Act of 1933.
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o
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an
entity in which all of the equity owners are accredited
investors.
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o
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a
private business development company as defined in Section 202(a)(22) of
the Investment Advisers Act of
1940.
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o
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a
Small Business Investment Company licensed by the U.S. Small Business
Administration under Section 301(c) or (d) of the Small
Business Investment Act of
1958.
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o
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an
investment company registered under the Investment Company Act of 1940 or
a business development company as defined in Section 2(a)(48) of that
Act.
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o
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a
bank as defined in Section 3(a)(2) or a savings and loan association or
other institution defined in Section 3(a)(5)(A) of the Securities Act of
1933 acting in either an individual or fiduciary
capacity.
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o
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an
insurance company as defined in Section 2(13) of the Securities Act of
1933.
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o
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an
employee benefit plan within the meaning of Title I of the Employee
Retirement Income Security Act of 1974 whose investment decision is made
by a fiduciary which is either a bank, savings and loan association,
insurance company, or registered investment advisor, or whose total assets
exceed US $5,000,000, or, if a self-directed plan, a plan whose investment
decisions are made solely by persons who are accredited
investors.
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o
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any
broker or dealer registered pursuant to Section 15 of the Securities
Exchange Act of 1934.
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o
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any
plan established and maintained by a state, its political subdivisions, or
any agency or instrumentality of a state or its political subdivisions for
the benefit of its employees, if such plan has total assets in excess of
$5,000,000.
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