Subscription Agreement
EXHIBIT 4.1
1. Investment:
The undersigned (“Buyer”) subscribes for ___________________________ Shares of Common Stock of 1606 CORP. at $[*] per share.
Total subscription price ($[*] times number of Shares): = $__________________________________________________.
PLEASE MAKE CHECKS PAYABLE TO: 1606 CORP.
2. Investor information:
Name: _______________________________________________________________SSN/FEIN:_____________________________
Address: __________________________________________________City:__________________State:______Zip:______________
Email Address: _________________________________________________________________
Business Phone: ______________________________ Home Phone: _________________________________
3. Type of ownership: (You must check one box)
| Individual ☐ |
| Custodian for ______________________________________________ |
| Tenants in Common ☐ |
| Uniform Gifts to Minors Act of State of _________________________ |
| Joint Tenants with rights to Survivorship Trust ☐ |
| Corporation - Please List all officers, directors, partners, etc. _______________________________________ |
| Community Property ☐ |
| Other (Please Explain): ______________________________________ |
4. Further Representations, Warrants and Covenants. Buyer hereby represents warrants, covenants and agrees as follows:
(a) Buyer is at least eighteen (18) years of age with an address as set forth in this Subscription Agreement.
(b) Except as set forth in the Prospectus and the exhibits thereto, no representations or warranties, oral or otherwise, have been made to Buyer by the Company or any other person, whether or not associated with the Company or this offering. In entering into this transaction, Xxxxx is not relying upon any information, other than that contained in the Prospectus and the exhibits thereto and the results of any independent investigation conducted by Xxxxx at Xxxxx’s sole discretion and judgment.
(c) Buyer is under no legal disability nor is Buyer subject to any order, which would prevent or interfere with Xxxxx’s execution, delivery and performance of this Subscription Agreement or his or her purchase of the Shares. The Shares are being purchased solely for Xxxxx’s own account and not for the account of others and for investment purposes only, and are not being purchased with a view to or for the transfer, assignment, resale or distribution thereof, in whole or part. Buyer has no present plans to enter into any contract, undertaking, agreement or arrangement with respect to the transfer, assignment, resale or distribution of any of the Shares.
5. Acceptance of Subscription.
(a) It is understood that this subscription is not binding upon the Company until accepted by the Company, and that the Company has the right to accept or reject this subscription, in whole or in part, in its sole and complete discretion. If this subscription is rejected in whole, the Company shall return to Buyer, without interest, the Payment tendered by Xxxxx, in which case the Company and Buyer shall have no further obligation to each other hereunder. In the event of a partial rejection of this subscription, Xxxxx’s Payment will be returned to Buyer, without interest, whereupon Buyer agrees to deliver a new payment in the amount of the purchase price for the number of Shares to be purchased hereunder following a partial rejection of this subscription.
6. Governing Law.
(a) This Subscription Agreement shall be governed and construed in all respects in accordance with the laws of the State of Nevada without giving effect to any conflict of laws or choice of law rules.
IN WITNESS WHEREOF, this Subscription Agreement has been executed and delivered by the Buyer and by the Company on the respective dates set forth below.
| _______________________________________________ Signature of Buyer
_______________________________________________ Name-Printed
_______________________________________________ | INVESTOR SUBSCRIPTION ACCEPTED BY:
________________________________________ By: Xxxxxx Xxxxxxxxx, CEO |
| Date | Date: |
Email Signed Subscription Agreements to: xxxxxx@0000xxxx.xxx
Signed Subscription Agreements and Paper Checks can be mailed to:
0000 X. Xxxxxxxxx Xx Xxxxx 000
Phoenix, AZ 85016
