EXHIBIT 99.1
PRELIMINARY SUBSCRIPTION AGREEMENT
To the Board of Directors of
UCB FINANCIAL GROUP, INC.
0000 Xxx Xxxxxxxxx Xxxxx
Xxxxx 000
Xxxxxxx, Xxxxxxx 00000
Gentlemen:
I hereby intend to subscribe to purchase the number of shares of UCB
Financial Group, Inc.'s common stock indicated below once the Company's
Registration Statement on Form SB-2 filed with the Securities and Exchange
Commission becomes effective.
I have received a copy of UCB Financial Group, Inc.'s preliminary
prospectus, dated November 26, 2001. I understand that my purchase of UCB
Financial Group, Inc.'s common stock involves significant risk, as described
under "Risk Factors" in the preliminary prospectus. I also understand that no
federal or state agency has made any finding or determination regarding the
fairness of UCB Financial Group, Inc.'s offering of common stock, the accuracy
or adequacy of the preliminary prospectus, or any recommendation or endorsement
concerning an investment in the common stock.
I am not sending the purchase price for the shares I wish to buy at this
time. After I receive the final prospectus, if I still wish to purchase shares,
I will send UCB Financial Group, Inc. a check in the amount of $10.00 multiplied
by the number of shares I wish to buy. My check will be made payable to "The
Bankers Bank - Escrow Account for UCB Financial Group, Inc."
WHEN UCB FINANCIAL GROUP, INC. RECEIVES MY CHECK, THIS SUBSCRIPTION
AGREEMENT WILL BECOME FINAL AND BINDING AND WILL BE IRREVOCABLE UNTIL THE
OFFERING IS CLOSED.
Number of Shares (Minimum 500 shares): ___________________
Total Subscription Price (at $10.00 per share): $__________________
_____________________________
(Please print or type exact
name(s) in which the shares
should be registered)
Accepted as of __________________, 2001, as to _____________ shares.
UCB FINANCIAL GROUP, INC.
By:__________________________
Name:________________________
Title:_______________________
SUBSTITUTE W-9
Under the penalties of perjury, I certify that: (1) the Social Security
number or Taxpayer Identification number given below is correct; and (2) I am
not subject to backup withholding. INSTRUCTION: YOU MUST CROSS OUT #2 ABOVE IF
YOU HAVE BEEN NOTIFIED BY THE INTERNAL REVENUE SERVICE THAT YOU ARE SUBJECT TO
BACKUP WITHHOLDING BECAUSE OF UNDERREPORTING INTEREST OR DIVIDENDS ON YOUR TAX
RETURN.
________________________ ___________________________________
Date Signature(s)*
________________________
Area Code and Telephone No.
___________________________________
Please indicate the form of
ownership desired for the shares
(individual, joint tenants with
right of survivorship, tenants in
common, trust, corporation,
partnership, custodian, etc.)
________________________
Social Security Number or Federal
Taxpayer Identification Number
___________________________________
Street Address
___________________________________
City/State/Zip Code
*When signing as attorney, trustee, administrator or guardian, please give your
full title as such. If a corporation, please sign in full corporate name by
president or other authorized officer. In case of joint tenants, each joint
owner must sign.
