CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED BY [***], HAS BEEN OMITTED BECAUSE IT IS NOT MATERIAL AND IS THE TYPE THAT THE REGISTRANT TREATS AS PRIVATE AND CONFIDENTIAL. FORM OF COMMON STOCK SUBSCRIPTION AGREEMENT
Exhibit 10.5
CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED BY [***], HAS BEEN OMITTED BECAUSE IT IS NOT MATERIAL AND IS THE TYPE THAT THE REGISTRANT TREATS AS PRIVATE AND CONFIDENTIAL.
FORM OF COMMON STOCK SUBSCRIPTION AGREEMENT
THIS COMMON STOCK SUBSCRIPTION AGREEMENT (this "Agreement") is made as of the date set forth on the signature page hereof between HCW BIOLOGICS INC., a Delaware corporation (the "Company"), and the [Name of Investor of Investment Entity], (the "Subscriber").
W I T N E S S E T H:
WHEREAS, the Company desires to issue to the Subscriber the number of shares (the "Shares") of its Common Stock, par value $.0001 per share (the "Common Stock") set forth at the end of this Agreement, and;
WHEREAS, the Subscriber desires to acquire the Shares (being sometimes referred to collectively herein as the "Securities") on the terms and conditions hereinafter set forth;
NOW, THEREFORE, in consideration of the premises and the mutual representations and covenants hereinafter set forth, the Company and the Subscriber do hereby agree as follows:
In the event of termination of this Agreement pursuant to this paragraph, this Agreement shall forthwith become void, there shall be no liability on the part of the Company or the Subscriber to each other and all rights and obligations of any party hereto shall cease; provided, however, that nothing herein shall relieve any party from liability for the willful breach of any of its representations and warranties, covenants or agreements set forth in this Agreement.
THE SHARES OF COMMON STOCK REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND MAY NOT BE SOLD OR TRANSFERRED UNLESS THE REGISTRATION PROVISIONS OF THE SAID ACT HAVE BEEN COMPLIED WITH OR UNLESS IN THE OPINION OF COUNSEL SATISFACTORY TO THE COMPANY, BOTH AS TO THE IDENTITY OF THE COUNSEL AND AS TO THE FORM AND SUBSTANCE OF THE OPINION, COMPLIANCE WITH SUCH PROVISIONS IS NOT REQUIRED.
NOTWITHSTANDING THE PLACE WHERE THIS AGREEMENT MAY BE EXECUTED BY ANY OF THE PARTIES HERETO, THE PARTIES EXPRESSLY AGREE THAT ALL THE TERMS AND PROVISIONS HEREOF SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAWS OF THE STATE OF DELAWARE, WITHOUT REGARD TO PRINCIPLES OF CONFLICTS OF LAW.
This Agreement may be executed in one or more counterparts each of which shall be deemed an original, but all of which shall together constitute one and the same instrument.
* If Shares are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Number of Shares Subscribed For: __71,429_________ Shares
Price per Share: @ $1.40 per share
Purchase Price: $100,000.60_______________________
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Name(s) Exactly as to Appear on Book Entry |
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/s/ Xxx Xxxxxxx /s/ Xxxxx Xxxxxxx |
Signature |
Signature (both if purchasing jointly) |
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Xxx Xxxxxxx, Xxxxx Xxxxxxx |
Name Typed or Printed |
Name Typed or Printed |
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[***] |
Residence Address |
Residence Address |
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[***] |
City, State and Zip Code |
City, State and Zip Code |
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[***] |
Telephone |
Telephone |
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[***] |
Tax Identification or Social Security Number |
Tax Identification or Social Security Number |
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This Common Stock Subscription Agreement, including a subscription contained herein is agreed to and accepted as of __02/20/2024_____________________________.
HCW BIOLOGICS INC., a Delaware corporation
Signature: /s/ Xxxxx Xxxxx
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By: |
Xxxxx Xxxxx |
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Its: |
CSO |
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This Agreement may be executed in one or more counterparts each of which shall be deemed an original, but all of which shall together constitute one and the same instrument.
* If Shares are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Number of Shares Subscribed For: __739,288______ Shares
Price per Share: @ $1.40 per share
Purchase Price: $1,035,003.20_____________________________
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Name(s) Exactly as to Appear on Book Entry |
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/s/ Xxxx X. Xxxx |
Signature |
Signature (both if purchasing jointly) |
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Xxxx X. Xxxx |
Name Typed or Printed |
Name Typed or Printed |
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[***] |
Residence Address |
Residence Address |
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[***] |
City, State and Zip Code |
City, State and Zip Code |
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[***] |
Telephone |
Telephone |
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[***] |
Tax Identification or Social Security Number |
Tax Identification or Social Security Number |
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This Common Stock Subscription Agreement, including a subscription contained herein is agreed to and accepted as of ___02/20/2024____________________________.
HCW BIOLOGICS INC., a Delaware corporation
Signature: /s/ Xxxxx Xxxxx
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By: |
Xxxxx Xxxxx |
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Its: |
CSO |
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This Agreement may be executed in one or more counterparts each of which shall be deemed an original, but all of which shall together constitute one and the same instrument.
* If Shares are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Number of Shares Subscribed For: __35,715_________ Shares
Price per Share: @ $1.40 per share
Purchase Price: $50,001.00_____________________________
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Name(s) Exactly as to Appear on Book Entry |
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/s/ Xxxx X. Xxxxx |
Signature |
Signature (both if purchasing jointly) |
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Xxxx X. Xxxxx (Trustee) |
Name Typed or Printed |
Name Typed or Printed |
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[***] |
Residence Address |
Residence Address |
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[***] |
City, State and Zip Code |
City, State and Zip Code |
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[***] |
Telephone |
Telephone |
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[***] |
Tax Identification or Social Security Number |
Tax Identification or Social Security Number |
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This Common Stock Subscription Agreement, including a subscription contained herein is agreed to and accepted as of ____02/20/2024___________________________.
HCW BIOLOGICS INC., a Delaware corporation
Signature: /s/ Xxxxx Xxxxx
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By: |
Xxxxx Xxxxx |
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Its: |
CSO |
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This Agreement may be executed in one or more counterparts each of which shall be deemed an original, but all of which shall together constitute one and the same instrument.
* If Shares are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Number of Shares Subscribed For: ___760,714________ Shares
Price per Share: @ $1.40 per share
Purchase Price: $_1,065,000.00____________________________
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Name(s) Exactly as to Appear on Book Entry |
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/s/ Xxxxxxx Xxxx |
Signature |
Signature (both if purchasing jointly) |
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Xxxxxxx Xxxx |
Name Typed or Printed |
Name Typed or Printed |
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[***] |
Residence Address |
Residence Address |
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[***] |
City, State and Zip Code |
City, State and Zip Code |
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[***] |
Telephone |
Telephone |
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[***] |
Tax Identification or Social Security Number |
Tax Identification or Social Security Number |
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This Common Stock Subscription Agreement, including a subscription contained herein is agreed to and accepted as of _____02/20/2024__________________________.
HCW BIOLOGICS INC., a Delaware corporation
Signature: /s/ Xxxx X. Xxxx
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By: |
Xxxx X. Xxxx, PhD |
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Its: |
Founder and CEO |
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This Agreement may be executed in one or more counterparts each of which shall be deemed an original, but all of which shall together constitute one and the same instrument.
* If Shares are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Number of Shares Subscribed For: _35,714__________ Shares
Price per Share: @ $1.40 per share
Purchase Price: $50,000.00_____________________________
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Name(s) Exactly as to Appear on Book Entry |
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/s/ Xxxx X. Xxxxxx |
Signature |
Signature (both if purchasing jointly) |
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Xxxx X. Xxxxxx |
Name Typed or Printed |
Name Typed or Printed |
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[***] |
Residence Address |
Residence Address |
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[***] |
City, State and Zip Code |
City, State and Zip Code |
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[***] |
Telephone |
Telephone |
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[***] |
Tax Identification or Social Security Number |
Tax Identification or Social Security Number |
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This Common Stock Subscription Agreement, including a subscription contained herein is agreed to and accepted as of __02/20/2024_____________________________.
HCW BIOLOGICS INC., a Delaware corporation
Signature: /s/ Xxxxx Xxxxx
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By: |
Xxxxx Xxxxx |
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Its: |
CSO |
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This Agreement may be executed in one or more counterparts each of which shall be deemed an original, but all of which shall together constitute one and the same instrument.
* If Shares are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Number of Shares Subscribed For: _142,858__________ Shares
Price per Share: @ $1.40 per share
Purchase Price: $_200,001.20____________________________
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Name(s) Exactly as to Appear on Book Entry |
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/s/ Xxxxx Xxxxxxx |
Signature |
Signature (both if purchasing jointly) |
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Xxxxxxx Capital Partners, LLC |
Name Typed or Printed |
Name Typed or Printed |
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[***] |
Residence Address |
Residence Address |
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[***] |
City, State and Zip Code |
City, State and Zip Code |
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[***] |
Telephone |
Telephone |
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[***] |
Tax Identification or Social Security Number |
Tax Identification or Social Security Number |
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This Common Stock Subscription Agreement, including a subscription contained herein is agreed to and accepted as of ___02/20/2024____________________________.
HCW BIOLOGICS INC., a Delaware corporation
Signature: /s/ Xxxxx Xxxxx
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By: |
Xxxxx Xxxxx |
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Its: |
CSO |
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CERTIFICATE OF SIGNATORY
(To be completed if Shares are being subscribed for by an investing entity)
I certify that I am empowered and duly authorized by the [Investing Entity] to execute and carry out the terms of the Common Stock Subscription Agreement and to purchase and hold the Shares. and certify further that the Common Stock Subscription Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.
IN WITNESS WHEREOF, I have set my hand this day of _________.
[Name of Entity],
a [State] [LLC or corporation or partnership]
By: _________________________________________
Name: _______________________________________
Title: ________________________________________
Date: ________________________________________
Exhibit A
Wire Instructions
[***]