EXHIBIT 10.6
THIS WARRANT AND THE COMMON SHARES ISSUABLE UPON EXERCISE OF THIS WARRANT HAVE
NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. THIS WARRANT
AND THE COMMON SHARES ISSUABLE UPON EXERCISE OF THIS WARRANT MAY NOT BE SOLD,
OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN EFFECTIVE
REGISTRATION STATEMENT UNDER SAID ACT OR AN OPINION OF COUNSEL REASONABLY
SATISFACTORY TO ASTRATA GROUP INCORPORATED THAT SUCH REGISTRATION IS NOT
REQUIRED.
Right to Purchase 32,000 shares of Common
Stock of Astrata Group Incorporated (subject
to adjustment as provided herein)
COMMON STOCK PURCHASE WARRANT
No. 2004-SEP-002 Issue Date: November 30, 2004
ASTRATA GROUP INCORPORATED, a corporation organized under the laws of
the State of Nevada (the "Company"), hereby certifies that, for value received,
Xxxxxx Xxxxx Xxxxx, an individual, or his assigns (the "Holder"), is entitled,
subject to the terms set forth below, to purchase from the Company at any time
after the Issue Date up to 5:00 p.m., P.D.T., on November 30, 2006 (the
"Expiration Date"), up to 32,000 fully paid and non-assessable shares of the
common stock of the Company (the "Common Stock"), at a per share purchase price
of $5.00. The afore-described purchase price per share, as adjusted from time to
time as herein provided, is referred to herein as the "Purchase Price." The
number and character of such shares of Common Stock and the Purchase Price are
subject to adjustment as provided herein. The Company may reduce the Purchase
Price without the consent of the Holder.
As used herein the following terms, unless the context otherwise
requires, have the following respective meanings:
(a) The term "Company" shall include Astrata Group Incorporated and any
corporation which shall succeed to or assume the obligations of Astrata Group
Incorporated hereunder.
(b) The term "Common Stock" includes (i) the Company's Common Stock, as
authorized on the date hereof and (ii) any other securities into which or for
which any of the securities described in subpart (i) may be converted or
exchanged pursuant to a plan of recapitalization, reorganization, merger, sale
of assets, or otherwise.
(c) The term "Other Securities" refers to any stock (other than Common
Stock) and other securities of the Company or any other person (corporate or
otherwise) that the holder of the Warrant at any time shall be entitled to
receive, or shall have received, on the exercise of the Warrant, in lieu of or
in addition to Common Stock, or which at any time shall be issuable or shall
have been issued in exchange for or in replacement of Common Stock or Other
Securities pursuant to Section 3 or otherwise.
(d) The term "Excepted Issuance" shall include any sale and issuance by
the Company of its common stock or other securities or convertible debt
obligations (i) in connection with employee stock options or compensation plans,
(ii) as full or partial consideration in connection with any merger,
consolidation or purchase of substantially all of the securities or assets of
any corporation or other entity, (iii) that may be issued to service providers
who are not officers,
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directors or employees of the Company, or (iv) that may be issued to
institutional third-parties in connection with their providing debt financing
to, or on behalf of, the Company.
1. EXERCISE OF WARRANT.
1.1. NUMBER OF SHARES ISSUABLE UPON EXERCISE. From and after the
Issue Date through and including the Expiration Date, the Holder hereof shall be
entitled to receive, upon exercise of this Warrant in whole in accordance with
the terms of Subsection 1.2 or upon exercise of this Warrant in part in
accordance with Subsection 1.3, shares of Common Stock of the Company, subject
to adjustment pursuant to Section 3.
1.2. FULL EXERCISE. This Warrant may be exercised in full by the
Holder hereof by delivery of an original or facsimile copy of the form of
subscription attached as Exhibit A hereto (the "Subscription Form") duly
executed by such Holder and surrender of the original Warrant within seven (7)
days of exercise, to the Company at its principal office or at the office of its
Warrant Agent (as provided hereinafter), accompanied by payment, in cash, wire
transfer, or by certified or official bank check payable to the order of the
Company, in the amount obtained by multiplying the number of shares of Common
Stock for which this Warrant is then exercisable by the Purchase Price then in
effect.
1.3. PARTIAL EXERCISE. This Warrant may be exercised in part (but
not for a fractional share) by surrender of this Warrant in the manner and at
the place provided in Subsection 1.2 except that the amount payable by the
Holder on such partial exercise shall be the amount obtained by multiplying (a)
the number of whole shares of Common Stock designated by the Holder in the
Subscription Form by (b) the Purchase Price then in effect. On any such partial
exercise, the Company, at its expense, will forthwith issue and deliver to or
upon the order of the Holder hereof a new Warrant of like tenor, in the name of
the Holder hereof or as such Holder (upon payment by such Holder of any
applicable transfer taxes) may request, the whole number of shares of Common
Stock for which such Warrant may still be exercised.
1.4. NET ISSUE EXERCISE. Notwithstanding any provisions herein to
the contrary, if the Fair Market Value of one share of Common Stock is greater
than the Purchase Price at the Determination Date, in lieu of exercising this
Warrant for cash in the manner set forth in Subsections 1.2 or 1.3 or in
exchange for other shares of Common Stock in the manner set forth in Section
1.5, the Holder may elect to receive shares of Common Stock equal to the value
(as determined below) of this Warrant (or the portion thereof being canceled) by
surrender of this Warrant at the principal office of the Company together with
the properly endorsed Notice of Exercise and notice of such election in which
event the Company shall issue to the Holder a number of shares of Common Stock
computed using the following formula:
Y (A-B)
X = -------
A
Where X = the number of shares of Common Stock to be issued to the
Holder
Y = the number of shares of Common Stock purchasable
under the Warrant or, if only a portion of the Warrant
is being exercised, the portion of the Warrant being
canceled at the Determination Date
A = the Fair Market Value of one share of the Company's
Common Stock at the Determination Date
B = Purchase Price as of the Determination Date
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1.5. PAYMENT UTILIZING SHARES. Notwithstanding any provisions herein
to the contrary, in lieu of exercising this Warrant for cash in the manner set
forth in Subsections 1.2 or 1.3 or in utilizing the net issue exercise method in
the manner set forth in Subsection 1.4, the Holder may elect to deliver to the
Company that number of shares of Common Stock with a Fair Market Value at the
Determination Date (in certificated form, with the Holder's signature bearing a
medallion guarantee, all in a form that will enable the Company, then and there,
to return such shares to its treasury for cancellation) equal to the Purchase
Price in payment for the shares of Common Stock purchasable under the Warrant
or, if only a portion of the Warrant is being exercised, the portion of the
Warrant being canceled at the Determination Date. For purposes of this
Subsection 1.6, the Determination Date shall be as of the date on which the
Holder delivers the Subscription Form and the share certificates with medallion
guarantees, as referenced below, in the manner and to the place referenced in
Subsections 1.2 or 1.3.
1.6. FAIR MARKET VALUE. Fair Market Value of a share of Common Stock
as of a particular date (the "Determination Date") shall mean:
(a) If the Company's Common Stock is traded on a national
exchange or on the National Association of Securities Dealers, Inc. Automated
Quotation ("NASDAQ") National Market or the NASDAQ SmallCap Market, then the
closing or last sale price, respectively, reported for the last business day
immediately preceding the Determination Date;
(b) If the Company's Common Stock is not traded on a national
exchange or on the NASDAQ National Market or the NASDAQ SmallCap Market, but is
quoted in the over-the-counter market, then the average of the closing bid and
ask prices reported for the last business day immediately preceding the
Determination Date;
(c) Except as provided in clause (d) below, if the Company's
Common Stock is not publicly traded or quoted, then as the Holder and the
Company agree, or in the absence of such an agreement, by arbitration in
accordance with the rules then standing of the American Arbitration Association,
before a single arbitrator to be chosen from a panel of persons qualified by
education and training to pass on the matter to be decided; or
(d) If the Determination Date is the date of a liquidation,
dissolution, or winding up, or any event deemed to be a liquidation,
dissolution, or winding up pursuant to the Company's charter, then all amounts
to be payable per share to holders of the Common Stock pursuant to the charter
in the event of such liquidation, dissolution, or winding up, plus all other
amounts to be payable per share in respect of the Common Stock in liquidation
under the charter, assuming for the purposes of this clause (d) that all of the
shares of Common Stock then issuable upon exercise of all of the Warrants are
outstanding at the Determination Date.
1.7. COMPANY ACKNOWLEDGMENT. The Company will, at the time of the
exercise of the Warrant, upon the request of the Holder hereof acknowledge in
writing its continuing obligation to afford to such Holder any rights to which
such Holder shall continue to be entitled after such exercise in accordance with
the provisions of this Warrant. If the Holder shall fail to make any such
request, such failure shall not affect the continuing obligation of the Company
to afford to such Holder any such rights.
1.8. TRUSTEE FOR WARRANT HOLDERS. In the event that a bank or trust
company shall have been appointed as trustee for the Holder of the Warrants
pursuant to Subsection 2.2, such bank or trust company shall have all the powers
and duties of a warrant agent (as hereinafter described) and shall accept, in
its own name for the account of the Company or such successor
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person as may be entitled thereto, all amounts otherwise payable to the Company
or such successor, as the case may be, on exercise of this Warrant pursuant to
this Section 1.
1.9. DELIVERY OF STOCK CERTIFICATES, ETC. ON EXERCISE. The Company
agrees that the shares of Common Stock purchased upon exercise of this Warrant
shall be deemed to be issued to the Holder hereof as the record owner of such
shares as of the close of business on the date on which this Warrant shall have
been surrendered and payment made for such shares as aforesaid. As soon as
practicable after the exercise of this Warrant in full or in part, and in any
event within five (5) days thereafter, the Company at its expense (including the
payment by it of any applicable issue taxes) will cause to be issued in the name
of and delivered to the Holder hereof, or as such Holder (upon payment by such
Holder of any applicable transfer taxes) may direct in compliance with
applicable securities laws, a certificate or certificates for the number of duly
and validly issued, fully paid and non-assessable shares of Common Stock (or
Other Securities) to which such Holder shall be entitled on such exercise, free
and clear of any liens or encumbrances, plus, in lieu of any fractional share to
which such Holder would otherwise be entitled, cash equal to such fraction
multiplied by the then Fair Market Value of one full share of Common Stock,
together with any other stock or other securities and property (including cash,
where applicable) to which such Holder is entitled upon such exercise pursuant
to Section 1 or otherwise.
2. ADJUSTMENT FOR REORGANIZATION, CONSOLIDATION, MERGER, ETC.
2.1. REORGANIZATION, CONSOLIDATION, MERGER, ETC. In case at any time
or from time to time, the Company shall (a) effect a reorganization, (b)
consolidate with or merge with or into any other person, (c) reclassify its
shares of capital stock in such a manner as would effect its Common Stock, or
(d) transfer all or substantially all of its properties or assets to any other
person under any plan or arrangement contemplating the dissolution of the
Company, then, in each such case, as a condition to the consummation of such a
transaction, proper and adequate provision shall be made by the Company whereby
the Holder of this Warrant, on the exercise hereof as provided in Section 1, at
any time after the consummation of such reorganization, consolidation, merger,
or reclassification or the effective date of such dissolution, as the case may
be, shall receive, in lieu of the Common Stock (or Other Securities) issuable on
such exercise prior to such consummation or such effective date, the stock and
other securities and property (including cash) to which such Holder would have
been entitled upon such consummation or in connection with such dissolution, as
the case may be, if such Holder had so exercised this Warrant, immediately prior
thereto, all subject to further adjustment thereafter as provided in Section 3.
2.2. DISSOLUTION. In the event of any dissolution of the Company
following the transfer of all or substantially all of its properties or assets
other than in connection with a transaction described in Subsection 2.1, the
Company, prior to such dissolution, shall at its expense deliver or cause to be
delivered the stock and other securities and property (including cash, where
applicable) receivable by the Holder of the Warrants after the effective date of
such dissolution pursuant to this Section 2 to a bank or trust company (a
"Trustee") having its principal office in New York, New York, or in Los Angeles,
California, as trustee for the Holder of the Warrants, all as if such Holder had
so exercised this Warrant, immediately prior to such dissolution.
2.3. CONTINUATION OF TERMS. Upon any reorganization, consolidation,
merger or transfer (and any dissolution following any transfer) referred to in
this Section 2, this Warrant shall continue in full force and effect and the
terms hereof shall be applicable to the Other Securities and property receivable
on the exercise of this Warrant after the consummation of such reorganization,
consolidation or merger or the effective date of dissolution following any such
transfer, as the case may be, and shall be binding upon the issuer of any Other
Securities, including, in the case of any such
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transfer, the person acquiring all or substantially all of the properties or
assets of the Company, whether or not such person shall have expressly assumed
the terms of this Warrant as provided in Section 3. In the event this Warrant
does not continue in full force and effect after the consummation of the
transaction described in this Section 2, then only in such event will the
Company's securities and property (including cash, where applicable) receivable
by the Holder of the Warrants be delivered to the Trustee as contemplated by
Subsection 2.2.
2.4 SHARE ISSUANCE. If, on or before the Expiration Date of this
Warrant and prior to the complete exercise hereof, the Company shall issue any
shares of Common Stock (except for Excepted Issuances) without consideration or
for a consideration less than the Purchase Price in effect at the time of such
issuance, then, and thereafter successively upon each such issuance, the
Purchase Price concurrently shall be reduced as follows: (i) the number of
shares of Common Stock outstanding immediately prior to such issuance shall be
multiplied by the Purchase Price in effect at the time of such issuance and the
product shall be added to the aggregate consideration, if any, received by the
Company upon such issuance of additional shares of Common Stock; and (ii) the
sum so obtained shall be divided by the number of shares of Common Stock
outstanding immediately after such issuance. The resulting quotient shall be the
adjusted Purchase Price. For purposes of this adjustment, the issuance of any
security of the Company carrying the right to convert such security into shares
of Common Stock or of any warrant, right, or option to purchase Common Stock
shall result in an adjustment to the Purchase Price upon the issuance of
security, whether or not the underlying shares of Common Stock have been issued
due to the exercise of such conversion or purchase rights; PROVIDED, HOWEVER,
that, upon the expiration of any such conversion or purchase rights that were
not so exercised, the Purchase Price then in effect shall be equitably increased
(in the same manner as was previously utilized) by an amount to reflect such
lack of exercise.
3. EXTRAORDINARY EVENTS REGARDING COMMON STOCK. In the event that the
Company shall (a) issue additional shares of the Common Stock as a dividend or
other distribution on outstanding Common Stock, (b) subdivide its outstanding
shares of Common Stock, or (c) combine its outstanding shares of the Common
Stock into a smaller number of shares of the Common Stock, then, in each such
event, the Purchase Price shall, simultaneously with the happening of such
event, be adjusted by multiplying the then Purchase Price by a fraction, the
numerator of which shall be the number of shares of Common Stock outstanding
immediately prior to such event and the denominator of which shall be the number
of shares of Common Stock outstanding immediately after such event, and the
product so obtained shall thereafter be the Purchase Price then in effect. The
Purchase Price, as so adjusted, shall be readjusted in the same manner upon the
happening of any successive event or events described herein in this Section 3.
The number of shares of Common Stock that the Holder of this Warrant shall
thereafter, on the exercise hereof as provided in Section 1, be entitled to
receive shall be adjusted to a number determined by multiplying the number of
shares of Common Stock that would otherwise (but for the provisions of this
Section 3) be issuable on such exercise by a fraction of which (a) the numerator
is the Purchase Price that would otherwise (but for the provisions of this
Section 3) be in effect, and (b) the denominator is the Purchase Price in effect
on the date of such exercise. The Company will use commercially reasonable
efforts to provide notice of any such extraordinary event not less than ten (10)
days prior to effective date of such event.
4. CERTIFICATE AS TO ADJUSTMENTS. In each case of any adjustment or
readjustment in the shares of Common Stock (or Other Securities) issuable on the
exercise of the Warrants, the Company at its expense will promptly cause its
Chief Financial Officer or other appropriate designee to compute such adjustment
or readjustment in accordance with the terms of the Warrant and prepare a
certificate setting forth such adjustment or readjustment and showing in detail
the facts
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upon which such adjustment or readjustment is based, including a statement of
(a) the consideration received or receivable by the Company for any additional
shares of Common Stock (or Other Securities) issued or sold or deemed to have
been issued or sold, (b) the number of shares of Common Stock (or Other
Securities) outstanding or deemed to be outstanding, and (c) the Purchase Price
and the number of shares of Common Stock to be received upon exercise of this
Warrant, in effect immediately prior to such adjustment or readjustment and as
adjusted or readjusted as provided in this Warrant. The Company will forthwith
mail a copy of each such certificate to the Holder of the Warrant and any
Warrant Agent of the Company (appointed pursuant to Section 9 hereof).
5. RESERVATION OF STOCK, ETC. ISSUABLE ON EXERCISE OF WARRANT. The
Company will at all times reserve and keep available, solely for issuance and
delivery on the exercise of the Warrants, all shares of Common Stock (or Other
Securities) from time to time issuable on the exercise of the Warrant.
6. ASSIGNMENT; EXCHANGE OF WARRANT. Subject to compliance with
applicable securities laws, this Warrant, and the rights evidenced hereby, may
be transferred by any registered holder hereof (a "Transferor"). On the
surrender for exchange of this Warrant, with the Transferor's endorsement in the
form of Exhibit B attached hereto (the "Transferor Endorsement Form") and
together with an opinion of counsel reasonably satisfactory to the Company that
the transfer of this Warrant will be in compliance with applicable securities
laws, the Company at its expense, twice, only, but with payment by the
Transferor of any applicable transfer taxes, will issue and deliver to or on the
order of the Transferor thereof a new Warrant or Warrants of like tenor, in the
name of the Transferor and/or the transferee(s) specified in such Transferor
Endorsement Form (each a "Transferee"), calling in the aggregate on the face or
faces thereof for the number of shares of Common Stock called for on the face or
faces of the Warrant so surrendered by the Transferor. No such transfers shall
result in a public distribution of the Warrant.
7. REPLACEMENT OF WARRANT. On receipt of evidence reasonably
satisfactory to the Company of the loss, theft, destruction, or mutilation of
this Warrant and, in the case of any such loss, theft, or destruction of this
Warrant, on delivery of an indemnity agreement or security reasonably
satisfactory in form and amount to the Company or, in the case of any such
mutilation, on surrender and cancellation of this Warrant, the Company at its
expense, twice only, will execute and deliver, in lieu thereof, a new Warrant of
like tenor.
8. REGISTRATION RIGHTS. The Holder of this Warrant has been granted
certain registration rights by the Company, as set forth in the Registration
Rights Agreement, the terms of which are incorporated herein by this reference.
9. WARRANT AGENT. The Company may, by written notice to the Holder of
the Warrant, appoint an agent (a "Warrant Agent") for the purpose of issuing
Common Stock (or Other Securities) on the exercise of this Warrant pursuant to
Section 1, exchanging this Warrant pursuant to Section 6, and replacing this
Warrant pursuant to Section 7, or any of the foregoing, and thereafter any such
issuance, exchange, or replacement, as the case may be, shall be made at such
office by such Warrant Agent.
10. TRANSFER ON THE COMPANY'S BOOKS. Until this Warrant is transferred
on the books of the Company, the Company may treat the registered holder hereof
as the absolute owner hereof for all purposes, notwithstanding any notice to the
contrary.
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11. NOTICES. Any notice required or permitted under this Warrant shall
be given in writing and shall be deemed effectively given upon personal delivery
to the party to be notified or by telex or confirmed facsimile, or one delivery
day after deposit with a recognized overnight express delivery service or
courier (for FedEx Express Overnight [or equivalent] delivery to and from an
address within the United States of America) or three delivery days after
deposit with a recognized overnight express delivery service or courier (for
FedEx Express International Priority [or equivalent] delivery to and from an
address outside the United States of America), and addressed to the party to be
notified at the address indicated for such party below, or at such other address
as such party may designate by ten days' advance written notice to the other
party:
(a) If to the Company: Astrata Group Incorporated
0000 Xxxxxxx Xxxx Xxxx, Xxxxx 0000
Xxx Xxxxxxx, Xxxxxxxxxx 00000-0000
Attention: Chief Financial Officer
Facsimile: 000-000-0000
With a copy to: Xxxxx Xxxx LLP
(which shall not 0000 Xxxx Xxxxxx, Xxxxx 000
constitute notice) Xxxxxx, Xxxxxxxxxx 00000
Attention: Xxxxxxx X. Xxxx, Esq.
Facsimile: 000-000-0000
(b) If to the Holder: Xxxxxx Xxxxx Xxxxx
Xxxxx Xxxxxxxxxxxx Xx. 00X
Xxxxxxxxx Xxxx
Xxxxxxx 00000 Xxxxxxxxx
Facsimile: 011-62-21-739-4566
With a copy to: Greene, Radovsky, Xxxxxxx & Share LLP
(which shall not Four Embarcadero Center, Suite 4000
constitute notice) Xxx Xxxxxxxxx, Xxxxxxxxxx 00000
Attention: Xxxxxx X. Xxxxxxxx, Esq.
Facsimile: 000-000-0000
12. ATTORNEYS FEES TO PREVAILING PARTY. The prevailing party in an
action, claim, suit, investigation, or proceeding (including, without
limitation, an investigation or partial proceeding, such as a deposition),
whether commenced or threatened (a "Proceeding") shall be reimbursed by the
other party for its reasonable attorneys' fees and other costs and expenses
incurred with the investigation, preparation, and prosecution of such
Proceeding.
13. No Impairment. The Company will not, by amendment of its Articles
of Incorporation or through any reorganization, transfer of assets,
consolidation, merger, dissolution, issue or sale of securities, or any other
voluntary action, avoid or seek to avoid the observance or performance of any of
the terms to be observed or performed hereunder by the Company, but will at all
times in good faith assist in the carrying out of all the provisions of this
Warrant and in taking of all such action as may be necessary or appropriate in
order to protect the rights of the Holder against impairment.
14. MISCELLANEOUS. This Warrant and any term hereof may be changed,
waived, discharged, or terminated only by an instrument in writing signed by the
party against which enforcement of such change, waiver, discharge, or
termination is sought. This Warrant shall be
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construed and enforced in accordance with and governed by the laws of Nevada.
Any dispute relating to this Warrant shall be adjudicated in Xxxxx County in the
State of Nevada. The headings in this Warrant are for purposes of reference
only, and shall not limit or otherwise affect any of the terms hereof. The
invalidity or unenforceability of any provision hereof shall in no way affect
the validity or enforceability of any other provision.
IN WITNESS WHEREOF, the Company has executed this Warrant as of the
date first written above.
ASTRATA GROUP INCORPORATED
By:
--------------------------------------
Xxxxxx Xxxxxx, Chief Executive Officer
By:
--------------------------------------
Xxxxxxx Xxxxxx, Assistant Secretary
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EXHIBIT A
FORM OF SUBSCRIPTION
(to be signed only on exercise of Warrant)
TO: ASTRATA GROUP INCORPORATED
The undersigned, pursuant to the provisions set forth in the attached Warrant
(No. 2004-SEP-002), hereby irrevocably elects to purchase ________ shares of the
Common Stock covered by such Warrant.
The undersigned herewith makes payment of the full purchase price for such
shares at the price per share provided for in such Warrant, which is $5.00. Such
payment takes the form of $__________ in lawful money of the United States or
________ shares of the Company's Common Stock in accordance with Subsections 1.4
and 1.5 of the attached Warrant.
The undersigned requests that the certificates for such shares be issued in the
name of, and delivered to____________________________________ , whose address is
________________________________________________________________________________
________________________________________________________________________________
The undersigned represents and warrants that all offers and sales by the
undersigned of the securities issuable upon exercise of the within Warrant shall
be made pursuant to registration of the Common Stock under the Securities Act of
1933, as amended (the "Securities Act"), or pursuant to an exemption from
registration under the Securities Act.
Dated:___________________ ____________________________________________
(Signature must conform to name of holder as
specified on the face of the Warrant)
____________________________________________
____________________________________________
(Address)
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EXHIBIT B
FORM OF TRANSFEROR ENDORSEMENT
(To be signed only on transfer of Warrant)
For value received, the undersigned hereby sells, assigns, and
transfers unto the person(s) named below under the heading "Transferees" the
right represented by the within Warrant to purchase the percentage and number of
shares of Common Stock of Astrata Group Incorporated to which the within Warrant
relates specified under the headings "Percentage Transferred" and "Number
Transferred," respectively, opposite the name(s) of such person(s) and appoints
each such person Attorney to transfer its respective right on the books of
Astrata Group Incorporated with full power of substitution in the premises.
TRANSFEREES PERCENTAGE TRANSFERRED NUMBER TRANSFERRED
----------- ---------------------- ------------------
-------------------- ------------------------------ ----------------------
-------------------- ------------------------------ ----------------------
-------------------- ------------------------------ ----------------------
-------------------- ------------------------------ ----------------------
Dated:
----------, -------- --------------------------------------------
(Signature must conform to name of holder as
specified on the face of the warrant)
Signed in the presence of:
-------------------------- --------------------------------------------
(Name) (Address)
ACCEPTED AND AGREED:
[TRANSFEREE]
-------------------------- --------------------------------------------
(Name) (Address)
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