CNB Bancorp, Inc. Rights Offering Subscription Agreement
EXHIBIT 99.1
CNB Bancorp, Inc.
Rights Offering Subscription Agreement
CNB Bancorp, Inc.
00000 Xxxxxxx Xxxxxxxxx
Xxxxxxx, Xxxxxxxx 00000
Attn: Xxxxxxxxx X. Xxxxx, Chief Financial Officer
Ladies and Gentlemen:
Subject to the terms of the rights offering described in the Prospectus dated ___________, 2006 of CNB Bancorp, Inc., a Virginia corporation (the “Company”), I hereby subscribe for the number of shares of common stock of the Company set forth below for a purchase price of $6.75 per share. Enclosed with this Subscription Agreement is my check or money order made payable to “CNB Bancorp, Inc.” evidencing $6.75 for each share subscribed for, which funds are to be held in escrow as described in the Company’s prospectus.
I understand that this subscription agreement and full payment for shares of common stock subscribed for by me must be received by the Company prior to 5:00 p.m. Eastern Time on _________, __________ __, 2006, or I will forfeit my right to purchase shares in the rights offering.
I understand that my subscription is conditioned upon acceptance by the Company and subject to the additional conditions described in “The Rights Offering” in the prospectus. I further understand that the Company, in its sole discretion and without notice, may reject my subscription in whole or in part, for any reason or no reason, and may allot to me fewer shares than I have subscribed for. In the event the subscription offering is terminated, funds paid under this Subscription Agreement will be returned to me without interest.
I certify that I have read and understand the Prospectus and that I am relying on no representations other than those set forth in the Prospectus. I understand that when this Subscription Agreement is executed and delivered, it is irrevocable and binding upon me. I further understand and agree that my right to purchase shares hereunder may not be assigned or transferred to any third party without the express written consent of the Company.
I HAVE READ AND UNDERSTAND THIS SUBSCRIPTION AGREEMENT.
Under the penalty 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.
Signature* |
Additional Signature (if required) | |
Date: |
* 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.
IMPORTANT – Please complete the reverse side.
CNB Bancorp, Inc.
Rights Offering Subscription Agreement
Number of Shares Subscribed: ______________
Aggregate Price Included ($6.75 per share): ______________
Name(s) in which Common Stock is to be Registered | ||
Address (Street or P.O. Box) | ||
City, State and Zip | ||
( ) |
( ) | |
Daytime Phone |
Evening Phone | |
Taxpayer ID (Social Security No.) |
E-mail Address |
Legal Form of Ownership:
— |
Individual | — | Joint Tenants with Right of Survivorship | |||
— |
Tenants in Common | — | Uniform Transfers to Minors | |||
— |
Other |
Complete all blanks on this Subscription Agreement, make checks or money orders payable to “Community National Bank of the Lakeway Area” and mail or deliver this Subscription Agreement and your check or money order to:
CNB Bancorp, Inc.
00000 Xxxxxxx Xxxxxxxxx
Xxxxxxx, Xxxxxxxx 00000
Attn: Xxxxxxxxx X. Xxxxx, Chief Financial Officer
Telephone: (000) 000-0000
Any questions concerning subscriptions or the rights offering may be directed to the above address.
TO BE COMPLETED BY THE COMPANY
Accepted as of ___/___/2006, as to ______________ shares.
CNB BANCORP, INC. | ||
By: |
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Signature | ||
Print Name |