Contract
THIS
WARRANT AND THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER
THE
SECURITIES ACT OF 1933, AS AMENDED, AND MAY NOT BE OFFERED, SOLD, ASSIGNED
OR
TRANSFERRED, IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER SAID
ACT OR UNLESS THE COMPANY HAS RECEIVED AN OPINION OF COUNSEL REASONABLY
SATISFACTORY TO THE COMPANY THAT REGISTRATION UNDER SAID ACT IS NOT REQUIRED.
(“Note”)
Principal Amount: |
___________,
California
|
$______ |
_____________,
200_
|
FOR
VALUE
RECEIVED, the undersigned, FIIC,
Inc.,
a
Delaware corporation (the “Maker”),
promises to pay to the order of ___________________
(the
“Holder”),
at_______________, California ________, or at such other place as Holder may
designate in writing, the principal amount of _____________________
($___________) in lawful money of the United States of America, in local funds,
plus simple interest thereon from the date hereof on the aggregate unpaid
principal amount until such amount is paid in full at the annual rate of ____
percent (_____%) (calculated on the basis of a 365 or 366 day year as applicable
and actual days elapsed or until the Note is converted as provided below).
Principal amount and accrued interest shall be due and payable on or before
_____________, 200_ (the “Due Date”). All payments on or in respect of this Note
or the indebtedness evidenced hereby shall be made to Holder without set-off
or
counterclaim and free and clear of and without any deductions of any
kind.
The
entire amount of outstanding principal and accrued interest on this Note shall
be convertible at any time at the Option of the Holder and shall automatically
convert into shares of the Maker’s Common Stock at the close of the Maker’s next
equity financing, whether in a single transaction or a series of related
transactions, yielding gross proceeds to the Maker of at least $2,000,000 in
the
aggregate (the “Next
Equity Financing”).
The
number of shares of Common Stock to be issued upon such conversion shall be
equal to the quotient obtained by dividing (i) the entire principal amount
of this Note plus accrued interest by (ii) a $____ price per share of the
Common Stock, rounded to the nearest whole share. If automatically converted,
the issuance of such shares upon such conversion shall be upon the terms and
subject to the conditions applicable to the Next Equity Financing.
Upon
any
conversion as set forth above, the Note shall cease to represent the
indebtedness of the Maker stated therein and the sole right of the Holder shall
be to receive certificates evidencing the Common Stock to which the Holder
is
entitled. Upon any such conversion, the Holder agrees to promptly surrender
to
the Maker this Note. Fractional shares shall not be issued and fractions shall
be settled in cash based upon the Purchase Price or the price per share of
the
Common Stock, as the case may be.
Prepayment
of the total amount of principal and accrued interest due on this Note is
permitted and without penalty; however, prepayment of less than the total amount
of principal and accrued interest due on this Note is not permitted without
the
express written consent of the Holder is not permitted.
As
further consideration for this Note, the Maker shall deliver to the Holder
a
Common Stock Purchase Warrant in the form attached hereto as Exhibit A.
The
Maker
will take all necessary corporate action and obtain all necessary government
consents and approvals to authorize the issuance of this Note and, prior to
the
conversion hereof, the shares of Common Stock issuable upon conversion of this
Note. If, at any time, the number of authorized but unissued shares of the
Maker's Common Stock shall be insufficient to effect the conversion of this
Note, then the Holder will take such corporate action as may be necessary to
increase its authorized but unissued shares to such number as shall be
sufficient for such purpose.
All
Common Stock issued upon the conversion of this Note shall be validly issued,
fully paid and non assessable.
This
Note
does not by itself entitle the Holder to any voting rights or other rights
as a
shareholder of the Maker. In the absence of conversion of this Note, no
provisions of this Note, and no enumeration herein of the rights or privileges
of the holder, shall cause such holder to be a stockholder of the Maker for
any
purpose.
The
Holders acknowledges that this Note and the Common Stock issuable upon its
conversion have not been registered or qualified under federal or state
securities laws.
It
is
understood that the term, “Holder,”
as
used herein, includes any successor thereto. The rights and obligations of
the
Maker and the Holder shall be binding upon and benefit the successors and
assigns, heirs, administrators and transferees of the parties.
The
Maker
and all endorsers, sureties and guarantors, jointly and severally, waive all
presentments, demands for performance, notices of nonperformance, protests,
notices of protest and notices of dishonor in connection with the delivery,
acceptance, performance and enforcement of this Note.
This
Note
is made in accordance with and shall be construed under the laws of the State
of
California (without giving effect to the conflict of law principles
thereof).
The
Maker
agrees to pay all costs of collection of any amounts due hereunder when
incurred, including, without limitation, reasonable attorneys’ fees and
expenses.
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This
Note
is executed as of the date set forth above.
MAKER: FIIC, Inc. | |||
By: | |||
Xxxxx X. Xxxxxx, | |||
President and Chief Executive Officer | |||
Address: 0000 Xxxxxx Xxxx, 0xx Floor | |||
Columbus, Ohio 43220
|
|||
AGREED TO AND ACCEPTED: | |||
PAYEE: | |||
By:____________________________ | |||
Name:__________________________ | |||
Title:___________________________ | |||
Address:________________________
|
|||
_____________________ | |||
_____________________ | |||
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