CLASS 2007-D WARRANT AGREEMENTClass 2007-D Warrant Agreement • March 2nd, 2007 • Energtek • Services-nursing & personal care facilities • Nevada
The undersigned hereby irrevocably elects to exercise _________ of the Class 2007-D Warrants evidenced by the attached Warrant Certificate to purchase Warrant Shares, and herewith tenders (or is concurrently tendering) payment for such Warrant Shares in an amount determined in accordance with the terms of the Warrant Agreement. The undersigned requests that a certificate representing such Warrant Shares be registered in the name of ______________, whose address is _______________________________ and that such certificate be delivered to ________________________, whose address is _____________________________. If said number of Warrants is less than the number of Warrants evidenced by the Warrant Certificate (as calculated pursuant to the Warrant Agreement), the undersigned requests that a new Warrant Certificate evidencing the number of Warrants evidenced by this Warrant Certificate that are not being exercised be registered in the name of _______________________, whose address is ____
