Address for Notices to Selling Stockholder. Telephone: Fax: Contact Person:
Address for Notices to Selling Stockholder. Telephone:_______________________________________________________________________________________ Fax:_____________________________________________________________________________________________ Contact Person:___________________________________________________________________________________
Address for Notices to Selling Stockholder. Telephone: ______________________________
Address for Notices to Selling Stockholder. 000 Xxxxxx Xxx X
Address for Notices to Selling Stockholder. Telephone:____________________________________________________ Fax:__________________________________________________________ Contact Person:_______________________________________________
Address for Notices to Selling Stockholder. (if different from that provided in Section 6(c) of the Registration Rights Agreement):
Address for Notices to Selling Stockholder. 00xx Xxxxx Xxxxxxx Xxxxxxxx, Xxxxxxxx Xxxxxx 10th Yuan Chaoyang District, Beijing P.R. China Telephone: +00-0000000000 Fax: Contact Person: Xx. Xxx Ke
Address for Notices to Selling Stockholder. Delafield Investments Limited PX Xxx 000 Xxx Xxxxx Xxxxx Xxxx Xxxx, Xxxxxxx
Address for Notices to Selling Stockholder. HealthCap IV Bis L.P. c/o HealthCap IV GP SA 18 Avenue d’Ouchy XX-0000 Xxxxxxxx, Xxxxxxxxxxx Telephone: +00 00 000 00 00 Fax: +00 00 000 00 00 Contact Person: Xxxxx Xxxxxxxxxx E-mail address of Contact Person: xxxxx.xxxxxxxxxx@xxxxxxxxx.xx
(a) Type and Number of Registrable Securities beneficially owned and issued pursuant to the Agreement: 980,480 shares of Tengion common stock and 980,480 shares of Tengion common stock underlying the warrants issued in the offering.
(b) Number of shares of Common Stock to be registered pursuant to this Notice for resale: 980,480 shares of Tengion common stock and 980,480 shares of Tengion common stock underlying the warrants issued in the offering.
Address for Notices to Selling Stockholder. Telephone:_________________________ Fax:_______________________________ Contact Person:______________________ Email:______________________________ Note: By providing an email address, the undersigned hereby consents to receipt of notices by email.
