Beneficial Ownership of Registrable Securities. (a) Type and Number of Registrable Securities beneficially owned:
Beneficial Ownership of Registrable Securities. (a) Type and Number of Registrable Securities beneficially owned: -------------------------------------------------------------- -------------------------------------------------------------- --------------------------------------------------------------
Beneficial Ownership of Registrable Securities. (a) Type and Number of Registrable Securities beneficially owned:
(b) Number of shares of common stock to be registered pursuant to this Notice and Questionnaire for resale:
Beneficial Ownership of Registrable Securities. (a) Type and Number of Registrable Securities beneficially owned: ____________________________ ____________________________ ____________________________
(b) Number of shares of Common Stock to be registered pursuant to this Notice for resale: ____________________________ ____________________________ ____________________________
Beneficial Ownership of Registrable Securities. Issued Pursuant to the Agreement:
(a) Type and Number of Registrable Securities beneficially owned and issued pursuant to the Agreement:
(b) Number of shares of Registrable Securities listed in Item 3(a) that the Selling Stockholder requests be registered for resale pursuant to the Registration Statement:
Beneficial Ownership of Registrable Securities. This question covers beneficial ownership of the Company's securities.
(a) Please state the number of shares of the Company’s Common Stock (excluding the registrable securities but including any shares issuable upon exercise of warrants or other convertible securities) including any vesting schedules, as applicable that the Selling Stockholder beneficially owns as of the date of this Questionnaire:
(b) Please state the number of shares of the Registrable Securities that the Selling Stockholder wishes to have registered for resale in the Registration Statement. Warrants: ______________________ (exercisable for _________________ shares of Common Stock).
Beneficial Ownership of Registrable Securities. (a) Type and number of Registrable Securities beneficially owned (describe nature of ownership and whether voting or investment power over such Registrable Securities is shared):
Beneficial Ownership of Registrable Securities. (a) Total number of shares of Common Stock to be beneficially owned as December 31, 2023 (including shares of Common Stock that the undersigned has the right to acquire beneficial ownership, as specified in Rule 13d-3(d)(1) under the Exchange Act):
(b) Number of shares of Common Stock that will qualify as Registrable Securities under the Registration Rights Agreements to be registered pursuant to this Questionnaire for resale:
Beneficial Ownership of Registrable Securities. (a) Type and Principal Amount of Registrable Securities beneficially owned: # Shares of Common Stock Underlying Debentures # Shares of Common Stock Underlying Preferred Stock # Shares of Common Stock Underlying Warrants
Beneficial Ownership of Registrable Securities. Type and Principal Amount of securities to be included in the Registration Statement (the “Registrable Securities”):
