Conversion Notice To definition

Conversion Notice To. MENDOCINO BREWING COMPANY, INC. The undersigned holder of this Note, hereby irrevocably exercises the option to convert this Note or the portion of it designated below into shares of Common Stock of the Company, in accordance with the terms of the Note, and directs that the shares issuable and deliverable on the conversion, together with any check in payment of fractional shares, be issued and delivered to the undersigned unless a different name is specified below. If shares of Common Stock are to be issued in the name of anyone other than the undersigned, the undersigned will pay all transfer taxes payable on this conversion and issuance. Dated: ---------------------------- ------------------------------------- Signature If the shares are to be Portion to be converted (in issued other than to a multiples) of $1,000 if less registered holder, print than all: name, address, city, state and zip code of issuee: $ ------------------------------------ Social Security Number of other identifying number of issuers: ------------------------------------- ------------------------------------- ------------------------------------- ------------------------------------- Notice: The signature of these instructions to convert must correspond with the name as written on the face of this Note in every particular, without alteration, enlargement, or any change whatsoever
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Conversion Notice To. HEARTPORT, INC. The undersigned registered owner of this Note hereby irrevocably exercises the option to convert this Note, or the portion hereof (which is $1,000 or an integral multiple thereof) below designated, into shares of Common Stock of Heartport, Inc. in accordance with the terms of the Indenture referred to in this Note, and directs that the shares issuable and deliverable upon such conversion, together with any check in payment for fractional shares and any Notes representing any unconverted principal amount hereof, be issued and delivered to the registered holder hereof unless a different name has been indicated below. If shares or any portion of this Note not converted are to be issued in the name of a person other than the undersigned, the undersigned will check the appropriate box below and pay all transfer taxes payable with respect thereto. Any amount required to be paid to the undersigned on account of interest accompanies this Note. Dated:____________________ ------------------------------ ------------------------------ Signature(s) Signature(s) must be guaranteed by a commercial bank or trust company or a member firm of a major stock exchange if shares of Common Stock are to be issued, or Notes to be delivered, other than to and in the name of the registered holder. ------------------------------ Signature Guarantee Fill in for registration of shares of Common Stock if to be issued, and Notes if to be delivered, other than to and in the name of the registered holder: ----------------------------- (Name) ----------------------------- (Street Address) ----------------------------- (City, State and Zip Code) Please print name and address Principal amount to be converted (if less than all): $___________ Social Security or Other Taxpayer Identification Number OPTION TO ELECT REPAYMENT UPON A FUNDAMENTAL CHANGE To: HEARTPORT, INC. The undersigned registered owner of this Note hereby irrevocably acknowledges receipt of a notice from Heartport, Inc. (the "Company") as to the occurrence of a Fundamental Change with respect to the Company and requests and instructs the Company to repay the entire principal amount of this Note, or the portion thereof (which is $1,000 or an integral multiple thereof) below designated, in accordance with the terms of the Indenture referred to in this Note at the redemption price, together with accrued interest to, but excluding, such date, to the registered holder hereof. Dated: ----------------------------- -------...
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Conversion Notice To. MENDOCINO BREWING COMPANY, INC.
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Examples of Conversion Notice To in a sentence

  • Each convertible Security shall have attached thereto, or set forth on the reverse of the Security, a notice of conversion in substantially the following form: Conversion Notice To: PHX Minerals Inc.

  • Each convertible Security shall have attached thereto, or set forth on the reverse of the Security, a notice of conversion in substantially the following form: Conversion Notice To: Panhandle Oil and Gas Inc.

  • Each convertible Security shall have attached thereto, or set forth on the reverse of the Security, a notice of conversion in substantially the following form: Conversion Notice To: Group 1 Automotive, Inc.

  • Conversion Notice (To be Executed by the Registered Holder in order to Convert the Series K Convertible Preferred Stock) TO: IMAGING DIAGNOSTIC SYSTEMS, INC.

  • Each convertible Security shall have attached thereto, or set forth on the reverse of the Security, a notice of conversion in substantially the following form: 21 Conversion Notice To: Carriage Services, Inc.

  • Each convertible Security shall have attached thereto, or set forth on the reverse of the Security, a notice of conversion in substantially the following form: Conversion Notice To: SilverBow Resources, Inc.

  • Each convertible Security shall have attached thereto, or set forth on the reverse of the Security, a notice of conversion in substantially the following form: Conversion Notice To: The ▇▇▇▇ Group, Inc.

  • By: _________________________ Name: Title: [signature page to Convertible Promissory Note] EXHIBIT A Conversion Notice To convert this Note into Common Stock of the Guarantor, check the box: To convert only part of this Note, state the amount to be converted: $---------------- If you want the stock certificates made out in another person's name, fill in the form below: --------------------------------------- [name] --------------------------------------- [insert other person's soc.

  • By: Printed Name: Title: Schedule I Form of Conversion Notice To: GUIDED THERAPEUTICS, INC.

  • Authorised Officer SCHEDULE 2 Part C - Form of Conversion Notice To: [ ] Attention: [ ] [Date] (UK Pound)200,000,000 Loan Facility Loan Agreement dated [ ] 1997 (as from time amended, varied, extended, restated or replaced the "Loan Agreement") We refer to the Advance made to us of (UK Pound)[ ] on [ ] with a Term of [ ] under Tranche [A]/[B].