Sign Name s/ Xxxxxxx Xxxxxxxx --------------------------------- Print Name: Xxxxxxx Xxxxxxxx -------------------------------- Address: ----------------------------------- -------------------------------------------- -------------------------------------------- Telephone: --------------------------------- Facsimile: --------------------------------- Number of Shares: 76,923 -------------------------- Name in which Shares and Warrants Are to Be Held (please print): Redwood Partners, LLC -------------------------------------------- Manner in which Shares and Warrants Are to Be Held (check the correct line): ___ Individual ___ Tenants in Common ___ JTWROS ___ Corporation ___ Partnership ___ Trust Aggregate Purchase Price: $249,999 ----------------- OMNIBUS SIGNATURE PAGE TO AKSYS, LTD. SECURITIES PURCHASE AGREEMENT The undersigned hereby executes and delivers the Securities Purchase Agreement to which this Signature Page is attached, which, together with all counterparts of the Agreement and Signature Pages of the other Investors and the Company to said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement.
Sign Name. Print Name:___________________________ Notary Public My Commission Expires: _____________________ STATE OF FLORIDA ) ) SS. COUNTY OF DADE ) The foregoing instrument was acknowledged before me this ___ day of ____________, 199__ by Xxxxxxx X. Xxxxxxxxx, both individually and as President of Bersin Development Corp., a Florida corporation, in the capacity aforestated; such person is personally known to me or has produced a driver's license as identification.
Sign Name. Print Name:_________________________ Notary Public Serial No. (none if blank):_________ [NOTARIAL SEAL] My Commission Expires: _____________________
Examples of Sign Name in a sentence
Sign Name: /s/ Xxxx Xxxxxxxx --------------------------------------- Print Name/Title: Xxxx Xxxxxxxx, President Address: [***] [***] SSN/EIN: [***] Approved by the Company: COMPANY: CLEARWIRE CORPORATION By: /s/ R.
Xxx, President (Sign Name) No. of shares: ______ expenses of defending against such liability or asserted liability) for which the Company, or any of its employees or representatives, are responsible.
Xxxxxx (Sign Name) Managing Partner (Title, if applicable) Address: Xxx Xxxxxxxxxx Xxxxx, Xxx.
Sign Name: Notary Public Print Name: Serial No. (if any): [NOTARIAL SEAL] My Commission Expires: ____________________ THIS INSTRUMENT PREPARED BY AND UPON RECORDATION RETURN TO: Xxxxxxx X.
Date: [ ] Name of Covered Person: Sign Name: Print Name: Address: SSN/EIN: Approved by: VICTORY CAPITAL HOLDINGS, INC.
More Definitions of Sign Name
Sign Name s/ Xxxxxx Xxxxxx Print Name: Xxxxxx Xxxxxx Lender: Title: Trustee Address: #### ###### #### ########## ##### ## ##### Telephone: ###-###-#### Facsimile: Tax ID: ###-##-#### Dated: June 10 , 2015 Xxxxxx Xxxxxx Trust OMNIBUS SIGNATURE PAGE TO ELLIPSE TECHNOLOGIES, INC. NOTE SUBSCRIPTION AGREEMENT The undersigned hereby executes and delivers the Note Subscription Agreement to which this Signature Page is attached, which, together with all counterparts of the Agreement and Signature Pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement.
Sign Name s/ Xxxx X. Xxxx Print Name: Xxxx X. Xxxx Lender: Xxxx X. Xxxx Title: Senior VP-Financial Consultant Address: ## ##### ##### ##### ########### ## #####-#### Telephone: ###-###-#### Facsimile: ###-###-#### Tax ID: Dated: June 10 , 2015 Xxxx X. Xxxx OMNIBUS SIGNATURE PAGE TO ELLIPSE TECHNOLOGIES, INC. NOTE SUBSCRIPTION AGREEMENT The undersigned hereby executes and delivers the Note Subscription Agreement to which this Signature Page is attached, which, together with all counterparts of the Agreement and Signature Pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement. Sign Name: /s/ Xxxx Xxxxxxxx Print Name: Xxxx Xxxxxxxx Lender: Title: Address: Telephone: Facsimile: Tax ID: Dated: , 2015 Xxxx Xxxxxxxx OMNIBUS SIGNATURE PAGE TO ELLIPSE TECHNOLOGIES, INC. NOTE SUBSCRIPTION AGREEMENT The undersigned hereby executes and delivers the Note Subscription Agreement to which this Signature Page is attached, which, together with all counterparts of the Agreement and Signature Pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement.
Sign Name s/ Xxxxx Xxxxxx Print Name: Xxxxx Xxxxxx Lender: Title: Address: Telephone:
Sign Name s/ Xxxxxx Xxxxxx --------------------------------- Print Name: Xxxxxx Xxxxxx -------------------------------- Address: ----------------------------------- -------------------------------------------- -------------------------------------------- Telephone: -------------------------------- Facsimile: --------------------------------- Number of Shares: 188,730 -------------------------- Name in which Shares and Warrants Are to Be Held (please print): DMG Legacy Institutional Fund LLC ----------------------------------------- Manner in which Shares and Warrants Are to Be Held (check the correct line): ___ Individual ___ Tenants in Common ___ JTWROS ___ Corporation ___ Partnership ___ Trust Aggregate Purchase Price: $613,372.50 ------------- OMNIBUS SIGNATURE PAGE TO AKSYS, LTD. SECURITIES PURCHASE AGREEMENT The undersigned hereby executes and delivers the Securities Purchase Agreement to which this Signature Page is attached, which, together with all counterparts of the Agreement and Signature Pages of the other Investors and the Company to said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement. Sign Name: /s/ Xxxxxx Xxxxxx ------------------------------ Print Name: Xxxxxx Xxxxxx ------------------------------ Address: -------------------------------- ----------------------------------------- ----------------------------------------- Telephone: ----------------------------- Facsimile: ----------------------------- Number of Shares: 240,210 ----------------------- Name in which Shares and Warrants Are to Be Held (please print): DMG Legacy International Ltd. ----------------------------------------- Manner in which Shares and Warrants Are to Be Held (check the correct line): ________ Individual ________ Tenants in Common ________ JTWROS ________ Corporation ________ Partnership ________ Trust Aggregate Purchase Price: $780,682.50 ----------- Social Security or Tax ID Number:_____ OMNIBUS SIGNATURE PAGE TO AKSYS, LTD. SECURITIES PURCHASE AGREEMENT The undersigned hereby executes and delivers the Securities Purchase Agreement to which this Signature Page is attached, which, together with all counterparts of the Agreement and Signature Pages of the other Investors and the Company to said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement.
Sign Name. Print Name:___________________________ Notary Public My Commission Expires: _____________________ JOINDER The undersigned, General Motors Acceptance Corporation, Mortgagee under those certain Mortgages recorded in Official Records Book ______, Pages ______ and ______, of the Public Records of Dade County, Florida, as modified (the "Mortgages"), encumbering lands which include the lands covered by the foregoing Declaration, hereby joins in the foregoing Declaration for the purpose of binding the lands encumbered by its Mortgages to the effects of foregoing Declaration.
Sign Name. Supervisor: Date: Supervisee: Date:
Sign Name s/ Mxxxxxx XxXxxx Sign Name: /s/ Axxxxxx Xxxxxx Print Name: General Mxxxxxx XxXxxx Print Name: Axxxxxx Xxxxxx Title: Chairman of the Compensation Committee