SEC Info  
    Home      Search      My Interests      Help      Sign In      Please Sign In

CurAegis Technologies, Inc. – ‘10-Q’ for 6/30/18 – ‘EX-10.3’

On:  Tuesday, 8/7/18, at 4:02pm ET   ·   For:  6/30/18   ·   Accession #:  1437749-18-14731   ·   File #:  0-24455

Previous ‘10-Q’:  ‘10-Q’ on 5/9/18 for 3/31/18   ·   Next:  ‘10-Q’ on 11/14/18 for 9/30/18   ·   Latest:  ‘10-Q’ on 11/13/20 for 9/30/20

Find Words in Filings emoji
 
  in    Show  and   Hints

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 8/07/18  CurAegis Technologies, Inc.       10-Q        6/30/18   62:5.3M                                   RDG Filings/FA

Quarterly Report   —   Form 10-Q   —   Sect. 13 / 15(d) – SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 10-Q        Quarterly Report                                    HTML    546K 
 2: EX-10.1     Material Contract                                   HTML    118K 
 3: EX-10.2     Material Contract                                   HTML     56K 
 4: EX-10.3     Material Contract                                   HTML     55K 
 5: EX-31.1     Certification -- §302 - SOA'02                      HTML     24K 
 6: EX-31.2     Certification -- §302 - SOA'02                      HTML     25K 
 7: EX-32       Certification -- §906 - SOA'02                      HTML     21K 
14: R1          Document And Entity Information                     HTML     46K 
15: R2          Condensed Consolidated Balance Sheets (Current      HTML    114K 
                Period Unaudited)                                                
16: R3          Condensed Consolidated Balance Sheets (Current      HTML     51K 
                Period Unaudited) (Parentheticals)                               
17: R4          Condensed Consolidated Statements of Operations     HTML     80K 
                (Unaudited)                                                      
18: R5          Condensed Consolidated Statement of Changes in      HTML     64K 
                Stockholders' Deficit (Unaudited)                                
19: R6          Condensed Consolidated Statements of Cash Flows     HTML     77K 
                (Unaudited)                                                      
20: R7          Note 1 - The Company and Basis of Presentation      HTML     38K 
21: R8          Note 2 - Summary of Significant Accounting          HTML     67K 
                Policies                                                         
22: R9          Note 3 - Inventory and Related Vendor Liability     HTML     35K 
23: R10         Note 4 - Senior Convertible Notes and Warrants      HTML     71K 
24: R11         Note 5 - Software                                   HTML     26K 
25: R12         Note 6 - Property and Equipment                     HTML     34K 
26: R13         Note 7 - Business Segments                          HTML    142K 
27: R14         Note 8 - Preferred and Common Stock                 HTML     43K 
28: R15         Note 9 - Stock Options                              HTML     64K 
29: R16         Note 10 - Warrants                                  HTML     56K 
30: R17         Note 11 - Related Party Transactions                HTML     23K 
31: R18         Note 12 - Subsequent Events                         HTML     30K 
32: R19         Significant Accounting Policies (Policies)          HTML    117K 
33: R20         Note 2 - Summary of Significant Accounting          HTML     25K 
                Policies (Tables)                                                
34: R21         Note 3 - Inventory and Related Vendor Liability     HTML     34K 
                (Tables)                                                         
35: R22         Note 4 - Senior Convertible Notes and Warrants      HTML     33K 
                (Tables)                                                         
36: R23         Note 6 - Property and Equipment (Tables)            HTML     32K 
37: R24         Note 7 - Business Segments (Tables)                 HTML    139K 
38: R25         Note 9 - Stock Options (Tables)                     HTML     51K 
39: R26         Note 10 - Warrants (Tables)                         HTML     53K 
40: R27         Note 1 - The Company and Basis of Presentation      HTML     41K 
                (Details Textual)                                                
41: R28         Note 2 - Summary of Significant Accounting          HTML     83K 
                Policies (Details Textual)                                       
42: R29         Note 2 - Summary of Significant Accounting          HTML     30K 
                Policies - Property, and Equipment, Estimated                    
                Useful Lives (Details)                                           
43: R30         Note 3 - Inventory and Related Vendor Liability     HTML     21K 
                (Details Textual)                                                
44: R31         Note 3 - Inventory and Related Vendor Liability -   HTML     33K 
                Inventory (Details)                                              
45: R32         Note 4 - Senior Convertible Notes and Warrants      HTML    127K 
                (Details Textual)                                                
46: R33         Note 4 - Senior Convertible Notes and Warrants -    HTML     39K 
                Schedule of Senior Convertible Notes Outstanding                 
                (Details)                                                        
47: R34         Note 5 - Software (Details Textual)                 HTML     32K 
48: R35         Note 6 - Property and Equipment (Details Textual)   HTML     20K 
49: R36         Note 6 - Property and Equipment - Property and      HTML     34K 
                Equipment (Details)                                              
50: R37         Note 7 - Business Segments (Details Textual)        HTML     19K 
51: R38         Note 7 - Business Segments - Operation by Segments  HTML     66K 
                (Details)                                                        
52: R39         Note 8 - Preferred and Common Stock (Details        HTML     72K 
                Textual)                                                         
53: R40         Note 9 - Stock Options (Details Textual)            HTML     80K 
54: R41         Note 9 - Stock Options - Stock Options Valuation    HTML     30K 
                Assumptions (Details)                                            
55: R42         Note 9 - Stock Options - Share-based Compensation,  HTML     56K 
                Stock Options, Activity (Details)                                
56: R43         Note 10 - Warrants (Details Textual)                HTML     25K 
57: R44         Note 10 - Warrants - Summary of Outstanding         HTML     68K 
                Warrants (Details)                                               
58: R45         Note 11 - Related Party Transactions (Details       HTML     26K 
                Textual)                                                         
59: R46         Note 12 - Subsequent Events (Details Textual)       HTML     85K 
61: XML         IDEA XML File -- Filing Summary                      XML    107K 
60: EXCEL       IDEA Workbook of Financial Reports                  XLSX     52K 
 8: EX-101.INS  XBRL Instance -- crgs-20180630                       XML   1.48M 
10: EX-101.CAL  XBRL Calculations -- crgs-20180630_cal               XML     97K 
11: EX-101.DEF  XBRL Definitions -- crgs-20180630_def                XML   1.02M 
12: EX-101.LAB  XBRL Labels -- crgs-20180630_lab                     XML    770K 
13: EX-101.PRE  XBRL Presentations -- crgs-20180630_pre              XML   1.03M 
 9: EX-101.SCH  XBRL Schema -- crgs-20180630                         XSD    136K 
62: ZIP         XBRL Zipped Folder -- 0001437749-18-014731-xbrl      Zip    125K 


‘EX-10.3’   —   Material Contract


This Exhibit is an HTML Document rendered as filed.  [ Alternative Formats ]



 C:  <>  <> 

Exhibit 10.3

 

THIS WARRANT AND ANY SHARES ACQUIRED UPON THE EXERCISE OF THIS WARRANT HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND MAY NOT BE SOLD, PLEDGED, HYPOTHECATED, DONATED OR OTHERWISE TRANSFERRED WITHOUT COMPLIANCE WITH THE REGISTRATION OR QUALIFICATION PROVISIONS OF APPLICABLE FEDERAL AND STATE SECURITIES LAWS OR WITHOUT DELIVERING AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED. 

 

Date   , 2018         

 

CURAEGIS TECHNOLOGIES, INC.

COMMON STOCK PURCHASE WARRANT

VOID AFTER 5:00 P.M., EASTERN TIME,

ON THE EXPIRATION DATE

 

FOR VALUE RECEIVED, CURAEGIS TECHNOLOGIES, INC., a New York corporation (the “Company”), hereby agrees to sell upon the terms and on the conditions hereinafter set forth, at any time commencing on the date hereof but no later than 5:00 p.m., Eastern Time, on ____________, 2028 (the “Expiration Date”), to ___________________________________ or his registered assigns (the “Holder”), under the terms as hereinafter set forth, ____________________ (____________) fully paid and non-assessable shares of the Company’s common stock, par value $.01 per share (the “Common Stock”), at a purchase price per share equal to $0.25 (the “Exercise Price”), pursuant to the terms and conditions set forth in this Common Stock Purchase Warrant (this “Warrant”). The number of shares of Common Stock issued upon exercise of this Warrant (“Warrant Shares”) and the Exercise Price are subject to adjustment in certain events as hereinafter set forth.

 

This Warrant is issued pursuant to that certain Securities Purchase Agreement among the Holder, certain other persons and the Company, dated as of JULY 24, 2018.

 

1.         Exercise of Warrant.

 

(a)     The Holder may exercise this Warrant according to the terms and conditions set forth herein by delivering to the Company, at the address set forth in Section 9 prior to 5:00 p.m., Eastern Time, on the Expiration Date (i) this Warrant, (ii) the Subscription Form attached hereto as Exhibit A (the “Subscription Form”) (having then been duly executed by the Holder), (iii) cash, a certified check or a bank draft in payment of the purchase price, in lawful money of the United States of America, for the number of Warrant Shares specified in the Subscription Form.

 

(b)     This Warrant may be exercised in whole or in part so long as any exercise in part hereof would not involve the issuance of fractional Warrant Shares. If exercised in part, the Company shall deliver to the Holder a new Warrant, identical in form to this Warrant, in the name of the Holder, evidencing the right to purchase the number of Warrant Shares as to which this Warrant has not been exercised, which new Warrant shall be signed by the Chairman, Chief Executive Officer or President of the Company. The term Warrant as used herein shall include any subsequent Warrant issued as provided herein.

 

 

 

 

(c)     No fractional Warrant Shares or scrip representing fractional Warrant Shares shall be issued upon the exercise of this Warrant. In lieu of such fractional Warrant Shares, the Company shall pay cash in an amount equal to the Exercise Price multiplied by the applicable fraction.

 

(d)     In the event of any exercise of the rights represented by this Warrant, a certificate or certificates for Warrant Shares so purchased, registered in the name of the Holder on the stock transfer books of the Company, shall be delivered to the Holder within a reasonable time after such rights shall have been so exercised. The person or entity in whose name any certificate for Warrant Shares is issued upon exercise of the rights represented by this Warrant shall for all purposes be deemed to have become the holder of record of such Warrant Shares immediately prior to the close of business on the date on which the Warrant was surrendered and payment of the Exercise Price and any applicable taxes was made, irrespective of the date of delivery of such certificate, except that, if the date of such surrender and payment is a date when the stock transfer books of the Company are closed, such person shall be deemed to have become the holder of such shares at the opening of business on the next succeeding date on which the Company’s stock transfer books are open. Except as provided in Section 4 hereof, the Company shall pay any and all documentary stamp or similar issue or transfer taxes payable in respect of the issue or delivery of Warrant Shares on exercise of this Warrant.

 

2.         Disposition of Warrant Shares and Warrant.

 

(a)     The Holder hereby acknowledges that: (i) this Warrant and any Warrant Shares purchased pursuant hereto are not being registered (A) under the Securities Act of 1933 (the “Securities Act”) on the ground that the issuance of this Warrant is exempt from registration under Section 4(a)(2) of the Securities Act as not involving any public offering, or (B) under any applicable state securities law because the issuance of this Warrant does not involve any public offering; and (ii) that the Company’s reliance on the registration exemption under Section 4(a)(2) of the Securities Act and under applicable state securities laws is predicated in part on the representations hereby made to the Company by the Holder. The Holder represents and warrants that he, she, or it is acquiring this Warrant and will acquire Warrant Shares for investment for his own account, with no present intention of dividing his participation with others or reselling or otherwise distributing this Warrant or Warrant Shares.

 

(b)     The Holder hereby agrees that it will not sell, transfer, pledge or otherwise dispose of (collectively, “Transfer”) all or any part of this Warrant and/or Warrant Shares unless and until (A) the securities to be transferred are eligible for transfer under Rule 144 under the Securities Act, (B) there is in effect a registration statement under the Securities Act covering the proposed transaction, or (C) he shall have first have given notice to the Company describing such Transfer and furnished to the Company (i) a statement from the transferee, whereby the transferee represents and warrants that he, she, or it is acquiring this Warrant and will acquire Warrant Shares, as applicable, for investment for his own account, with no present intention of dividing his participation with others or reselling or otherwise distributing this Warrant or Warrant Shares, as applicable, and either (ii) an opinion, reasonably satisfactory to counsel for the Company, of counsel (skilled in securities matters, selected by the Holder and reasonably satisfactory to the Company) to the effect that the proposed Transfer may be made without registration under the Securities Act and without registration or qualification under any state law, or (iii) an interpretative letter from the U.S. Securities and Exchange Commission to the effect that no enforcement action will be recommended if the proposed sale or transfer is made without registration under the Act. It is agreed that, provided an opinion of counsel is not required by the Company’s transfer agent, (i) the Company shall not require opinions of counsel for transactions made pursuant to Rule 144 except in unusual circumstances, and (ii) no registration statement or opinion of counsel shall be necessary for a transfer without consideration by a Holder to an Affiliate of such Holder or without consideration by a Holder which is (A) a partnership to its partners or retired partners in accordance with partnership interests, (B) a corporation to its shareholders in accordance with their interest in the corporation, (C) a limited liability company to its members or former members in accordance with their interests in the limited liability company, (D) an individual Holder to such Holder’s Immediate Family Member or a trust for the benefit of the individual Holder or an Immediate Family Member thereof. As used in this Section 2(b), “Affiliate,” as used in this Section, means, with respect to any specified person, any other person who, directly or indirectly, controls, is controlled by, or is under common control with such person, including without limitation any general partner, managing member, officer or director of such person, and “Immediate Family Member” means, with respect to a specified person, such person’s child, stepchild, grandchild, parent, stepparent, grandparent, spouse, sibling, mother-in-law, father-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law, including adoptive relationships.

 

2

 

 

(c)     If, at the time of issuance of Warrant Shares, no registration statement is in effect with respect thereto under applicable provisions of the Securities Act and Rule 144 or another similar exemption under the Securities Act is not available for the sale of all of such Warrant Shares without limitation during a three-month period without registration, the Company may, at its election, require that (i) the Holder provide written reconfirmation of the Holder’s investment intent to the Company, and (ii) any stock certificate evidencing Warrant Shares shall bear legends reading substantially as follows:

 

“THE SALE, TRANSFER, PLEDGE OR OTHER DISPOSITION OF THE SHARES REPRESENTED BY THIS CERTIFICATE IS SUBJECT TO CERTAIN RESTRICTIONS SET FORTH IN THE WARRANT PURSUANT TO WHICH THESE SHARES WERE PURCHASED FROM THE COMPANY. COPIES OF SUCH RESTRICTIONS ARE ON FILE AT THE PRINCIPAL OFFICES OF THE COMPANY. NO TRANSFER OF SUCH SHARES OR OF THIS CERTIFICATE (OR OF ANY SHARES OR OTHER SECURITIES (OR CERTIFICATES THEREFOR) ISSUED IN EXCHANGE FOR OR IN RESPECT OF SUCH SHARES) SHALL BE EFFECTIVE UNLESS AND UNTIL THE TERMS AND CONDITIONS SET FORTH IN THE WARRANT HAVE BEEN COMPLIED WITH.”

 

“THE SHARES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AND MAY NOT BE SOLD, TRANSFERRED, PLEDGED OR OTHERWISE DISPOSED OF IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933 (THE “ACT”) OR AN OPINION OF COUNSEL SATISFACTORY TO THE ISSUER OF THIS CERTIFICATE THAT REGISTRATION IS NOT REQUIRED UNDER THE ACT.”

 

3

 

 

In addition, so long as the foregoing legend may remain on any stock certificate evidencing Warrant Shares, the Company may maintain appropriate “stop transfer” orders with respect to such certificates and the shares represented thereby on its books and records and with those to whom it may delegate registrar and transfer functions.

 

3.        Reservation of Shares. The Company hereby agrees that at all times there shall be reserved for issuance upon the exercise of this Warrant such number of shares of the Common Stock as shall be required for issuance upon exercise of this Warrant. The Company further agrees that all Warrant Shares will be duly authorized and will, upon issuance and payment of the exercise price therefor, be validly issued, fully paid and non-assessable, free from all taxes, liens, charges and encumbrances with respect to the issuance thereof, other than taxes, if any, in respect of any transfer occurring contemporaneously with such issuance and other than transfer restrictions imposed by federal and state securities laws.

 

4.        Exchange, Transfer or Assignment of Warrant. Subject to Section 2, this Warrant is exchangeable, without expense, at the option of the Holder, upon presentation and surrender hereof to the Company or at the office of its stock transfer agent, if any, for other Warrants of the Company (“Warrants”) of different denominations, entitling the Holder or Holders thereof to purchase in the aggregate the same number of Warrant Shares purchasable hereunder. Subject to Section 2, upon surrender of this Warrant to the Company or at the office of its stock transfer agent, if any, with the Assignment Form attached hereto as Exhibit B (the “Assignment Form”) duly executed and funds sufficient to pay any transfer tax, the Company shall, without charge, execute and deliver a new Warrant in the name of the assignee named in the Assignment Form and this Warrant shall promptly be canceled. Subject to Section 2, this Warrant may be divided or combined with other Warrants that carry the same rights upon presentation hereof at the office of the Company or at the office of its stock transfer agent, if any, together with a written notice specifying the names and denominations in which new Warrants are to be issued and signed by the Holder hereof.

 

5.         Capital Adjustments. This Warrant is subject to the following further provisions:

 

(a)     Recapitalization, Reclassification and Succession. If any recapitalization of the Company or reclassification of its Common Stock or any merger or consolidation of the Company into or with a corporation or other business entity, or the sale or transfer of all or substantially all of the Company’s assets or of any successor corporation’s assets to any other corporation or business entity (any such corporation or other business entity being included within the meaning of the term “successor corporation”) shall be effected, at any time while this Warrant remains outstanding and unexpired, then, as a condition of such recapitalization, reclassification, merger, consolidation, sale or transfer, lawful and adequate provision shall be made whereby the Holder of this Warrant thereafter shall have the right to receive upon the exercise hereof as provided in Section 1 and in lieu of the Warrant Shares immediately theretofore issuable upon the exercise of this Warrant, such shares of capital stock, securities or other property as may be issued or payable with respect to or in exchange for the number of outstanding shares of Common Stock equal to the number of Warrant Shares immediately theretofore issuable upon the exercise of this Warrant had such recapitalization, reclassification, merger, consolidation, sale or transfer not taken place, and in each such case, the terms of this Warrant shall be applicable to the shares of stock or other securities or property receivable upon the exercise of this Warrant after such consummation.

 

4

 

 

(b)     Subdivision or Combination of Shares. If the Company at any time while this Warrant remains outstanding and unexpired shall subdivide or combine its Common Stock, the number of Warrant Shares purchasable upon exercise of this Warrant shall be proportionately adjusted.

 

(c)     Stock Dividends and Distributions. If the Company at any time while this Warrant is outstanding and unexpired shall issue or pay the holders of its Common Stock, or take a record of the holders of its Common Stock for the purpose of entitling them to receive, a dividend payable in, or other distribution of, Common Stock, then the number of Warrant Shares purchasable upon exercise of this Warrant shall be adjusted to the number of shares of Common Stock that Holder would have owned immediately following such action had this Warrant been exercised immediately prior thereto.

 

(d)     Price Adjustments. Whenever the number of Warrant Shares purchasable upon exercise of this Warrant is adjusted pursuant to Sections 5(a), 5(b) or 5(c), the Exercise Price shall be proportionately adjusted.

 

(e)     Certain Shares Excluded. The number of shares of Common Stock outstanding at any given time for purposes of the adjustments set forth in this Section 5 shall exclude any shares then directly or indirectly held in the treasury of the Company.

 

6.         Notice to Holders.

 

(a)        Notice of Record Date. In case:

 

(i)     the Company shall take a record of the holders of its Common Stock (or other stock or securities at the time receivable upon the exercise of this Warrant) for the purpose of entitling them to receive any dividend (other than a cash dividend payable out of earned surplus of the Company) or other distribution, or any right to subscribe for or purchase any shares of stock of any class or any other securities, or to receive any other right;

 

(ii)     of any capital reorganization of the Company, any reclassification of the capital stock of the Company, any consolidation with or merger of the Company into another corporation, or any conveyance of all or substantially all of the assets of the Company to another corporation; or

 

(iii)     of any voluntary dissolution, liquidation or winding-up of the Company;

 

then, and in each such case, the Company will mail or cause to be mailed to the Holder hereof at the time outstanding a notice specifying, as the case may be, (i) the date on which a record is to be taken for the purpose of such dividend, distribution or right, and stating the amount and character of such dividend, distribution or right, or (ii) the date on which such reorganization, reclassification, consolidation, merger, conveyance, dissolution, liquidation or winding-up is to take place, and the time, if any, is to be fixed, as of which the holders of record of Common Stock (or such stock or securities at the time receivable upon the exercise of this Warrant) shall be entitled to exchange their shares of Common Stock (or such other stock or securities) for securities or other property deliverable upon such reorganization, reclassification, consolidation, merger, conveyance, dissolution or winding-up. Such notice shall be mailed at least twenty (20) calendar days prior to the record date therein specified, or if no record date shall have been specified therein, at least twenty (20) days prior to such specified date.

 

5

 

 

(b)     Certificate of Adjustment. Whenever any adjustment shall be made pursuant to Section 5 hereof, the Company shall promptly make available and have on file for inspection a certificate signed by its Chairman, Chief Executive Officer, President or a Vice President, setting forth in reasonable detail the event requiring the adjustment, the amount of the adjustment, the method by which such adjustment was calculated and the Exercise Price and number of Warrant Shares purchasable upon exercise of this Warrant after giving effect to such adjustment.

 

7.        Loss, Theft, Destruction or Mutilation. Upon receipt by the Company of evidence satisfactory to it, in the exercise of its reasonable discretion, of the ownership and the loss, theft, destruction or mutilation of this Warrant and, in the case of loss, theft or destruction, of indemnity reasonably satisfactory to the Company and, in the case of mutilation, upon surrender and cancellation thereof, the Company will execute and deliver in lieu thereof, without expense to the Holder, a new Warrant of like tenor dated the date hereof.

 

8.        Warrant Holder Not a Shareholder. The Holder of this Warrant, as such, shall not be entitled by reason of this Warrant to any rights whatsoever as a shareholder of the Company, including but not limited to voting rights.

 

9.          Notices. Any notice provided for in this Warrant must be in writing and must be either personally delivered, mailed by first class mail (postage prepaid and return receipt requested), or sent by reputable overnight courier service (charges prepaid) to the recipient at the address below indicated:

 

  If to the Company:

 

  CurAegis Technologies, Inc.

  1999 Mt. Read Boulevard, Building 3

  Rochester, New York 14615

  Attention: Chief Executive Officer

 

  If to the Holder:

 

  To the address of such Holder set forth on the books and records of the Company,

 

or such other address or to the attention of such other person as the recipient party shall have specified by prior written notice to the sending party. Any notice under this Warrant will be deemed to have been given (a) if personally delivered, upon such delivery, (b) if mailed, five days after deposit in the U.S. mail, or (c) if sent by reputable overnight courier service, one business day after such services acknowledges receipt of the notice.

 

6

 

 

10.        Choice of Law. THIS WARRANT IS ISSUED UNDER AND SHALL FOR ALL PURPOSES BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK, WITHOUT GIVING EFFECT TO ITS CONFLICTS OF LAW RULES.

 

[Signature Page Follows]

 

7

 

 

IN WITNESS WHEREOF, the Company has duly caused this Warrant to be executed on the date first written above. 

 

 

CURAEGIS TECHNOLOGIES, INC.

 

 

 

 

 

 

 

 

 

 

By:

 

 

 

Name: Kathleen A. Browne

 

  Title:   Chief Financial Officer  

 

[SIGNATURE PAGE TO COMMON STOCK PURCHASE WARRANT]

 

 

Exhibit A

 

Subscription form

 

 

CurAegis Technologies, Inc.

1999 Mt. Read Boulevard, Building 3

Rochester, New York 14615

Attention: Chief Executive Officer

 

 

The undersigned hereby (1) irrevocably elects to exercise his or its rights to purchase ____________ shares of Company’s common stock, par value $0.01 per share (“Common Stock”), issuable upon exercise of the attached Warrant, and (2) makes payment in full of the purchase price therefore by enclosure of cash, a certified check or bank draft, and (3) requests that certificates for such shares of Common Stock be issued in the name of:

 

(Please print the Warrant holder’s name, address and Social Security/Tax Identification Number)

________________________________________________

________________________________________________

________________________________________________

 

and (4) if such number of shares of Common Stock shall not be all the shares receivable upon exercise of the attached Warrant, requests that a new Warrant for the balance of the shares covered by the attached Warrant be registered in the name of, and delivered to:

(Please print name, address and Social Security/Tax Identification Number)

________________________________________________

________________________________________________

________________________________________________

 

In lieu of receipt of a fractional share of Common Stock, the undersigned will receive a check representing payment therefor.

 

 

Dated: _____________________  _________________________________
  PRINT WARRANT HOLDER NAME
  ____________________________________
   
  Name: ____________________________
  Title: _____________________________

    

 

 

 

EXHIBIT B

 

ASSIGNMENT FORM

 

 

CurAegis Technologies, Inc.

1999 Mt. Read Boulevard, Building 3

Rochester, New York 14615

Attention: Chief Executive Officer

 

 

FOR VALUE RECEIVED,                                                                                hereby sells, assigns and transfers unto

(Please print assignee’s name, address and Social Security/Tax Identification Number)

________________________________________________

________________________________________________

________________________________________________

 

the right to purchase the common stock, par value $0.01 per share, of CurAegis Technologies, Inc., a New York corporation (the “Company”), represented by this Warrant to the extent of shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ____________________________, Attorney, to transfer the same on the books of the Company with full power of substitution in the premises.

 

 

Dated: _____________________  _________________________________
  PRINT WARRANT HOLDER NAME
   
  ___________________________________
   
  Name: ____________________________
   
  Title: _____________________________

 

Top
Filing Submission 0001437749-18-014731   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

Copyright © 2024 Fran Finnegan & Company LLC – All Rights Reserved.
AboutPrivacyRedactionsHelp — Thu., May 2, 12:35:17.1pm ET