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Evolutionary Genomics, Inc. – ‘S-4/A’ on 7/2/15 – ‘EX-99.1’

On:  Thursday, 7/2/15, at 2:42pm ET   ·   Accession #:  1553350-15-692   ·   File #:  333-203196

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

 7/02/15  Evolutionary Genomics, Inc.       S-4/A                 41:10M                                    Edgar Filing LLC/FA

Pre-Effective Amendment to Registration of Securities Issued in a Business-Combination Transaction   —   Form S-4
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: S-4/A       Registration Statement                              HTML   1.77M 
 2: EX-10.2     Tennessee State University Agreement                HTML     34K 
 3: EX-10.3     Tennessee State University Amendment                HTML     38K 
 4: EX-10.4     Fee for Service Agreement                           HTML     79K 
 5: EX-10.5     Contract for Services                               HTML     61K 
 6: EX-10.6     Master Services Agreement                           HTML     41K 
 7: EX-10.7     Work Order                                          HTML     48K 
 8: EX-23.2     Consent of Independent Auditors                     HTML     13K 
 9: EX-23.3     Consent of Independent Registered Public            HTML     14K 
                Accounting Firm                                                  
10: EX-99.1     Form of Proxy Card                                  HTML     20K 
26: R1          Document and Entity Information                     HTML     26K 
20: R2          Balance Sheets                                      HTML     68K 
24: R3          Balance Sheets (Parenthetical)                      HTML     36K 
28: R4          Statements of Operations                            HTML     59K 
38: R5          Statement of Changes in Stockholders' (Deficit)     HTML     34K 
21: R6          Statements of Cash Flows                            HTML     65K 
23: R7          Unaudited Financial Statements                      HTML     17K 
19: R8          Summary of Accounting Policies, and Description of  HTML     33K 
                Business                                                         
18: R9          Basis of Presentation                               HTML     18K 
39: R10         Income Taxes                                        HTML     40K 
30: R11         Related Party Transactions                          HTML     25K 
29: R12         Amended and Restated Agreement and Plan of Merger   HTML     35K 
34: R13         Common Stock                                        HTML     25K 
35: R14         Subsequent Events                                   HTML     17K 
33: R15         Summary of Accounting Policies, and Description of  HTML     65K 
                Business (Policies)                                              
36: R16         Income Taxes (Tables)                               HTML     38K 
25: R17         Summary of Accounting Policies, and Description of  HTML     26K 
                Business (Details)                                               
27: R18         Income Taxes (Deferred Tax Assets) (Details)        HTML     29K 
32: R19         Income Taxes (Income Tax Reconciliation) (Details)  HTML     27K 
41: R20         Related Party Transactions (Details)                HTML     54K 
37: R21         Amended and Restated Agreement and Plan of Merger   HTML     79K 
                (Details)                                                        
22: R22         Common Stock (Details)                              HTML     35K 
40: XML         IDEA XML File -- Filing Summary                      XML     53K 
17: EXCEL       IDEA Workbook of Financial Reports                  XLSX     30K 
11: EX-101.INS  XBRL Instance -- fnam-20150331                       XML    315K 
13: EX-101.CAL  XBRL Calculations -- fnam-20150331_cal               XML     72K 
14: EX-101.DEF  XBRL Definitions -- fnam-20150331_def                XML    119K 
15: EX-101.LAB  XBRL Labels -- fnam-20150331_lab                     XML    337K 
16: EX-101.PRE  XBRL Presentations -- fnam-20150331_pre              XML    251K 
12: EX-101.SCH  XBRL Schema -- fnam-20150331                         XSD     57K 
31: ZIP         XBRL Zipped Folder -- 0001553350-15-000692-xbrl      Zip     43K 


‘EX-99.1’   —   Form of Proxy Card


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



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  Exhibit 99.1  
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EXHIBIT 99.1


FONA, INC.

A NEVADA CORPORATION

ANNUAL MEETING OF STOCKHOLDERS
____, 2015

COMMON STOCK BALLOT



Name of Stockholder(s): ________________________________________________

(Please Print)


Name of Proxy, if applicable: ____________________________________________

(Please Print)


Indicate by an “x” if proxy has been previously executed and submitted and is revoked hereby:  _________


Number of shares: ____________________________________________________


1.

To elect three directors to serve on the Company’s Board of Directors, each to serve until the next annual meeting or until his or her successor is duly elected and qualified.


Nominees:

For

 

Withhold

Steve B. Warnecke

¨

 

¨

Virginia Orndorff

¨

 

¨

Mark Boggess

¨

 

¨


2

To amend the provision of Fona’s Articles of Incorporation that addresses transactions with interested directors or officers.



¨         FOR

¨        WITHHELD

¨        AGAINST



3.

To approve the reverse split.



¨         FOR

¨        WITHHELD

¨        AGAINST









4.

To approve an amendment to the Articles of Incorporation to provide that Fona is not opting out of the provisions of NRS 78.378 to NRS 78.3793.



¨         FOR

¨        WITHHELD

¨        AGAINST


5.

To approve a change to Fona’s corporate name.



¨         FOR

¨        WITHHELD

¨        AGAINST


6.

To approve Fona’s 2015 Equity Incentive Plan.



¨         FOR

¨        WITHHELD

¨        AGAINST


7.

Advisory vote on executive compensation.



¨         FOR

¨        WITHHELD

¨        AGAINST



8.

Advisory vote on the frequency of the advisory vote on executive compensation.


Three Years

Two Years

One Year

Abstain



9.

In the discretion of the Board of Directors, upon the transaction of any other matters which may properly come before the meeting or any adjournment thereof.



¨         FOR

¨        WITHHELD

¨        AGAINST





Signature of Proxy/Stockholder(s):__________________________________________

(Signature)


Date: __________________, 2015






 C: 

3 Subsequent Filings that Reference this Filing

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

 3/09/23  Evolutionary Genomics, Inc.       10-K       12/31/22   58:3.3M                                   Edgar Filing LLC/FA
 3/22/22  Evolutionary Genomics, Inc.       10-K       12/31/21   56:3.2M                                   Edgar Filing LLC/FA
 3/31/21  Evolutionary Genomics, Inc.       10-K       12/31/20   61:3.3M                                   Edgar Filing LLC/FA
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Filing Submission 0001553350-15-000692   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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