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As Of Filer Filing For·On·As Docs:Size Issuer Filing Agent 4/07/20 Fast Casual Concepts, Inc. 1-A 4/06/20 4:333K Elec Publishing Svcs Inc |
Document/Exhibit Description Pages Size
1: 1-A Offering Statement -- Reg. A -- primary_doc.xml HTML 17K
2: PART II AND III Offering Statement - Parts II & III -- Reg. A HTML 170K
- Form 1-A
3: EX1A-4 SUBS AGMT Subscription Agreement -- Form 1-A HTML 16K
4: EX1A-11 CONSENT Consent of Experts or Counsel -- Form 1-A HTML 4K
Exhibit 4.1
Form of Subscription Agreement
This subscription (this “Subscription”) is dated this __th day of _______ 20__, by and between the investor identified on the signature page hereto (the “Investor”) and Fast Casual Concepts Inc., a corporation organized under the laws of the State of Wyoming (the “Company”), whereby the parties agree as follows:
| 1. | Subscription. |
Investor agrees to buy and the Company agrees to sell and issue to Investor such number of Units (the “Units” and each a “Unit”) each Unit consisting of one share of common stock, par value $0.001 per share (the “Common Stock”), as set forth on the signature page hereto, for an aggregate purchase price (the “Purchase Price”) equal to (x) the product of the aggregate number of Units the Investor has agreed to purchase and (y) the purchase price per Unit as set forth on the signature page hereto. The Purchase Price is set forth on the signature page hereto.
Additionally, the Company agrees to sell and issue to Investor one Unit for every two Units purchased per this Subscription from the date of this Subscription until _____________, when the Registration Statement (defined herein) is set to expire. Per the terms of the Registration Statement, the additional purchasable Units will be at the same price ($0.50 per share) regardless of the price trading in the open market and shall also be free trading shares.
The Units have been registered on a Registration Statement on Form 1-A, Registration No.: _______________ (the “Registration Statement”). The Registration Statement has been declared effective by the Securities and Exchange Commission (the “Commission”) and is effective on the date hereof. A final offering circular will be delivered to the Investor as required by law.
The completion of the purchase and sale of the Units (the “Closing”) shall take place at a place and time (the “Closing Date”) to be specified by the Company in accordance with the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Upon satisfaction or waiver of all the conditions to closing set forth in the Agreement, at the Closing, (i) the Investor shall pay the Purchase Price by wire transfer of immediately available funds to the Company’s bank account per wire instructions as provided by the Company, and (ii) the Company shall cause the (a) Common Stock to be delivered to the Investor with the delivery of the Common Stock to be made through the facilities of The Depository Trust Company’s DWAC system in accordance with the instructions set forth on the signature page attached hereto under the heading “DWAC Instructions” (or, if requested by the Investor on the signature page hereto, through the physical delivery of certificates evidencing the Common Stock to the residential or business address indicated thereon).
Funds for the Purchase Price should be wired to:
BrannellyLaw, PLLC Trust Account c/o Fast Casual Concepts Inc.
Wells Fargo Bank
420 Montgomery, San Francisco, CA 94104
Account name: BrannellyLaw, PLLC
Account number: 3930919844
Wire Routing Number 121000248
SWIFT Code: WFBIUS6S
| 2. | Miscellaneous. |
This Subscription may be executed in any number of counterparts, all of which taken together shall constitute one and the same instrument and shall become effective when counterparts have been signed by each party and delivered to the other parties hereto, it being understood that all parties need not sign the same counterpart. Execution may be made by delivery by facsimile or via electronic format.
All communications hereunder, except as may be otherwise specifically provided herein, shall be in writing and shall be mailed, hand delivered, sent by a recognized overnight courier service such as Federal Express, or sent via facsimile and confirmed by letter, to the party to whom it is addressed at the following addresses or such other address as such party may advise the other in writing:
To the Company: as set forth on the signature page hereto.
To the Investor: as set forth on the signature page hereto.
All notices hereunder shall be effective upon receipt by the party to which it is addressed.
[Signature Page to Follow]
C:
If the foregoing correctly sets forth our agreement, please confirm this by signing and returning to us the duplicate copy of this Subscription.
| Fast Casual Concepts, Inc. | ||||
| By: | ||||
| Name: George Athanasiadis | ||||
| Title: CEO | ||||
| Number of Units: | ||||
| Purchase Price per Unit: | $0.50 | Address for Notice: | ||
| Aggregate Purchase Price: | $ | Fast Casual Concepts, Inc. c/o BrannellyLaw, PLLC PO BOX 1832 Draper, UT 84020 | ||
| INVESTOR: |
| By: | ||||
| Name: | ||||
| Title: | ||||
| Select method of delivery of Common Stock: | ||||
| □ Book Entry | ||||
| Hold Shares in Book Entry | ||||
| □ PHYSICAL DELIVERY OF CERTIFICATES | ||||
| Delivery Instructions: | ||||
| Address for delivery: | |||
| c/o | |||
| Street: | |||
| City/State/Zip: | |||
| Attention: | |||
| Telephone No.: | |||
As Of Filer Filing For·On·As Docs:Size Issuer Filing Agent 8/28/20 SEC UPLOAD¶ 10/29/20 2:43K Fast Casual Concepts, Inc. 6/09/20 SEC UPLOAD¶ 10/29/20 2:45K Fast Casual Concepts, Inc. 5/05/20 SEC UPLOAD¶ 10/29/20 2:50K Fast Casual Concepts, Inc. |