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- #1040
- @001 Enter the name of the present OWNER of the shares:
- @002 Enter the name of the person purchasing the option:
- !666 Enter the purchase price for the option in numerals:
- @140 Enter the number of shares OPTION HOLDER may purchase.
- @141/@141/@141 The shares are:
- common
- preferred
- KEY IN VALUE
- @142 Enter the name of the ISSUER of the stock:
- !143 Enter the exercise price in numerals:
- @144 Enter the last date to exercise the option:
- @415/@415 The OPTION HOLDER may:
- exercise the option as to less than the number of shares listed
- only exercise the option as to the full amount of shares listed
- #1041 Will the OPTION HOLDER have to sign a shareholder's agreement?
- #if#1041
- @146 Enter date of shareholders agreement:
- #endif
- #1042 Are the shares unregistered?
- #1043
- #end control section
- #1040
- /* Para. 1040: Option to purchase stock */
-
-
- OPTION TO PURCHASE STOCK
-
-
- @001, referred to as OWNER, and @002, referred to as OPTION
- HOLDER, in consideration of $ @666 (!666 dollars) paid by OPTION
- HOLDER to OWNER agree:
-
-
- OWNER grants to OPTION HOLDER the right to purchase @140 shares
- of @141 stock of @142, referred to as ISSUER at a purchase price
- of $ @143 (!143 dollars) per share, on or before @144. In the
- event that a stock dividend, split or other recapitalization
- takes place prior to the exercise of the option, the purchase
- price per share shall be adjusted to the equivalent amount, and
- the number of shares adjusted to the same number of shares.
-
-
- OPTION HOLDER may @145.
-
-
- #1041
- /* Para. 1401: Shareholders agreement */
-
-
- Prior to the shares being delivered, the OPTION HOLDER shall
- execute the shareholder's agreement dated @146.
-
-
- #1042
- /* Para. 1402: Unregistered shares */
-
-
- The shares to be conveyed herein are not registered with the
- United States Securities and Exchange Commission, nor that of any
- other state.
-
-
- OPTION HOLDER shall be required prior to delivery of the shares
- to certify that the shares are not being purchased for resale
- and that OPTION HOLDER's purchase shall not result in the
- necessity of the registration of the securities. OPTION HOLDER
- shall be required to comply with any other restrictions which
- may be now, or in the future, set by ISSUER.
-
-
- OPTION HOLDER shall not be entitled to a refund should it be
- unable to purchase the shares, and prior to the execution of
- this agreement, OPTION HOLDER should confirm its eligibility
- to purchase through ISSUER.
-
-
- #1043
- /* Para. 1043: End */
-
-
- Dated: ___________________________
-
-
-
-
-
- ________________________________________________
-
- @001
-
-
-
-
-
-
-
- _______________________________________________
-
- @002
-