New York
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3669
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11-2160665
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(State or Other Jurisdiction of Incorporation or Organization)
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(Primary Standard Industrial Classification Code Number)
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(I.R.S. Employer Identification Number)
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Large accelerated filer ☐
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Accelerated filer ☐
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Non-accelerated filer
o
(Do not check if a smaller reporting company)
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Smaller reporting company ☒
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Emerging growth company ☐
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Title of Each Class of Securities to be Registered
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Amount to be Registered
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Proposed Maximum Offering Price per Share
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Proposed Maximum Aggregate Offering Price
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Amount of Registration Fee
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|||||||
Common Stock, par value $0.01 per share
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9,348,388
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$
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0.45
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$4,206,774.60
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(1)
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$487.57
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Nontransferable subscription rights to purchase common stock
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9,348,388
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—
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(2)
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—
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(2)
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—
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(2)
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(1)
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Represents the gross proceeds from the rights offering assuming the exercise of all subscription rights to be distributed.
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(2)
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The subscription rights are being issued without consideration. Pursuant to Rule 457(g) under the Securities Act, no separate registration fee is required because the subscription rights are being registered in the same registration statement as the common stock underlying the subscription rights.
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Per Share
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Total (1)
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Subscription price
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$[•]
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$[•]
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Estimated offering expenses (2)
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$[•]
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$[•]
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Net proceeds to Vicon
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$[•]
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$[•]
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(1)
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Assumes the exercise of subscription rights to purchase all 9,348,388 shares of common stock in this rights offering.
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(2)
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Although we will incur certain offering expenses, no underwriting discounts or commissions will be paid in connection with this offering.
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Securities Offered
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We are distributing, at no charge, to holders of our common stock, nontransferable subscription rights to purchase up to an aggregate of 9,348,388 shares of our common stock. You will receive a fixed number of subscription rights for each share of common stock owned at 5:00 p.m., New York City time, as of the record date set forth below.
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Record Date
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5:00 p.m., New York City time, on [•], 2017.
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Expiration Date
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5:00 p.m., New York City time, on [•], 2017 (at least 16 days following the mailing date), unless extended by us, in our sole discretion, for up to an additional 14 days.
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Subscription Price
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$[•] per share, payable in cash. To be effective, any payment related to the exercise of a subscription right must be received by the subscription agent before the expiration of the rights offering.
After the date of this prospectus, our common stock may trade at prices below the subscription price. In that event, our board of directors may change the subscription price of this offering or determine to cancel or otherwise alter the terms of this offering.
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Basic Subscription Privilege
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Each subscription right includes a basic subscription privilege to purchase one share, which must be purchased with each subscription right exercised.
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Oversubscription Privilege
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If a stockholder exercises all its basic subscription privileges for all shares it owns, the stockholder may exercise an oversubscription privilege to purchase at the same price, a portion of any rights offering shares not purchased by other stockholders exercising their subscription privileges in full, subject to certain limits.
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No Fractional Shares
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No fractional shares will be issued in the rights offering. A stockholder may exercise its rights as to all or any portion of the number of shares it owns if the portion is stated in whole numbers.
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Extension or Cancellation
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The Company may extend the offering or cancel it.
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Shares of Common Stock Outstanding as of the Record Date
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9,348,388 shares of our common stock are outstanding as of the record date.
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Shares of Common Stock Outstanding After Completion of the Rights Offering
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We will issue approximately 9,348,388 shares of common stock in this rights offering if it is fully subscribed. Upon consummation of the rights offering, if fully subscribed, we expect to have approximately 18,696,776 shares of outstanding common stock on a fully diluted basis.
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Backstop Commitment; Investment Agreement
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We have entered into an Investment Agreement with NIL Funding Corporation under which we have agreed to issue and sell to NIL and NIL has agreed to purchase from us, at the price per share equal to the subscription price, shares of our common stock with an aggregate subscription price equal to the lesser of (x) $3.0 million or (y) $5.0 million minus the aggregate gross proceeds of this offering, subject to the terms and conditions of the Investment Agreement. We refer to NIL’s commitment under the Investment Agreement as the Backstop Commitment. Under the Investment Agreement, NIL may not purchase shares of our common stock under the Investment Agreement to the extent that as a result thereof, NIL and its affiliates would own in excess of 50% of our outstanding shares of Common Stock.
As of the record date for this offering, NIL, together with its affiliates, beneficially owned approximately 17.4% of our common stock, and we owed NIL $[•] under a $6 million secured revolving credit facility. In addition, the Chairman of our Board of Directors is the Executive Vice President and Chief Operating Officer of The InterTech Group, an affiliate of NIL.
The purchase of shares of our common stock by NIL pursuant to the Backstop Commitment would be effected in a transaction exempt from the registration requirements of the Securities Act of 1933 and would not be registered pursuant to the registration statement of which this prospectus forms a part.
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Use of Proceeds
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We intend to use the net proceeds of this offering to reduce interest bearing indebtedness under our revolving credit facility with NIL, with any net proceeds balance to be used for general working capital and corporate purposes. See “Use of Proceeds.”
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Procedure for Exercising Subscription Rights
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If you elect to exercise your rights being distributed in the offering, you must send certain documentation and payment to the subscription agent before the offering expires. For instructions on how your subscription documents and payment should be sent to the subscription agent, see “The Rights Offering-Required Forms of Payment of the Subscription Price.”
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Nontransferability of the Rights
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The rights in the rights offering may not be transferred except in very limited circumstances. See “The Rights Offering-Nontransferability of the Rights.”
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No Revocation
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Once exercised, the rights in the offering may not be revoked, even if you later learn information about the Company that you consider to be unfavorable or the market price of our common stock falls below the $[•] per share subscription price, unless we amend the terms of the offering.
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Delivery of Shares
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Any shares you elect to purchase in the rights offering will be delivered to you or your broker as soon as practical following the conclusion of the offering period.
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No Recommendation
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Our board of directors makes no recommendation as to whether any stockholder should or should not exercise its rights in the rights offering.
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Market for Common Stock
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The Company’s common stock is listed and trades on the NYSE American exchange under the ticker symbol “VII.”
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Material U.S. Federal Income Tax Consequences
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The distribution of subscription rights to a holder of shares of our common stock or of rights to acquire shares of our common stock should be treated, for U.S. federal income tax purposes, as a non-taxable distribution under Section 305(a) of the Internal Revenue Code of 1986, as amended (the “Code”), and the Treasury Regulations promulgated thereunder. You should, however, seek specific tax advice from your own tax advisor in light of your own tax situation, including as to the applicability and effect of any other tax laws. See “Material U.S. Federal Income Tax Consequences.”
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Foreign Holders of Registered Common Stock Certificates
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The subscription agent will not mail rights certificates to you if your address is outside the United States or if you have an Army Post Office or a Fleet Post Office address.
Foreign stockholders will receive written notice of this offering. The subscription agent will hold the rights to which those subscription certificates relate for these stockholders’ accounts until instructions are received to exercise the rights, subject to applicable law.
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Subscription Agent
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Broadridge Corporate Issuer Solutions, Inc. will act as the subscription and information agent in connection with this offering. You may contact Broadridge with questions toll-free at (855) 793-5068.
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Risk Factors
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Investors considering making an investment by exercising subscription rights in the rights offering should carefully read the information set forth in “Risk Factors” beginning on page 10 of this prospectus, the documents incorporated by reference herein, and the risks that we have highlighted in other sections of this prospectus.
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Questions
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Anticipated common questions are set out and answered beginning in the section below.
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If delivering by regular mail
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If delivering by hand or overnight courier
:
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Broadridge Corporate Issuer Solutions, Inc.
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Broadridge Corporate Issuer Solutions, Inc.
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Attn: BCIS Re-Organization Dept.
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Attn: BCIS IWS
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P.O. Box 1317
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51 Mercedes Way
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Brentwood, NY 11717-0693
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Edgewood, NY 11717
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•
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failure to pay interest and principal when due;
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•
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an uncured breach by us of any covenant (including a minimum net worth financial covenant), term or condition in the Credit Agreement or any of the related loan documents;
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a breach by us, in any material respect, of any representation or warranty made in the Credit Agreement or any of the related loan documents;
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any money judgment or similar final process is filed against us for more than $100,000;
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the occurrence of a “Change in Control” as defined in the Credit Agreement; and
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the occurrence of a material adverse change in our business or financial condition.
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the burdens of complying with a wide variety of U.S. laws applicable to export controls, foreign operations, foreign laws and different legal standards;
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fluctuations in currency exchange rates;
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unexpected changes in foreign regulatory requirements;
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counterfeiting of our products or infringement on its intellectual property by third parties;
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reduced or varied protection for intellectual property rights in some countries;
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difficulties in managing the staffing of remote operations;
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potentially adverse tax consequences, including the complexities of foreign value added tax systems, restrictions on the repatriation of earnings and changes in tax rates;
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dependence on distributors in various countries with different pricing policies and forecasting practices;
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increased financial accounting and reporting burdens and complexity;
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political, social and economic instability in some jurisdictions; and
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•
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terrorist attacks and security concerns in general.
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Rights Holder’s Subscription
Rights Exercised
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X
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Shares Available for
Rights Holders Exercising
Their Over-Subscription
Right
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Total Subscription Rights Exercised
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•
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the number of shares held on the record date on behalf of each beneficial owner;
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the number of shares as to which the basic subscription privilege has been exercised on behalf of each beneficial owner;
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•
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that each beneficial owner’s basic subscription privilege, held in the same capacity, has been exercised in full; and
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•
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the number of shares subscribed for, pursuant to the oversubscription privilege, by each beneficial owner, if any.
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the amount of our existing and forecasted future borrowings under the revolving credit facility with NIL Funding Corporation, the need for covenant waivers in the recent past and the potential for further requests in the future, and its interest rate burden;
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the difficulty of obtaining additional debt financing at reasonable terms;
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our recent and anticipated operating results, including the amount of proceeds needed to execute our business plan and grow our sales;
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the historic and current price of our common stock;
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general conditions in the securities markets;
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the lack of practical alternatives available to us for raising capital in the equity markets, considering current industry prices and future prospects;
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the pricing of similar, comparable, or analogous offerings;
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the liquidity of our stock;
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our business prospects;
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the belief that the rights offering was the best alternative reasonably available considering the factors above.
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•
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your properly completed and executed rights certificate with any required signature guarantees or other supplemental documentation; and
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your full subscription price payment for each share subscribed for under your basic subscription privilege and your oversubscription privilege.
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•
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pay down borrowings under the Company’s revolving credit agreement with NIL Finding Corporation, which bears interest at rates ranging from 6.95% to 8.25%.
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Any net proceeds balance will to be used for general working capital and corporate purposes.
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by mutual written agreement of NIL and us;
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by any party, in the event the closing of the transactions contemplated by the Investment Agreement does not occur by [•], 2017;
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by any party, if any governmental entity shall have taken action prohibiting any of the contemplated transactions;
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by NIL, if we breach any of our representations, warranties, covenants or agreements set forth in the Investment Agreement that would result in the applicable condition to closing not being satisfied, and such breach is not cured within 10 days of receipt of written notice by NIL;
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by us, if NIL breaches any of their representations, warranties, covenants or agreements set forth in the Investment Agreement that would result in the applicable condition to closing not being satisfied, and such breach is not cured within 10 days of receipt of written notice by us; or
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by either party if we enter into a definitive agreement with respect to a “Superior Transaction” as defined in the Investment Agreement.
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As of March 31, 2017
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(in thousands, except shares)
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Actual
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Pro Forma
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Cash and cash equivalents
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$
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2,073
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$
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[•]
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Long-term debt:
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Revolving credit borrowings
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$
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2,750
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$
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—
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(1)
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Stockholders’ equity:
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Common stock, $0.01 par value per share; 25,000,000 shares authorized; 10,044,827 shares issued and 9,348,388 shares outstanding, actual basis; 19,393,215 shares issued and 18,696,776 shares outstanding, pro forma basis
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$
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100
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$
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194
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Additional paid-in capital
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40,543
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[•]
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Accumulated deficit
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(31,330
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)
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(31,330
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)
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Treasury stock at cost, 696,439 shares
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(3,438
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)
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(3,438
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)
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Accumulated other comprehensive loss
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(253
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)
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(253
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)
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Total stockholders’ equity
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$
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5,622
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$
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[•]
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Total capitalization
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$
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10,445
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$
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[•]
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(1)
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We intend to use a portion of the net proceeds received from this offering and the Backstop Commitment to repay all outstanding indebtedness under our revolving credit facility with NIL Funding Corporation. We estimate that approximately $[•] million of indebtedness will be outstanding under such credit facility as of the expiration date of this offering.
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a citizen or resident of the U.S.;
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a corporation or other entity taxable as a corporation that is organized in or under the laws of the U.S. or any political subdivision thereof;
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an estate the income of which is subject to U.S. federal income taxation regardless of its source; or
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a trust if a U.S. court is able to exercise primary supervision over the administration of the trust and one or more U.S. persons have the authority to control all substantial decisions of the trust (or the trust was in existence on August 20, 1996, and validly elected to continue to be treated as a U.S. trust).
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the subscription price per whole share; and
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the basis, if any, in the rights that you exercised, determined as described in “-Tax Basis of the Rights” above.
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•
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our Annual Report on Form 10-K for the year ended September 30, 2016, as filed with the SEC on January 13, 2017;
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•
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our Definitive Proxy Statement on Schedule 14A for our 2017 annual meeting of stockholders, as filed with the SEC on June 15, 2017;
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•
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our Quarterly Reports on Form 10-Q for the quarterly periods ended December 31, 2016 and March 31, 2017, as filed with the SEC on February 21, 2017 and May 15, 2017, respectively; and
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•
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our Current Reports on Form 8-K filed with the SEC on April 24, 2017, May 30, 2017, July 25, 2017 and August 1, 2017.
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Securities and Exchange Commission registration fee
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$
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488
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NYSE American listing fee
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$
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65,000
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Accounting and advisor fees and expenses
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$
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25,000
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Legal fees and expenses
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$
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60,000
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Subscription agent fees and expenses
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$
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11,000
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Printing fees
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$
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5,000
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Total
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$
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166,488
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(a)
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List of Exhibits
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(b)
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Financial Statement Schedules
.
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Vicon Industries, Inc.
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(Registrant)
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By:
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/s/ John M. Badke
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Name:
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John M. Badke
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Title:
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Chief Executive Officer and Chief Financial Officer (Principal Executive, Financial and Accounting Officer)
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Signature
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Title
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Date
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/s/ John M. Badke
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Chief Executive Officer and Chief Financial Officer (Principal Executive, Financial and Accounting Officer)
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August 7, 2017
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John M. Badke
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/s/ Julian A. Tiedemann
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Director
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August 7, 2017
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Julian A. Tiedemann
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/s/ Arthur D. Roche
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Director
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August 7, 2017
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Arthur D. Roche
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/s/ Steven E. Walin
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Director
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August 7, 2017
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Steven E. Walin
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/s/ Warren J. White
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Director
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August 7, 2017
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Warren J. White
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2.1
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Agreement and Plan of Merger and Reorganization dated March 28, 2014 by and among the Registrant, VI Merger Sub Inc. and IQinVision, Inc. (Incorporated by reference to the Current Report on Form 8-K dated March 31, 2014).
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3.1
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Articles of Incorporation (Incorporated by reference to the 1985 Annual Report on Form 10-K; Form S-2 filed in Registration Statement No. 33-10435 and Exhibit A, B and C of the 1987 Proxy Statement).
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3.2
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Amendment of the Certificate of Incorporation dated May 7, 2002 (Incorporated by reference to the 2002 Annual Report on Form 10-K).
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3.3
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Bylaws of the Company, as amended.
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4.1
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Form of Rights Certificate.
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4.2
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Form of Notice to Stockholders who are Record Holders.
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4.3
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Form of Notice to Stockholders who are Acting as Nominees.
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4.4
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Form of Notice to Clients of Stockholders who are Acting as Nominees.
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4.5
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Form of Notice of Guaranteed Delivery.
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4.6
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Form of Beneficial Owner Election Form.
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4.7
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Form of Nominee Holder Election Form.
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4.8
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Subscription Agent Agreement dated July 18, 2017 between Vicon Industries, Inc. and Broadridge Corporate Issuer Solutions, Inc.
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4.9
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Warrant to Purchase 1,500,000 shares of Common Stock, dated April 20, 2017, issued to NIL Funding Corp. (Incorporated by reference to the Current Report on Form 8-K dated April 20, 2017).
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4.10
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Amendment to Warrant to Purchase 1,500,000 shares of Common Stock, dated July 27, 2017, between the Registrant and NIL Funding Corp. (Incorporated by reference to the Current Report on Form 8-K dated July 27, 2017).
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5.1
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Opinion of Fox Rothschild LLP.
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10.1
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2002 Incentive Stock Option Plan (Incorporated by reference to the 2002 Annual Report on Form 10-K)
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10.2
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2002 Non-Qualified Stock Option Plan (Incorporated by reference to the 2002 Annual Report on Form 10-K).
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10.3
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Employment and Deferred Compensation Agreement dated January 1, 2006 between the Registrant and John M. Badke (Incorporated by reference to the Current Report on Form 8-K dated March 6, 2006).
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10.4
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Amendment 1 to the Employment and Deferred Compensation Agreement dated November 13, 2006 between the Registrant and John M. Badke (Incorporated by reference to the Current Report on Form 8-K dated November 16, 2006).
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10.5
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Employment Agreement dated August 7, 2006 between the Registrant and Bret M. McGowan (Incorporated by reference to the 2006 Annual Report on Form 10-K).
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10.6
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2007 Stock Incentive Plan (Incorporated by reference to the Proxy Statement filed on April 27, 2007).
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10.7
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Second Amended and Restated Credit Agreement between the Registrant and NIL Funding Corporation, dated as of April 20, 2017 (Incorporated by reference to the Current Report on Form 8-K dated April 20, 2017).
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10.8
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Amended and Restated Revolving Line of Credit Note (Facility A) between the Registrant and NIL Funding Corporation, dated as of April 20, 2017 (Incorporated by reference to the Current Report on Form 8-K dated April 20, 2017).
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10.9
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Amended and Restated Revolving Line of Credit Note (Facility B) between the Registrant and NIL Funding Corporation, dated as of April 20, 2017 (Incorporated by reference to the Current Report on Form 8-K dated April 20, 2017).
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10.10
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Security Agreement by the Registrant in favor of NIL Funding Corporation, dated as of March 4, 2016 (Incorporated by reference to the Current Report on Form 8-K dated March 4, 2016).
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10.11
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Investment Agreement, dated as of July 27, 2017, between the Registrant and NIL Funding Corporation (Incorporated by reference to the Current Report on Form 8-K dated July 27, 2017).
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23.1
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Consent of BDO USA, LLP.
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23.2
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Consent of Fox Rothschild LLP (included in the Exhibit 5.1).
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1.
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PLACE OF MEETINGS.
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2.
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ANNUAL MEETING.
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3.
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SPECIAL MEETINGS.
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4.
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FIXING RECORD DATE.
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5.
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NOTICE OF MEETINGS OF SHAREHOLDERS.
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6.
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WAIVERS.
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7.
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QUORUM OF SHAREHOLDERS.
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8.
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PROXIES.
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9.
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QUALIFICATION OF VOTERS.
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10.
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VOTE OF SHAREHOLDERS.
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(a)
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directors shall be elected by a plurality of the votes cast at a meeting of shareholders by the holders of shares entitled to vote in the election;
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(b)
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all other corporate action shall be authorized by a majority of the votes cast.
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11.
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WRITTEN CONSENT OF SHAREHOLDERS.
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1.
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BOARD OF DIRECTORS.
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2.
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NUMBER AND TERMS.
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3.
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ELECTION AND TERM OF DIRECTORS.
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4.
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NEWLY CREATED DIRECTORSHIPS AND VACANCIES.
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5.
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REMOVAL OF DIRECTORS.
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6.
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RESIGNATION.
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7.
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QUORUM OF DIRECTORS.
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8.
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ACTION OF THE BOARD.
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9.
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PLACE AND TIME OF BOARD MEETINGS.
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10.
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REGULAR ANNUAL MEETING.
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11.
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NOTICE OF MEETINGS OF THE BOARD, ADJOURNMENT.
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12.
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CHAIRMAN.
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13.
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EXECUTIVE AND OTHER COMMITTEES.
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14.
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COMPENSATION.
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1.
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OFFICES, ELECTION, TERM.
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2.
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REMOVAL, RESIGNATION, SALARY, ETC.
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3.
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PRESIDENT.
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4.
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VICE-PRESIDENTS.
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5.
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SECRETARY.
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6.
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ASSISTANT-SECRETARIES.
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7.
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TREASURER.
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8.
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ASSISTANT-TREASURER.
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9.
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SURETIES AND BONDS.
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1.
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UNCERTIFICATED SHARES.
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2.
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TRANSFERS.
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3.
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CLOSING TRANSFER BOOKS.
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RIGHTS CERTIFICATE #:
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NUMBER OF RIGHTS:
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________________________________________
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________________________________________
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John M. Badke, Chief Executive Officer
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Thomas C. Hamilton, Corporate Secretary
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By:
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____________________________________________________
BROADRIDGE CORPORATE ISSUER SOLUTIONS, INC.
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(a)
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NUMBER OF SHARES OF
COMMON STOCK
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SUBSCRIPTION
PRICE
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PAYMENT
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Basic Subscription Privilege
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X
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$
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[
•
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=
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$
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(b)
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NUMBER OF SHARES OF
COMMON STOCK
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SUBSCRIPTION
PRICE
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PAYMENT
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Oversubscription Privilege
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X
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$
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[
•
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=
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$
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(c) TOTAL AMOUNT OF PAYMENT ENCLOSED
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$
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☐
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PERSONAL CHECK, CASHIER’S OR CERTIFIED CHECK DRAWN ON A U.S. BANK
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☐
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Wire transfer of immediately available funds directly to the account maintained by Broadridge Corporate Issuer Solutions, Inc., as Subscription Agent, for purposes of accepting subscriptions in this Rights Offering at U.S. Bank, 800 Nicollet Mall, Minneapolis, MN 55402 United States, Beneficiary Account Name:
Broadridge
, Account Number: 153910728465, ABA/Routing number: 123000848, with reference to the rights holder’s name
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☐
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U.S. POSTAL MONEY ORDER
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By mail:
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By hand or overnight courier:
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Broadridge Corporate Issuer Solutions, Inc.
Attn: BCIS Re-Organization Dept.
P.O. Box 1317
Brentwood, New York 11717-0693
(855) 793-5068 (toll free)
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Broadridge Corporate Issuer Solutions, Inc.
Attn: BCIS IWS
51 Mercedes Way
Edgewood, New York 11717
(855) 793-5068
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•
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your name;
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•
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the number of Subscription Rights represented by your Rights Certificate(s), the number of shares of Common Stock for which you are subscribing pursuant to the Basic Subscription Privilege, and the number of shares of Common Stock for which you are subscribing pursuant to the Over-Subscription Privilege, if any; and
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•
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your guarantee that you will deliver to the subscription agent your Rights Certificate(s) evidencing the Rights you are exercising within three (3) business days following the date of the Notice of Guaranteed Delivery.
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a.
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Basic Subscription Privilege
: The Subscription Agent will deliver to each exercising Record Holder who validly exercises the Basic Subscription Privilege each Share subscribed for pursuant to the Basic Subscription Privilege. See “
The Rights Offering - Basic subscription privilege
” in the Prospectus.
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b.
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Oversubscription Privilege
: The Subscription Agent will deliver to each Record Holder who validly exercises the Oversubscription Privilege each Share, if any, allocated to such Record Holder pursuant to the Oversubscription Privilege. See “
The Rights Offering - Over-subscription privilege
,” in the Prospectus.
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c.
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Excess Cash Payments
: The Subscription Agent will mail to each Record Holder who exercises a Subscription Right any excess amount, without interest or deduction, received in payment of the Subscription Price for Shares that are subscribed for by such Record Holder.
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a.
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Execution by Registered Holder
. The signature on the Subscription Rights Certificate must correspond with the name of the Record Holder exactly as it appears on the face of the Subscription Rights Certificate without any alteration, enlargement or change whatsoever. Persons who sign the Subscription Rights Certificate in a representative or other fiduciary capacity on behalf of a registered holder must indicate their capacity when signing and, unless waived by the Subscription Agent in its sole and absolute discretion, must present to the Subscription Agent satisfactory evidence of their authority so to act.
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b.
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Signature Guarantees
. If you are neither a Record Holder (or signing in a representative or other fiduciary capacity on behalf of a Record Holder) nor an eligible institution, such as a member firm of a registered national securities exchange or a member of the Financial Industry Regulatory Authority or a commercial bank or trust company having an office or correspondent in the United States, your signature must be guaranteed by such an eligible institution.
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To the extent the aggregate Subscription Price of the maximum number of Unsubscribed Shares available to a Rights holder pursuant to the Oversubscription Privilege is less than the amount the holder of Rights actually paid in connection with the exercise of the Oversubscription Privilege, the Rights holder will be allocated only the number of Unsubscribed Shares available to it promptly after the Expiration Date, and the Rights holder’s excess subscription payment received by the Subscription Agent will be returned, without interest or penalty, promptly after the Expiration Date.
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To the extent the amount the Rights holder actually paid in connection with the exercise of the Oversubscription Privilege is less than or equal to the aggregate Subscription Price of the maximum number of Unsubscribed Shares available to the Rights holder pursuant to the Oversubscription Privilege, such Rights holder will be allocated the number of Unsubscribed Shares for which it actually paid in connection with the Oversubscription Privilege.
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No. of Subscription Rights exercised pursuant to Basic Subscription Privilege:
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plus
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No. of additional shares subscribed for pursuant to exercise of Over-Subscription Privilege:
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TOTAL SHARES SUBSCRIBED:
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x Subscription Price Per Share
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x $[•]
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TOTAL PAYMENT DUE:
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$
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¨
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uncertified personal check
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¨
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certified bank check
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¨
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bank draft (cashier’s check)
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¨
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postal, telegraphic, or express money order
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¨
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wire transfer of immediately available funds
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Dated:
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(Address)
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(Name of Firm)
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(Area Code and Telephone Number)
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(Authorized Signature)
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NUMBER OF SHARES
OF COMMON STOCK
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SUBSCRIPTION
PRICE
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PAYMENT
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Over subscription Right
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X
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$
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[•]
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=
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$
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$
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+
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$
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=
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$
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(Basic Subscription
Right Payment)
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(Oversubscription
Right Payment)
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(Total required
payment)
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FORM OF PAYMENT:
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||
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o
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Payment in the following amount is enclosed: $__________.
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o
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Please deduct payment of $__________ from my (our) following account maintained by you:
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_________________________________
(Type of Account)
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_________________________________
(Account Number)
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Acknowledge receipt of the Prospectus and irrevocably elect to purchase the number of Shares indicated above upon the terms and conditions specified in the Prospectus; and
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Agree that if I (we) fail to pay for the Shares that I (we) have elected to purchase, you may exercise any remedies available to you under the law.
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Name of beneficial owner(s):
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____________________________
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Signature of beneficial owner(s):
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____________________________
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Name:
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__________________________________
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Capacity:
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__________________________________
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Address:
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__________________________________
__________________________________
__________________________________
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Telephone No.:
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__________________________________
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NUMBER OF
SHARES OWNED
ON RECORD DATE
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NUMBER OF SHARES
SUBSCRIBED FOR
PURSUANT TO BASIC
SUBSCRIPTION RIGHT
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NUMBER OF SHARES
SUBSCRIBED FOR
PURSUANT TO
OVERSUBSCRIPTION RIGHT
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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_______________________________
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____________________________________________
Name of Broker, Custodian Bank or Other Nominee
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By:
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____________________________________
Authorized Signature
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Name:
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_____________________________________
(please type or print)
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____________________________________________
Depository Trust Company (“DTC”) Participant Number
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By:
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_______________________________________
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Name:
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_______________________________________
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Title:
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_______________________________________
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BROADRIDGE CORPORATE ISSUER SOLUTIONS, INC.
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Vicon Industries, Inc.
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By: /s/ John Dunn
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By: /s/ John M. Badke
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Title: Senior Vice President
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Title: CEO
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Postage with shared Pre-Sort savings (to be paid in advance)
Rates are subject to change upon U.S. and foreign postage rate increases.
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Overnight delivery / courier service / photocopy service
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Envelopes - outer and BRE (Business Reply Envelopes)
1
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Brochures and enrollment materials
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Insurance and courier fees
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Printing of check forms and blank stock certificates
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Designating a corporate action account manager to communicate with all parties hereto and their counsel to establish the terms, timing and procedures required to carry out Subscription Agent duties, including document review and execution of legal
agreements
, rights certificate
s and other Rights Offering
documents and communication materials, project management, and on-going project updates and reporting
.
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Designating an Information Agent account manager to review and become familiar with all
Offering Documents
and provide expert assistance to holders of Common Stock related to matters concerning the
Rights Offering
.
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Preparing mailings that include name, address for the mailing of
Offering Documents.
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Collating and assembling
Offering Documents
and envelopes for mailing
.
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Addressing and enclosing
Offering Documents
and return envelopes, for one-time, one-day mailing to holders of Common Stock.
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Receiving, opening and logging in returned
rights certificates.
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Checking
rights certificates
for validity against master list
.
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Checking for proper execution of all
of rights certificates and other documents necessary to effect a proper exercise of Subscription Rights
, including W-9s
(if applicable).
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Curing defective
subscriptions
, including writing holders of Common Stock in connection with unsigned or improperly executed
rights certificates and other Offering Documents.
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Soliciting by mail W-9s from holders of Common Stock who have not executed them or whose TIN’s do not match our records
.
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Tracking and reporting as required the number of
shares of Common Stock
to which stockholders have subscribed.
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Sealing, addressing, posting (not including postage), and providing envelopes for mailing to holders of Common Stock
.
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Providing
stockholder
relations services to all holders of Common Stock related to the
Rights
Offering, including phone, email, and regular mail inquiries.
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Services associated with new duties, legislation or regulations which become effective after the date of this Agreement (these will be provided on an appraisal basis)
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Reasonable legal review fees if referred to outside counsel upon receipt of prior approval of the Company
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Overtime charges at 100% assessed in the event of late delivery of material for mailings, unless the target mail date is rescheduled
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Dedicated Toll Free 800 Number
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