UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
8-K
CURRENT
REPORT
Pursuant
to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of
Report (Date of earliest event reported):
March 31, 2010
Save The World Air,
Inc.
(Exact
Name of Registrant as Specified in Charter)
Nevada
|
|
0-29185
|
|
52-2088326
|
(State
or other jurisdiction
of
incorporation)
|
|
(Commission
File Number)
|
|
(IRS
Employer
Identification
No.)
|
235
Tennant Ave.
Morgan
Hill, CA
|
|
95037
|
(Address
of principal executive offices)
|
|
(Zip
Code)
|
Registrant’s
telephone number, including area code: (408) 778-0101
(Former
name or former address, if changed since last report)
Copies
to:
Gregory
Sichenzia, Esq.
Sichenzia
Ross Friedman Ference LLP
61
Broadway, 32
nd
Floor
New York,
New York 10006
Telephone:
(212) 930-9700
Check the
appropriate box below if the Form 8-K filing is intended to simultaneously
satisfy the filing obligation of the registrant under any of the following
provisions:
o
|
Written
communications pursuant to Rule 425 under the Securities Act (17 CFR
230.425)
|
o
|
Soliciting
material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
240.14a-12)
|
o
|
Pre-commencement
communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR
240.14d-2(b))
|
o
|
Pre-commencement
communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR
240.13e-4(c))
|
Item
3.02
|
Unregistered
Shares of Equity Securities
|
From
February 15, 2010 through March 31, 2010, Save The World Air, Inc. (the
“Company”)
issued
and sold an aggregate of $885,863 of Convertible Promissory Notes (the “Notes”)
and warrants to purchase an aggregate of 2,214,657 shares of common stock (the
“Warrants”).The Company received gross proceeds from such closing of the private
placement of $805,330.
The
Notes, which are due 12 months from their respective issuance date (the
“Maturity Date”). The Notes do not bear interest and were issued in the face
amount equal to 110% of the purchaser’s commitment. The Notes are
initially convertible into shares of the Company’s common stock at a rate of
$0.40 per share. If the Notes are not paid in full by the Maturity
date, the balance remaining on the Maturity Date shall be increased by 10% and
the Company shall be required to pay interest at a rate of 10% per annum until
all sums due thereunder are paid in full. The Notes also contain
provisions that protect the holders against dilution by adjustment of the
conversion price in certain events such as stock dividends, stock splits and
other similar events.
The
Warrants are exercisable for a term of two years at an exercise price of $0.40
per share. The Warrants also contain provisions that protect the
holders against dilution by adjustment of the conversion price in certain events
such as stock dividends, stock splits and other similar events.
The
offering was made solely to “accredited investors,” as that term is defined in
Regulation D under the Securities Act of 1933, as amended (the “Securities
Act”). The securities sold in the offering were not registered under the
Securities Act, or the securities laws of any state, and were offered and sold
in reliance on the exemption from registration afforded by Section 4(2) and
Regulation D (Rule 506) under the Securities Act and corresponding provisions of
state securities laws, which exempt transactions by an issuer not involving any
public offering.
Item
9.01
|
Financial
Statements and Exhibits
|
(d)
Exhibits.
Exhibit
No.
|
Description
|
10.1
|
Form
of Securities Purchase Agreement
|
10.2
|
Form
of Convertible Promissory Note
|
10.3
|
Form
of Common Stock Purchase Warrant
|
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, the Registrant has
duly caused this report to be signed on its behalf by the undersigned thereunto
duly authorized.
Date:
April 8,
2010
|
SAVE THE WORKLD AIR
INC.
|
|
|
|
|
|
|
|
|
|
By:
|
/s/ Cecil
Bond Kyte
|
|
|
Name:
|
Cecil
Bond Kyte
|
|
|
Title:
|
Chief
Executive Officer
|
|
EXHIBIT
INDEX
Exhibit
No.
|
Description
|
10.1
|
Form
of Securities Purchase Agreement
|
10.2
|
Form
of Convertible Promissory Note
|
10.3
|
Form
of Common Stock Purchase
Warrant
|
Exhibit
10.1
SECURITIES
PURCHASE AGREEMENT
Convertible
Promissory Notes and
Stock
Purchase Warrants
THIS SECURITIES PURCHASE AGREEMENT
(this “Agreement”) is made and entered into as of the 15th day of February,
2010, by and between Save the World Air, Inc., a Nevada corporation (the
“Issuer”) and those individuals and entities who sign and deliver an executed
copy of this Agreement to the Issuer (each, a “Purchaser” and collectively, the
“Purchasers”), with reference to the following:
RECITALS
A. Purchasers
desire to purchase from Issuer and Issuer desires to sell to Purchaser certain
of Issuer’s Convertible Promissory Notes, in the aggregate face amount of at
least $10,000 and up to $700,000 in the form of
Exhibit A
attached
hereto (individually, a “Note” and collectively, the “Notes”) and Stock Purchase
Warrants, each to purchase up to a certain number of shares of the common stock
(the “Common Stock”) of the Issuer equal to 100% of the number of shares
initially issuable on conversion of the Notes, in the form of
Exhibit B
attached
hereto (individually, the “Warrants” and collectively with the Notes, the
“Securities”). The face amount of Convertible Promissory Notes each
Purchaser has committed to purchase, and the amount of the purchase price
thereof to be paid to the Issuer by the Purchaser (a “Commitment”) is listed on
the signature page such Purchaser executes and delivers to the
Issuer.
B. Issuer’s
sale of the Securities to the Purchasers will be made in reliance upon the
provisions of Section 4(2) under the Securities Act of 1933, as amended (the
"Securities Act"), Rule 506 of Regulation D promulgated by the Securities and
Exchange Commission (the ”SEC”) thereunder, and other applicable rules and
regulations of the SEC and/or upon such other exemption from the registration
requirements of the Securities Act as may be available with respect to the
transactions contemplated hereby.
C. At
any time when any amount of principal or interest of the Notes shall be
outstanding, such unpaid amounts shall be convertible into shares of the
Issuer’s, at the election of the Purchaser, into Common Stock at a price of
$0.40 per share (the “Conversion Price”).
D. The
Warrants shall be issued at the same time each Note is issued to the Purchaser
hereunder and shall be exercisable at $0.40 per share (the “Exercise Price”),
for such number of shares equal to 100% of result obtained by dividing (i) the
face amount of the Notes issued simultaneously with the Warrant by (ii) the
Conversion Price (the “Exercisable Amount”).
AGREEMENT
NOW
THEREFORE, in consideration of the foregoing recitals, which shall be considered
an integral part of this Agreement, the covenants and agreements set forth
hereafter, and other good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, the Purchasers and the Issuer
hereby agree as follows
1.
Purchase of the Notes and
Warrants.
On the terms and subject to the conditions set forth
in this Agreement and in the Notes and Warrants, the Purchasers shall purchase
from the Issuer and the Issuer shall sell to the Purchaser the
Securities.
2.
Purchaser’s Representations,
Warranties and Covenants.
In order to induce the Issuer to sell and issue
the Securities to the Purchaser under one or more exemptions from registration
under the Securities Act, the Purchasers, severally and not jointly, represent
and warrant to the Issuer, and covenant with the Issuer, that:
(a) (i)
Such Purchaser has the requisite power and authority to enter into and perform
this Agreement, and each of the other agreements entered into by the parties
hereto in connection with the transactions contemplated by this Agreement
(collectively, the "Transaction Documents"), and to purchase the Securities in
accordance with the terms hereof and thereof.
(ii) The execution and delivery of the
Transaction Documents by the Purchaser and the consummation by it of the
transactions contemplated thereby have been duly and validly authorized by the
Purchaser's organizational documents and no further consent or authorization is
required by the Purchaser.
(iii) The Transaction Documents have
been duly and validly executed and delivered by the Purchaser.
(iv) The Transaction Documents, and
each of them, constitutes the valid and binding obligation of the Purchaser
enforceable against the Purchaser in accordance with their respective terms,
except as such enforceability may be limited by general principles of equity or
applicable bankruptcy, insolvency, reorganization, moratorium, liquidation or
similar laws relating to, or affecting generally, the enforcement of creditors'
rights and remedies.
(b)
The execution,
delivery and performance of the Transaction Documents by the Purchaser and the
consummation by the Purchaser of the transactions contemplated thereby will not
conflict with or constitute a default under any agreement or instrument to which
the Purchaser is a party or by which the Purchaser is bound.
(c)
The Purchaser is
acquiring the Securities for investment for its own account, and not with a view
toward distribution thereof, and with no present intention of dividing its
interest with others or reselling or otherwise transferring or disposing all or
any portion of either the Notes or Warrants. The undersigned has not offered or
sold a participation in this purchase of either the Notes or Warrants, and will
not offer or sell any interest therein. The Purchaser further acknowledges that
the Purchaser does not have in mind any sale of either the Notes or Warrants
currently or after the passage of a fixed or determinable period of time or upon
the occurrence or non-occurrence of any predetermined events or consequence; and
that it has no present or contemplated agreement, undertaking, arrangement,
obligation, indebtedness or commitment providing for or which is likely to
compel a disposition of either the Notes or Warrants and is not aware of any
circumstances presently in existence that are likely in the future to prompt a
disposition thereof.
(d)
The Purchaser
acknowledges that the Securities have been offered to it in direct communication
between itself and the Issuer and not through any advertisement, article, notice
or other communication regarding the Securities published in any newspaper,
magazine or similar media or broadcast over the television or radio or presented
in any seminar or any other general solicitation or general
advertisement.
(e)
The Purchaser
acknowledges that the Issuer has given it access to all information relating to
the Issuer’s business that it has requested. The Purchaser has
reviewed all materials relating to the Issuer's business, finance and operations
which it has requested and the Purchaser has reviewed all of such materials as
the Purchaser, in the Purchaser’s sole and absolute discretion shall have deemed
necessary or desirable. The Purchaser has had an opportunity to discuss the
business, management and financial affairs of the Issuer with the Issuer's
management. Specifically but not by way of limitation, the
Purchaser acknowledges the Issuer’s publicly available filings made periodically
with the SEC, which filings are available at
www.sec.gov
and which
filings the Purchaser acknowledges reviewing or having had the opportunity of
reviewing.
(f)
The Purchaser
acknowledges that it has, by reason of its business and financial experience,
such knowledge, sophistication and experience in financial and business matters
and in making investment decisions of this type that it is capable of (i)
evaluating the merits and risks of an investment in the Securities and making an
informed investment decision in connection therewith; (ii) protecting its own
interest; and (iii) bearing the economic risk of such investment for an
indefinite period of time for Securities which are not transferable or freely
tradable. The undersigned hereby agrees to indemnify the Issuer
thereof and to hold each of such persons and entities, and the officers,
directors and employees thereof harmless against all liability, costs or
expenses (including reasonable attorneys’ fees) arising by reason of or in
connection with any misrepresentation or any breach of warranties of the
undersigned contained in this Agreement, or arising as a result of the sale or
distribution of the Securities or the Common Stock issuable upon conversion of
the Notes or exercise of the Warrants, by the undersigned in violation of the
Securities Act, the Securities Exchange Act of 1934, as amended (the “Exchange
Act”), or any other applicable law, either federal or state. This
subscription and the representations and warranties contained herein shall be
binding upon the heirs, legal representatives, successors and assigns of the
Purchaser.
(g)
The Purchaser
is familiar with the definition of an "accredited investor" as that term is
defined in Rule 501(a) of Regulation D of the Securities Act and represents and
warrants to the Issuer that it is either (i) an accredited investor at such time
it was offered the Securities and on each date which it converts any of the
Notes or exercises any of the Warrants as so defined or (ii) a “qualified
institutional buyer” as defined in Rule 144A under the Securities
Act. Such Purchaser is not required to be registered as a
broker-dealer under Section 15 of the Exchange act. If the Purchaser is not a
resident of the United States, the Purchaser is not a “U.S. person[s]” as that
term is defined in Rule 902 of Regulation S promulgated under the
Securities Act of 1933, as amended.
(h)
During the
term of this Agreement and the other Transaction Documents, the Purchaser will
comply with the provisions of Section 9 of the Exchange Act, and the rules and
regulations promulgated thereunder, with respect to transactions involving the
Common Stock. Commencing on the date on which the Purchaser received a term
sheet from the Company or any representative or agent of the Company (written or
oral) setting forth the material terms of the transactions contemplated
hereunder until the date hereof and during the term of this Agreement and the
other Transaction Documents, the Purchaser agrees not to sell the Issuer's
Common Stock short or engage in any hedging transactions in the Issuer’s Common
Stock, either directly or indirectly, through its affiliates, principals, agents
or advisors.
(i)
The Purchaser
is aware that the Notes and the Warrants, and the shares of Common Stock
issuable upon conversion of the Notes or exercise of the Warrants may only be
disposed of in compliance with state and federal securities laws. In
connection with any transfer of the Notes and thee Warrants, and the shares of
Common Stock issuable upon conversion of the Notes or exercise of the Warrants
other than pursuant to an effective registration statement or Rule 144, to the
Company or to an affiliate of the Purchaser, the Company may require the
transferor thereof to provide to the Company an opinion of counsel, the form and
substance of which opinion shall be reasonably satisfactory to the Company, to
the effect that such transfer does not require registration of such transferred
Securities under the Securities Act. Further, the Purchaser understands and
acknowledges that any certificates evidencing the Notes, the Warrants or the
shares of Common Stock issuable upon conversion of the Notes or exercise of the
Warrants will bear the legends in substantially the following form:
THE
SECURITIES EVIDENCED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE
SECURITIES ACT OF 1933, AS AMENDED, OR QUALIFIED FOR SALE UNDER ANY STATE
SECURITIES LAWS (COLLECTIVELY, “SECURITIES LAWS”) AND MAY NOT BE OFFERED, SOLD
OR OTHERWISE TRANSFERRED UNLESS REGISTERED OR QUALIFIED FOR SALE UNDER ALL
APPLICABLE SECURITIES LAWS OR UNLESS, IN THE OPINION OF COUNSEL SATISFACTORY TO
THE ISSUER, IN FORM AND SUBSTANCE SATISFACTORY TO THE ISSUER, ANY SUCH OFFER,
SALE OR OTHER TRANSFER IS EXEMPT FROM THE REGISTRATION OR QUALIFICATION
REQUIREMENTS OF SUCH SECURITIES LAWS.
(j)
The Purchaser
understands and acknowledges that following the purchase of the Notes, the
Warrants and any shares of Common Stock issuable upon conversion of the Notes or
exercise of the Warrants, each may only be disposed of pursuant to either (i) an
effective registration statement under the Securities Act or (ii) an exemption
from the registration requirements of the Securities Act.
(k)
The Purchaser
understands and acknowledges that the Issuer has neither filed a registration
statement with the SEC or any state authorities nor agreed to do so, nor
contemplates doing so in the future for the transactions contemplated by this
Agreement or the other Transaction Documents, and in the absence of such a
registration statement or exemption, the undersigned may have to hold the Notes,
the Warrants and any shares of Common Stock issuable upon conversion of the
Notes or exercise of the Warrants, indefinitely and may be unable to liquidate
any of them in case of an emergency.
(l)
The Purchaser is
purchasing the Notes and Warrants, and will acquire any shares of Common Stock
issuable upon conversion of the Notes or exercise of the Warrants, for its own
account for investment purposes and not with a view towards distribution and
agrees to resell or otherwise dispose of any of the Notes or the Warrants, or
any shares of Common Stock issuable upon conversion of the Notes or exercise of
the Warrants, in accordance with the registration provisions of the Securities
Act (or pursuant to an exemption from such registration
provisions).
(m)
The Purchaser
is not and will not be required to be registered as a "dealer" under the
Exchange Act, either as a result of its execution and performance of its
obligations under this Agreement or otherwise.
(n)
The Purchaser
understands and acknowledges that proceeds raised in connection with this
Agreement will be used by Issuer for general working capital purposes, including
without limitation, the payment of salaries and professional fees.
(o)
The Purchaser
understands that it is liable for its own tax liabilities and has obtained no
tax advice from the Issuer in connection with the purchase of the
Securities.
(p)
The Purchaser
will not pay or receive any finder’s fee or commission in respect of the
consummation of the transactions contemplated by this Agreement.
(q)
Purchaser
hereby agrees and acknowledges that it has been informed of the
following: (i) there are factors relating to the subsequent transfer
of any of the Securities or shares of Common Stock underlying the Notes and
Warrants that could make the resale of such Securities or shares of Common Stock
underlying the Notes and Warrants difficult; and (ii) there is no guarantee that
the Purchaser will realize any gain from the purchase of the
Securities. The purchase of the Securities involves a high degree of
risk and is subject to many uncertainties. These risks and
uncertainties may adversely affect the Company’s business, operating results and
financial condition. In such an event, the trading price for the
Common Stock could decline substantially and Purchaser could lose all or part of
its investment.
3.
Issuer’s Representations,
Warranties and Covenants.
The Issuer represents and warrants to the
Purchaser that:
(a)
The Issuer is a
corporation duly organized and validly existing in good standing under the laws
of the State of Nevada, and has the requisite corporate power and authorization
to own its properties and to carry on its business as now being
conducted.
(b) (i)
The Issuer has the requisite corporate power and authority to enter into and
perform this Agreement, and each of the other agreements entered into by the
parties hereto in connection with the transactions contemplated by the
Transaction Documents, and to issue the Notes and Warrants in accordance with
the terms hereof and thereof.
(ii) the execution and delivery of the
Transaction Documents by the Issuer and the consummation by it of the
transactions contemplated hereby and thereby, including without limitation the
reservation for issuance and the issuance of the Notes and Warrants pursuant to
this Agreement, have been duly and validly authorized by the Issuer's Board of
Directors and no further consent or authorization is required by the Issuer, its
Board of Directors, or its shareholders.
(iii) The Transaction Documents have
been duly and validly executed and delivered by the Issuer.
(iv) The Transaction Documents, and
each of them, constitutes the valid and binding obligation of the Issuer
enforceable against the Issuer in accordance with their respective terms, except
as such enforceability may be limited by general principles of equity or
applicable bankruptcy, insolvency, reorganization, moratorium, liquidation or
similar laws relating to, or affecting generally, the enforcement of creditors'
rights and remedies.
(c)
The execution,
delivery and performance of the Transaction Documents by the Issuer and the
consummation by the Issuer of the transactions contemplated thereby will not
conflict with or constitute a default under any agreement or instrument to which
the Issuer is a party or under any organizational documents of the
Purchaser.
4.
Closing and
Deliverables.
(a)
Subject to
the provisions of Section 4(b) below, provided that the Issuer shall have
received on or prior to March 31, 2010 copies of this Agreement executed by each
respective Purchaser and providing that the total Commitments equal or exceed
$10,000, there shall be a closing or closings (each, a “Closing”) at
which:
(i) each
Purchaser shall deliver to the Issuer (“Save The World Air, Inc.”) immediately
available funds, by check or by wire transfer (Bank wiring instructions as set
forth in Exhibit C) in an amount equal to the amount of such Purchaser’s
Commitment as set forth beside the name of such Purchaser on such Purchaser’s
signature page hereto; and
(ii) the
Issuer shall deliver to the Purchaser (x) a Note, in the face amount equal to
110% of the Purchaser’s Commitment and (y) a Warrant to purchase the Exercisable
Amount of the Issuer’s Common Stock at the Exercise Price.
(b)
The Issuer
may continue to accept Commitments from Purchasers and issue and sell Securities
to Purchasers at Closings on the terms and subject to the conditions set forth
in this Agreement until (i) the aggregate amount of the Commitments equals
$500,000 or (ii) on or before March 31, 2010, whichever shall first
occur.
5.
Miscellaneous.
(a)
Each party shall pay
the fees and expenses of its own advisers, counsel, accountants and other
experts, if any, and all other expenses incurred by such party incident to the
negotiation, preparation, execution, delivery and performance of the
Transactions Documents.
(b)
This
Agreement may be executed in two or more identical counterparts, all of which
shall be considered one and the same agreement and shall become effective when
counterparts have been signed by each party and delivered to the other party;
provided that a facsimile signature or signature transmitted by e-mail shall be
considered due execution and shall be binding upon the signatory thereto with
the same force and effect as if the signature were an original
signature.
(c)
The headings
of this Agreement are for convenience of reference and shall not form part of,
or affect the interpretation of, this Agreement. Whenever required by the
context of this Agreement, the singular shall include the plural and neutral
shall include the masculine and feminine.
(d)
If any
provision of this Agreement shall be invalid or unenforceable in any
jurisdiction, such invalidity or unenforceability shall not affect the validity
or enforceability of the remainder of this Agreement in that jurisdiction or the
validity or enforceability of any provision of this Agreement in any other
jurisdiction.
(e)
This
Agreement and the Notes and Warrants represent the final agreement between the
Purchasers and the Issuer with respect to the terms and conditions set forth
herein, and, the terms of this Agreement and the Notes and Warrants may not be
contradicted by evidence of prior, contemporaneous, or subsequent oral
agreements of the parties. No provision of this Agreement and the
Notes and Warrants may be amended other than by an instrument in writing signed
by the Purchaser and the Issuer, and no provision hereof or thereof may be
waived other than by an instrument in writing signed by the party against whom
enforcement is sought.
(f)
Any notices
or other communications required or permitted to be given under the terms of
this Agreement must be in writing and will be deemed to have been delivered (i)
upon receipt, when delivered personally; (ii) upon receipt, when sent by
facsimile (provided confirmation of transmission is mechanically or
electronically generated and kept on file by the sending party); or (iii) one
(1) day after deposit with a nationally recognized overnight delivery service,
in each case properly addressed to the party to receive the same. The addresses
and facsimile numbers for such communications shall be:
If
to the Issuer:
Save the
World Air, Inc.
235
Tennant Avenue
Morgan
Hill, CA 95037
Telephone:
(408) 778-0101
Facsimile:
(408) 778-8585
with
a copy to:
Sichenzia
Ross Friedman Ference LLP
61
Broadway, 32
nd
Floor
New York,
NY 10006
Telephone
(212) 930-9700
Facsimile:
(212) 930-9725
Attn: Gregory
Sichenzia, Esq.
If
to a Purchaser:
to the
address set forth on the Purchaser’s signature page hereto.
Each
party shall provide five (5) days prior written notice to the other party of any
change in address or facsimile number.
(g)
This Agreement may
not be assigned by Purchaser.
(h)
This
Agreement is intended for the benefit of the parties hereto and is not for the
benefit of, nor may any provision hereof be enforced by, any other
person.
(i)
The
representations and warranties of the Purchaser and the Issuer contained herein
shall survive each of the Closings and the termination of this Agreement and the
other Transaction Documents.
(j)
The Purchaser
and the Issuer shall consult with each other in issuing any press releases or
otherwise making public statements with respect to the transactions contemplated
hereby and no party shall issue any such press release or otherwise make any
such public statement without the prior consent of the other party, which
consent shall not be unreasonably withheld or delayed, except that no prior
consent shall be required if such disclosure is required by law or the rules and
regulations of the SEC.
(k)
Each party
shall do and perform, or cause to be done and performed, all such further acts
and things, and shall execute and deliver all such other agreements,
certificates, instruments and documents, as the other party may reasonably
request in order to carry out the intent and accomplish the purposes of this
Agreement and the other Transaction Documents and the consummation of the
transactions contemplated hereby and thereby.
(l)
The language
used in this Agreement will be deemed to be the language chosen by the parties
to express their mutual intent, and no rules of strict construction will be
applied against any party, as the parties mutually agree that each has had a
full and fair opportunity to review this Agreement and the other Transaction
Documents and seek the advice of counsel on it and them.
(m)
The Purchaser and
the Issuer each shall have all rights and remedies set forth in this Agreement
and all rights and remedies which such holders have been granted at any time
under any other agreement or contract and all of the rights which the Purchaser
has by law. Any person having any rights under any provision of this Agreement
shall be entitled to enforce such rights specifically (without posting a bond or
other security), to recover damages by reason of any default or breach of any
provision of this Agreement, including the recovery of reasonable attorneys fees
and costs, and to exercise all other rights granted by law.
(n)
This Agreement
shall be governed by and construed in accordance with the laws of the State of
New York applicable to contracts made and to be performed wholly within such
state.
[remainder of page intentionally left
blank]
IN
WITNESS WHEREOF the Purchasers and the Issuer have executed this Agreement as of
the date first above written.
THE
ISSUER
SAVE
THE WORLD AIR, INC.
By:
/s/ Cecil Bond
Kyte
Cecil
Bond Kyte
Its: Chief
Executive Officer
THE
PURCHASER
|
|
|
|
_______________________________________
|
_______________________________________
|
Name
(signature)
|
Amount of
Commitment
|
|
(U.S.
Dollars)
|
_______________________________________
|
|
Print Name
|
_______________________________________
|
|
Date
|
_______________________________________
|
|
Address
|
|
|
|
_______________________________________
|
|
Address
|
|
|
|
_______________________________________
|
|
Phone
Number
|
|
|
|
_______________________________________
|
|
Fax Number
|
|
|
|
_______________________________________
|
|
Social Security
Number
|
|
|
|
_______________________________________
|
|
E-mail
Address
|
|
Exhibit
10.2
FORM
OF CONVERTIBLE NOTE
THE
SECURITIES EVIDENCED BY THIS NOTE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES
ACT OF 1933, AS AMENDED, OR QUALIFIED FOR SALE UNDER ANY STATE SECURITIES LAWS
(COLLECTIVELY, “SECURITIES LAWS”) AND MAY NOT BE OFFERED, SOLD OR OTHERWISE
TRANSFERRED UNLESS REGISTERED OR QUALIFIED FOR SALE UNDER ALL APPLICABLE
SECURITIES LAWS OR UNLESS, IN THE OPINION OF COUNSEL SATISFACTORY TO THE ISSUER,
IN FORM AND SUBSTANCE SATISFACTORY TO THE ISSUER, ANY SUCH OFFER, SALE OR OTHER
TRANSFER IS EXEMPT FROM THE REGISTRATION OR QUALIFICATION REQUIREMENTS OF SUCH
SECURITIES LAWS.
$_____
xxxxxx
_______
|
March,___,
2010
|
|
(“Issuance
Date”)
|
FOR VALUE
RECEIVED,
SAVE THE WORLD AIR,
INC.
, a corporation organized under the laws of the State of Nevada (the
“Company”), promises to pay to the order of “Investor”, as that term is defined
on the Acknowledgement and Acceptance page of this Note (hereafter, together
with any subsequent holder hereof, called “Holder”), at “Investor’s Address”, as
that term is set forth on such page or at such other place as Holder may direct,
the “Subscription Amount”, noted above (the “Loan”), payable in full Twelve
Months from the date hereof (the “Maturity Date”).
If this
Note is not paid in full on or prior to the Maturity Date the remaining balance
shall be increased by 10% and the Company shall pay interest thereon at the rate
of 10% per annum until all sums due hereunder are paid in full.
Payments of both principal and interest
will be made in immediately available funds in lawful money of the United States
of America to the Holder at the Investor’s Address.
The Note
is subject to the following additional provisions:
1.
The
Company shall be entitled to withhold from all payments of principal and/or
interest of this Note any amounts required to be withheld under the applicable
provisions of the U.S. Internal Revenue Code of 1986, as amended, or other
applicable laws at the time of such payments.
2.
This Note
has been issued subject to representations, warranties and covenants of the
original Holder hereof and may be transferred or exchanged only in compliance
with the Securities Act of 1933, as amended, and applicable state and other
securities laws. Prior to the due presentment for such transfer of this Note,
the Company and any agent of the Company may treat the person in whose name this
Note is duly registered on the Company's Note register as the owner hereof for
the purpose of receiving payment as herein provided and all other purposes,
whether or not this Note is overdue, and neither the Company nor any such agent
shall be affected by notice to the contrary. The transferee shall be bound, as
the original Holder by the same representations and terms described herein and
under the Agreement.
3.
The
Holder may, at such Holder’s option, at any time while any sums are outstanding
and unpaid hereunder, convert the then-outstanding principal amount of this Note
or any portion thereof, and any interest and any penalties accrued and unpaid
thereon (the “Conversion Amount”), into a number shares of fully paid and
nonassessable Common Stock of the Company (the “Conversion Shares”) pursuant to
the following formula: the Conversion Amount divided by $0.40 (the “Conversion
Price”). The Holder may exercise the right to convert all or any
portion of the Conversion Amount by delivering to the Company (i) an executed
and completed notice of conversion in the form attached to this Note (the
"Notice of Conversion") to the Company and (ii) this Note. The
business day on which a Notice of Conversion and this Note are delivered to the
Company in accordance with the provisions hereof shall be deemed a "Conversion
Date". The Company will transmit the certificates representing Conversion Shares
issuable upon such conversion of this Note (together with the certificates
representing the amount of this Note not so converted) to the Holder via express
courier within ten Business Days after the Conversion Date. No
fractional shares shall be issued upon conversion of this Note. The
amount of any of the Conversion Amount which is less than a whole share of
Common Stock shall be paid to the Holder in cash. Any delay due to
such circumstance shall not be an event of default under this
Note. Company shall promptly take action to affect such amendments to
its charter.
4.
The
principal amount of this Note, and any accrued interest thereon, shall be
reduced as per that principal amount indicated on the Notice of Conversion upon
the proper receipt by the Holder of such Conversion Shares due upon such Notice
of Conversion.
5.
The
number of Conversion Shares shall be adjusted as follows:
a.
If the
Company shall at any time after the Issuance Date subdivide its outstanding
shares of Common Stock into a greater number of shares of Common Stock, the
number of Conversion Shares in effect immediately prior to such subdivision
shall be proportionately increased, and conversely, in case the outstanding
shares of Common Stock shall be combined into a smaller number of shares of
Common Stock, the Conversion Price in effect immediately prior to such
combination shall be proportionately reduced.
b.
If the
Company shall at any time or from time to time after the Issuance Date makes, or
fixes a record date for the determination of holders of Common Stock entitled to
receive, a dividend or other distribution payable in additional shares of Common
Stock, then and in each such event the number of Conversion Shares issuable upon
conversion of this Note shall be proportionately increased; provided, however,
that if such record date is fixed and such dividend is not fully paid, or if
such distribution is not fully made on the date fixed therefor, the number of
Conversion Shares shall be recomputed to reflect that such dividend was not
fully paid or that such distribution was not fully made.
c.
If Company at
any time or from time to time after the Issuance Date makes, or fixes a record
date for the determination of holders of Common Stock entitled to receive, a
dividend or other distribution payable in securities of Company other than
shares of Common Stock, then and in each such event provision shall be made so
that Holder shall receive upon exercise of the conversion right of this Note, in
addition to the number of shares of Common Stock receivable thereupon, the
amount of securities of Company which Holder would have received had the
Conversion Amount of this Note been exercised on the date of such event and had
it thereafter, during the period from the date of such event to and including
the date of conversion or purchase, retained such securities receivable during
such period.
d.
If the Common
Stock issuable upon the conversion of this Note or option to purchase is changed
into the same or a different number of shares of any class or classes of stock,
whether by recapitalization, reclassification or otherwise (other than a
transaction described elsewhere in Section 5 of this Note), then, and in any
such event, each Holder shall have the right thereafter, upon conversion of this
Note or purchase pursuant to option to receive the kind and amount of stock and
other securities and property receivable upon such reorganization or other
change, in an amount equal to the amount that Holder would have been entitled to
had it immediately prior to such reorganization, reclassification or change
converted this Note, but only to the extent this Note is actually converted, all
subject to further adjustment as provided herein.
6.
No
provision of this Note shall alter or impair the obligation of the Company,
which is absolute and unconditional, upon an Event of Default (as defined
below), to pay the principal of, and interest on this Note at the place, time,
and rate, and in the coin or currency herein prescribed.
7.
Events of
Default. Each of the following occurrences is hereby defined as an
“Event of Default”:
|
Nonpayment
. The
Company shall fail to make any payment of principal, interest, or other
amounts payable hereunder when and as due;
or
|
|
Dissolutions,
etc
. The Company or any subsidiary shall fail to comply
with any provision concerning its existence or any prohibition against
dissolution, liquidation, merger, consolidation or sale of assets;
or
|
|
Noncompliance with
this Agreement
. The Company shall fail to comply in any
material respect with any provision hereof, which failure does not
otherwise constitute an Event of Default;
or
|
|
Insolvency
. The
institution of bankruptcy, insolvency, reorganization or liquidation
proceedings or other proceedings for relief under any bankruptcy law or
any law for the relief of debtors shall be instituted by or against
Company, which proceedings shall not have been vacated by appropriate
court order within sixty (60) days of such
institution.
|
If one or
more "Events of Default" shall occur, then, or at any time thereafter, and in
each and every such case, unless such Event of Default shall have been waived in
writing by the Holder (which waiver shall not be deemed to be a waiver of any
subsequent default) or cured as provided herein, at the option of the Holder,
and in the Holder's sole discretion, the Holder may elect to consider this Note
(and all interest through such date) immediately due and payable. In order to so
elect, the Holder must deliver written notice of the election and the amount due
to the Company via certified mail, return receipt requested, at the Company’s
address as set forth herein (or any other address provided to the Holder), and
thereafter the Company shall have ten (10) business days upon receipt to cure
the Event of Default or pay this Note, or convert the amount due on the Note
pursuant to the conversion formula set forth above.
8.
In case
any provision of this Note is held by a court of competent jurisdiction to be
excessive in scope or otherwise invalid or unenforceable, such provision shall
be adjusted rather than voided, if possible, so that it is enforceable to the
maximum extent possible, and the validity and enforceability of the remaining
provisions of this Note will not in any way be affected or impaired
thereby.
9.
This Note
does not entitle the Holder hereof to any voting rights or other rights as a
shareholder of the Company prior to the conversion into Common Stock thereof,
except as provided by applicable law. If, however, at the time of the surrender
of this Note and conversion the Holder hereof shall be entitled to convert this
Note, the Conversion Shares so issued shall be and be deemed to be issued to
such holder as the record owner of such shares as of the close of business on
the Conversion Date.
10. The
Holder shall pay all issue and transfer taxes and other incidental expenses in
respect of the issuance of certificates for Conversion Shares upon the
conversion of this Note, and such certificates shall be issued in the name of
the Holder of this Note.
11. This
Note may be prepaid in whole or in part at any time or from time to time without
premium or penalty upon 10 days’ prior written notice from the Company to the
Holder.
12. Upon
receipt by the Company of evidence reasonably satisfactory to it of the loss,
theft, destruction or mutilation of this Note, and in case of loss, theft or
destruction of this Note, upon delivery of an indemnity agreement or security
reasonably satisfactory in form and amount to the Company or, in the case of any
such mutilation, upon surrender and cancellation of such Note, and upon
reimbursement to the Company of all reasonable expenses incidental thereto, the
Company will make and deliver to the Holder, in lieu thereof, a new Note in
substantially identical form and dated as of such cancellation.
13. If
the last or appointed day for the taking of any action or the expiration of any
right required or granted herein shall be a Saturday or a Sunday or shall be a
legal holiday in the United States or the State of California, then such action
may be taken or such right may be exercised on the next succeeding business
day.
14. (a) This
Note shall be governed by and construed in accordance with the laws of the State
of New York applicable to contracts made and to be performed wholly within such
state.
(b) Except
as otherwise provided herein, any notice or demand which, by the provisions
hereof, is required or which may be given to or served upon the parties hereto
shall be in writing and, if by telegram, telecopy or telex, shall be deemed to
have been validly served, given or delivered when sent, if by personal delivery,
shall be deemed to have been validly served, given or delivered upon actual
delivery and, if mailed, shall be deemed to have been validly served, given or
delivered three (3) business days after deposit in the United States mails, as
registered or certified mail, with proper postage prepaid and addressed to the
party or parties to be notified.
(c) The
Holder acknowledges that the Conversion Shares acquired upon the exercise of
this Note may have restrictions upon its resale imposed by state and federal
securities laws.
(d) With
regard to any power, remedy or right provided herein or otherwise available to
any party hereunder (i) no waiver or extension of time shall be effective unless
expressly contained in a writing signed by the waiving party; and (ii) no
alteration, modification or impairment shall be implied by reason of any
previous waiver, extension of time, delay or omission in exercise, or other
indulgence.
(e) This
Note may not be amended, altered or modified except by a writing signed by the
Company and the Holder.
[remainder
of page intentionally left blank]
IN
WITNESS WHEREOF, the Company has caused this Convertible Note to be duly
executed by an officer thereunto duly authorized.
SAVE
THE WORLD AIR, INC.
By:
/s/ Cecil Bond
Kyte
Name: Cecil
Bond Kyte
Title: Chief
Executive Officer
ACKNOWLEDGED
AND ACCEPTED:
_______________________________
Investor
Name (Signature)
_______________________________
Print
Name
_______________________________
Investor
Address
NOTICE OF EXERCISE OF
CONVERSION RIGHT
TO: SAVE
THE WORLD AIR, INC.
(1) The
undersigned hereby elects to convert $______________ of the attached Note into
______________ shares of Common Stock (the "Shares") of Save the World Air, Inc.
pursuant to the terms of the attached Note.
(2) Please
issue a certificate or certificates representing the Shares in the name of the
undersigned or in such other name as is specified below:
(Print
Name)
Address:
(3)
The
undersigned confirms that the Shares are being acquired for the account of the
undersigned for investment only and not with a view to, or for resale in
connection with, the distribution thereof and that the undersigned has no
present intention of distributing or selling the Shares.
(4)
The
undersigned accepts such shares subject to the restrictions on transfer set
forth in the attached Note.
__________________________________
|
___________________________________________
|
(Date)
|
(Signature)
|
|
|
|
___________________________________________
|
|
(Print
Name)
|
Exhibit
10.3
FORM
OF STOCK PURCHASE WARRANT
THIS WARRANT AND ANY SHARES ISSUED
UPON ITS EXERCISE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF
1933,
AS AMENDED (THE
"ACT"), AND HAVE BEEN ACQUIRED FOR INVESTMENT AND NOT WITH VIEW TO, OR IN
CONNECTION WITH, THE SALE OR DISTRIBUTION THEREOF. NO SUCH SALE OR DISPOSITION
OF ANY SHARES ISSUED UPON EXERCISE HEREOF MAY BE AFFECTED WITHOUT AN EFFECTIVE
REGISTRATION STATEMENT RELATED THERETO OR AN OPINION OF COUNSEL SATISFACTORY IN
FORM AND SUBSTANCE TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED UNDER
THE ACT THE TRANSFER OF THIS WARRANT IS RESTRICTED AS SET FORTH
HEREIN.
No. __
XXXXX
___
|
March___,
2010
|
SAVE
THE WORLD AIR, INC.
WARRANT TO PURCHASE COMMON
STOCK
VOID
AFTER 5:00 P.M. P.S.T. ON ____________,___, 2012
THIS
CERTIFIES that, for the value received, the holder identified on the last page
of this Warrant (the "Holder") is entitled, upon the terms and subject to the
conditions hereinafter set forth, at any time on or after the date of this
Warrant and on or prior to 5:00 p.m. P.S.T. on the second anniversary of the
date of this Warrant (the "Expiration Time"), but not thereafter, to subscribe
for and purchase, from SAVE THE WORLD AIR, INC., a Nevada corporation (the
"Company"), up to ____
XXXX
_____ shares of the
Company's Common Stock (the "Shares") at a purchase price per share equal to
$0.40 (the "Exercise Price").
1.
Exercise of
Warrant.
(a) The
purchase rights represented by this Warrant are exercisable by the Holder, in
whole or in part, at any time after the date of this Warrant and
before the Expiration Time by the surrender of this Warrant and the Notice of
Exercise annexed hereto duly executed at the office of the Company, in Morgan
Hill, California (or such other office or agency of the Company as it may
designate by notice in writing to the Holder at the address of the Holder
appearing on the books of the Company), and upon payment of an amount equal to
the aggregate Exercise Price for the number of Shares thereby purchased (by cash
or by check or certified bank check payable to the order of the Company in an
amount equal to the purchase price of the shares thereby purchased); whereupon
the Holder shall be entitled to receive a stock certificate representing the
number of Shares so purchased. The Company agrees that if at the time of the
surrender of this Warrant and purchase of the Shares, the Holder shall be
entitled to exercise this Warrant, the Shares so purchased shall be and be
deemed to be issued to such holder as the record owner of such Shares as of the
close of business on the date on which this Warrant shall have been exercised as
aforesaid.
Upon
partial exercise of this Warrant, the Holder shall be entitled to receive from
the Company a new Warrant in substantially identical form for the purchase of
that number of Shares as to which this Warrant shall not have been exercised.
Certificates for Shares purchased hereunder shall be delivered to the Holder
within a reasonable time after the date on which this Warrant shall have been
exercised as aforesaid.
2.
No Fractional Shares or
Scrip.
No fractional shares or scrip representing fractional shares shall
be issued upon the exercise of this Warrant. With respect to any fraction of a
share called for upon the exercise of this Warrant, an amount equal to such
fraction multiplied by the then current fair market value at which each Share
may be purchased hereunder shall be paid in cash to the Holder.
(a) For
purposes of this Section 2, the fair market value of the Shares shall mean
the closing price of a share of the Company's Common Stock on the OTC
Bulletin Board on which the Common Stock is listed at the time of exercise on
the last business day prior to the date of exercise of this Warrant pursuant to
Section l or, if the Company's Common Stock is not then listed or quoted on the
OTC Bulletin Board, the closing price of the Company’s Common Stock as reported
on the “Pink Sheets” published by the Pink OTC Markets, Inc. (or a similar
organization or agency succeeding to its functions of reporting prices) or in
all other cases, the fair market value of the Common Stock (without regard to
the restrictions on transfer or number of Shares) as determined in good faith by
the Company's Board of Directors.
3.
Charges, Taxes and
Expenses.
The Holder shall pay all issue and transfer taxes and other
incidental expenses in respect of the issuance of certificates for Shares upon
the exercise of this Warrant, and such certificates shall be issued in the name
of the Holder of this Warrant.
4.
No Rights as a
Stockholder.
This Warrant does not entitle the Holder to any voting
rights or other rights as a stockholder of the Company prior to the exercise
hereof.
5.
Loss, Theft, Destruction or
Mutilation of Warrant.
Upon receipt by the Company of evidence reasonably
satisfactory to it of the loss, theft, destruction or mutilation of this
Warrant, and in case of loss, theft or destruction of this Warrant, upon
delivery of an indemnity agreement or security reasonably satisfactory in form
and amount to the Company or, in the case of any such mutilation, upon surrender
and cancellation of such Warrant, and upon reimbursement to the Company of all
reasonable expenses incidental thereto, the Company will make and deliver to the
Holder, in lieu thereof, a new Warrant in substantially identical form and dated
as of such cancellation.
6.
Saturdays, Sundays,
Holidays, etc.
If the last or appointed day for the taking of any action
or the expiration of any right required or granted herein shall be a Saturday or
a Sunday or shall be a legal holiday in the United States or the State of
California, then such action may be taken or such right may be exercised on the
next succeeding business.
7.
Merger, Reclassification,
etc
.
(a)
Merger, etc.
If at
any time the Company proposes (A) the acquisition of the Company by another
entity by means of any transaction or series of related transactions (including,
without limitation, any reorganization, merger, consolidation or stock issuance)
that results in the transfer of fifty percent (50%) or more of the then
outstanding voting power of the Company; or (B) a sale of all or substantially
all of the assets of the Company, then the Company shall give the Holder ten
(10) days notice of the proposed effective date of the transaction. If, in the
case of such acquisition of the Company, and the Warrant has not been exercised
by the effective date of the transaction, this Warrant shall be exercisable into
the kind and number of shares of stock or other securities or property of the
Company or of the entity resulting from such merger or acquisition to which such
Holder would have been entitled if immediately prior to such acquisition or
merger, it had exercised this Warrant. The provisions of this Section 7(a) shall
similarly apply to successive consolidations, mergers, sales or
conveyances.
(b)
Reclassification,
etc.
If the Company at any time shall, by subdivision, combination or
reclassification of securities or otherwise, change any of the securities to
which purchase rights under this Warrant exist into the same or a different
number of securities of any class or classes, this Warrant shall thereafter be
to acquire such number and kind of securities as would have been issuable as the
result of such change with respect to the securities which were subject to the
purchase rights under this Warrant immediately prior to such subdivision,
combination, reclassification or other change. If the Shares are subdivided or
combined into a greater or smaller number of Shares, the Exercise Price under
this Warrant shall be proportionately reduced in case of subdivision of shares
or proportionately increased in the case of combination of shares, in both cases
by the ratio which the total number of Shares to be outstanding immediately
after such event bears to the total number of Shares outstanding immediately
prior to such event.
(c)
Cash Distributions.
No adjustment on account of cash dividends or interest on the Shares or other
securities purchasable hereunder will be made to the Exercise Price under this
Warrant.
8.
Restrictions on
Transfer.
(a)
Restrictions on Transfer of
Shares.
In no event will the Holder make a disposition of this Warrant or
the Shares unless and until, if requested by the Company, it shall have
furnished the Company with an opinion of counsel satisfactory to the Company and
its counsel to the effect that appropriate action necessary for compliance with
the Securities Act of 1933, as amended (the "Act") relating to sale of an
unregistered security has been taken. Notwithstanding the foregoing, the
restrictions imposed upon the transferability of the Shares shall terminate as
to any particular Share when (i) such security shall have been sold without
registration in compliance with Rule 144 under the Act, or (ii) a letter shall
have been issued to the Holder at its request by the staff of the Securities and
Exchange Commission or a ruling shall have been issued to the Holder at its
request by such Commission stating that no action shall be recommended by such
staff or taken by such Commission, as the case may be, if such security is
transferred without registration under the Act in accordance with the conditions
set forth in such letter or ruling and such letter or ruling specifies that no
subsequent restrictions on transfer are required, or (iii) such security shall
have been registered under the Act and sold by the Holder thereof in accordance
with such registration.
(b)
Subject to the provisions of Section 8(a) hereof, this Warrant and all rights
hereunder are transferable, in whole or in part, upon surrender of the Warrant
with a properly executed assignment at the principal office of the
Company.
(c)
Restrictive Legends.
The stock certificates representing the Shares and any securities of the Company
issued with respect thereto shall be imprinted with legends restricting transfer
except in compliance with the terms hereof and with applicable federal and state
securities laws substantially as follows:
“THE
SHARES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED
NDER 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 OR AN OPINION OF COUNSEL SATISFACTORY TO THE ISSUER OF
THIS CERTIFICATE
THAT
REGISTRATION IS NOT REQUIRED UNDER SAID ACT”.
9.
Miscellaneous.
(a)
Governing Law.
This
Warrant shall be governed by and construed in accordance with the laws of the
State of New York applicable to contracts made and to be performed wholly within
such state.
(b)
Restrictions.
The
Holder acknowledges that the Shares acquired upon the exercise of this Warrant
may have restrictions upon its resale imposed by state and federal securities
laws.
(c)
Waivers Strictly
Construed.
With regard to any power, remedy or right provided herein or
otherwise available to any party hereunder (i) no waiver or extension of time
shall be effective unless expressly contained in a writing signed by the waiving
party; and (ii) no alteration, modification or impairment shall be implied by
reason of any previous waiver, extension of time, delay or omission in exercise,
or other indulgence.
(d)
Modifications.
This
Warrant may not be amended, altered or modified except by a writing signed by
the Company and the Holder of this Warrant.
[remainder of page intentionally left
blank]
IN
WITNESS WHEREOF, SAVE THE WORLD AIR, INC. has caused this Warrant to be executed
by its duly authorized representative dated as of the date first set forth
above.
|
SAVE
THE WORLD AIR, INC.
235
Tennant Avenue
Morgan
Hill, CA 95037
|
|
|
|
|
|
|
By:
|
/s/ Cecil
Bond Kyte
|
|
|
Name:
|
Cecil
Bond Kyte
|
|
|
Title:
|
Chief
Executive Officer
|
|
|
|
|
|
NOTICE
OF EXERCISE
TO: SAVE
THE WORLD AIR, INC., a Nevada corporation
(1) The
undersigned hereby elects to purchase
___________________________ shares of Common Stock (the "Shares") of
Save the World Air, Inc. pursuant to the terms of the attached Warrant, and
tenders herewith payment of the purchase price in full, together with all
applicable transfer taxes, if any.
(2) Please
issue a certificate or certificates representing the Shares in the name of the
undersigned or in such other name as is specified below:
_______________________________________________
(Print
Name)
Address:
_______________________________________________
_______________________________________________
_______________________________________________
(3) The
undersigned confirms that he is an “accredited investor” as defined by Rule
501(a) under the Securities Act of 1933, as amended, at the time of execution of
this Notice.
(4) The
undersigned confirms that the Shares are being acquired for the account of the
undersigned for investment only and not with a view to, or for resale in
connection with, the distribution thereof and that the undersigned has no
present intention of distributing or selling the Shares.
(5) The
undersigned accepts such Shares subject to the restrictions on transfer set
forth in the attached Warrant.
Date:__________________________________
|
___________________________________________
|
|
(Signature)
|
|
|
|
___________________________________________
|
|
(Print
Name)
|