訂閱協議書
普通股
的
VIRTRA公司。
本訂閱(本“訂閱”)日期為2017年,由下面簽名頁面確認的投資者(“投資者”)和內華達州一家公司VIRTRA, Inc.(“公司”)之間進行,雙方同意如下:
1. 訂閱
投資者 同意購買並同意向投資者出售並發行該數量的股份(」股票」) 的 本公司的普通股,每股面值 0.0001 美元,如本公司簽署頁面所載,用於 總購買價格(」購買價格」) 等於 (x) 股份總數的乘計 投資者已同意購買及 (y) 每股購買價格(」購買價格」) 如設置 在此處的簽名頁面上列出。購買價格載於此處的簽名頁面上。
股份將根據表格 1-A 檔案編號 [] 發售聲明發售(the」發售聲明」)。 發售聲明將獲證券交易監察委員會 (」) 資格委員會」) 在發行任何股份及接受投資者認購之前。發售通告(」提供 通告」) 構成「發售聲明」的一部分,但可能會更改。最終發售通函及/或 發售通告的補充資料將按法律要求交付投資者。
Boustead證券正在以「最大/最小盡力」的方式提供股份。購買和銷售股份的完成將按照1934年修訂版證券交易法第15c6-1條的規定,在由公司和承銷商指定的地點和時間進行。保險公司完成股份的購買和銷售(即「)」將由Boustead Securities,LLC作為承銷人,以「盡力而為,最大/最小」的方式進行。結束完成購買和銷售股份(即「)」將在公司和承銷商根據1934年修訂版證券交易法第15c6-1條所制定的時間和地點進行。結束日期完成股份的購買和銷售(即「)」將根據由公司和承銷商規定的時間和地點,在根據1934年修訂版證券交易法第15c6-1條所訂定的時間和地點進行。證券交易所法案”)。 在承銷協議及發行聲明中設定的所有交割條件獲得滿足或豁免後,在交割日,(i)投資者應按支票支付購買價格,或通過電匯將即時可用資金存入公司的發行存款帳戶,根據下方簽名線提供的電匯指示;以及(ii)公司應確保股份隨即將股份交付給投資者,股份的交付將通過存管信託公司的DWAC系統進行,按照附有下方簽名頁的“DWAC指示”進行(或者,如要求投資者在此簽名頁上,也可通過郵寄交付存證股份的證書到已指定之住宅或業務地址)。
承銷商和任何參與經紀商 經銷商(“承銷商”)應確認,通過所選經銷商協議或主經銷商協議 其將遵守交易所法案規則15c2-4。根據交易所法案規則15c2-4和FINRA會員規則84-7( “提供入賬基金账户”,所有隨贖購協議附有支票將會立即在隔一個工作日的中午前寄送至 提供入賬存款賬戶。有關從投資者銀行賬戶匯入資金,會員應請求投資者於隔一個工作日前 發送其電匯,然而,公司無法保證投資者會按照該規則轉賬。有關從參與經紀持有的投資者賬戶 匯出資金,資金將在投資者完成認購文件並完成電匯指示後“立即轉入”入賬代理人账户 下,以便將資金轉至提供入賬存款賬戶。除非出現飛凡情況,客戶賬戶中的資金將在隔一個工作 日中午前轉入。如果資金已轉入且在最終認購文件所設定的終止日期之前由於任何原因而未結束 提供,所有資金將根據託管協議條款和適用法律立即退還給投資者。成員”)應確認,通過所選經銷商協議或主選定經銷商協議 其將遵守交易所法案規則15c2-4。根據交易所法案規則15c2-4和FINRA會員規則84-7( “提供入賬基金账户”,所有隨贖購協議附有支票將會立即在隔一個工作日的中午前寄送至 提供入賬存款賬戶。有關從投資者銀行賬戶匯入資金,會員應請求投資者於隔一個工作日前 發送其電匯,然而,公司無法保證投資者會按照該規則轉賬。有關從參與經紀持有的投資者賬戶 匯出資金,資金將在投資者完成認購文件並完成電匯指示後“立即轉入”入賬代理人账户 下,以便將資金轉至提供入賬存款賬戶。除非出現飛凡情況,客戶賬戶中的資金將在隔一個工作 日中午前轉入。如果資金已轉入且在最終認購文件所設定的終止日期之前由於任何原因而未結束 提供,所有資金將根據託管協議條款和適用法律立即退還給投資者。規則業務),所有隨贖購協議附有支票將會立即在隔一個工作日的中午前寄送至提供入賬存款賬戶。有關從投資者銀行賬戶匯入資金,會員應請求投資者於隔一個工作日前發送其電匯,然而,公司無法保證投資者會按照該規則轉賬。有關從參與經紀持有的投資者賬戶匯出資金,資金將在投資者完成認購文件並完成電匯指示後“立即轉入”入賬代理人账户下,以便將資金轉至提供入賬存款賬戶。除非出現飛凡情況,客戶賬戶中的資金將在隔一個工作日中午前轉入。如果資金已轉入且在最終認購文件所設定的終止日期之前由於任何原因而未結束提供,所有資金將根據託管協議條款和適用法律立即退還給投資者。
2. 證書、陳述和保證
為了誘使公司接受這份股票認購協議書,並作為進一步考慮接受該協議的代價,簽署人特此就所有以下契約、承諾、確認、及同意議案,承認公司及其聯屬公司將明確依此作出接受或拒絕此股票認購協議的決定:
我明白,為了購買股份,我必須符合《1933年證券法》修訂案根據制定的D條例501條中所定義的“認證投資者”,或者我必須將對股份的投資限制在:(i) 如果我是自然人,我的淨資產或年收入的最高10%,或者 (ii) 如果我是非自然人,以最近完成的財政年度為基準,我的收入或淨資產的最高10%。
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我明白,如果我是自然人,我應判斷我的淨資產以便計算這些陳述的目的,方法是計算我的總資產和總負債之間的差額。 我明白這個計算必須排除我的主要住宅的價值,並且可能排除由我的主要住宅抵押的任何負債(最高金額為你的主要住宅價值)。 在受益人賬戶的情況下,淨值和/或收入適格要求可能由受益人或受益人擔任人滿足,如果該受益人或受益人直接或間接為購買股份提供資金。
特此聲明並保證,我符合購買股份的資格,原因如下:
[ ] | 在本次認購活動中,我要認購的股票總價不得超過我的淨值或年收入的10%,以較高者為準。 |
[ ] | 我是一位合格投資者。 |
本人理解公司有权全数或部分接受或拒绝本认购,恕不负责,并如所未接受,透寄之所有基金类型将全数退还于该签署人,同时赔付其中所应发的任何利息。
我 已收到發售簡章。
我 是為我自己的賬戶購買股份。
謹此聲明並保證,我不是,也不是代理人、代表、中間人或任何人的代理人,其身份列於美國財政部外國資產控制辦公室(OFAC)制裁名單上的人員。此外,我已遵守所有適用的美國法律、法規、指令和行政命令,包括但不限於反洗錢方面的以下法律:(1)2001年《提供適當工具以攔截和阻止恐怖主義行為的統一強化美國法案》,公法107-56;和(2)2001年9月23日的行政命令13224號(封鎖財產並禁止與實施、威脅實施或支持恐怖主義的人進行交易)。
By making the foregoing representations you have not waived any right of action you may have under federal or state securities law. Any such waiver would be unenforceable. The Company will assert your representations as a defense in any subsequent litigation where such assertion would be relevant. This Subscription Agreement and all rights hereunder shall be governed by, and interpreted in accordance with, the laws of the State of [California] without giving effect to the principles of conflict of laws.
3. Miscellaneous
This Subscription Agreement may be executed in any number of counterparts, all of which taken together shall constitute one and the same instrument and shall become effective when counterparts have been signed by each party and delivered to the other parties hereto, it being understood that all parties need not sign the same counterpart. Execution may be made by delivery by facsimile or via electronic format.
All communications hereunder, except as may be otherwise specifically provided herein, shall be in writing and shall be mailed, hand delivered, sent by a recognized overnight courier service such as FedEx, or sent via facsimile and confirmed by letter, to the party to whom it is addressed at the following addresses or such other address as such party may advise the other in writing:
To the Company: as set forth on the signature page hereto.
To the Investor: as set forth on the signature page hereto.
All notices hereunder shall be effective upon receipt by the party to which it is addressed.
If the foregoing correctly sets forth the parties’ agreement, please confirm this by signing and returning to the Company the duplicate copy of this Subscription Agreement.
4. FINRA Rules 5130 and 5131
This rule states that “restricted persons” are prohibited from participating in Syndicate or new issue offerings. Please review the following definition of a “restricted person” on Schedule A prior to signing this form acknowledging you do not fall into ‘“restricted person” status.
The undersigned hereby represents and warrants as of the date set forth below that:
i. | The undersigned is the holder of the account identified below or is authorized to represent the beneficial holders of the account; | |
ii. | Neither the undersigned nor any beneficial holder of the account is a “restricted person” as that term is described in FINRA Rule 5130 (described in Schedule A); and | |
iii. | The undersigned understands FINRA. Rule 5130 and the account is eligible to purchase new issues in compliance with such rule. |
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[Signature Page to Investor Subscription Agreement for VIRTRA, Inc.]
If the foregoing correctly sets forth the parties agreement, please confirm this by signing and returning to us the duplicate copy of this Subscription Agreement.
VIRTRA, Inc. | ||
Number of Shares: ___________________________ | By: | |
Name: | ||
Purchase Price per Share: $ _____[ ] share_ | Title: | |
Aggregate Purchase Price: $____________________ | Address Notice: | |
VIRTRA, Inc. | ||
7970 S. Kyrene Rd. | ||
INVESTOR: ________________________________ | Tempe, AZ 85284 |
By: | Address: ______________________________________ | ||
Name: | ______________________________________________ | ||
Title: | Phone: ________________________________________ | ||
SSN or EIN: ____________________________________ |
[ ] Check Method of Payment: Check enclosed _____or
[ ] Please wire $______________________from my account held at: _____________________
Account Title: ______________________; Account Number: ____________________
To the following instructions:
Signature Bank; 950 Third Avenue, 9th Floor New York, New York 10022
ABA/Routing # 026013576
Swift #: SIGNUS33
Account #: [ ]
Account Title: Signature Bank as Escrow Agent for VIRTRA, Inc.
Telephone No. (646) 822 1940
Fax No. (646) 758 8372
By: ____________________________________ | Date: ________, 2017 |
Name: __________________________________ | |
Title: ___________________________________ |
Select method of delivery of Shares: DRS or DWAC
DWAC DELIVERY DWAC Instructions:
1. | ___________________________________________________________ | |
Name of DTC Participant (broker dealer at which the account or accounts to be credited with the Shares are maintained) | ||
2. | _______________________________________________________________ | |
DTC Participant Number | ||
3. | _______________________________________________________________ | |
Name of Account at DTC Participant being credited with the Shares | ||
4. | _______________________________________________________________ | |
Account Number of DTC Participant being credited with the Shares |
Or DRS Electronic Book Entry Delivery Instructions:
Name in which Shares should be issued:_________________________________
Address: ________________________; ____________________;
Attention: ________________________
Telephone No.: ____________________
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SCHEDULE A
a) | FINRA Member Firms or other Broker/Dealers |
b) | Broker-Dealer Personnel |
● | Any officer, director, General partner, associated person or employee of a member firm or any other Broker/dealer. | |
● | Any agent of a member firm or any other Broker/dealer that is engaged in the investment banking or securities business | |
● | Any immediate family member of a person specified above. Immediate family members include a person’s parents, mother-in-law or father-in-law, spouse, brother or sister, brother-in-law or sister-in-law, son-in-law or daughter-in law, and children. |
i. | Person that materially supports or receives material support from the immediate family member. | |
ii. | Person employed by or associated with the member, or an affiliate of the member, selling the new issue to the immediate family member. | |
iii. | Person that has an ability to control the allocation of the new issue. |
c) | Finders and Fiduciaries. With respect to the security being offered, a finder or any person acting in a fiduciary capacity to the managing underwriter, including, but not limited to, attorneys, accountants, and financial consultants; and any immediate family members (or person(s) receiving material support or receives material support from the family member) of a person identified as a Finder or Fiduciary. |
d) | Portfolio Managers |
a. | Any person who has authority to buy or sell securities for a bank, savings and loan institution, insurance company, investment company, investment advisor, or collective investment account. | |
b. | Any immediate family member of a person specified under portfolio Managers that materially supports, or receives material support from such person. |
e) | Persons Owning a Broker/Dealer |
a. | Any person listed, or required to be listed, in Schedule A of a Form BD, except persons identified by ownership of less than 10%. | |
b. | Any person listed, or required to be listed, in Schedule B of a Form BD, except persons identified by ownership of less than 10%. | |
c. | Any person listed, or required to be listed, in Schedule C of a Form BD that meets the criteria of (e)(bullet point 1) or (e) (bullet point 2) above. | |
d. | Any person that directly or indirectly owns 10% or more of a public reporting company listed, or required to be listed, in Schedule B of a Form BD. | |
e. | Any person that directly or indirectly owns 25% or more of a public reporting company listed, or required to be listed, in Schedule B of a Form BD. | |
f. | Any immediate family member of a person specified in (5) (bullet points 1-5) unless the person owning the Broker/dealer: |
i. | Does not materially support, or receive material support from the immediate family member. | |
ii. | Is not an owner of the member, or an affiliate of the member, selling the new issue to the immediate family member. | |
iii. | Has no ability to control the allocation of the new issue. |
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