Exhibit 10.1

 
ImageWare Systems, Inc.
 
Subscription Form
 
Series G Convertible Preferred Stock
Liquidation Preference $1,000 per Share
 
Investor’s Name:
_____________________________________________________
 
 
Investor’s Address
_____________________________________________________
 
_____________________________________________________
 
 
Investor’s Social Security or Federal Tax Identification Number:
 
_____________________________________________________
 
 
Brokerage Firm (for delivering shares):
_____________________________________________________
 
 
Account Number at Brokerage Firm:
 _____________________________________________________
 
 
DTC Participant Number:
 _____________________________________________________
 
 
Number of Shares Subscribed for:
 
______________________________________________________
 
 
Amount Owed for Shares:
____________________________________ ($1,000 per share)

 
Wire Information:
 
 
 
 
Date of Wire: ___________________
 
 
 
 
 
Fed Reference No.: ______________

 
Investor agrees and acknowledges that the shares of Series G Convertible
Preferred Stock subscribed for (the “Shares”) shall be issued as of the date of
acceptance of this Subscription Form by ImageWare Systems, Inc., and delivered
to Investor within five (5) business days thereafter.
 
Representations, Warranties, Agreements:
 
By executing and returning this form, the undersigned represents, warrants and
agrees that:
 
(i) he/she/it is the investor, or has full power and authority to act on behalf
of and bind the investor in subscribing as set forth herein and making these
representations, warranties and agreements;
 
(ii) he/she/it understands that the Shares are “restricted securities” and have
not been registered under the Securities Act of 1933, as amended (“Securities
Act”) or any applicable state securities law, and he/she/it is acquiring the
Shares as principal for their own account and not with a view to or for
distributing or reselling, has no present intention of distributing the Shares
in violation of the Securities Act or any applicable state securities law and
has no direct or indirect arrangement or understandings with any other persons
to distribute or regarding the distribution the Shares in violation of the
Securities Act or any applicable state securities law (this representation and
warranty not limiting the undersigned’s right to sell the Shares in compliance
with applicable federal and state securities laws);
 
(iii) At the he/she/it was offered the Shares, they were, and as of the date
hereof it are an “accredited investor” as defined in Rule 501(a)(1), (a)(2),
(a)(3), (a)(7) or (a)(8) under the Securities Act;
 
(iv) he/she/it, either alone or together with its representatives, has such
knowledge, sophistication and experience in business and financial matters so as
to be capable of evaluating the merits and risks of the prospective investment
in the Shares and has so evaluated the merits and risks of such investment, and
is able to bear the economic risk of an investment in the Shares and, at the
present time, is able to afford a complete loss of such investment;
 
(v) he/she/it, and to the extent it has them, any of its shareholders, members,
managers, general or limited partners, directors, affiliates or executive
officers (collectively, the “Covered Persons”), are not subject to any of the
Disqualification Events described in Rule 506(d)(1)(i) to (viii) under the
Securities Act, except for a Disqualification Event covered by Rule 506(d)(2) or
(d)(3). He/she/it has exercised reasonable care to determine whether any Covered
Person is subject to a Disqualification Event. The purchase of the Shares will
not subject the ImageWare Systems to any Disqualification Event;
 
 
 

 
 
(vi) he/she/it is not, to their knowledge, purchasing the Shares as a result of
any advertisement, article, notice or other communication regarding the Shares
published in any newspaper, magazine or similar media or broadcast over
television or radio or presented at any seminar or any other general
solicitation or general advertisement; and
 
(vii) the information provided herein and these representations, warranties and
agreements are accurate and complete, and shall remain so until the undersigned
notifies ImageWare otherwise.
 
Contact information, if we have any questions:
 
__________________________________
 
(Phone)
 
 
 
 
 _________________________________
(Email)

 
 Signature:
______________________________
 
By:___________________________
 
Date:__________________________

 
 
Subscription Instructions:
 
 
1.
Wire the funds to:

 
 
Bank name
Comerica Bank - California
 
Bank address
955 “J” Street, San Diego, CA 92101

 
 
ABA routing #
121137522
 
Swift #
MNBDUS33

 
 
Account name
ImageWare Systems, Inc.

 
 
Account #
1891503805

 

 
2.
Execute the subscription form (being sure to include the date of the wire and
the wire Fed. Ref. No.) and email the form to rcharest@disclosurelawgroup.com.

 
  
For questions please email: jsudweeks@disclosurelawgroup.com.