SOME OTHER
JURISDICTION (OTHER THAN ANY MANDATORY PROVISIONS OF THE UCC RELATING TO THE LAW
GOVERNING PERFECTION AND THE EFFECT OF PERFECTION OF THE SECURITY INTEREST).
IN WITNESS WHEREOF , Grantor has caused this Pledge Supplement to be duly
executed and delivered by its duly authorized officer as of [mm/dd/yy].
[NAME OF GRANTOR]
By: ______________________________
Name:
Title:
EXHIBIT A-1
SUPPLEMENT TO SCHEDULE 5.1
TO U.S. PLEDGE AND SECURITY AGREEMENT
Additional Information:
GENERAL INFORMATION
(A)
Full Legal Name, Type of Organization, Jurisdiction of
Organization, Chief Executive Office/Sole Place of Business (or Residence if
Grantor is a Natural Person) and Organizational Identification Number of each
Grantor:
Chief Executive
Office/Sole Place of
Business (or
Full Legal
Type of
Jurisdiction of
Residence if Grantor
Name
Organization
Organization
is
a Natural Person)
Organization I.D.#
(B)
Other Names (including any Trade Name or Fictitious Business Name)
under which each Grantor currently conducts business:
Full Legal Name
Trade Name or
Fictitious Business Name
(C)
Changes in Name, Jurisdiction of Organization, Chief Executive
Office or Sole Place of Business (or Principal Residence if Grantor is a Natural
Person) and Corporate Structure within past five (5) years:
Grantor
Date of Change
Description of Change
(D)
Agreements pursuant to which any Grantor is bound as debtor within
past five (5) years:
Grantor
Description of Agreement
EXHIBIT A-2
SUPPLEMENT TO SCHEDULE 5.2
TO U.S. PLEDGE AND SECURITY AGREEMENT
COLLATERAL IDENTIFICATION
1.
INVESTMENT RELATED PROPERTY
(A)
Pledge Stock:
Grantor
Stock
Issuer
Class of
Stock
Stock
Certificated
(Y/N)
Certificate
No.
Par Value
No. of
Pledged
Stock
Percentage
of
Outstanding
Stock of the
Stock Issuer
Pledged L.L.C. Interests:
Grantor
Limited Liability Company
Certificated (Y/N)
Certificate No. (if any)
No. of Pledged Units
Percentage of Outstanding LLC Interests of the Limited Liability Company
Pledged Partnership Interests:
Grantor
Partnership
Type of Partnership Interests (e.g., general or limited)
Certificated (Y/N)
Certificate No. (if any)
Percentage of Outstanding Partnership Interests of the Partnership
Trust Interests or other Equity Interests not listed above:
Grantor
Trust
Class of Trust Interests
Certificated (Y/N)
Certificate No. (if any)
Percentage of Outstanding Trust Interests of the Trust
Pledged Debt:
Grantor
Issuer
Original Principal Amount
Outstanding Principal Balance
Issue Date
Maturity Date
EXHIBIT A-3
Securities Account:
Grantor
Share of Securities Intermediary
Account Number
Account Name
Deposit Accounts:
Grantor
Name of Depositary Bank
Account Number
Account Name
Commodity Contracts and Commodities Accounts:
Grantor
Name of Commodities Intermediary
Account Number
Account Name
(B)
Grantor
Date of Acquisition
Description of Acquisition
II.
COMMERCIAL TORT CLAIMS
Grantor
Commercial Tort Claims
III.
LETTER OF CREDIT RIGHTS
Grantor
Description of Letters
of Credit
IV.
WAREHOUSEMAN, BAILEES AND OTHER THIRD PARTIES IN POSSESSION
OF COLLATERAL
Grantor
Description of Property
Name and Address of Third Party
EXHIBIT A-4
VI.
MATERIAL CONTRACTS
Grantor
Description of Material Contract
EXHIBIT A-5
SUPPLEMENT TO SCHEDULE 5.4 TO
U.S. PLEDGE AND SECURITY AGREEMENT
Financing Statements:
Grantor
Filing Jurisdiction(s)
EXHIBIT A-6
SUPPLEMENT TO SCHEDULE 5.5
TO U.S. PLEDGE AND SECURITY AGREEMENT
Additional Information:
Name of Grantor
Location of Inventory
EXHIBIT A-7