YORK,
WITHOUT REGARD TO CONFLICTS OF LAW PROVISIONS THAT WOULD RESULT IN THE
APPLICATION OF ANY OTHER LAW (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 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:
Full Legal Name
Type of Organization
Jurisdiction of Organization
Chief Executive
Office/Sole Place of Business
(or Residence if Grantor 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 PLEDGE AND SECURITY AGREEMENT
COLLATERAL IDENTIFICATION
I. INVESTMENT RELATED PROPERTY
(A) Pledged Stock:
Grantor
Stock Issuer
Class of Stock
Certificated (Y/N)
Stock
Certificate No.
Par Value
No. of Pledged
Stock
Percentage of
Outstanding
Stock of the Stock
Issuer
Pledged LLC 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
Pledged Trust Interests:
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
Commodities Accounts:
Grantor
Name of Commodities Intermediary
Account Number
Account Name
(B)
Grantor
Date of Acquisition
Description of Acquisition
II. INTELLECTUAL PROPERTY
(A) Copyrights
Grantor
Description of Copyright
Registration Number
Registration Date
(B) Copyright Licenses
Grantor
Description of Copyright License
Registration Number (if any) of
underlying Copyright
Name of Licensor
EXHIBIT A-4
(C) Patents
Grantor
Title of Patent
Patent Number/ (Application
Number)
Issue Date/ (Filing Date)
(D) Patent Licenses
Grantor
Description of Patent License
Patent Number of underlying Patent
Name of Licensor
(E) Trademarks
Grantor
Trademark
Registration Number/ (Serial
Number)
Registration Date/ (Filing Date)
(F) Trademark Licenses
Grantor
Description of Trademark License
Registration Number of underlying
Trademark
Name of