Document:

exv10w1

	 	 	 	 	 

Exhibit 10.1

January 29, 2010

Letter of Intent

To: CH Trust

Attn: Christine Hughes

Re: iMedia International Loan Agreement and Warrants offering.

Please be advised that CH Trust has agreed to provide $2,500,000 dollars US total funding (the “Investment”) to iMedia
International Inc.; on or before March 12, 2010, in the form of a debt instrument for operating capital and production of
the television show and related interactive media platform entitled, “Hollywood Previews”. Related agreements and value
propositions have been outlined in exhibits delivered as part of a due diligence package. In addition, a promissory note
has been submitted to detail the loan agreement, warrants offering and repayment schedule.

This Letter of Intent is based upon the following terms and conditions:

1. Loan Repayment Schedule:

CH Trust shall recoup the total amount of the Investment (the “ROI”) based on a 12% debt note beginning service eighteen
(18) months from the date of funding, October 2011, to iMedia International. A debt service schedule has been outlined in
due diligence materials provided and reported as “Exhibit A” in loan documents.

2. Warrants:

Warrant to purchase common stock by CH Trust in iMedia International will be offered upon funding at two (2) for every
dollar invested, totaling a potential of 5 million warrants with a price of 50 cents per share to convert to common stock.

 

 

3. Additional Services Provided:

iMedia International Inc. has agreed to provide significant additional services, in many cases at cost, or at no cost to
investor, as well as marketing consultation on other projects whenever possible. That obligation is outlined in detail in
due diligence materials provided by iMedia International and will be enforceable by CH Trust after funding.

4. Additional Commitments:

	•	 	This loan is guaranteed by CH Trust to fund on or before March 12, 2010 date as CH Trust and its advisors has
concluded the due diligence process.
	 
	•	 	CH Trust hereby agrees and represents that these funds are available and accessible within the necessary timeframe
of on or before 3/12/10.
	 
	•	 	By accepting this letter of intent, any necessary bridge financing or company loans will be guaranteed by CH Trust
as paid in full on the funding date of 3/12/10, allowing a first-position standing by CH Trust with iMedia International,
and all the assets of said company.
	 
	•	 	CH Trust expressly reserves the right to terminate this agreement without liability from iMedia or the
contemplated bridge financing should CH Trust be unsuccessful in receiving its anticipated returns from the trading
platforms now in place which are to be the source of the funds used for the Investment.
	 
	•	 	iMedia International Inc represents that there are no existing or threatened claims, litigation, or liens or
encumbrances which would adversely affect or impair Christine Hughes’ & CH Trust’s rights in an investment and or loan
agreement.
	 
	•	 	Christine Hughes and CH Trust represents possession of the full authority and capacity to execute and perform all
obligations outlined in this Letter once accepted. A facsimile may be used and shall have the same force and effect as if
it were the original document for notification of acceptance of the binding terms of this agreement.
	 
	•	 	iMedia and its senior executives agree to supply regular reports to CH Trust, including weekly status and
quarterly projections and initiatives progress.
	 
	•	 	Reasonable milestones and markers may be requested by CH Trust to ensure Company performance once funded.

 

 

5. Confidentiality

All parties hereto agree to keep this Agreement and its contents strictly confidential, including all other documents
arising between them and made available only to iMedia International senior executives and its investors. Forward Looking
Statements have been provided to CH Trust within the due diligence materials. Investor agrees that all due diligence
information has been supplied by iMedia International and reviewed by CH Trust and its advisors, and understands all
risks related to investment.

6 Agreement in Principle

The terms of this Letter shall govern the relationship between the parties in conjunction with a formal promissory note
agreement. It is intended that this agreement will be considered a valid and legal document which shall be binding upon
all the parties to this contract.

7. Legal Recitals

If any legal action is brought for the enforcement of or to declare rights or obligations under this Letter of Intent or
as a result of a breach, default or misrepresentation in connection with any of the provisions of this Letter, the
prevailing party shall be entitled to recover reasonable costs and expenses in connection therewith, including, but not
limited to attorney’s fees, attorney’s costs and court costs. All questions with respect to the construction of this
Agreement and the rights and liabilities of the parties hereto shall be governed by the laws of the State of California.
The parties hereby consent and submit to the jurisdiction of the federal and state courts located in the State of
California in any action brought to enforce or otherwise relating to, this Agreement.

	 	 	 	 	 	 	 	 	 	 	 
	Approved and agreed upon,	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Christine Hughes (CH Trust)	 	iMedia International
	 
	 	 	 	 	 	 	 	 	 	 
	By:

	 	 	 	 	 	By:	 	 	 	 
	 

	 	 

	 	 	 	 	 	 	 	 
	 

	 	 	 	 	 	 	 	 
	 

	 	 	 	 	 	 	 	Henry Williamson 

Chairman and CEO	 	 
	Date:

	 	 	 	 	 	Date:exv10w2

Exhibit 10.2

Loan Terms Agreement

Loan Amount: $150,000

Agreed Interest Payment: $50,000 &
 100,000 warrants to purchase iMedia common stock at a conversion price set at trading price at the
end of day of funding or 50 cents whichever is less.

Maximum Loan Term: 60 days- Repayment expected on or before 3/12/10.

Deadline for Funding: 1/28/10

iMedia International Inc, is entering into an agreement for bridge financing to enable fiduciary
responsibilities and payroll commitments until a larger funding of 2.5 million dollars US is
completed by March 12th 2010.

This loan is guaranteed paid in full within 60 days of the date of funding, using collateral of
common stock and or assets of the company, and a total debt service payment not to exceed $200,000
in cash value. In addition lender earns warrants to purchase common stock in iMedia International
at the agreed conversion price.

This loan is secured and collateralized by common stock of iMedia International Inc. This loan is
guaranteed unconditionally from the company’s Chairman and CEO, and both lender and borrower agree
to hold the other party harmless to any additional damages beyond the cash value of the loan plus
the agreed interest amount.

By signing below both parties hereby agree to the terms represented on this document and will
perform using best efforts to reach dates and deadlines of said agreement.

	 	 	 	 	 	 	 
	By Lender:

	 	 	 	iMedia International Inc.	 	 
	 
	 	 	 	 	 	 
	 

	 	 
	 	 

	 	 
	Print Name: __________________

	 	
	 	Henry Williamson — Chairman and CEO	 	 
	Date:     /     /

	 	 	 	Date:     /     /exv10w3

Exhibit 10.3

EXHIBIT A 

WARRANT

Neither this security nor the securities for which this security is exercisable have been
registered with the Securities and Exchange Commission or the securities commission of any state.
These securities are issued in reliance upon an exemption from registration under the Securities
Act of 1933 (the “Securities Act”), and, accordingly, may not be offered or sold except pursuant to
an effective registration statement under the Securities Act or pursuant to an available exemption
from, or in a transaction not subject to, the registration requirements of the Securities Act and
in accordance with applicable state securities laws as evidenced by a legal opinion of counsel to
the transferor to such effect, the substance of which shall be reasonably acceptable to the
company. 

COMMON STOCK PURCHASE WARRANT

To purchase up to 100,000 shares of common stock of 

iMEDIA INTERNATIONAL, INC.

Dated : February 2, 2010

     This common stock purchase warrant (the “ Warrant ”) certifies that, for value
received, Sawtooth Properties, LLLP. (the “ Holder ”), is entitled, upon the terms and subject to
the limitations on exercise and the conditions hereinafter set forth, at any time on or after the
date given above (the “ Initial Exercise Date ”) and by the close of business on the third
anniversary of the Initial Exercise Date (the “ Termination Date ”) but not thereafter, to
subscribe for and purchase from iMedia International, Inc., a Delaware corporation (the “ Company
”), up to 100,000 shares (the “ Warrant Shares ”) of common stock, par value $0.001 per
share, of the Company (the “ Common Stock ”), as calculated based the total investment amount per
the related Securities Purchase Agreement of the same date. The purchase price of one share of
Common Stock under this Warrant is equal to the Exercise Price, as defined in Section 2(a).

1. Definitions . Capitalized terms used and not otherwise defined in this Warrant have the same
meanings ascribed to them in the Securities Purchase Agreement (the “ Purchase Agreement ”), dated
April 10, 2008, by and between the Company and the Holder as Purchaser.

2. Exercise.

(a) Exercise Price . The exercise price of the Common Stock under this Warrant is $0.50, or price
at the end of day of trading of funding, whichever is less (as of 2/2/10 that is 1 cent).

(b) Exercise of Warrant . The Holder may exercise the purchase rights represented by this Warrant
at any time from the Initial Exercise Date until 5:00 p.m., Pacific Standard Time, on the
Termination Date by delivering to the Company (i) a duly executed facsimile copy of the annexed
Exercise Notice (attached hereto as Exhibit A) no less than 61 days prior to the exercise
date designated therein, and (ii) no later than 5 Trading Days after the exercise date designated
in the Exercise Notice delivered to the Company, (A) this Warrant, and (B) payment to the Company
of the aggregate Exercise Price for the number of Warrant Shares being purchased by the Holder in
connection with such Exercise Notice (the “ Exercise Amount ”). For the purposes hereof, “Trading
Day” shall mean any day on which the New York Stock Exchange is open for trading.

(c) Exercise limitations .

(i) The Holder may not exercise any portion of this Warrant if, immediately after the Warrant
Shares are issued, the Holder (together with the Holder’s affiliates) would beneficially own a
number of shares of Common Stock in excess of the Beneficial Ownership Limitation (as defined
below) . For the purposes of the foregoing sentence, the number of shares of Common Stock
beneficially owned by the Holder and its affiliates includes the number of shares of Common Stock
issuable upon the exercise of this Warrant, but excludes the number of shares of

 

 

Common Stock that would be issuable upon (i) the Holder’s exercise of the remaining, unexercised
portion of this Warrant and (ii) the Holder’s or its affiliates’ exercise or conversion of the
unexercised or nonconverted portion of any other securities of the Company that the Holder or any
of its affiliates own beneficially. Except as set forth in the foregoing sentence, for the purposes
of this Section 2(c), beneficial ownership shall be calculated in accordance with Section 13(d) of
the Securities and Exchange Act of 1934, as amended (the “ Exchange Act ”). The “ Beneficial
Ownership Limitation” shall be 4.99% of the number of shares of the Common Stock outstanding
immediately after giving effect to the issuance of shares of Common Stock issuable upon exercise of
this Warrant. The Holder, upon not less than 61 days’ prior notice to the Company, may increase or
decrease the Beneficial Ownership Limitation provisions of this Section 2(c)(i) or may waive the
application of the Beneficial Ownership Limitation of this Section 2(c)(i) altogether until any
subsequent election under this Section 2(c)(i). Any such increase, decrease or waiver will not be
effective until the 61 st day after such notice is delivered to the Company
and shall only apply to such Holder and no other Holder. The limitations contained in this
paragraph shall apply to a successor holder of this Warrant.

(ii) The Holder acknowledges that the Company is not representing to the Holder that the
calculation described in Section 2(c) complies with Section 13(d) of the Exchange Act, and the
Holder is solely responsible for any schedules required to be filed in accordance with the Exchange
Act. The determination of whether this Warrant is exercisable (in relation to other securities
owned by the Holder and its affiliates) is in the sole discretion of the Holder, and the submission
of an Exercise Notice is deemed to be the Holder’s declaration that the Holder has determined that
this Warrant is exercisable as set out in the Exercise Notice and subject to the limitations in
this Section 2(c). The Company is not obliged to verify or confirm the accuracy of the Holder’s
determination.

(iii) For the purposes of this Section 2(c), in determining the number of outstanding shares of
Common Stock, the Holder may rely on the number of outstanding shares of Common Stock as reflected
in the most recent of (A) the latest filed of the Company’s Form 10-QSB and Form 10-KSB, (B) a
public announcement by the Company stating the number of shares of Common Stock outstanding, or (C)
any other notice by the Company or the Company’s transfer agent stating the number of shares of
Common Stock outstanding. Within two Trading Days of the Holder’s written request to the Company,
the Company shall confirm orally and in writing to the Holder the number of shares of Common Stock
then outstanding.

(d) Payment. Payment may be made either in cash or by certified or official bank check payable to
the order of the Company equal to the applicable aggregate Exercise Price for the number of shares
of Common Stock specified in the Exercise Notice (as such exercise number shall be adjusted to
reflect any adjustment in the total number of shares of Common Stock issuable to the Holder per the
terms of this Warrant), and the Holder shall thereupon be entitled to receive the number of duly
authorized, validly issued, fully paid and non-assessable shares of Common Stock determined as
provided herein.

(e) Authorization of Warrant Shares. The Company will issue all Warrant Shares as duly authorized,
validly issued, fully paid and non-assessable, and free from all taxes, liens and charges (other
than taxes in respect of any transfer occurring contemporaneously with the issue).

(f) Delivery of certificates upon exercise. The Company will instruct its transfer agent to deliver
certificates for Warrant Shares to the Holder to the address specified by the Holder in the
Exercise Notice within 5 Trading Days from the later of (A) 61 days following the Company’s receipt
of the Exercise Notice, (B) the Holder’s surrender of this Warrant, and (C) the Company’s receipt
of the Exercise Amount as set out in Section 2(b) (the “ Warrant Share Delivery Date ”). This
Warrant shall be deemed to have been exercised on the later of (1) the date the Exercise Amount is
received by the Company and (2) 61 days following the Company’s receipt of the Exercise Notice (the
” Exercise Date ”); and the Warrant Shares shall be deemed to have been issued, and the Holder
shall be deemed to have become a holder of record of the shares for all purposes, on the Exercise
Date.

 

 

(g) Delivery of new Warrants upon exercise . If this Warrant is exercised in part, the Company,
when it instructs its transfer agent to deliver the certificate or certificates representing
Warrant Shares, will deliver to the Holder a new Warrant evidencing the rights of the Holder to
purchase the unpurchased Warrant Shares, identical in all other respects with this Warrant.

(h) Rescission rights . If the Company fails to instruct its transfer agent to transmit to the
Holder a certificate or certificates representing the Warrant Shares pursuant to this Section 2(h)
by the Warrant Share Delivery Date, then the Holder may rescind the exercise.

(i) No fractional shares or scrip . No fractional shares or scrip representing fractional shares
may be issued upon the exercise of this Warrant. If the Holder would otherwise be entitled to
fractional shares upon the exercise, the Company will pay a cash adjustment in respect of the
fraction in an amount equal to the fraction multiplied by the Exercise Price.

(j) Charges, taxes and expenses . The Company will issue certificates for Warrant Shares in the
name of the Holder and will not charge the Holder for any issue or transfer tax or other incidental
expense in respect of the issuance of the certificate.

(k) Closing of books . The Company will not close its stockholder books or records in any manner
that prevents the timely exercise of this Warrant.

3. Certain Adjustments .

(a) Stock dividends and splits . If the Company, at any time while this Warrant is outstanding, (i)
pays a stock dividend or otherwise makes a distribution on shares of its Common Stock or any other
Common Stock equivalent (which, for avoidance of doubt, does not include any shares of Common Stock
issued by the Company pursuant to this Warrant), (ii) subdivides outstanding shares of Common Stock
into a larger number of shares, (iii) combines outstanding shares of Common Stock into a smaller
number of shares, or (iv) issues by reclassification of shares of the Common Stock any shares of
capital stock of the Company, then the Exercise Price must be multiplied by a fraction of which the
numerator is the number of shares of Common Stock (excluding treasury shares, if any) outstanding
before the event and of which the denominator is the number of shares of Common Stock outstanding
after the event, and the number of shares issuable upon exercise of this Warrant must be
proportionately adjusted by this fraction. Any adjustment made pursuant to this Section 3(a) is
effective immediately after the record date for the determination of stockholders entitled to
receive the dividend or distribution and is effective immediately after the effective date in the
case of a subdivision, combination or reclassification.

(b) Fundamental Transaction . If, at any time while this Warrant is outstanding, (i) the Company
merges or consolidates with or into another person, (ii) the Company sells all or substantially all
of its assets in one or a series of related transactions, (iii) any person completes a tender offer
or exchange offer by which holders of Common Stock are permitted to tender or exchange their shares
for other securities, cash or property, or (iv) the Company reclassifies its Common Stock or
completes any compulsory share exchange pursuant to which the Common Stock is effectively converted
into or exchanged for other securities, cash or property (any such case, a “ Fundamental
Transaction ”), then, upon any subsequent conversion of this Warrant, the Holder shall have the
right to receive, for each Warrant Share that would have been issued upon the exercise absent the
Fundamental Transaction, the same consideration as the Company has given its other holders of its
Common Stock for the conversion of their Common Stock outstanding at the time of the Fundamental
Transaction (the “ Alternate Consideration ”). Any successor to the Company or surviving entity in
a Fundamental Transaction must issue to the Holder a new warrant consistent with the foregoing
provisions with evidence of the Holder’s right to exercise the warrant into Alternate
Consideration. The terms of any agreement pursuant to which a Fundamental Transaction is completed
must include terms requiring the successor or surviving entity to comply with the provisions of
this Section 3(b) and ensuring that this Warrant (or any replacement security) is similarly
adjusted upon any subsequent transaction analogous to a Fundamental Transaction.

 

 

(c) Calculations . All calculations under this Section 3 must be made to the nearest cent or the
nearest 1/100 th of a share, as the case may be. The number of shares of
Common Stock outstanding at any given time does not include shares of Common Stock owned or held by
or for the account of the Company. For the purposes of this Section 3, the number of shares of
Common Stock deemed to be issued and outstanding as of a given date is the sum of the number of
shares of Common Stock (excluding treasury shares, if any) issued and outstanding.

(d) Notice to Holders . If the Company makes adjustments under this Section 3, the Company will
promptly mail to the Holder a notice containing a description of the event that required the
adjustment. If the Company proposes any transaction that affects the rights of the holders of its
Common Stock, then the Company will notify the Holder of the proposal at least twenty days before
the record date set for the transaction.

4. Warrant register . The Company will register this Warrant on its warrant register and will
treat the registered Holder as the absolute owner for all purposes.

5. Miscellaneous .

(a) Assignment; Exchange of Warrant. Subject to compliance with applicable securities laws, this
Warrant, and the rights evidenced hereby, may be transferred by any registered holder hereof (a “
Transferor ”). On the surrender for exchange of this Warrant, with the Transferor’s endorsement in
the form of Exhibit Battached hereto (the “ Transferor Endorsement Form ”) and together
with an opinion of counsel reasonably satisfactory to the Company to the effect that the transfer
of this Warrant will be in compliance with applicable securities laws, the Company at its expense,
but with payment by the Transferor of any applicable transfer taxes, will issue and deliver to or
on the order of the Transferor thereof a new Warrant or Warrants of like tenor, in the name of the
Transferor and/or the transferee(s) specified in such Transferor Endorsement Form (each a “
Transferee ”), calling in the aggregate on the face or faces thereof for the number of shares of
Common Stock called for on the face or faces of the Warrant so surrendered by the Transferor. No
such transfers shall result in a public distribution of the Warrant.

(b) No rights as shareholder until Exercise Date . This Warrant does not entitle the Holder to any
voting rights or other rights as a shareholder of the Company before the Exercise Date. Upon the
surrender of this Warrant and the payment of the aggregate Exercise Price, the Company will issue
the Warrant Shares to the Holder as the record owner of the Warrant Shares as of the close of
business on the Exercise Date.

(c) 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 or any
stock certificate relating to the Warrant Shares, and, in case of loss, theft or destruction, of
indemnity or security reasonably satisfactory to it, and upon surrender and cancellation of the
Warrant or stock certificate, if mutilated, the Company will make and deliver a new Warrant or
stock certificate of like tenor and dated as of the cancellation, in lieu of the Warrant or stock
certificate.

(d) Saturdays, Sundays, Holidays . If the last date for taking any action under this Warrant falls
on a Saturday, Sunday or a legal holiday, then the action may be taken on the next succeeding
Trading Day.

(e) Authorized Shares .

(i) While the Warrant is outstanding, the Company will reserve from its authorized and unissued
Common Stock a sufficient number of shares to provide for the issuance of the Warrant Shares upon
the exercise of any purchase rights under this Warrant. The Company further covenants that its
issuance of this Warrant constitutes full authority to its officers who are charged with the duty
of executing stock certificates to execute and issue the necessary certificates for the Warrant
Shares upon the exercise of the purchase rights under this Warrant. The Company will take all such
reasonable action as may be necessary to assure that the Warrant Shares are issued as

 

 

provided without a violation of any applicable law or regulation or of any requirements of the
trading market upon which the Common Stock may be listed or quoted.

(ii) Unless waived or consented to by the Holder, the Company will not by any action avoid or seek
to avoid the observance or performance of any of the terms of this Warrant, but will at all times
in good faith assist in carrying out all of its terms and take whatever action is necessary or
appropriate to protect the rights of the Holder under this Warrant from impairment.

(f) Jurisdiction . All questions concerning the construction, validity, enforcement and
interpretation of this Warrant will be determined in accordance with the provisions of the Purchase
Agreement.

(g) Restrictions . The Holder acknowledges that the Holder’s sale or transfer of the Warrant
Shares, if not registered, will be subject to restrictions upon resale imposed by state and federal
securities laws.

(h) No waiver . No course of dealing or any delay or failure to exercise any right hereunder on the
part of the Holder will operate as a waiver of the right or otherwise prejudices the Holder’s
rights, powers or remedies.

(i) Notice . Any notice, request or other document required or permitted to be given or delivered
by either party to the other must be delivered in accordance with the notice provisions of the
Purchase Agreement.

(j) Successors and Assigns . Subject to applicable securities laws, this Warrant inures to the
benefit of and binds the successors and permitted assigns of the Company and the Holder.

(k) Amendment . Any amendment of this Warrant must be in writing and signed by both the Company and
the Holder.

(l) Severability . Wherever possible, each provision of this Warrant will be interpreted under
applicable law, but if any provision of this Warrant is prohibited by or invalid under applicable
law, the provision will be ineffective to the extent of the prohibition or invalidity without
invalidating the remaining provisions of this Warrant.

(m) Headings . The headings used in this Warrant are for the convenience of reference only and are
not, for any purpose, deemed a part of this Warrant.

IN WITNESS WHEREOF, the Company has caused this Warrant to be executed by its duly
authorized officer.

Dated: February 2, 2010

	 	 	 	 	 
	 	iMEDIA INTERNATIONAL, INC.

 	 
	 	By:  	/s/ HENRY D. WILLIAMSON
 	 
	 	 	Name:  	Henry D. Williamson 	 
	 	 	Title:  	Chief Executive Officer 	 

 

 

	 	 	 	 	 

EXHIBIT A

EXERCISE NOTICE

(To be signed only upon exercise of Warrant)

TO: iMedia International, Inc.

The undersigned, pursuant to the provisions set forth in the attached Warrant, hereby irrevocably
elects to purchase shares of the Common Stock covered by such Warrant
on , which date shall be no earlier than 61 days after the date on
which this Exercise Notice is delivered to the Company.

The undersigned herewith makes payment of the full Exercise Price for such shares at the price per
share provided for in such Warrant, which is an aggregate of $______________________, in lawful money of the United
States.

The undersigned requests that the certificates for such shares be issued in the name of, and
delivered to ____________ whose address is _______________.

The undersigned represents and warrants that all offers and sales by the undersigned of the
securities issuable upon exercise of the within Warrant shall be made pursuant to registration of
the Common Stock under the Securities Act of 1933, as amended (the “Securities Act”), or pursuant
to an exemption from registration under the Securities Act.

	 	 	 	 	 	 	 
	Dated:
	 	 	 	 	 	 
	 

	 	 
	 	 	 	 
	 

	 	 	 	 	 	(Signature must conform to name of holder
as specified on the face of the Warrant)

 

 

EXHIBIT B

FORM OF TRANSFEROR ENDORSEMENT

(To be signed only upon transfer of Warrant)

     For value received, the undersigned hereby sells, assigns, and transfers unto the person(s)
named below under the heading “Transferees” the right represented by the within Warrant to purchase
the percentage and number of shares of Common Stock of iMEDIA INTERNATIONAL, INC. to which the
within Warrant relates specified under the headings “Percentage Transferred” and “Number
Transferred,” respectively, opposite the name(s) of such person(s) and appoints each such person
Attorney to transfer its respective right on the books of iMEDIA INTERNATIONAL, INC. with full
power of substitution in the premises.

	 	 	 	 	 
	Transferees	 	Percentage Transferred	 	Number Transferred
	 	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 
	Dated:
	 	               ,	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	(Signature must conform to name of holder as	 	 	 	 
	 
	 	 	 	 	 	specified on the face of the arrant)	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Signed in the presence of:	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 
	(Name)
	 	 	 	(address)	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	ACCEPTED AND AGREED:	 	 	 	 	 	 	 	 
	[TRANSFEREE]	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 
	(Name)
	 	 	 	(address)

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