Document:

Exhibit
4.15

 

FORM
OF SUBSCRIPTION RIGHTS CERTIFICATE

 

	RIGHTS
    CERTIFICATE #:	NUMBER
    OF RIGHTS:

 

THE
TERMS AND CONDITIONS OF THE RIGHTS OFFERING ARE SET FORTH IN THE COMPANY’S PROSPECTUS DATED [_____], 2019 (THE “PROSPECTUS”)
AND ARE INCORPORATED HEREIN BY REFERENCE. COPIES OF THE PROSPECTUS ARE AVAILABLE UPON REQUEST FROM SECURITIES
TRANSFER CORPORATION, the SUBSCRIPTION Agent. The SUBSCRIPTION Agent’s telephone number is (469) 633-0101.

 

Incorporated
under the laws of the State of Delaware

 

NON-TRANSFERABLE
SUBSCRIPTION RIGHTS CERTIFICATE

 

Evidencing
Non-Transferable Subscription Rights to Purchase Shares of Common Stock

of
Chanticleer Holdings, Inc.

 

Subscription
Price: $[_____] per Full Share

 

THE
SUBSCRIPTION RIGHTS WILL EXPIRE IF NOT EXERCISED

ON
OR BEFORE 5:00 P.M., EASTERN TIME, ON [_____], 2019,

UNLESS
EXTENDED BY THE COMPANY

 

REGISTERED
OWNER:

 

THIS
CERTIFIES THAT the registered owner whose name is inscribed hereon is the owner of the number of non-transferable subscription
rights (the “Rights”) set forth above. Each whole Right entitles the holder to purchase one share of common stock,
par value $0.0001 per share, of Chanticleer Holdings, Inc., a Delaware corporation (the “Common Stock”), at a subscription
price of $[_____] per full share (the “Basic Subscription Privilege”), pursuant to a rights offering (the “Rights
Offering”), on the terms and subject to the conditions set forth in the Prospectus and the “Instructions for Use of
Chanticleer Holdings, Inc.’s Subscription Rights Certificates” accompanying this Non-Transferable Subscription Rights
Certificate (the “Rights Certificate”). If any shares of Common Stock available for purchase in the Rights Offering
are not purchased by other holders of Rights pursuant to the exercise of their Basic Subscription Privilege (the “Excess
Shares”), any Rights holder that exercises its Basic Subscription Privilege in full may subscribe for a number of Excess
Shares pursuant to the terms and conditions of the Rights Offering, subject to proration, as described in the Prospectus (the
“Over-Subscription Privilege”). The number of shares subscribed for pursuant to this Rights Certificate is subject
to reduction as a result of the Tax Attributes as described in the Prospectus. The Rights represented by this Rights Certificate
may be exercised by completing Form 1 and any other appropriate forms on the reverse side hereof and by retuning the full payment
of the subscription price for each share of Common Stock in accordance with the “Instructions for Use of Chanticleer Holdings,
Inc. Subscription Rights Certificates” that accompany this Rights Certificate.

 

This
Rights Certificate is not valid unless countersigned by the Subscription Agent and registered by the registrar.

 

Witness
the seal of Chanticleer Holdings, Inc. and the signatures of its duly authorized officers.

 

Dated:

 

 

	President
    and Chief Executive Officer	Secretary

 

    	 	 	 

    	 	 	 

    

 

DELIVERY
OPTIONS FOR RIGHTS CERTIFICATE

 

Delivery
other than in the manner or to the addresses listed below will not constitute valid delivery.

 

If
delivering by mail, hand or overnight courier:

Securities
Transfer Corporation

2901
N. Dallas Parkway, Suite 380

Plano,
TX 75093

 

PLEASE
PRINT ALL INFORMATION CLEARLY AND LEGIBLY.

 

	FORM
                                         1 - EXERCISE OF SUBSCRIPTION RIGHTS

         

        To
        subscribe for shares pursuant to your Basic Subscription Right, please complete lines (a) and (c) and sign under Form
        3 below. To subscribe for shares pursuant to your Over-Subscription Right, please also complete line (b) and sign under
        Form 3 below. To the extent you subscribe for more shares than you are entitled under either the Basic Subscription Right
        or the Over-Subscription Right, you will be deemed to have elected to purchase the maximum number of shares for which
        you are entitled to subscribe under the Basic Subscription Right or Over-Subscription Right, as applicable.
	 	FORM
                                         2 - DELIVERY TO DIFFERENT ADDRESS

         

        If
        you wish for the shares of Common Stock underlying your Rights, a certificate representing unexercised Rights or the proceeds
        of any sale of Rights to be delivered to an address different from that shown on the face of this Rights Certificate,
        please enter the alternate address below, sign under Form 3 and have your signature guaranteed under Form 4.

	 	 
	 	 
	 	 
	 	 
	 	 	 
	 	 	FORM
    3 - SIGNATURE
	(a)
    EXERCISE OF BASIC SUBSCRIPTION RIGHT:	 	 
	 	 	 
	I
    apply for ________ 	shares
    x $[_____]____	 =
    	$_________	 	TO
    SUBSCRIBE: I acknowledge that I have received the Prospectus for the Rights Offering and I hereby irrevocably subscribe for
    the number of shares indicated under Form 1 above on the terms and conditions specified in the Prospectus. This Form 3 must
    be signed by the registered holder(s) exactly as their name(s) appear(s) on the certificate(s) or by person(s) authorized
    to sign on behalf of the registered holder(s) by documents transmitted herewith.
	(no.
                                         of

        new
        shares)
	(subscription

        price)
	 	(amount

        enclosed)
	 
	 	 	 
	 	 	 
	(b)
    EXERCISE OF OVER-SUBSCRIPTION RIGHT	 	FORM
    4 - SIGNATURE GUARANTEE
	 	 	 
	If
    you have exercised your Basic Subscription Right in full and wish to subscribe for additional shares pursuant to your Over-Subscription
    Right:	 	This
    form must be completed if you have completed any portion of Form 2.
	 	 	 
	I
    apply for ________	shares
    x $[_____]_____	 	$_________	 	Signature
	(no.
                                         of

        
	(subscription

        
	 	(amount

        
	 	Guaranteed:
    	 	 
	new
    shares) 	price) 	 	enclosed) 	 	 	(Name
    of Bank or Firm)	 
	 	 	 
	(c)
    Total Amount of Payment Enclosed = $________	 	 
	 	 	 
	METHOD
    OF PAYMENT (CHECK ONE)	 	By:
    	 	 
	 	 	 	(Signature
    of Officer)	 
	 	 	 	 	 
	[  ]	Check
    or bank draft payable to “Securities Transfer Corporation as Rights Agent for Chanticleer Holdings, Inc.”	 	IMPORTANT:
    The signature(s) should be guaranteed by an eligible guarantor institution (bank, stock broker, savings & loan association
    or credit union) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange
    Commission Rule 17Ad-15.
	 	 
	[  ]	Wire
                                         transfer of immediately available funds directly to the account maintained by Securities
                                         Transfer Corporation, as Subscription Agent, for purposes of accepting subscriptions
                                         in this Rights Offering to the following, with reference to the Rights holder’s
                                         name:

         

        DOMESTIC:

        Eagle
        Bank

        7815
        Woodmont Avenue

        Bethesda,
        MD 20814

        ABA/Routing
        # 055003298

        Beneficiary
        Name: STC as Rights Agent for Chanticleer Holdings, Inc.

        Account
        # 200334571

         

        INTERNATIONAL:

        Wells
        Fargo Bank NA

        464
        California Street

        San
        Francisco, CA 94104

        Bank
        Swift Code: WFBIUS6S

        Further
        Credit to Eagle Bank

        Account/ABA
        # 055003298

        Beneficiary
        Name: STC as Rights Agent for Chanticleer Holdings, Inc.

        Account
        # 200334571
	 

 

FOR
INSTRUCTIONS ON THE USE OF CHANTICLEER HOLDINGS, INC.’S NON-TRANSFERABLE SUBSCRIPTION RIGHTS CERTIFICATE, CONTACT SECURITIES
TRANSFER CORPORATION, the subscription Agent, at (469) 633-0101.Exhibit
4.16 

 

Chanticleer
Holdings, Inc.

7621
Little Avenue, Suite 414

Charlotte,
NC 28226

 

May
[__], 2019

 

Securities
Transfer Corporation

2901
N. Dallas Parkway, Suite 380

Plano,
TX 75093

 

Ladies
and Gentlemen:

 

In
connection with your appointment as Rights Agent and Information Agent in the transactions described herein, Chanticleer Holdings,
Inc., a Delaware corporation (the “Company”), hereby confirms its arrangements with you as follows:

 

1.       Rights
Offering. As set forth in the Company’s Prospectus preliminarily dated May 28 , 2019 as it may be amended (the
“Prospectus”), and incorporated herein by reference, the Company intends to conduct a rights offering (the
“Rights Offering”) in which it shall distribute to each holder of its common stock, $0.001 par value per share
(the “Common Stock”), and certain holders of its warrants to purchase shares of Common Stock, three subscription
rights (the “Rights”) to subscribe for shares of Common Stock (the “Shares”), for each share
of Common Stock and each share of Common Stock underlying warrants held at the close of business on June 7, 2019 (the “Record
Date”). Each Right shall entitle the holder thereof to subscribe for one Share (the “Basic Subscription Privilege”)
at a subscription price of $[_____] per full Share (the “Subscription Price”). These Rights shall expire at
5:00 p.m., Eastern time, on [_____], 2019 (the “Expiration Time”), and be evidenced by non-transferable subscription
rights certificates (“Subscription Rights Certificates”). In addition, each Rights holder who exercises their
Basic Subscription Privilege in full shall be eligible to subscribe for, at the same Subscription Price, such additional Shares
that remain unsubscribed as a result of unexercised Rights held by other Rights holders (the “Oversubscription Privilege”),
subject to proration as set forth below.

 

2.       Appointment
of Rights Agent. You are hereby appointed as the Rights Agent for the Rights Offering in accordance with the Prospectus. Each
reference to you in this letter is to you in your capacity as Rights Agent, unless the context indicates otherwise.

 

3.       Delivery
of Documents. Enclosed herewith are the following, the receipt of which by you is hereby acknowledged:

 

		(a)	a
                                         copy of the Prospectus;
	 	 	 
		(b)	the
                                         form of Subscription Rights Certificate;

 

    	 	 	 

    	 

    

 

		(c)	the
                                         form of Instructions for Use of Chanticleer Holdings, Inc. Subscription Rights Certificates;
	 	 	 
		(d)	the
                                         form of Notice of Guaranteed Delivery;
	 	 	 
		(e)	the
                                         form of Letter to Stockholders who are Beneficial Owners;
	 	 	 
		(f)	the
                                         form of Letter to Stockholders who are Record Holders;
	 	 	 
		(g)	the
                                         form of Letter to Clients;
	 	 	 
		(h)	the
                                         form of Letter to Warrant Holders;
	 	 	 
		(i)	the
                                         form of Beneficial Owner Election Form;
	 	 	 
		(j)	the
                                         form of Nominee Holder Certification Form;
	 	 	 
		(k)	the
                                         Substitute Form W-9; and
	 	 	 
		(l)	a
                                         return envelope addressed to Securities Transfer Corporation, as Rights Agent.

 

The
documents referenced in clauses (c) through (j) above shall be referred to herein as the “Ancillary Documents.”

 

On
or before [_____], 2019, the Company shall mail or cause to be mailed to each holder of Common Stock and each holder of certain
warrants, at the close of business on the Record Date (the “Record Stockholders”), a Subscription Rights Certificate
evidencing the Rights to which such holder is entitled, a Prospectus, the Ancillary Documents (as applicable) and an envelope
addressed to you.

 

4.       Subscription
Procedure. (a) Upon your receipt prior to the Expiration Time (by mail, facsimile or delivery) as Rights Agent of (i) any
Subscription Rights Certificate completed and endorsed for exercise (except as provided in paragraph 6 hereof), and (ii) payment
in full of the subscription price set forth on the cover page of the Prospectus for the Shares subscribed for (the “Subscription
Price”) in U.S. funds (A) by certified check, bank draft or a postal, telegraphic or express money order payable at
par (without deduction for bank service charges or otherwise) to you, “AS RIGHTS AGENT;” (B) by wire transfer of immediately
available funds; or (C) an alternative payment method arranged by you and approved by the Company, you shall as soon as practicable
after the Expiration Time (but after performing the procedures described in subparagraphs (b) and (c) below), mail to the subscriber’s
registered address on the books of the Company the Shares subscribed for pursuant to the Basic and Oversubscription Privileges,
and furnish a list of all such information to the Company.

 

    	 	-2-	 

    	 

    

 

(b)
As soon as practicable after the Expiration Time, you shall calculate the number of Shares to which each subscriber is entitled
pursuant to the Oversubscription Privilege. Only subscribers who exercise their Basic Subscription Privilege in full shall be
eligible to subscribe for those Shares not subscribed for pursuant to the Basic Subscription Privilege of other Rights holders
(the “Remaining Shares”). Where there are sufficient Remaining Shares to satisfy all additional subscriptions
by subscribers exercising their rights under the Oversubscription Privilege, each subscriber shall be allotted the number of additional
Shares subscribed for by them. If the aggregate number of Shares subscribed for under the Oversubscription Privilege exceeds the
number of Remaining Shares, the number of Remaining Shares initially allotted to each participant in the Oversubscription Privilege
shall be the lesser of (i) the number of Shares subscribed for under the Oversubscription Privilege by such subscriber or (ii)
the product (disregarding fractions) obtained by multiplying the number of Remaining Shares by a fraction, the numerator of which
is the number of Shares subscribed for under the Oversubscription Privilege by such subscriber, and the denominator of which is
the aggregate number of Shares subscribed for under the Oversubscription Privilege by all subscribers. If after the initial allotment
there are still Remaining Shares and subscribers whose exercise of the Oversubscription Privilege has not been fully satisfied,
such Remaining Shares shall be allocated (one or more times as necessary) in accordance with the foregoing principal until all
available Remaining Shares have been allocated. Any fractional Share to which subscribers exercising their Oversubscription Privilege
would otherwise be entitled pursuant to such allocation shall be rounded down to the next whole share.

 

(c)
Upon calculating the number of Shares to which each subscriber is entitled pursuant to the Oversubscription Privilege and the
amount overpaid, if any, by each subscriber, you shall, as soon as practicable, (i) furnish a list of all such information to
the Company and (ii) inform the subscribers who participated in the Oversubscription Privilege of the number of additional Shares,
if any, allotted to them.

 

(d)
Upon calculating the number of Shares to which each subscriber is entitled pursuant to the Oversubscription Privilege and assuming
payment for the additional Shares subscribed for has been delivered, you shall mail to the subscriber’s registered address
on the books of the Company the additional Shares the subscriber has been allotted as contemplated in subparagraph (a) above.
If a lesser number of Shares is allotted to a subscriber under the Oversubscription Privilege than the number for which the subscriber
has tendered payment, you shall remit to the subscriber the excess of the payment received from such subscriber over the amount
required to exercise the Oversubscription Privilege for the number of Shares finally allotted to such subscriber, without interest
or deduction, at the same time as certificates representing the Shares allotted pursuant to the Oversubscription Privilege are
mailed.

 

(e)
You shall promptly remit to the Company, after expiration of the Rights Offering and issuance of certificates for the Shares subscribed
for, all funds received in payment of the Subscription Price under the Basic Subscription Privilege. Funds received by you pursuant
to the Oversubscription Privilege shall be held by you in a segregated account pending allocation of Shares issued pursuant to
the Oversubscription Privilege. Upon mailing certificates representing the Shares and refunding each subscriber’s funds
for additional Shares subscribed for but not allotted, if any, you shall promptly remit all funds received in payment of the Subscription
Price under the Oversubscription Privilege to the Company.

 

    	 	-3-	 

    	 

    

 

5.       Defective
Exercise of Rights; Lost Subscription Rights Certificates. The Company shall have the absolute right to reject any defective
exercise of Rights or to waive any defect in exercise. Unless requested to do so by the Company, you shall not be under any duty
to give notification to holders of Subscription Rights Certificates of any defects or irregularities in subscriptions. Such subscriptions
shall not be deemed to have been made until any such defects or irregularities have been cured or waived within such time as the
Company determines. You shall as soon as practicable return Subscription Rights Certificates with defects or irregularities that
have not been cured or waived to the holder of the Rights. If any Subscription Rights Certificate is alleged to have been lost,
stolen or destroyed, you should follow the same procedures followed for lost stock certificates representing shares of Common
Stock you use in your capacity as transfer agent for the Company’s Common Stock.

 

6.       Late
Delivery. If prior to the Expiration Time you receive (i) payment in full of the Subscription Price for the Shares being subscribed
for and (ii) a guarantee notice (a “Notice of Guaranteed Delivery”) substantially in the form delivered with
the Subscription Rights Certificate, from a commercial bank or trust company having an office or correspondent in the United States,
or a member firm of any registered United States national securities exchange or of the National Association of Securities Dealers,
Inc. stating the certificate number of the Subscription Rights Certificate relating to the Rights, the name and address of the
exercising Rights holder, the number of Rights represented by the Subscription Rights Certificate held by such exercising Rights
holder, the number of Shares being subscribed for pursuant to the Basic Subscription Privilege, the number of Shares, if any,
being subscribed for pursuant to the Oversubscription Privilege, and guaranteeing the delivery to you of the Subscription Rights
Certificate evidencing such Rights within three trading days on the over-the-counter market (“OTC”) following
the date of the Notice of Guaranteed Delivery, then the Rights may be exercised even though the Subscription Rights Certificate
was not delivered to you prior to the Expiration Time, provided that within three OTC trading days following the date of the Notice
of Guaranteed Delivery you receive the properly completed and duly executed Subscription Rights Certificate evidencing the Rights
being exercised, with signature guaranteed if required.

 

7.       Delivery.
You shall deliver to the Company the exercised Subscription Rights Certificates in accordance with written directions received
from the Company and shall deliver the Shares to the subscribers who have duly exercised Rights at their registered addresses
as instructed on the Subscription Rights Certificates.

 

    	 	-4-	 

    	 

    

 

8.       Reports.
You shall notify the Company by telephone on or before the close of business on each business day during the period commencing
with the mailing of the Rights and ending at the Expiration Time (and in the case of guaranteed deliveries, ending three business
days after the Expiration Time) (a “daily notice”), which notice shall thereafter be confirmed in writing of (i) the
number of Rights exercised on the day covered by such daily notice, (ii) the number of Rights subject to guaranteed delivery on
the day covered by such daily notice, (iii) the number of Rights for which defective exercises have been received on the day covered
by such daily notice, (iv) the number of Shares requested under the Oversubscription Privilege and (v) the cumulative total of
the information set forth in clauses (i) through (iv) above. At or before the first business day following the Expiration Time,
you shall certify in writing to the Company the cumulative total through the Expiration Time of all the information set forth
in clauses (i) through (iv) above. You shall maintain and update a listing of holders who have fully or partially exercised their
Rights, and holders who have not exercised their Rights. You shall provide the Company or its designee with such information compiled
by you pursuant to this paragraph 8 as any of them shall request.

 

9.       Future
Instructions. With respect to notices or instructions to be provided by the Company hereunder, you may rely and act on any
written instruction signed by (a) any one or more of the following authorized officers or employees of the Company: Michael D.
Pruitt, Chief Executive Officer of the Company or Patrick Harkleroad, Chief Financial Officer of the Company; or (b) Ruba Qashu
of Libertas Law Group, Inc., special counsel for the Company.

 

10.       Payment
of Compensation and Expenses. The Company will pay you compensation for acting in your capacity as Rights Agent hereunder
as set forth on Schedule 1 attached hereto. Payment for information agent services and the project management and acceptance fee
shall be due upon commencement of this Agreement.

 

11.       Counsel.
You may consult with counsel satisfactory to you, which may be counsel to the Company, and the written advice or opinion of such
counsel shall be full and complete authorization and protection in respect of any action taken, suffered or omitted by you hereunder
in good faith and in accordance with such advice or opinion of such counsel. The Company agrees that any fees incurred by Securities
Transfer Corporation associated with this consultation shall be deemed a reimbursable expense which the Company will cover.

 

12.       Indemnification.
The Company covenants and agrees to indemnify and hold you harmless against any costs, expenses (including reasonable fees for
legal counsel), losses or damages, which may be paid, incurred or suffered by or to which you may become subject, arising from
or out of, directly or indirectly, any claim or liability resulting from your actions as Rights Agent pursuant hereto; provided
that such covenant and agreement does not extend to such costs, expenses, losses and damages incurred or suffered by you as a
result of, or arising out of, your own gross negligence or bad faith.

 

    	 	-5-	 

    	 

    

 

13.       Notices.
Unless otherwise provided herein, all reports, notices and other communications required or permitted to be given hereunder shall
be in writing and delivered by hand or confirmed telecopy or by first class mail, postage prepaid, as follows:

 

	 	(a)
    	If
    to the Company, to:
	 	 	 
	 	 	Michael
    D. Pruitt, Chief Executive Officer
	 	 	Chanticleer
    Holdings, Inc.
	 	 	7621
    Little Avenue, Suite 414
	 	 	Charlotte,
    NC 28226
	 	 	Telephone:
    (704) 366-5122
	 	 	 
	 	 	with
    a copy to:
	 	 	 
	 	 	Ruba
    Qashu
	 	 	Libertas
    Law Group, Inc.
	 	 	225
    Santa Monica Boulevard, 5th Floor
	 	 	Santa
    Monica, CA 90401
	 	 	Telephone:
    (949) 355-5405
	 	 	 
	 	(b)
    	If
    to you, to:
	 	 	 
	 	 	Securities
    Transfer Corporation
	 	 	2901
    N. Dallas Parkway, Suite 380
	 	 	Plano,
    Texas 75093
	 	 	Attention:
    Stephanie Zhang
	 	 	Telephone:
    (469) 663-0101
	 	 	Telecopy:
    (469) 633-0088

 

14.       Assignment,
Delegation. Neither this Agreement nor any rights or obligations hereunder may be assigned or delegated by either party without
the written consent of the other party. This Agreement shall inure to the benefit of and be binding upon the parties and their
respective permitted successors and assigns. Nothing in this Agreement is intended or shall be construed to confer upon any other
person any right, remedy or claim or to impose upon any other person any duty, liability or obligation.

 

15.
       Governing Law. The validity, interpretation and performance of this Agreement
shall be governed by the law of the State of Texas, except that body of law relating to choice of laws.

 

16.       Severability.
If any provision of this Agreement shall be held invalid, unlawful, or unenforceable, the validity, legality, and enforceability
of the remaining provisions shall not in any way be affected or impaired.

 

17.       Counterparts.
This Agreement may be executed in one or more counterparts, each of which shall be deemed to be an original and all of which together
shall be considered one and the same agreement.

 

18.       Captions.
The captions and descriptive headings herein are for convenience of the parties only. They do not in any way modify, amplify,
alter or give full notice of the provisions hereof.

 

    	 	-6-	 

    	 

    

 

19.       Confidentiality.
All books, records, information and data pertaining to the business of a party that are exchanged or received pursuant to the
negotiation or the carrying out of this Agreement including the fees for services set forth in the attached schedule shall remain
confidential, and shall not be voluntarily disclosed to any other person, except as may be required by law.

 

20.       Term.
This Agreement shall remain in effect until 30 days’ written notice has been provided by either party to the other of its
termination. Upon termination of the Agreement, the Rights Agent shall retain all cancelled Subscription Rights Certificates and
related documentation as required by applicable law.

 

21.       Merger
of Agreement. This Agreement constitutes the entire agreement between the parties hereto and supersedes any prior agreement
with respect to the subject matter hereof whether oral or written.

 

If
the foregoing is in accordance with your understanding of our arrangements, please sign and return the enclosed duplicate of this
letter.

 

	 	Very
    truly yours,
	 	 	 
	 	CHANTICLEER
    HOLDINGS, INC.
	 	 	 
	 	 
	 	By:	Michael
    D. Pruitt
	 	Title:
    	Chief
    Executive Officer

 

The
foregoing is in accordance with our understanding and is hereby confirmed and accepted.

 

	 	SECURITIES
    TRANSFER CORPORATION
	 	 	 
	 	 
	 	By:
    	George
    Johnson
	 	Title:
    	Vice
    President
	 	 	 
	 	Dated: __________, 2019

 

    	 	-7-	 

    	 

    

 

Schedule
1

 

SECURITIES
TRANSFER CORPORATION

Schedule
of Fees

As
Rights Agent and Information Agent

 

	I.	Project
    Management and Acceptance Fee	$3,500.00
	 	 	 
	II.	Examine
    / Process Right certificates and	$10.00
    per
	 	Accompanying
    Payment, each	 
	 	 	 
	III.	Print
    & process new stock certificates (per issue)	$10.00
    per
	 	 	 
	IV.	Additional
    Handling Items, each	$5.00
    per
	 	Including
    Notice of Guaranteed Deliveries, Withdrawals, Legal	 
	 	Items,
    Options, Correspondence, Partials, Items not providing a Taxpayer	 
	 	Identification
    Number, etc.	 
	 	 	 
	V.	Each
    line item on DTC’s ATOP Forms	$10.00/line
	 	 	 
	VI.	Extension
    of Offer, each	$2,500.00,
    each
	 	*
    Additional Changes to Shareholder File	Included
	 	(including
transfer journal updates)	 
	 	*
    Attorney Review of Agreement (if there are	Included
	 	any
variations on the standard language)	 
	 	*
    Changes to Standard Documents	Included
	 	*
    Additional Special Services	By
    Appraisal
	 	 	 
	VII.
    	Out
    of Pocket Expenses	Additional
	 	Including
    Postage, Printing, Stationary,	 
	 	Overtime,
    Transportation, etc.	 
	 	 	 
	VIII.	Information
    Agent Services	$7,500.00
	 	 	 
	IX.	Administrative
    Fee (20 hours included in quote)	$135.00/hour
	 	 	 
	X.	Printing
    of Materials	$0.04
    per side
	 	 	 
	XI.	Mailing
    of Materials	$2.00
    + Postage

 

    	 	-8-

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