Document:

Unassociated Document

 

OxySure Systems, Inc.

 

	 
OXYSURE SYSTEMS, INC.

SUBSCRIPTION BOOKLET

 

(PREFERRED STOCK)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

Subscription Booklet

 

	 
Oxysure Systems, Inc., a Delaware Corporation

 

 

 

Attached are the following subscription documents to be completed and executed in order to subscribe for Shareholder Interests ("Interests") in Oxysure Systems, Inc.:

	
  
	
A
	
Offeree/Purchaser Questionnaire

	
  
	
B
	
Subscription Agreement

	
  
	
C
	
Shareholder Signature Page to the Bylaws of Oxysure Systems, Inc.

 

 

 

 

 

 

2

 

 

INSTRUCTIONS

 

	1    	
The applicable documents should be completed and executed in their entirety.

 

	2. 	
Documents to be submitted by every prospective investor:

   

	
A.        
	
One signed copy of the Investor Questionnaire, with all blanks filled in.

	
B.         
	
One signed copy of the Subscription Agreement, with all blanks filled in.

	
C.         
	
One signed copy of the Shareholder Signature Page to the Bylaws of Oxysure Systems, Inc.

	
3.
	
Every prospective investor whose subscription has been accepted must pay the purchase price of the Interests promptly upon receipt of the Acceptance Notice (as defined in the Subscription Agreement) or by other arrangements with the Chairman of Oxysure Systems, Inc..  Payment shall be made by wire transfer of funds or by check in accordance with the following:

 

 

 

	
    Payee:   
	
Oxysure Systems, Inc.

 

	
    Bank:   
	
First National Bank Southwest

Preston Road, Frisco, TX  75034

	    A/c#:   	
004-012-793

 

	    ABA#:   	
 111924392

 

 

	
4.
	
Return this entire Booklet with the applicable documents signed to the following:

 

 

Oxysure Systems, Inc. 

2611 Internet Boulevard., Suite 109

:Frisco, Texas 75034

ATTN Mr. Julian Ross

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

A. INVESTOR QUESTIONNAIRE

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

OXYSURE SYSTEMS, INC.

 

INVESTOR QUESTIONNAIRE

 

(ALL INFORMATION WILL BE TREATED IN THE HIGHEST CONFIDENCE)

 

The information elicited by this Investor Questionnaire (the "Questionnaire") is to enable the Company to determine whether you or the prospective investor on whose behalf you are providing this information, as the case may be, meets the suitability requirements for purchasers under Regulation D promulgated under the Securities Act of 1933, as amended (the "Securities
Act"), and similar requirements of other applicable securities laws.  The Company will rely upon the information contained herein for the purpose of such determination and for the purpose of offering and selling shares ("Shares") in Oxysure Systems, Inc., a Delaware Corporation (the "Company").  The request to complete this Questionnaire does not constitute an offer of the Shares.

INSTRUCTIONS:

 

Answer all questions fully; if the answer to any question is "None" or "Not Applicable," please so state.

 

If you are furnishing this information on behalf of yourself or another person that is a natural person (i.e., an individual), please complete Sections 1 and 4 only.  If you are furnishing this information on behalf of a prospective investor that is a corporation, partnership, or limited liability company, please complete Sections 2 and 4 only.  If
you are furnishing this information on behalf of a prospective investor that is a trust, please complete Sections 3 and 4 only.  All questions should be answered with regard to the person investing in the Shares.  For example, if a corporation is subscribing, all answers should relate to that corporation (and not the officer completing this Questionnaire).

 

If you are signing in a capacity other than your individual capacity, please attach evidence of your authority to sign in such capacity.

 

 

 

5

 

 

 

1.  NATURAL PERSON (INDIVIDUALS)

 

If the prospective investor is a natural person, please complete this Section 1.

 

A. Name: ____________________________________________________________________________________   

                                                                                                                 

Date of birth: _____________________________________Citizenship:___________________________________

 

 Social Security No.: ____________________________________________________________________________    

 

Residence address:_____________________________________________________________________________ 

 

Residence telephone number:_____________________________________________________________________

 

Business address: _____________________________________________________________________________

 

___________________________________________________________________________________________

 

Business telephone number:______________________________________________________________________

 

Marital status:_________________________________________________________________________________

 

Spouse's full name: _____________________________________________________________________________ 

 

 Spouse's employment:___________________________________________________________________________

 

Spouse's business address:_______________________________________________________________________         

 

Spouse's business telephone number:_______________________________________________________________

 

Communications should be sent to (check one):

 

Business address: /___ / or Home address: /___ /

 

Do you maintain a house or apartment, pay state income taxes, hold a driver's license or are you registered to vote, in any state other than the state listed as your residence above in this part A.

 

        Yes _____                 No _____

 

If "Yes," please state where and indicate whether such other state is the state of your principal residence.  If it is not, please indicate why it is not.

 

 ____________________________________________________________________________________________

 

 ____________________________________________________________________________________________

 

_____________________________________________________________________________________________

 

 

6

 

 

B. Occupation:______________________________________________________________________________

 

Position and duties: __________________________________________________________________________   

Any prior occupations or duties during the past five years (including name of employer, position held and length of  service)

 

 ___________________________________________________________________________________________

 

 ___________________________________________________________________________________________

 

___________________________________________________________________________________________

 

C. Do you have a net worth, or joint net worth with your spouse, in excess of $1,000,000?

 

       Yes _____              No _____

 

D. Do you have an individual income in excess of $200,000 in each of the two most recent years, or joint income with your spouse in excess of $300,000 in each of those years, and have a reasonable
expectation of exceeding such income level in the current year?

 

Yes _____              No _____

 

 

 

7

 

 

 

2. CORPORATIONS, PARTNERSHIPS, AND LIMITED LIABILITY COMPANIES

 

If the prospective investor is a corporation, partnership, or limited liability company, pleasecomplete this Section 2.
 

A. Name of entity:__________________________________________________________________________

 

Form of organization:________________________________________________________________________

 

Date of formation: __________________________________________________________________________

 

State or country in which organized:_____________________________________________________________

 

Address of entity (including street, city, state, country and zip code):____________________________________

 

________________________________________________________________________________________

 

________________________________________________________________________________________

 

________________________________________________________________________________________

Telephone number of organization: (         )                                                                                                                                 
 

 

Type of business: __________________________________________________________________________ 

 

IRS Employer Identification Number:_____________________________________________________________

 

B. Number of shareholders, partners, or members:___________________________________________________

 

Names of shareholders, partners, or members and percentage of beneficial ownership for each:_________________

 

________________________________________________________________________________________

 

C. Is the investor a corporation, a partnership, a limited liability company, a tax-exempt organization described in section 501 (c)(3) of the Internal Revenue Code, or a Massachusetts or similar business trust, not formed for the specific
purpose of acquiring the Interests, with total assets in excess of $5,000,000?

Yes _____               No _____

 

D. Is the investor a bank as defined in section 3(a)(2) of the Securities Act, a savings and loan association or other institution as defined in section 3(a)(5)(A) of the Securities Act; a broker or dealer registered pursuant to section 15 of
the Securities Exchange Act of 1934, as amended; an insurance company as defined in section 2(13) of the Securities Act; or an investment company registered under the Investment Company Act of 1940, as amended?

Yes _____               No _____

 

8

 

 

E. Is the investor a business development company as defined in section 2(a)(48) of the Investment Company Act of 1940, as amended; a private business development company as defined in section 202(a)(22) of the Investment Advisers Act of 1940, as amended; or a Small Business Investment Company licensed by the U.S. Small Business Administration under section 301 (c) or (d) of the Small Business Investment Act of 1958?

Yes _____               No _____

 

F. ANSWER THIS QUESTION ONLY IF THE ANSWERS TO EACH OF QUESTIONS C, D AND E OF THIS SECTION 2 ARE "NO." IF ANY OF SUCH QUESTIONS WERE ANSWERED "YES," PLEASE SKIP THIS QUESTION AND PROCEED TO SECTION 4.

Is the investor an entity in which all of its equity owners are persons or entities that can answer "Yes" to at least one of the following questions: Section 1 -- Question C or Question D, Section 2 -- Question C, Question D or Question E, Section 3 -- Question C, Question D, Question E or Question F?

 

       Yes _____               No _____

If the answer to this question is "Yes" and if the answers to each of questions C, D and E of this Section 2 are "No", then each beneficial owner of equity securities or equity interests in the entity must complete a Questionnaire.

 

 

9

 

3.  TRUSTS

 

If the investment will be in the name of a trust, please complete this Section 3.

 

A. Name of trust:__________________________________________________________________________

Trustee of trust: __________________________________________________________________________

B. Address of trust (including street, city, state, country and zip code): _________________________________

 

_______________________________________________________________________________________

 

_______________________________________________________________________________________

 

_______________________________________________________________________________________

Telephone number: (_________________) _____________________________________________________

 

IRS Employer Identification Number:___________________________________________________________

 

Number of beneficiaries: ____________________________________________________________________

 

Names of beneficiaries and percentage of beneficial interest (excluding contingency interests) for each:_________

_______________________________________________________________________________________

 

_______________________________________________________________________________________

 

_______________________________________________________________________________________

C. Is the trust a trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the Interests, whose purchase is directed by a person who has such knowledge and experience in financial and business matters that he is capable of evaluating the merits and risks of an investment in the Interests?

Yes _____             No _____

 

D. Is the trustee of the trust that is making the investment decision to purchase the Interests a bank as defined in section 3(a)(2) of the Securities Act, or any savings and loan association or other institution as defined in section 3(a)(5)(A) of the Securities Act?

Yes _____               No _____

 

E. Is the trust an employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974, as amended?

 

   Yes _____                No _____

 

 

10

 

 

F. Is the trust an employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974, as amended, (i) whose investment decision to purchase the Interests is made by a plan fiduciary, as defined in section 3(21) of the Securities Act, which is either a bank, savings and loan association, insurance company or registered investment adviser, (ii) which has total
assets in excess of $5,000,000, or (iii) which is a self-directed plan whose investment decisions are made solely by persons that are accredited investors as defined in Rule 501 (a) promulgated under the Securities Act?

Yes _____                No _____

 

G. Is the trust a plan established and maintained by a state, its political subdivisions, or any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, with total assets in excess of $5,000,000?

Yes _____                No _____

 

H. If the answers to questions C, D, E, F, and G of this Section 3 are "No", please answer the following questions (and if the answer to any of questions C, D, E, F, and G is "Yes", please skip this question and proceed to Section 4):

 

(i) Is the trust a revocable grantor trust that may be amended or revoked at any time by the grantors?

Yes _____              No _____

 

(ii) If the answer to subsection (i) is "yes", who are the grantors?

____________________________________________________________________________

 

____________________________________________________________________________

 

If the answer to subsection (i) is "Yes" (and if the answers to questions C, D, E, F, and G are "No"), Section 1 of this Questionnaire should be completed by each grantor with information about himself.

 

11

 

 

4.  INVESTMENT EXPERIENCE (TO BE COMPLETED BY ALL INVESTORS)

 

A.     Does the investor have such knowledge of business, finance, securities and investments generally, and such experience (based on actual participation) in investments in particular, that he or it is capable of evaluating the risks and merits of the investment, and believes he or it can afford the complete loss of his or its investment in the Interests?

 

       Yes _____              No _____

 

B.     Please indicate whether the investor has made the following types of investments in the past five years:

 

Stocks________________________________________________________________________________

 

Limited partnerships_____________________________________________________________________

 

Bonds________________________________________________________________________________

 

Non-marketable securities_________________________________________________________________  

 

Other experience: _______________________________________________________________________   

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

C.     Does the amount of the investor's proposed investment in the interests exceed 10% of his or its net worth?

Yes _____              No _____

 

12

 

 

THE UNDERSIGNED UNDERSTANDS THAT THE COMPANY AND ITS AFFILIATES AND ADVISORS WILL BE RELYING ON THE ACCURACY AND COMPLETENESS OF THE RESPONSES TO THE FOREGOING QUESTIONS.  THE COMPANY WILL KEEP SUCH RESPONSES IN CONFIDENCE, EXCEPT THAT THIS QUESTIONNAIRE MAY BE FURNISHED TO SUCH PARTIES AS THE COMPANY DEEMS DESIRABLE TO ESTABLISH COMPLIANCE WITH FEDERAL AND STATE SECURITIES LAWS.  THE ABOVE INFORMATION IS ACCURATE
AND COMPLETE IN ALL RESPECTS, AND THE UNDERSIGNED WILL NOTIFY THE COMPANY PROMPTLY OF ANY CHANGES THAT OCCUR PRIOR TO THE PURCHASE OF THE INTERESTS.

 

Name of Investor: ________________________________________________________________________________                                                                                                                    

 

Signature: ______________________________________________________________________________________ 

 

Printed Name:___________________________________________________________________________________

 

Title (if applicable):  ______________________________________________________________________________              

 

Date: _________________________________________________________________________________________

 

13

 

 

 

 

B. SUBSCRIPTION AGREEMENT

 

 

 

 

 

 

 

 

 

 

14

 

 

 

OXYSURE SYSTEMS, INC.

2611 Internet Boulevard, Suite 109, Frisco, TX  75034

214-618-7916     214-618-6494 (fax)

SUBSCRIPTION AGREEMENT

 

This Subscription Agreement (this “Agreement”), dated as of______________is entered into by and between Oxysure Systems, Inc., a Delaware corporation (the “Company”), and,_______________the undersigned investor (the “Investor”).

RECITALS

 

A.              Investor desires to purchase   shares (the “Shares”) of the preferred stock, par value $0.0005 per share (the “Preferred Stock”), of the Company for an aggregate purchase price of___________.

 

B.              The parties hereto desire to enter this Agreement to provide for the purchase by the Investor of the Shares on the terms set forth herein and to govern the parties' respective rights and obligations with respect thereto.

 

Accordingly, the parties agree as follows:

 

ARTICLE I

 

PURCHASE AND SALE OF PREFERRED STOCK

 

1.1   Purchase and Sale.

 

(a)             Subject to the terms and conditions set forth herein, the Company shall issue and sell and the Investor shall purchase the Shares.  The purchase price (the “Purchase Price”) for the Shares shall be _____  per Share, for
an aggregate Purchase Price of ___________.

 

(b)   The Company shall deliver to the Investor one or more stock certificates representing the Shares registered in the names and in the amounts as specified by the Investor, and the Investor shall deliver an amount equal
to the Purchase Price.  Company hereby acknowledges receipt of the Purchase Price on  .

 

(c)              The Investor agrees to deliver to the Company from time to time such documents and certificates as may be reasonably requested by the Company to comply with the applicable securities laws and all applicable rules and regulations.

ARTICLE II

 

INVESTOR REPRESENTATIONS AND WARRANTIES

 

2.1             Representations and Warranties.  The Investor hereby represents and warrants to the Company as of the date hereof:

(a)            Authority.  The Investor has the requisite power and authority to enter into and to consummate the transactions contemplated hereby and otherwise to carry out his obligations hereunder.  This
Agreement has been duly executed and delivered by the Investor and constitutes the valid and legally binding obligation of the Investor, enforceable against him in accordance with its terms, except as such enforceability may be limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar laws relating to, or affecting generally the enforcement of, creditors rights and remedies or by other general principles of equity.

 

 

15

 

 

(b)             No Solicitation.  The offering of the Shares in the Company to the Investor was made only through direct, personal communication between the Investor and a duly authorized representative of
the Company and not through public solicitation or advertising.

 

(c)             Investment Intent.  The Investor is acquiring the Shares for his or its own account for investment purposes only and not with a view to or for distributing or reselling such Shares or
any part thereof or interest therein and the Investor does not presently have any reason to anticipate any change in circumstances or other particular occasion or event which would cause him or it to sell such Shares, without prejudice, however, to the Investor's right, subject to the provisions of this Agreement, at all times to sell or otherwise dispose of all or any part of such Shares pursuant to an effective registration statement under the Securities Act of 1933, as amended (the “Securities Act”),
or pursuant to an available exemption from the registration requirements thereunder and in compliance with applicable state securities laws; provided, however, that the Investor acknowledges that the Company has no obligation to register the Shares under the Securities Act or any other securities laws.

 

(d)             Investor Status.  The Investor hereby acknowledges that the acquisition of the Shares pursuant to this Agreement is suitable only for sophisticated investors.

 

(e)             Investment Company. The Investor is not, and following issuance of the Shares will not be, nor is the Investor an affiliate of an "Investment company' within the meaning of the Investment Company
Act of 1940, as amended, nor was Investor formed, reformed, or reorganized for the specific purpose of purchasing the Shares.

 

(f)             Experience of Investor.  The Investor, either alone or together with the Investor's representatives, has such knowledge, sophistication and experience in business, investment and financial
matters, and has such knowledge, sophistication and experience in evaluating and investing in Preferred stocks and other securities based on actual participation in business, investment and financial matters, so as to be capable of evaluating the merits and risks of an investment in the Shares to be acquired by the Investor hereunder, and has so evaluated the merits and risks of such investment.

 

(g)             Ability of Investor to Bear Risk of Investment.  The Investor is able to bear the economic risk of an investment in the Shares to be acquired hereunder and, at the present time, is able
to afford a complete loss of such investment.  The Investor is aware that the Company is a start up company and that no guarantees have been or can be made by the Company or any of its representatives respecting the future value, if any, of the Shares or the profitability or success of the business of the Company and no assurances are or have been made concerning the dividend or distribution by the Company of cash to its shareholders.

 

(h)             Access to Information.  The Investor acknowledges that he has been afforded (i) the opportunity to ask such questions as the Investor has deemed necessary of, and to receive answers from,
representatives of the Company concerning the terms and conditions of the Shares offered hereunder and the merits and risks of investing in such Shares; (ii) access to relevant information about the Company and the Company's operations, management and business prospects sufficient to enable him to evaluate an investment in such Shares; and (iii) the opportunity to obtain such additional information which the Company possesses or can acquire without unreasonable effort or expense that is necessary to make an informed
investment decision with respect to the investment.

 

(i)              Risk Letter. The Investor specifically acknowledges receipt of The Company's Risk Letter setting fourth the various risks and uncertainties associated with this investment.  Further,
Investor was given the opportunity to ask Oxysure questions about the Risk Letter and to consult with independent counsel.

 

 

16

 

 

 (j)             Reliance.  The Investor understands and acknowledges that (i) the Shares being offered and sold to Investor hereunder are being offered and sold without registration under the
Securities Act in a private placement that is exempt from the registration provisions of the Securities Act under Section 4(2) of the Securities Act and (ii) the availability of such exemption depends in part on, and that the Company will rely upon the accuracy and truthfulness of, the foregoing representations and the Investor hereby consents to such reliance.

 

(k)             Certain Fees.  Except as provided herein, no fees or commissions will be payable by the Investor to any broker, financial advisor, finder, investment banker, or bank with respect
to the transactions contemplated by this Agreement.  The Company acknowledges and agrees that the Investor makes no representations or warranties with respect to the transactions contemplated hereby other than those specifically set forth in this Section 2.l.

 

2.2  Survival.  All representations, warranties and covenants contained herein shall survive the execution and delivery of this Agreement indefinitely.

2.3  Transfer Restrictions.

    (a)              If the Investor should decide to dispose of any Shares to be acquired hereunder, the Investor understands and agrees that he may do so only (i) pursuant to an effective registration statement under the Securities Act, (ii) to the
Company or (iii) pursuant to an available exemption or exclusion from the registration requirements of the Securities Act.  In connection with any transfer of any Shares other than pursuant (i) to an effective registration statement, (ii) to the Company, (iii) to an affiliate of the Investor which is an "accredited investor" within the meaning of Rule 501(a) under the Securities Act, provided that any such transferee shall agree to be bound by the terms of this Agreement, and (iv) in reliance on Rule
144 under the Securities Act, the Company may require that the transferor provide to the Company an opinion in form and substance reasonably satisfactory to the Company of counsel experienced in the area of United States securities laws selected by the transferor to the effect that such transfer does not require registration of such Shares under the Securities Act.

 

   (b)              The Investor agrees to the imprinting, so long as appropriate, of the following legend on certificates representing the Shares:

 

 

“THESE SHARES HAVE NOT BEEN REGISTERED WITH THE SECURITIES AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER REGULATION D PROMULGATED UNDER THE U.S. SECURITIES ACT OF 1933, AS AMENDED (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 OR EXCLUSION FROM THE REGISTRATION REQUIREMENTS THEREUNDER AND IN COMPLIANCE WITH APPLICABLE STATE SECURITIES LAWS.

 

THESE SHARES ARE SUBJECT TO CERTAIN RESTRICTIONS ON TRANSFER SET FORTH IN A SUBSCRIPTION AGREEMENT, DATED AS OF  , 2000, BETWEEN THE COMPANY AND THE ORIGINAL HOLDER HEREOF.  A COPY OF SUCH AGREEMENT IS ON FILE AT THE PRINCIPAL OFFICE OF THE COMPANY.”

 

17

 

 

The legend set forth above shall be removed in connection with any resale of Shares pursuant to an effective registration statement under the Securities Act or sooner if, in the opinion of counsel to the Company and the Investor experienced in the area of United States securities laws, such legend is no longer required under applicable requirements of the Securities Act (including judicial interpretation and pronouncements issued
by the staff of the Securities and Exchange Commission).  The certificates representing the Shares shall also bear any other legends required by applicable federal or state securities laws, which legends shall be removed when, in the opinion of counsel to the Company, such legends are no longer required under the applicable requirements of such securities laws.  In connection therewith, the Company may request, and the Investor
or other transferor shall provide, such information as the Company or its counsel may reasonably request to evaluate the propriety of removing any legends.  The Company makes no representation, warranty or agreement as to the availability of any exemption from registration under the Securities Act with respect to any resale of Shares.  The Investor agrees that the Company shall be entitled to make a notation on its records
and give instructions to any transfer agent of the Company in order to implement the restrictions on transfer set forth in this Section 2.3.

ARTICLE III

MISCELLANEOUS

3.1 Entire Agreement.  This Agreement embodies the entire agreement and understandingbetween the Investor and the Company and supersedes all prior agreements and

understandings relating to the subject matter hereof.

3.2  Waiver and Amendment.  This Agreement may be amended, and the observance of any term hereof may be waived (either retroactively or prospectively), with and only with the written consent of the Company and the Investor.  No amendment or waiver
consented to as provided herein will extend to or affect any obligation, covenant, or agreement not expressly amended or waived or impair any right, power or remedy consequent thereon.

 

3.3 Notices, All notices and other communications provided for hereunder shall be in writing and delivered by teleoopier or (if expressly permitted under the applicable provisions hereof by telephone, if the sender on the same day sends a confirming copy of such notice by a recognized overnight delivery service (charges
prepaid), by registered or certified Mail with return receipt requested (postage prepaid) or by a recognized overnight delivery service (with charges prepaid).  Any such notice must be sent:

(a) If to Investor:

________________________

________________________

________________________

(b) If to the Company:

 

Oxysure Systems, Inc.

2611 Internet Blvd., Suite 109

Frisco, TX  75034

ATTN:  Mr. Julian Ross

 

With a copy to:

 

Hughes Luce, LLP

1717 Main Street, Suite 2800

Dallas, TX  75201

ATTN:  John A. Willding II

 

 

18

 

(c)             If any notice required under this Agreement is permitted to be made, and is made, by telephone, actions taken or omitted to be taken in reliance thereon by the Investor shall be binding upon the Company notwithstanding any inconsistency between the notice
provided by telephone and any subsequent writing in confirmation thereof provided to the Investor; provided that any such action taken or omitted to be taken by the Investor shall have been in good faith and in accordance with the terms of this Agreement.

 

3.4  Successors and Assigns.  All covenants and other agreements contained in this Agreement by or on behalf of any of the parties hereto bind and inure to the benefit of its or his successors and assigns, whether or not so expressed.

 

3.5  Severability.  Any provision of this Agreement that is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability
in any jurisdiction shall (to the full extent permitted by applicable law) not invalidate or render unenforceable such provision in any other jurisdiction.

 

3.6  Construction.  Each covenant contained herein shall be construed (absent express provision to the contrary) as being independent of each other covenant contained herein, so that compliance with any one covenant shall not (absent such an express contrary provision) be deemed to excuse compliance with
any other covenant.  Where any provision herein refers to action to be taken by any person, or which such person is prohibited from taking, such provision shall be applicable whether such action is taken directly or indirectly by such person.

 

3.7  Execution in Counterparts.  This Agreement may be executed in any number of counterparts and by different parties hereto in separate counterparts, each of which when so executed shall be deemed to be an original and all of which taken together shall constitute one and the same agreement.  Delivery
of an executed counterpart of a signature page to this Agreement by telecopier shall be effective as delivery of a manually executed counterpart of this Agreement.

 

3.8  Governing Law.  This Agreement shall be governed by and construed in accordance with the law of the State of Texas.

 

(THE NEXT PAGE IS THE SIGNATURE PAGE)

 

 

 

19

 

IN WITNESS WHEREOF, Subscriber has hereby executed this Subscription Agreement as of the date set forth below.

 

	 	 	 Subscriber's Address:
	Name of Subscriber	 	 
	 	 	 
	 	 	 
	 	 	 
	 	 	 
	Name and Title of Person who has filled out this Subscription Agreement on behalf of Subscriber	 	Signature of Subscriber or Person who has filled out this Subscription Agreement on its behalf
	 	 	 
	 	 	 
	Subscriber's Social Security or Tax ID No	 	Date
	 	 	 
	 	 	 
	 	 	 
	Aggregate Amount to be paid for Interests	 	 
	 	 	 
	 	 	 
	The foregoing subscription is hereby accepted, subject to the terms and conditions hereof, as of the  _______ day of __________________, 2004.
	 	 	 
	 	 	 
	OXYSURE SYSTEMS, INC.	 	 
	 	 	 
	By: _____________________________________                                             	 	 
	      Julian Ross, Chairman & CEO	 	 

 

 

 

20

 

 

 

 

 

C. SHAREHOLDER SIGNATURE PAGE TO THE BYLAWS 

OF OXYSURE SYSTEMS, INC.

 

 

 

 

 

 

 

 

 

21

 

 

 

SHAREHOLDER SIGNATURE PAGE

 

IN WITNESS WHEREOF, the undersigned Shareholder has approved and adopted, and is bound by, these Bylaws as of the date first set forth above.

 

Name of Shareholder:__________________________________________________________________

 

Signature for Shareholder:______________________________________________________________

 

Title of Signing Representative (if applicable):_______________________________________________

Date of Signature:_____________________________________________________________________

 

 

22Unassociated Document

OxySure® Systems, Inc.

 

 

 

 

 

 

 

 

 

 

	  OXYSURE SYSTEMS, INC.
 

SUBSCRIPTION BOOKLET 

(COMMON STOCK)

 

  

1

  

 

Subscription Booklet

 

	 OxySure Systems, Inc., a Delaware Corporation

 

 

Attached are the following subscription documents to be completed and executed in order to subscribe for Shareholder Interests ("Interests") in Oxysure Systems, Inc.:

 

A                      Offeree/Purchaser Questionnaire

B                      Subscription Agreement

C                      Shareholder Signature Page to the Bylaws of OxySure Systems, Inc.

 

 

 

 

 

 

2

 

 

 

INSTRUCTIONS

 

 

1       The applicable documents should be completed and executed in their entirety.

2.      Documents to be submitted by every prospective investor:

 

A.         One signed copy of the Investor Questionnaire, with all blanks filled in.

 

B.         One signed copy of the Subscription Agreement, with all blanks filled in.

 

C.         One signed copy of the Shareholder Signature Page to the Bylaws of Oxysure Systems, Inc.

 

3.      Every prospective investor whose subscription has been accepted must pay the purchase price  of the Interests promptly upon receipt of the Acceptance Notice (as defined in the Subscription  Agreement)
or by other arrangements with the Chairman of Oxysure Systems, Inc.. Payment  shall be made by wire transfer of funds or by check in accordance with the following:

 

Payee:                OxySure Systems, Inc.

Bank:                  Silicon Valley Bank

 Santa Clara, CA 95054-1191

 A/c#:           330-047-1107

 

      ABA#:              121-140-399

 

4.      Return this entire Booklet with the applicable documents signed to the following:

 

Oxysure Systems, Inc. 

10880 John W. Elliott Road Suite 600

Frisco, Texas 75034 USA 

ATTN: Mr. Julian Ross

 

 

 

  

3

  

 

 

 

 

 

 

 

 

 

 

 

A. INVESTOR QUESTIONNAIRE

 

 

 

 

 

 

 

 

 

 

 

 

  

4

  

 

OXYSURE SYSTEMS, INC.

 

INVESTOR QUESTIONNAIRE 

 

(ALL INFORMATION WILL BE TREATED IN THE HIGHEST CONFIDENCE)

The information elicited by this Investor Questionnaire (the "Questionnaire") is to enable the Company to determine whether you or the prospective investor on whose behalf you are providing this information, as the case may be, meets the suitability requirements for purchasers under Regulation D promulgated under the Securities Act of 1933,
as amended (the "Securities Act"), and similar requirements of other applicable securities laws. The Company will rely upon the information contained herein for the purpose of such determination and for the purpose of offering and selling shares ("Shares") in Oxysure Systems, Inc., a Delaware Corporation (the "Company"). The request to complete this Questionnaire does not constitute an offer of the Shares.

INSTRUCTIONS:

 

Answer all questions fully; if the answer to any question is "None" or "Not Applicable," please so state.

 

If you are furnishing this information on behalf of yourself or another person that is a natural person (i.e., an individual), please complete Sections 1 and 4 only. If you are furnishing this information on behalf of a prospective investor that is a corporation, partnership, or limited liability company, please complete Sections 2 and
4 only. If you are furnishing this information on behalf of a prospective investor that is a trust, please complete Sections 3 and 4 only. All questions should be answered with regard to the person investing in the Shares. For example, if a corporation is subscribing, all answers should relate to that corporation (and not the officer completing this Questionnaire).

 

If you are signing in a capacity other than your individual capacity, please attach evidence of your authority to sign in such capacity.

 

 

5

 

 

1.        NATURAL PERSON (INDIVIDUALS)

If the prospective investor is a natural person, please complete this Section 1.

 

A. Name: ____________________________________________________________________________

 

Date of birth:__________________________________Citizenship: ______________________________

 

Social Security No.:____________________________________________________________________  

 

Residence address: ____________________________________________________________________  

 

Residence telephone number:_____________________________________________________________  

 

Business address: _____________________________________________________________________

 

___________________________________________________________________________________ 

 

Business telephone number: _____________________________________________________________

 

Email Address: _______________________________________________________________________

 

Marital status: ________________________________________________________________________

 

Spouse's full name: ____________________________________________________________________

 

Spouse's employment: __________________________________________________________________

 

Spouse's business address: ______________________________________________________________

 

Spouse's business telephone number:  ______________________________________________________

                                                                                                                   

Communications should be sent to (check one): Business address: /___ / or Home address: /___ /

 

Do you maintain a house or apartment, pay state income taxes, hold a driver's license or are you registered to 

vote, in any state other than the state listed as your residence above in this part A?

 

Yes  ________________     No ___________________

 

If "Yes," please state where and indicate whether such other state is the state of your principal residence. If 

it is not, please indicate why it is not.

 

______________________________________________________________________________________

 

______________________________________________________________________________________

 

______________________________________________________________________________________

 

 

  

6

  

B. Occupation:________________________________________________________________________ 

 

Position and duties:____________________________________________________________________

 

Any prior occupations or duties during the past five years (including name of employer, position held and length 

of service):

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

 

C.  Do you have a net worth, or joint net worth with your spouse, in excess of $1,000,000?

 

 

Yes______              No_____              

 

 

D.  Do you have an individual income in excess of $200,000 in each of the two most recent years,

      or joint income with your spouse in excess of $300,000 in each of those years, and have a

     reasonable expectation of exceeding such income level in the current year?

 

  Yes_____              No______              

 

 

 

7

 

 

 

2.       CORPORATIONS, PARTNERSHIPS, AND LIMITED LIABILITY COMPANIES

 

 If the prospective investor is a corporation, partnership, or limited liability company, please complete this Section 2.

 

A. Name of entity:___________________________________________________________________________ 

 

Form of organization:_________________________________________________________________________ 

 

Date of formation:____________________________________________________________________________ 

 

 

State or country in which organized:______________________________________________________________  

 

Address of entity (including street, city, state, country and zip code):_____________________________________

 

__________________________________________________________________________________________

 

__________________________________________________________________________________________

 

__________________________________________________________________________________________ 

 

Telephone number of organization: (__________)____________________________________________________

 

Type of business:_____________________________________________________________________________

 

IRS Employer Identification Number:_______________________________________________________________

 

B. Number of shareholders, partners, or members:_____________________________________________________

 

Names of shareholders, partners, or members and percentage of beneficial ownership for each:

 

________________________________________________________________________________________

 

___________________________________________________________________________________________

 

___________________________________________________________________________________________

 

 

C.     Is the investor a corporation, a partnership, a limited liability company, a tax-exempt

organization described in section 501 (c)(3) of the Internal Revenue Code, or a Massachusetts or

similar business trust, not formed for the specific purpose of acquiring the Interests, with total

assets in excess of $5,000,000?

 

Yes______             No_______              

 

D.     Is the investor a bank as defined in section 3(a)(2) of the Securities Act, a savings and loan

association or other institution as defined in section 3(a)(5)(A) of the Securities Act; a broker or

dealer registered pursuant to section 15 of the Securities Exchange Act of 1934, as amended; an

insurance company as defined in section 2(13) of the Securities Act; or an investment company

registered under the Investment Company Act of 1940, as amended?

 

Yes______             No________              

 

 

8

 

 

 

E.  Is the investor a business development company as defined in section 2(a)(48) of the Investment 

Company Act of 1940, as amended; a private business development company as defined in section 

202(a)(22) of the Investment Advisers Act of 1940, as amended; or a Small Business Investment 

Company licensed by the U.S. Small Business Administration under section 301 (c) or (d) of the 

Small Business Investment Act of 1958?

 

Yes____             No_______              

F.    ANSWER THIS QUESTION ONLY IF THE ANSWERS TO EACH OF QUESTIONS C, D 

   AND E OF THIS SECTION 2 ARE "NO." IF ANY OF SUCH QUESTIONS WERE

   ANSWERED "YES," PLEASE SKIP THIS QUESTION AND PROCEED TO SECTION 4.

 

  

  Is the investor an entity in which all of its equity owners are persons or entities that can answer "Yes" 

  to at least one of the following questions: Section 1 -- Question C or Question D, Section 2 -

 ­ Question C, Question D or Question E, Section 3 -- Question C, Question D, Question E or Question

  F?

 

Yes_____             No______              

 

If the answer to this question is "Yes" and if the answers to each of questions C, D and E of this Section 2 

are "No", then each beneficial owner of equity securities or equity interests in the entity must complete a 

Questionnaire.

 

 

9

 

 

3.      TRUSTS

 

If the investment will be in the name of a trust, please complete this Section 3.

 

A.     Name of trust:______________________________________________________________________  

 

Trustee of trust:_________________________________________________________________________ 

 

B.     Address of trust (including street, city, state, country and zip code):

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

Telephone number:__(____)_______________________________________________________________

 

IRS Employer Identification Number: _________________________________________________________ 

 

Number of beneficiaries:__________________________________________________________________ 

 

Names of beneficiaries and percentage of beneficial interest (excluding contingency interests) for each:

 

______________________________________________________________________________________

 

______________________________________________________________________________________

 

______________________________________________________________________________________

 

 

C.    Is the trust a trust with total assets in excess of $5,000,000, not formed for the specific purpose

   of acquiring the Interests, whose purchase is directed by a person who has such knowledge and

   experience in financial and business matters that he is capable of evaluating the merits and risks of

   an investment in the Interests?

 

Yes____________       No______________              

        

        D.     Is the trustee of the trust that is making the investment decision to purchase the Interests a bank

as defined in section 3(a)(2) of the Securities Act, or any savings and loan association or other

institution as defined in section 3(a)(5)(A) of the Securities Act?

 

Yes__________             No______________              

 

       E.    Is the trust an employee benefit plan within the meaning of the Employee Retirement Income

              Security Act of 1974, as amended?

 

Yes ___________          No _______________             

 

 

10

 

 

F.    Is the trust an employee benefit plan within the meaning of the Employee Retirement Income

   Security Act of 1974, as amended, (i) whose investment decision to purchase the Interests is made

  by a plan fiduciary, as defined in section 3(21) of the Securities Act, which is either a bank, savings

  and loan association, insurance company or registered investment adviser, (ii) which has total assets

  in excess of $5,000,000, or (iii) which is a self-directed plan whose investment decisions are made

  solely by persons that are accredited investors as defined in Rule 501 (a) promulgated under the

  Securities Act?

 

Yes___________             No_________              

 

G.   Is the trust a plan established and maintained by a state, its political subdivisions, or any agency

       or instrumentality of a state or its political subdivisions, for the benefit of its employees, with total

       assets in excess of $5,000,000?

 

Yes_________             No ____________             

 

H.   If the answers to questions C, D, E, F, and G of this Section 3 are "No", please answer the

  following questions (and if the answer to any of questions C, D, E, F, and G is "Yes", please skip

  this question and proceed to Section 4):

 

(i)     Is the trust a revocable grantor trust that may be amended or revoked at any time by the

grantors?

 

Yes________             No _____________             

 

(ii)     If the answer to subsection (i) is "yes", who are the grantors?

 

_____________________________________________________________________________

 

_____________________________________________________________________________

If the answer to subsection (i) is "Yes" (and if the answers to questions C, D, E, F, and G are 

"No"), Section 1 of this Questionnaire should be completed by each grantor with information 

about himself.

 

 

11

 

 

4.     INVESTMENT EXPERIENCE (TO BE COMPLETED BY ALL INVESTORS)

 

   A. Does the investor have such knowledge of business, finance, securities and investments generally, and such experience (based on actual participation) in investments in particular, that he or it is capable of  

  evaluating the risks and merits of the investment, and believes he or it can afford the complete loss of his or its investment in the Interests?

 

Yes_________            No___________              

 

B. Please indicate whether the investor has made the following types of investments in the past five 

years:

 

Stocks________________________________________________________________________

 

Limited partnerships______________________________________________________________

 

Bonds_________________________________________________________________________

 

Non-marketable securities__________________________________________________________

 

Other experience:_________________________________________________________________

 

______________________________________________________________________________

 

______________________________________________________________________________

 

______________________________________________________________________________

 

 

C. Does the amount of the investor's proposed investment in the interests exceed 10% of his or its net worth?

 

 Yes________              No______________

 

 

12

 

 

 

THE UNDERSIGNED UNDERSTANDS THAT THE COMPANY AND ITS AFFILIATES AND ADVISORS WILL BE RELYING ON THE ACCURACY AND COMPLETENESS OF  THE RESPONSES TO THE FOREGOING QUESTIONS.
THE COMPANY WILL KEEP  SUCH RESPONSES IN CONFIDENCE, EXCEPT THAT THIS QUESTIONNAIRE MAY BE  FURNISHED TO SUCH PARTIES AS THE COMPANY DEEMS DESIRABLE TO  ESTABLISH COMPLIANCE WITH FEDERAL AND STATE SECURITIES LAWS. THE  ABOVE
INFORMATION IS ACCURATE AND COMPLETE IN ALL RESPECTS, AND  THE UNDERSIGNED WILL NOTIFY THE COMPANY PROMPTLY OF ANY CHANGES  THAT OCCUR PRIOR TO THE PURCHASE OF THE INTERESTS.

Name of Investor:_______________________________________________________

 

 

Signature:______________________________________________________________ 

 

Printed Name:___________________________________________________________ 

 

Title (if applicable):_______________________________________________________

 

Date:__________________________________________________________________

 

 

13

 

 

 

 

 

 

 

 

 

 

B. SUBSCRIPTION AGREEMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

 

 

OXYSURE SYSTEMS, INC.

Oxysure Systems, Inc.

 10880 John W. Elliott Road

Suite 600 

Frisco, Texas 75034 USA

ATTN: Mr. Julian Ross

 

972-294-6450 FAX 972-294-6501 (fax)

 

SUBSCRIPTION AGREEMENT

 

This Subscription Agreement (this "Agreement"), dated as of ______________is entered into by and_________________between Oxysure Systems, Inc., a Delaware corporation (the "Company"),and,_____the undersigned
investor (the "Investor").

 

RECITALS

 

A.           Investor desires to purchase_____________shares (the "Shares") of the common stock, par value $0.0004 per share (the "Common Stock"), of the Company for an aggregate purchasez price 

  of___________                     .

 

 

 

B.           The parties hereto desire to enter this Agreement to provide for the purchase by the Investor of the Shares on the terms set forth herein and to govern the parties' respective rights and obligations
with 

 respect thereto.

 

Accordingly, the parties agree as follows:

 

ARTICLE I

 

PURCHASE AND SALE OF COMMON STOCK

1.1       Purchase and Sale.

(a)        Subject to the terms and conditions set forth herein, the Company shall issue and sell and the Investor shall purchase the Shares. The purchase price (the "Purchase Price") for the Shares shall be

             ______________per Share, for an aggregate Purchase Price of _________________                                                                           .

(b)      The Company shall deliver to the Investor one or more stock certificates representing the Shares registered in the names and in the amounts as specified by the Investor,
and the Investor shall deliver an    

 amount equal to the Purchase Price. Company hereby acknowledges receipt of the Purchase Price on________________

 

 

(c)      The Investor agrees to deliver to the Company from time to time such documents and certificates as may be reasonably requested by the Company to comply with the applicable securities laws

           and all applicable rules and regulations.

 

ARTICLE II

 

INVESTOR REPRESENTATIONS AND WARRANTIES

 

2.1 Representations and Warranties. The Investor hereby represents and warrants to the Company as of the date hereof:

 

 

15

 

 

(a) Authority. The Investor has the requisite power and authority to enter into and to consummate the transactions contemplated hereby and otherwise
to carry out his obligations hereunder. This Agreement has been duly executed and delivered by the Investor and constitutes the valid and legally binding obligation of the Investor, enforceable against him in accordance with its terms, except as such enforceability may be limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar laws relating to, or affecting generally the enforcement of, creditors rights and remedies or by other general principles of equity.

 

(b) No Solicitation. The offering of the Shares in the Company to the Investor was made only through direct, personal communication between the Investor
and a duly authorized representative of the Company and not through public solicitation or advertising.

 

(c) Investment Intent. The Investor is acquiring the Shares for his or its own account for investment purposes only and not with a view to or for distributing
or reselling such Shares or any part thereof or interest therein and the Investor does not presently have any reason to anticipate any change in circumstances or other particular occasion or event which would cause him or it to sell such Shares, without prejudice, however, to the Investor's right, subject to the provisions of this Agreement, at all times to sell or otherwise dispose of all or any part of such Shares pursuant to an effective registration statement under the Securities Act of 1933, as amended (the
"Securities Act"), or pursuant to an available exemption from the registration requirements thereunder and in compliance with applicable state securities laws; provided, however, that the Investor acknowledges that the Company has no obligation to register the Shares under the Securities Act or any other securities laws.

 

(d) Investor Status. The Investor hereby acknowledges that the acquisition of the Shares pursuant to this Agreement is suitable only for sophisticated
investors.

 

(e) Investment Company. The Investor is not, and following issuance of the Shares will not be, nor is the Investor an affiliate of an "Investment company'
within the meaning of the Investment Company Act of 1940, as amended, nor was Investor formed, reformed, or reorganized for the specific purpose of purchasing the Shares.

 

(f) Experience of Investor. The Investor, either alone or together with the Investor's representatives, has such knowledge, sophistication and experience
in business, investment and financial matters, and has such knowledge, sophistication and experience in evaluating and investing in common stocks and other securities based on actual participation in business, investment and financial matters, so as to be capable of evaluating the merits and risks of an investment in the Shares to be acquired by the Investor hereunder, and has so evaluated the merits and risks of such investment.

 

(g) Ability of Investor to Bear Risk of Investment. The Investor is able to bear the economic risk of an investment in the Shares to be acquired hereunder
and, at the present time, is able to afford a complete loss of such investment. The Investor is aware that the Company is a start up company and that no guarantees have been or can be made by the Company or any of its representatives respecting the future value, if any, of the Shares or the profitability or success of the business of the Company and no assurances are or have been made concerning the dividend or distribution by the Company of cash to its shareholders.

 

(h) Access to Information. The Investor acknowledges that he has been afforded (i) the opportunity to ask such questions as the Investor has deemed necessary of, and to receive answers
from,

representatives of the Company concerning the terms and conditions of the Shares offered hereunder and the merits and risks of investing in such Shares; (ii) access to relevant information about the Company and the
Company's operations, management and business prospects sufficient to enable him to evaluate an investment in such Shares; and (iii) the opportunity to obtain such additional information which the 

 

 

16

 

 

Company possesses or can acquire without unreasonable effort or expense that is necessary to make an informed investment decision with respect to the investment.

 (i) Reliance. The Investor understands and acknowledges that (i) the Shares being offered and

sold to Investor hereunder are being offered and sold without registration under the Securities Act in a private placement that is exempt from the registration provisions of the Securities Act under Section 4(2) of the Securities Act and (ii) the availability of such exemption depends in part on, and that the Company will rely upon the
accuracy and truthfulness of, the foregoing representations and the Investor hereby consents to such reliance.

         (j) Certain Fees. Except as provided herein, no fees or commissions will be payable by the

Investor to any broker, financial advisor, finder, investment banker, or bank with respect to the transactions contemplated by this Agreement. The Company acknowledges and agrees that the Investor makes no representations or warranties with respect to the transactions contemplated hereby other than those specifically set forth in this Section
2.l.

 

2.2 Survival. All representations, warranties and covenants contained herein shall survive the execution and delivery of this Agreement indefinitely.

 

2.3 Transfer Restrictions.

 

(a) If the Investor should decide to dispose of any Shares to be acquired hereunder, the Investor understands and agrees that he may do so only (i) pursuant to an effective registration statement under the Securities
Act, (ii) to the Company or (iii) pursuant to an available exemption or exclusion from the registration requirements of the Securities Act. In connection with any transfer of any Shares other than pursuant (i) to an effective registration statement, (ii) to the Company, (iii) to an affiliate of the Investor which is an "accredited investor" within the meaning of Rule 501(a) under the Securities Act, provided that any such transferee shall agree to be bound by the terms of this Agreement, and (iv) in reliance
on Rule 144 under the Securities Act, the Company may require that the transferor provide to the Company an opinion in form and substance reasonably satisfactory to the Company of counsel experienced in the area of United States securities laws selected by the transferor to the effect that such transfer does not require registration of such Shares under the Securities Act.

 

(b) The Investor agrees to the imprinting, so long as appropriate, of the following legend on certificates representing the Shares:

 

    "THESE SHARES HAVE NOT BEEN REGISTERED WITH THE SECURITIES AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN  RELIANCE
UPON AN EXEMPTION FROM REGISTRATION UNDER REGULATION D  PROMULGATED UNDER THE U.S. SECURITIES ACT OF 1933, AS AMENDED (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 OR EXCLUSION FROM THE REGISTRATION REQUIREMENTS THEREUNDER AND IN COMPLIANCE WITH APPLICABLE STATE SECURITIES LAWS.

 

    THESE SHARES ARE SUBJECT TO CERTAIN RESTRICTIONS ON TRANSFER SET  FORTH IN A SUBSCRIPTION AGREEMENT BETWEEN THE COMPANY AND THE  ORIGINAL
HOLDER HEREOF. A COPY OF SUCH AGREEMENT IS ON FILE AT THE  PRINCIPAL OFFICE OF THE COMPANY."

 

 

17

 

 

The legend set forth above shall be removed in connection with any resale of Shares pursuant to an effective registration statement under the Securities Act or sooner if, in the opinion of counsel to the Company and the Investor experienced in the area of United States securities laws, such legend is no longer required under applicable
requirements of the Securities Act (including judicial interpretation and pronouncements issued by the staff of the Securities and Exchange Commission). The certificates representing the Shares shall also bear any other legends required by applicable federal or state securities laws, which legends shall be removed when, in the opinion of counsel to the Company, such legends are no longer required under the applicable requirements of such securities laws.
In connection therewith, the Company may request, and the Investor or other transferor shall provide, such information as the Company or its counsel may reasonably request to evaluate the propriety of removing any legends. The Company makes no representation, warranty or agreement as to the availability of any exemption from registration under the Securities Act with respect to any resale of Shares. The Investor agrees that the Company
shall be entitled to make a notation on its records and give instructions to any transfer agent of the Company in order to implement the restrictions on transfer set forth in this Section 2.3.

 

ARTICLE III 

MISCELLANEOUS

 

3.1  Entire   Agreement.       This   Agreement   embodies   the   entire   agreement   and
understandingbetween the Investor and the Company and supersedes all prior agreements and understandings relating to the subject matter hereof.

 

3.2  Waiver and Amendment. This Agreement may be amended, and the observance of any term hereof may be waived (either retroactively or prospectively), with and only with
the written consent of the Company and the Investor. No amendment or waiver consented to as provided herein will extend to or affect any obligation, covenant, or agreement not expressly amended or waived or impair any right, power or remedy consequent thereon.

3.3    Notices, All notices and other communications provided for hereunder shall be in writing and delivered by teleoopier or (if expressly permitted under the applicable provisions hereof by telephone, if the sender on the same day sends a confirming copy
of such notice by a recognized overnight delivery service (charges prepaid), by registered or certified Mail with return receipt requested (postage prepaid) or by a recognized overnight delivery service (with charges prepaid). Any such notice must be sent:

 

(a)       If to Investor:

            ________________________

 

            ________________________

 

           ________________________

 

(b)       If to the Company:

 

Oxysure Systems, Inc. 

2611 Internet Boulevard 

Suite 109

Frisco, Texas 75034 USA

 

ATTN: Mr. Julian Ross

 

(c)        If any notice required under this Agreement is permitted to be made, and is made,

by telephone, actions taken or omitted to be taken in reliance thereon by the Investor shall be binding upon the Company notwithstanding any inconsistency between the notice provided by telephone and any 

 

 

18

 

 

subsequent writing in confirmation thereof provided to the Investor; provided that any such action taken or omitted to be taken by the Investor shall have been in good faith and in accordance with the terms of this Agreement.

 

3.4 Successors and Assigns. All covenants and other agreements contained in this Agreement by or on behalf of any of the parties hereto bind and inure to the benefit of
its or his successors and assigns, whether or not so expressed.

 

3.5 Severability. Any provision of this Agreement that is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of
such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall (to the full extent permitted by applicable law) not invalidate or render unenforceable such provision in any other jurisdiction.

 

3.6 Construction. Each covenant contained herein shall be construed (absent express provision to the contrary) as being independent of each other covenant contained herein,
so that compliance with any one covenant shall not (absent such an express contrary provision) be deemed to excuse compliance with any other covenant. Where any provision herein refers to action to be taken by any person, or which such person is prohibited from taking, such provision shall be applicable whether such action is taken directly or indirectly by such person.

 

3.7 Execution in Counterparts. This Agreement may be executed in any number of counterparts and by different parties hereto in separate counterparts, each of which when
so executed shall be deemed to be an original and all of which taken together shall constitute one and the same agreement. Delivery of an executed counterpart of a signature page to this Agreement by telecopier shall be effective as delivery of a manually executed counterpart of this Agreement.

 

3.8 Governing Law. This Agreement shall be governed by and construed in accordance with the law of the State of Texas.

(THE NEXT PAGE IS THE SIGNATURE PAGE)

 

 

19

 

 

 

 

IN WITNESS WHEREOF, Subscriber has hereby executed this Subscription Agreement as of the date set forth below.

 

:

_____________________________________Subscriber's Address

Name of Subscriber                                                                   _________________________________

 

                                                                                                     
_________________________________

 

                                                                                                      
_________________________________

 

 

 

 

_____________________________________               ___________________________________     

Name and Title of Person who has                                         Signature of Subscriber or Person who has filled   

filled out this Subscription Agreement                                  out this Subscription Agreement on its behalf

on behalf of Subscriber

 

 

 

_____________________________________              ______________________________________

Subscriber's Social Security                                                          Date

or Tax ID No.

 

 

 

 

_____________________________________

Aggregate Amount to be paid for Interests

 

The foregoing subscription is hereby accepted, subject to the terms and conditions hereof, as of the

____________day of _____________, 2008.

 

OXYSURE SYSTEMS, INC.

 

By:______________________________________ 

      Julian Ross, Chairman & CEO

 

 

20

 

 

 

 

 

 

 

 

 

 

 

SHAREHOLDER SIGNATURE PAGE TO THE BYLAWS OF OXYSURE SYSTEMS, INC.

 

 

 

 

 

 

 

 

 

 

 

 

21

 

 

SHAREHOLDER SIGNATURE PAGE

 

IN WITNESS WHEREOF, the undersigned Shareholder has approved and adopted, and is bound by, these Bylaws as of the date first set forth above.

Name of Shareholder:__________________________________________________________________________________________________

Signature for Shareholder:_______________________________________________________________________________________________

Title of Signing Representative (if applicable):_________________________________________________________________________________

 

Date of Signature:______________________________________________________________________________________________________

 

 

 

22

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