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Form #1414CONVERTIBLE NOTE AGREEMENT
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CONVERTIBLE NOTE AGREEMENT
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CONVERTIBLE NOTE AGREEMENT
This Agreement
by and between ________________________________________
a corporation
duly organized and existing under the laws of the State of ____________
(hereinafter called "Company") and those individuals listed on
Exhibit A which is attached hereto and incorporated by reference (hereinafter
called "Note Holders").
W I T N E S S
E T H:
WHEREAS, Note
Holders are willing to lend Company the aggregate sum of ___________ be
evidenced by ________________________ percent Convertible Promissory Notes.
In
consideration of the mutual covenants and conditions herein contained, the
parties hereby agree, represent and warrant as follows:
1. Issue of
Notes
A.  The Company will authorize the issue of its
______________ percent Convertible notes (hereinafter called
"Notes") in the aggregate principal amount of ______________ to be
dated ____________________, (year)____________, to mature on ____________
(date) to bear interest on the unpaid principal thereof at the rate of _________________
percent per annum until maturity, payable ______________ on the _____________
day of _____________________ in each year, commencing on
______________________, (year)__________, and after maturity at the rate of
________ percent per annum until paid, and to be substantially in the form of
Exhibit A attached hereto. For the purposes of calculating interest for any
period for which the interest shall be payable, such interest shall be
calculated on the basis of a ____________ day month and a___________ day year.Â
The Company will promptly and punctually pay to Note Holders or their nominee
the interest
on any of the Notes held by Note Holders without presentment of the Notes. In
the event that Note Holders shall sell or transfer any of the Notes, they shall
notify the Company of the name and address of the transferee. In the event the
Company defaults on any installment of interest or principal, then any Holder
of these Notes may, at his option, without notice, declare the entire principal
and the interest accrued thereon immediately due and payable and may proceed to
enforce the collection thereof. All the Notes shall contain a confession of
judgment provision.
B. The
Company will also authorize the issue of _________________ shares of its common
stock (hereinafter called "The Stock") and will authorize the
issuance of and reserve for such purchase such a number of additional shares of
common stock (hereinafter called the "Conversion Stock") as may from
time to time be the maximum number required for issuance upon conversion of the
Notes pursuant to the conversion privileges hereinafter stated.
2. Sale and
Purchase of Notes and Stock
The Company
will sell the Notes to the purchasers listed on Exhibit A, each of whom agrees
to purchase the principal amount of the Notes set opposite their names, subject
to the terms and conditions hereof and in reliance upon the representations and
warranties of the Company contained herein, at the purchase price of
____________ Percent of the principal amount.
3.Â
Representations and Warranties by the Company
A. Company is
a corporation duly organized and existing in good standing under the laws of
the State of ________________________ has the corporate power to own its own
property and to carry on in the business as it is now being conducted.
B. Company
has on its corporate records the names of the following individuals who each
own _______________________ shares of common stock which constitute all the
issue and outstanding capital stock of the Company as of this date.
C. The
Company has furnished to the Note Holders an Offering Circular which is
attached hereto as Exhibit B. The financial statements contained therein are
true and correct and have been prepared in accordance with generally accepted
accounting principles consistently followed throughout the period indicated.
D. There is
no action or proceeding pending or, to the knowledge of the Company, threatened
against the Company before any court or administrative agency, the
determination of which might result in any material adverse change in the
business of the Company.
E. The
Company has title to the respective properties and assets including the
properties and assets reflected on the financial statement for the year ending
____________, (year)_____ and which assets and properties are subject to no
liens, mortgages, encumbrances or charges except a security interest to
__________________
___________________________________________________________________.
F. The
Company is not a party to any contract or agreement or subject to any
restriction which materially and adversely affects its business, property or
assets, or financial condition, and neither the execution nor delivery of this
Agreement, nor the confirmation of the transactions contemplated herein, nor
the fulfillment of the terms hereof, nor the compliance with the terms and
provisions hereof and of the Notes, will conflict with or result in the breach
of the terms, conditions or provisions or constitute a default, under the
Articles of Incorporation or Code of Regulations of the Company or of any
Agreement or instrument to which the Company is now a party.
G. The
Company has not declared, set aside, paid or made any dividend or other
distributions with respect to its capital stock and has not made or caused to
be made directly or indirectly, any payment or other distribution of any nature
whatsoever to any of the holders of its capital stock except for regular salary
payments for services rendered and the reimbursement of business expenses.
H. All of the
equipment and automobiles of the Company are in good condition and repair.
I. There are
no outstanding options or rights to purchase shares of the Company and no
outstanding securities with the right of conversion into shares of the Company.
J. The
Company owns or possesses adequate licenses or other rights to use, all patents,
trademarks, trade names, trade secrets, and copyrights used in its business.Â
No one has asserted to the Company that its operations infringe on the patents,
trademarks, trade secrets or other rights utilized in the operation of its
business.
K. Neither
the Company nor any agent or employee acting in its behalf has offered the
Notes or the Stock or any portion thereof for sale to or solicited in any offer
to buy the same or any thereof from any person or persons other than the
purchasers listed in the attached Exhibit A and five (5) other persons, and
neither the Company nor any agent or employee acting in its behalf will sell or
offer for sale the Notes or Stock or any portion thereof to or solicit any
offer to buy the Notes or the Stock from any person or persons so as to bring
the issuance or sale thereof within the provisions of Section 5 of the
Securities Act of 1933.
4.Â
Representations and Warranties by the Note Holders
The Note
Holders represent and warrant that:
A. The Note
Holders are subscribing for the Notes and Stock for investment purposes and not
with the view to or for sale in connection with any distribution thereof and
that they have no present intent to sell, give or otherwise transfer the Notes
or Stock.
B. The Note
Holders state that they are and residents of the State of
_____________________.
C. The Note
Holders understand that this is a highly speculative investment in a Company
which is insolvent both from a legal and an equity standpoint.
D. Individuals
represent and warrant that they have a net worth in excess of _____________
DOLLARS exclusive of their residences and that they are sophisticated investors
who are knowledgeable about the __________________________________ business.
E. Note
Holders state that they will be active in the affairs of the business of the
Company.
5. Prepayment
of the Notes
Company shall
have the right to make prepayments on principal of the Notes at any time on
_________ days written notice. Such prepayment shall be accompanied by a
payment of all accrued interest to date. There shall be no premium for the
amount so prepaid.
6.Â
Conversion.
A. The Holder of any of the Notes at any time up to and
including the maturity date (or, as to any of the Notes to which notice of
prepayment shall have been given, at any time up to the close of business on
the third business day prior to the day fixed for
prepayment)
but not thereafter may convert the Notes in whole or in part into as many fully
paid and nonassessable shares of Common Stock of the Company as the principal
amount of the Note so converted in a multiple of ______________________ per
share, and upon surrender of the certificate representing the Notes to the
Company at its principal office in the City of
_________________________________. If any of the Notes shall be converted in
part, the Company shall, at its option and without charge to the Holder, either
(I) execute and deliver to the Holder Notes for the balance of the principal
amount so converted, or (ii) make note thereon of the principal of the amount
converted.
B. Upon
conversion of any of the Notes, all accrued and unpaid interest on the
principal amount converted shall be paid to the Holder by the Company.Â
C. The
Company shall take all necessary steps to maintain the registration for the
shares held subject to the conversion privilege as described in this section.Â
D. Â Â Â In the
case the Company shall issue or sell any share of its Common Stock (other than
the Stock Shares issued upon conversion of any of the Notes) without consideration
or for consideration per share less than the conversion price of
____________________ per share, then forthwith upon such issuance or sale, the
conversion price shall be adjusted to a price (computed to the nearest cent)
determined by dividing (i) an amount equal to the sum of the number of shares
of Common Stock outstanding immediately prior to such issue or sale multiplied
by _______________ and the consideration, if any, received by the Company upon
such issue or sale, by (ii) the total amount of shares of Common Stock
immediately outstanding after such issue or sale.
E. In case the Company shall at any time divide its
outstanding shares of Common Stock into a greater number of shares, the
conversion price in effect immediately prior to such subdivision should be
proportionately reduced, and, conversely, in the case of
outstanding
shares of Common Stock of the Company shall be combined into a smaller number
of shares, the actual conversion price in effect immediately prior to such
combination shall be proportionately increased.
F. In case
the Company shall declare a dividend or make a distribution of any Stock of the
Company payable in Common Stock or in Convertible Securities, the aggregate
maximum number of shares of Common Stock issuable in payment of such dividend
or distribution, or upon conversion of or in exchange for such Convertible
Securities issuable in payment of such dividend or distribution, shall be
deemed to have been issued or sold without consideration.
G. No
fractional share of Common Stock shall be issued upon conversion of any of the
Notes. If any Holder of the Notes shall have converted all the Notes held by
him other than a principal amount so small that less than a whole share of
Common Stock would be issuable upon conversion thereof, the Company may elect
to prepay such balance, with interest accrued thereon to the date fixed for
prepayment, or leave the same outstanding until the maturity of the Note.
H. In any reclassification or change of outstanding shares
of Common Stock issuable upon conversion of the Notes (other than a change in
stated value or from no par to par value) or in the case of any consolidation
or merger of the Company with any other corporation, or in the case of the sale
and conveyance to another to another corporation or person of the property of
the Company in its entirety or substantially as an entirety, the Company shall,
as a condition precedent to such transaction, case effective provisions to be
made that each Holder of the Notes then outstanding shall have the right
thereafter to convert the Notes into the kind and amount of shares of Stock and
other securities and property receivable upon such reclassification, change,
consolidation, merger, sale or conveyance by a Holder of the number of shares
of Common Stock in the Company into
which such
Notes might have been converted immediately prior to such reclassification,
change, consolidation, merger, sale or conveyance.
7. Covenants
A. The
Company covenants that so long as the Notes are in existence, it will deliver
to the Holders thereof (i) as soon as practical, in any event within forty-five
(45) days after the end of such quarterly period, in each fiscal year,
consolidated income and surplus statements of the Company; (ii) as soon as practical
, and in any event within ninety (90) days after the end of each fiscal year, a
consolidated income and surplus statement of the Company, and (iii) with
reasonable promptness, such other financial data as the Holders may request in
writing.
B. The
Company covenants that, so long as any of the Notes are outstanding, it will
permit any Holder of the Notes to visit and inspect, at the Holder's expense,
any of the property of the Company, including its books and records, and to
discuss affairs, finances and accounts with its officers.
C. Â Â Â The
Company covenants that, without the written consent of the Holders of
1_____________________________________in
principal amount of the Notes, it will not:
1)Â Create or suffer to exist any mortgage, pledge, encumbrance,
lien or charge of any kind on any of its properties or assets, whether now
owned or hereafter acquired except for (i) mortgages, encumbrances, liens or
charges which are now in existence; (ii) mortgages, liens, charges and
encumbrances (a) for taxes, assessments or governmental charges or levies on
property of the Company if the same shall not be due or delinquent or
thereafter can be paid without penalty, or being contested in good faith and by
appropriate proceedings; (b) of mechanics and material men for sums not yet due
or
being
contested in good faith and by appropriate proceedings; or (c) in connection
with workers' compensation, unemployment insurance and other state employment
legislation.
(2)Â Make any
loan or advance to any person, firm or corporation.
(3)Â Assume,
guarantee, endorse or otherwise become liable in connection with the
obligations, stock or dividends of any person, firm or corporation except in
the ordinary course of business by endorsement of a negotiable instrument in
the course of collection.
(4)Â Merge or
consolidate with any other corporation or sell, lease or transfer or otherwise
dispose of all or a substantial part of its assets to any person, firm or
corporation.
(5)Â Enter
into any material transaction in which any stockholder owning of record or
beneficially more than ten percent (10%) of the Common Stock of the Company
shall have, at the time, a beneficial interest, direct or indirect.
8. Event of
Default
A. The breach
of any of the events or conditions contained in Section 7 of this Agreement
shall constitute an event of default under this Agreement. Any one or more of
the Holders of the Notes may give written notice of such breach and if the
Company shall within thirty (30) days after receipt of such written notice have
failed to correct such occurrence or condition, then the Holder of any one of
the Notes may, at its option and without notice, declare the entire principal
and interest accrued thereon immediately due and payable and may proceed with
collection.
B. If the Company has made a material misrepresentation in
connection with this Agreement or with the transactions contemplated by this
Agreement, or if the Company
makes an
assignment for the benefit of creditors, or a trustee or receiver is appointed
for the Company; or if any proceeding involving the Company is commenced under
any bankruptcy, reorganization, arrangement, insolvency, statute or law, such
event shall be deemed a default which will immediately entitled Holders of the
Notes, at their option and without notice, to declare the entire amount of
interest accrued thereon immediately due and payable and proceed to enforce the
collection thereof.
C. In case of
default in the payment of any installment or principal, the Holders of the
Notes may, at their option and without notice, declare the entire principal and
the interest accrued thereof immediately due and payable and may proceed to
enforce the collection thereof.
9.Â
Miscellaneous
A. Any and
all notices, approvals or other communications to be sent to the parties shall
be deemed validly and properly given if made in writing and delivered by hand
or by registered or certified mail, return receipt requested, and addressed to
the Company at its principal office or to the Holders of the Notes at the
addresses given to the Company by such Note Holders.
B. This
Agreement may not be modified, amended or terminated except by written
agreement executed by all the parties hereto.
C. The waiver
of any breach or default hereunder shall not be considered valid unless in
writing and signed by the party giving such notice and no waiver shall be
deemed a waiver of any subsequent breach or default of same.
D. The
paragraph headings contained herein are for the purpose of convenience only and
are not intended to define or limit the contents of such.
E. The
validity, construction, interpretation and enforceability of this Agreement and
the Notes executed pursuant to this Agreement shall be determined and governed
by the laws of the State of ______________________________.
F. This
Agreement shall be binding upon and inure to the benefit of the company and its
successors and assigns.
G. This
Agreement may be executed in one or more counterparts, each of which shall be
deemed an original.
________________________________________________
Secretary
___________________________________
(SEAL) Note Holder ___________________________________ (SEAL) Note Holder
___________________________________
(SEAL) Note Holder
___________________________________
President
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points to consider in different transactions. They are offered with the understanding
that no legal advice, accounting, or other professional service is being offered
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