Form of Ownership. Please indicate the form of ownership you desire for the Common Stock; Trust (signature of trustee and any additional signatures required by trust instrument required) ---- Other Entities (all signatures required by governing instrument required) ---- Please PRINT below the exact name (registration) you desire for the Common Stock: World Spirit Inc. ------------------------------
Appears in 4 contracts
Sources: Bridge Loan Agreement (Protosource Corp), Bridge Loan Agreement (Protosource Corp), Bridge Loan Agreement (Protosource Corp)