Your Signature. (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). If you want to elect to have this Note purchased by the Company pursuant to Section 4.10 or 4.14 of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased by the Company pursuant to Section 4.10 or Section 4.14 of the Indenture, state the amount you elect to have purchased: Date: _____________________ Your Signature: (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________. The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global or Definitive Note for an interest in this Global Note, have been made: * This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Fax No.: [ ] Attention: MPH Acquisition Administrator Reference is hereby made to the Indenture, dated as of June 7, 2016 (the “Indenture”), among Polaris Merger Sub Corp., a Delaware corporation (the “Company”; provided that, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), and the Trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ (the “Transferor”) owns and proposes to transfer the Note[s] or interest in such Note[s] specified in Annex A hereto, in the principal amount of $___________ in such Note[s] or interests (the “Transfer”), to _______________ (the “Transferee”), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:
Appears in 1 contract
Sources: Indenture (MultiPlan Corp)
Your Signature. (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). If you want to elect to have this Note purchased by the Company Issuer pursuant to Section 4.10 or 4.14 of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased by the Company Issuer pursuant to Section 4.10 or Section 4.14 of the Indenture, state the amount you elect to have purchased: Date: _____________________ Your Signature: (Sign exactly as your name appears on the face of this Note) Tax Identification No.: Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________. The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global or Definitive Note for an interest in this Global Note, have been made: * This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5▇▇ S▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ NapervilleTelevision Group, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇Inc. 1▇▇▇▇ ▇▇▇▇▇▇ ▇, ▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, Maryland 21030 Attention: L▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇ U.S. Bank National Association Corporate Trust Services, 18th Floor 1▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇Suite 1850 Richmond, Virginia 23219 Attention: M▇▇▇▇▇ ▇▇▇▇▇ Fax No.Re: [ ] Attention: MPH Acquisition Administrator 5.500% Senior Notes due 2030 Reference is hereby made to the Indenture, dated as of June 7November 27, 2016 2019 (as amended or supplemented from time to time with respect to the Senior Notes, the “Indenture”), among Polaris Merger Sub Corp.the Issuer, a Delaware corporation (the “Company”; provided that, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), Guarantors party thereto and the Trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ (the “Transferor”) owns and proposes to transfer the Note[s] or interest in such Senior Note[s] specified in Annex A hereto, in the principal amount of $___________ in such Senior Note[s] or interests (the “Transfer”), to _______________ (the “Transferee”), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:
Appears in 1 contract
Your Signature. Date: --------------------------------- ------------------------ (Sign exactly as your name appears on the face other side of this NoteSecurity) *Signature Guarantee:* __________________________________ guaranteed by: ------------------------------------------------------- By: ------------------------------- --------- * Participant in The signature must be guaranteed by an institution which is a member of one of the following recognized Signature Guarantee signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other signature guarantor guaranty program acceptable to the Trustee). OPTION OF HOLDER TO ELECT PURCHASE ON CHANGE IN CONTROL If you want to elect to have this Note Security purchased, in whole or in part, by the Company pursuant to Section 1601 of the Indenture, check the following box: [ ] If you want to have only part of this Security purchased by the Company pursuant to Section 4.10 or 4.14 of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased by the Company pursuant to Section 4.10 or Section 4.14 1601 of the Indenture, state the amount Principal Amount you elect want to have purchasedbe purchased (must be $1,000 or a multiple of $1,000): $ --------------------- Your Signature: Date: _____________________ Your Signature: --------------------------------- ------------------------ (Sign exactly as your name appears on the face other side of this NoteSecurity) Signature Guarantee:* __________________________________ guaranteed by: -------------------------------------------------------- By: ------------------------------- ---------- * Participant in The signature must be guaranteed by an institution which is a member of one of the following recognized Signature Guarantee signature guaranty programs; (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other signature guarantor guaranty program acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________. Trustee SCHEDULE OF EXCHANGES OF SECURITIES(4) The following exchanges exchanges, redemptions, repurchases or conversions of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global or Definitive Note for an interest in this Global Note, Security have been made: * This schedule should be included only if the Note is issued Amount of Decrease in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Fax No.: [ ] Attention: MPH Acquisition Administrator Reference is hereby made to the Indenture, dated as Amount of June 7, 2016 (the “Indenture”), among Polaris Merger Sub Corp., a Delaware corporation (the “Company”; provided that, after the consummation Increase in Principal Amount of this Principal Amount of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), and the Trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ (the “Transferor”) owns and proposes to transfer the Note[s] or interest in such Note[s] specified in Annex A hereto, in the principal amount Date of $___________ in such Note[s] or interests (the “Transfer”), to _______________ (the “Transferee”), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:Transaction Global Security Global Security ------------------- ------------------------ ----------------------- ----------
Appears in 1 contract
Sources: Second Supplemental Indenture (Diamond Offshore Drilling Inc)
Your Signature. (Sign exactly as your name appears on the face other side of this Note) Signature Guarantee:* : ------------------------- A-2-17 EXHIBIT B --------- Form of Certificate ------------------- -------, ---- Bank One, National Association ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇-▇▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇▇▇ ▇▇▇▇▇ Attention: Corporate Trust Administration Re: Evergreen International Aviation, Inc. (the "Company") 12% Senior Second Secured Notes due 2010 (the "Notes") ----------------------------------------------------------- Dear Sirs: This letter relates to U.S. $_______principal amount of Notes represented by a Note (the "Legended Note") which bears a legend outlining restrictions upon transfer of such Legended Note. Pursuant to Section 2.02 of the Indenture dated as of May 16, 2003 (the "Indenture") relating to the Notes, we hereby certify that we are (or we will hold such securities on behalf of) a person outside the United States to whom the Notes could be transferred in accordance with Rule 904 of Regulation S promulgated under the U.S. Securities Act of 1933. Accordingly, you are hereby requested to exchange the legended certificate for an unlegended certificate representing an identical principal amount of Notes, all in the manner provided for in the Indenture. You, the Company and each of the Guarantors are entitled to rely upon this letter and are irrevocably authorized to produce this letter or a copy hereof to any interested party in any administrative or legal proceedings or official inquiry with respect to the matters covered hereby. Terms used in this certificate have the meanings set forth in Regulation S. Very truly yours, [Name of Holder] By: ------------------------------------ Authorized Signature B-1 EXHIBIT C --------- [FORM OF TRANSFER NOTICE] FOR VALUE RECEIVED the undersigned registered holder hereby sell(s), assign(s) and transfer(s) unto Insert Taxpayer Identification No. ________________________________________________________________ * Participant in a recognized Signature Guarantee Medallion Program (Please print or other signature guarantor acceptable to the Trustee). If you want to elect to have this Note purchased by the Company pursuant to Section 4.10 or 4.14 typewrite name and address including zip code of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased by the Company pursuant to Section 4.10 or Section 4.14 of the Indenture, state the amount you elect to have purchased: Date: assignee _____________________ Your Signature: (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* ____________________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable the within Note and all rights thereunder, hereby irrevocably constituting and appointing_________________________________________attorney to transfer said Note on the Trustee). The initial outstanding principal amount of this Global Note is $__________. The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global or Definitive Note for an interest in this Global Note, have been made: * This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Fax No.: [ ] Attention: MPH Acquisition Administrator Reference is hereby made to the Indenture, dated as of June 7, 2016 (the “Indenture”), among Polaris Merger Sub Corp., a Delaware corporation (the “Company”; provided that, after the consummation books of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), and the Trustee. Capitalized terms used but not defined herein shall have the meanings given to them Company with full power of substitution in the Indenturepremises. _______________ (the “Transferor”) owns and proposes to transfer the Note[s[THE FOLLOWING PROVISION TO BE INCLUDED ON ALL NOTES OTHER THAN EXCHANGE NOTES, UNLEGENDED OFFSHORE GLOBAL NOTES AND UNLEGENDED OFFSHORE PHYSICAL NOTES] or interest in such Note[s] specified in Annex A hereto, in the principal amount of $___________ in such Note[s] or interests (the “Transfer”), to _______________ (the “Transferee”), as further specified in Annex A hereto. In connection with any transfer of this Note occurring prior to the Transferdate which is the earlier of (i) the date the Shelf Registration Statement is declared effective or (ii) the end of the period referred to in Rule 144(k) under the Securities Act, the Transferor hereby certifies undersigned confirms that without utilizing any general solicitation or general advertising that:: [Check One]
Appears in 1 contract
Your Signature. (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). If you want to elect to have this Note purchased by the Company Issuer pursuant to Section 4.10 or 4.14 of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased by the Company Issuer pursuant to Section 4.10 or Section 4.14 of the Indenture, state the amount you elect to have purchased: Date: _____________________ Your Signature: __________________________________________________ (Sign exactly as your name appears on the face of this Note) Tax Identification No.: __________________________________________ Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________. The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global or Definitive Note for an interest in this Global Note, have been made: * This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5New Fortress Energy Inc. 1▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇. ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Attention: C▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇, Esq. U.S. Bank National Association EP-MN-WS3C 6▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Saint P▇▇▇, MN 55107 Fax No.: [ ] (▇▇▇) ▇▇▇-▇▇▇▇ Attention: MPH Acquisition Administrator Global Corporate Trust Re: 6.750% Senior Secured Notes due 2025 Reference is hereby made to the Indenture, dated as of June 7September 2, 2016 2020 (the “Indenture”), among Polaris Merger Sub Corp.the Issuer, a Delaware corporation (the “Company”; provided thatGuarantors from time to time parties thereto, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), Trustee and the TrusteeNotes Collateral Agent. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ (the “Transferor”) owns and proposes to transfer the Note[s] or interest in such Note[s] specified in Annex A hereto, in the principal amount of $___________ in such Note[s] or interests (the “Transfer”), to _______________ (the “Transferee”), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:
Appears in 1 contract
Sources: Indenture (New Fortress Energy Inc.)
Your Signature. (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). If you want to elect to have this Note purchased by the Company pursuant to Section 4.10 4.07 or 4.14 4.09 of the Indenture, check the appropriate box below: ¨ ☐ Section 4.10 ¨ 4.07 ☐ Section 4.14 4.09 If you want to elect to have only part of this Note purchased by the Company pursuant to Section 4.10 4.07 or Section 4.14 4.09 of the Indenture, state the amount you elect to have purchased: Date: _______________________ Your Signature: (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________. The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global Note or Definitive Note for an interest in this Global Note, have been made: * This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5Cogent Communications Group, Inc. ▇▇▇▇ ▇ ▇▇▇▇▇▇, ▇.▇. ▇▇▇▇▇▇▇▇▇▇, ▇.▇. ▇▇▇▇▇ Facsimile: 202.338.8798 Attention: ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇Association, as Trustee ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Fax No.Facsimile: [ ] (▇▇▇) ▇▇▇-▇▇▇▇ Attention: MPH Acquisition Cogent Communications Administrator Re: 3.500% Senior Secured Notes due 2026 Reference is hereby made to the Indenture, dated as of June May 7, 2016 2021 (the “Indenture”), among Polaris Merger Sub Corp.Cogent Communications Group, a Delaware corporation Inc., the Guarantors named therein and Wilmington Trust, National Association, as trustee (the “CompanyTrustee”; provided that, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), and the Trusteecollateral agent. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ (the “Transferor”) owns and proposes to transfer the Note[s] or interest in such Note[s] specified in Annex A hereto, in the principal amount of $___________ $ in such Note[s] or interests (the “Transfer”), to _______________ (the “Transferee”), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:
Appears in 1 contract
Your Signature. (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* _________*: _________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). Option of Holder to Elect Purchase If you want to elect to have this Note purchased by the Company pursuant to Section 4.10 or 4.14 4.15 of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 4.15 If you want to elect to have only part of this the Note purchased by the Company pursuant to Section 4.10 or Section 4.14 4.15 of the Indenture, state the amount you elect to have purchased: Date: _______________ Your Signature: ____________________________________________________________ Your Signature: (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* Tax Identification No.: _______________________________________________________ Signature Guarantee*: _________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________. The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global Note or Definitive Note for an interest in this Global Note, have been made: * This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ NapervilleRadio One, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇Inc. ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇14th Floor Silver Spring, Maryland 20910 Wilmington Trust, National Association ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Fax No.Suite 2R New York, NY 10012 Re: [ ] Attention: MPH Acquisition Administrator 9.25% Senior Subordinated Notes due 2020 Reference is hereby made to the Indenture, dated as of June 7February 10, 2016 2014 (the “Indenture”), among Polaris Merger Sub Corp.Radio One, a Delaware corporation Inc., as issuer (the “Company”; provided that, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), the Guarantors party thereto and the TrusteeWilmington Trust, National Association, as trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ _____, (the “Transferor”) owns and proposes to transfer the Note[s] or interest in such Note[s] specified in Annex A hereto, in the principal amount of $___________ in such Note[s] or interests (the “Transfer”), to ___________________________ (the “Transferee”), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:
Appears in 1 contract
Sources: Indenture (Radio One, Inc.)
Your Signature. (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ *: ------------------------------ Social Security or other Taxpayer Identification Number: ----------------------------- DTC Participant Number: ---------------------------- ----------------- * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). If you want Principal amount to elect to have this Note purchased by the Company pursuant to Section 4.10 or 4.14 of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased by the Company pursuant to Section 4.10 or Section 4.14 of the Indenture, state the amount you elect to have purchased: Date: _____________________ Your Signature: be repaid (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ if less than all): $ SCHEDULE OF EXCHANGES OF INTERESTS IN THE GLOBAL NOTE* Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________. The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global Note or Definitive Note for an interest in this Global Note, have been made: Principal Amount of Amount of this Global Signature Amount of increase Note of decrease in in following authorized Principal Principal such officer of Amount of Amount of decrease Trustee or this Global this (or Note Date Note Global Note increase) Custodian ---- ---- ----------- --------- --------- * This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5EXHIBIT B FORM OF CERTIFICATE OF TRANSFER WCI Communities, Inc. 24301 Walden Center Drive Suite 300 Bonita Springs, Florida 34134 Att▇▇▇▇▇▇: ▇▇▇▇▇▇ ▇. Hastings, Esq. The Bank of New York 101 Barclay Street, Fl▇▇▇ ▇▇ ▇▇▇ ▇▇▇▇▇ , ▇Y 10286 Telecopier No.: (212) ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ -▇▇▇▇ ▇▇▇▇▇▇▇▇▇: Corporate Trust Administration Re: ▇.▇, % ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Fax No.: [ ] Attention: MPH Acquisition Administrator ent Convertible Senior Subordinated Notes due 2023 Reference is hereby made to the Indenture, dated as of June 7August 5, 2016 2003 (the “"Indenture”"), among Polaris Merger Sub Corp.between WCI Communities, a Delaware corporation Inc., as issuer (the “"Company”; provided that, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company"), the Guarantors listed on the signature page therein and the The Bank of New York, as Trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ , (the “"Transferor”") owns and proposes to transfer the Note[s] or interest in such Note[s] specified in Annex A hereto, in the principal amount of $___________ $ in such Note[s] or interests (the “"Transfer”"), to _______________ (the “"Transferee”"), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:: [CHECK ALL THAT APPLY]
Appears in 1 contract
Sources: Indenture (Watermark Realty Inc)
Your Signature. (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). If you want to elect to have this Note purchased by the Company pursuant to Section 4.10 or 4.14 of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased by the Company pursuant to Section 4.10 or Section 4.14 of the Indenture, state the amount you elect to have purchased: Date: _____________________ Your Signature: (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________. The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global or Definitive Note for an interest in this Global Note, have been made: * This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC Polaris Intermediate Corp. c/o MultiPlan 5▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Fax No.: [ ] Attention: MPH Acquisition Polaris Intermediate Corp. Administrator Reference is hereby made to the Indenture, dated as of June 7November 21, 2016 2017 (the “Indenture”), among between Polaris Merger Sub Intermediate Corp., a Delaware corporation (the “Company”; provided that, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), and the Trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ (the “Transferor”) owns and proposes to transfer the Note[s] or interest in such Note[s] specified in Annex A hereto, in the principal amount of $___________ in such Note[s] or interests (the “Transfer”), to _______________ (the “Transferee”), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:
Appears in 1 contract
Sources: Indenture (MultiPlan Corp)
Your Signature. (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * *: -------------------------------- Social Note or other Taxpayer Identification Number: ------------------------------- Principal amount to be converted (if less than all): $ --------------------- *Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). If you want to elect to have this Note purchased by the Company pursuant to Section 4.10 or 4.14 of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased by the Company pursuant to Section 4.10 or Section 4.14 of the Indenture, state the amount you elect to have purchased: Date: _____________________ Your Signature: (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________. EXHIBIT A SCHEDULE OF EXCHANGES OF INTERESTS IN THE GLOBAL NOTE The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global Note or Definitive Note for an interest in this Global Note, have been made: * This schedule should be included only if the ---------- ---------------- ---------------- --------------- ------------- Principal Signature of Amount of Amount of Amount of this authorized decrease in increase in Global Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5officer of Principal Principal Amount following such Trustee or Date of Amount of of this Global decrease (or Note Exchange this Global Note Note increase) Custodian ---------- ---------------- ---------------- --------------- ------------- A1-16 EXHIBIT B FORM OF CERTIFICATE OF TRANSFER Covad Communications Group, Inc. ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇ Santa Clara, California 95054 Attention: General Counsel United States Trust Company of New York ▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Fax No.: [ ] Attention: MPH Acquisition Administrator Corporate Trust Administration Re: 6% Convertible Senior Notes due 2005 of COVAD COMMUNICATIONS GROUP, INC. Reference is hereby made to the Indenture, dated as of June 7September 25, 2016 2000 (the “Indenture”"INDENTURE"), among Polaris Merger Sub Corp.between Covad Communications Group, a Delaware corporation Inc., as issuer (the “Company”; provided that, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company"COMPANY"), and the TrusteeUnited States Trust Company of New York, as trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ , (the “Transferor”"TRANSFEROR") owns and proposes to transfer the -------------- Note[s] or interest in such Note[s] specified in Annex A hereto, in the principal amount of $___________ $ in such Note[s] or interests (the “Transfer”"TRANSFER"), to _______________ -------- (the “Transferee”"TRANSFEREE"), as further specified in Annex A hereto. In ---------- connection with the Transfer, the Transferor hereby certifies that:
Appears in 1 contract
Your Signature. (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* *: ____________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). If you want to elect to have this Note purchased by the Company Issuer pursuant to Section 4.10 or 4.14 of the Indenture, check the appropriate box below: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased by the Company Issuer pursuant to Section 4.10 or Section 4.14 of the Indenture, state the amount you elect to have purchased: $____________________. Date: __________________________ Your Signature: (Sign exactly as your name appears on the face of this Note) Signature Guarantee:* *: ____________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). The initial outstanding principal amount of this Global Note is $__________$ . The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part of another Global or Definitive Note for an interest in this Global Note, have been made: * *This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5Cumulus Media Inc. 7▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇▇▇▇▇ Road NE, Suite 500 Atlanta, Georgia 30342 Facsimile: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: R▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ U.S. Bank Trust Company, National Association Global Corporate Trust 2 ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇ Facsimile: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: F▇▇▇▇▇▇ ▇▇▇▇▇▇ Fax No.Re: [ ] Attention: MPH Acquisition Administrator 8.000% Senior Notes due 2029 Reference is hereby made to the Indenture, dated as of June 7May 2, 2016 2024 (the “Indenture”), among Polaris Merger Sub Corp.Cumulus Media New Holdings Inc., a Delaware corporation (the “Company”; provided that, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), Guarantors named therein and the Trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. ______________________________ (the “Transferor”) owns and proposes to transfer the Note[s] or interest in such Note[s] specified in Annex A hereto, in the principal amount of $___________ $ in such Note[s] or interests (the “Transfer”), to _______________ (the “Transferee”), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:
Appears in 1 contract
Sources: Indenture (Cumulus Media Inc)
Your Signature. (Sign exactly as your name appears on the face other side of this NoteSecurity) Date: --------------------- Signature Guarantee:* __________________________________ * Participant Guarantee:(5) ---------------------------- --------------- (5) (Signature must be guaranteed by an "eligible guarantor institution" that is, a bank, stockbroker, savings and loan association or credit union meeting the requirements of the Registrar, which requirements include membership or participation in a recognized Signature Guarantee the Securities Transfer Agents Medallion Program ("STAMP") or such other "signature guarantor acceptable to the Trustee). If you want to elect to have this Note purchased guarantee program" as may be determined by the Registrar in addition, to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended.) [TO BE COMPLETED BY PURCHASER IF (2) ABOVE IS CHECKED.] The undersigned represents and warrants that it is purchasing this Security for its own account or an account with respect to which it exercises sole investment discretion and that it and any such account is a "qualified institutional buyer" within the meaning of Rule 144A under the Securities Act of 1933, and is aware that the sale to it is being made in reliance on Rule 144A and acknowledges that it has received such information regarding the Company as the undersigned has requested pursuant to Section 4.10 Rule 144A or 4.14 of has determined not to request such information and that it is aware that the Indenture, check transferor is relying upon the appropriate box belowundersigned's foregoing representations in order to claim the exemption from registration provided by Rule 144A. Dated: ¨ Section 4.10 ¨ Section 4.14 If you want to elect to have only part of this Note purchased -------------------------- ------------------------------------ NOTICE: To be executed by the Company pursuant to Section 4.10 or Section 4.14 of the Indenture, state the amount you elect to have purchased: Date: _____________________ Your Signature: an executive officer (Sign exactly as your name appears on the face of this NoteTO BE ATTACHED TO GLOBAL SECURITIES) Signature Guarantee:* __________________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). SCHEDULE A The initial outstanding principal amount of this Global Note is $__________Security shall be $ . The following exchanges of a part of this Global Note for an interest in another Global Note increases or for a Definitive Note, or exchanges of a part of another Global or Definitive Note for an interest in this Global Note, have been made: * This schedule should be included only if the Note is issued in global form. MPH Acquisition Holdings LLC c/o MultiPlan 5▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Naperville, IL 60563 Fax No.: [ ] Attention: Chief Financial Officer Wilmington Trust, National Association Global Capital Markets 5▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Fax No.: [ ] Attention: MPH Acquisition Administrator Reference is hereby made to the Indenture, dated as of June 7, 2016 (the “Indenture”), among Polaris Merger Sub Corp., a Delaware corporation (the “Company”; provided that, after the consummation of the Merger and Notes Assumption, references to the “Company” only refer to MPH Acquisition Holdings LLC, a Delaware limited liability company), and the Trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. _______________ (the “Transferor”) owns and proposes to transfer the Note[s] or interest in such Note[s] specified in Annex A hereto, decreases in the principal amount of $___________ this Global Security have been made: ------------------------------------------------------------------------------------------------------------------- Amount of increase in Principal Amount of this Global Security including Amount of decrease in Principal Amount of this Signature of authorized upon exercise of over- Principal Amount of Global Security following officer of Trustee or Date Made allotment option this Global Security such Note[s] decrease or interests (the “Transfer”), to _______________ (the “Transferee”), as further specified in Annex A hereto. In connection with the Transfer, the Transferor hereby certifies that:increase Securities Custodian ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------
Appears in 1 contract
Sources: Indenture (Titan Corp)