Omagine, Inc. - FORM S-1 - EX-99.10 - EXHIBIT 99.10

Attached files

file	filename
EXCEL - IDEA: XBRL DOCUMENT - Omagine, Inc.	Financial_Report.xls
S-1 - OMAGINE, INC FORM S-1 - Omagine, Inc.	forms1.htm
EX-4.6 - EXHIBIT 4.6 - Omagine, Inc.	ex46.htm
EX-4.2 - EXHIBIT 4.2 - Omagine, Inc.	ex42.htm
EX-21 - EXHIBIT 21 - Omagine, Inc.	ex21.htm
EX-4.4 - EXHIBIT4.4. - Omagine, Inc.	ex44.htm
EX-10.5 - EXHIBIT 10.5 - Omagine, Inc.	ex105.htm
EX-99.5 - EXHIBIT 99.5 - Omagine, Inc.	ex995.htm
EX-99.9 - EXHIBIT 99.9 - Omagine, Inc.	ex999.htm
EX-23.1 - EXHIBIT 23.1 - Omagine, Inc.	ex231.htm
EX-99.7 - EXHIBIT 99.7 - Omagine, Inc.	ex997.htm
EX-99.6 - EXHIBIT 99.6 - Omagine, Inc.	ex996.htm
EX-99.8 - EXHIBIT 99.8 - Omagine, Inc.	ex998.htm
EX-99.12 - EXHBIIT 99.12 - Omagine, Inc.	ex9912.htm
EX-99.15 - EXHIBIT 99.15 - Omagine, Inc.	ex9915.htm
EX-10.10 - EXHIBIT 10.10 - Omagine, Inc.	ex1010.htm
EX-99.11 - EXHIBIT 99.11 - Omagine, Inc.	ex9911.htm
EX-99.14 - EXHIBIT 99.14 - Omagine, Inc.	ex9914.htm
EX-99.16 - EXHIBIT 99.16 - Omagine, Inc.	ex9916.htm
EX-99.13 - EXHIBIT 99.13 - Omagine, Inc.	ex9913.htm

Exhibit 99.10

OMAGINE, INC.

BENEFICIAL OWNER ELECTION FORM - RIGHTS

The undersigned acknowledge(s) receipt of your letter and the enclosed materials relating to the distribution of non-transferable rights to purchase shares of common stock, $0.001 par value per share (“Common Stock”), of Omagine, Inc.

I (we) hereby instruct you as follows:

(CHECK THE APPLICABLE BOXES AND PROVIDE ALL REQUIRED INFORMATION)

Box 1.  Please DO NOT EXERCISE RIGHTS for Common Stock.

Box 2.  Please EXERCISE RIGHTS for Common Stock as set forth below:

Basic Subscription Right

I exercise	_______________ rights - (no. of your rights rounded up to nearest whole right)	x	1		=
		x		(ratio)	=	(no. of new shares)
Therefore, I apply for	____________________	x		$1.25	=	$
	(no. of new whole shares)	x		(subscription price)	=	(amount enclosed)

Over-Subscription Privilege

If you fully exercise your Basic Subscription Right, and wish to subscribe for additional shares, you may exercise your Over-Subscription Privilege. Exercise of your Over-Subscription Privilege is subject to limitation and allocation as described in the Prospectus.

I apply for		____________________		x		$1.25		=		$
		(no. of whole shares)		x		(subscription price)		=		(additional amount enclosed)

Total Payment Required (sum of basic plus over-subscription amounts): $ __________________

I am (we are) making the Total Payment Required in the following manner:

 Payment in the following amount is enclosed: $ ____________________ and/or

 Please deduct payment of $ __________________ from the following account maintained by you as follows:

(The total of the above two boxes must equal the “Total Payment Required” specified above.)

Type of Account Account No.

__________________________ _________________________

I (we) on my (our) own behalf, or on behalf of any person(s) on whose behalf, or under whose directions, I am (we are) signing this form irrevocably elect to purchase the number of shares of Common Stock indicated above on the terms set forth in the Prospectus; and agree that if I (we) fail to pay for the shares I (we) have elected to purchase, you may exercise any remedies available to you under law.

Name(s) of beneficial owner(s): ____________________________________

Signature(s) of beneficial owner(s): ___________________________________

If you are signing in your capacity as a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or acting in a fiduciary or representative capacity, please provide the following information:

Name: ______________________________________

Capacity: ______________________________________

Address

(including Zip Code): ______________________________________

Telephone Number: ______________________________________

Omagine, Inc. - FORM S-1 - EX-99.10 - EXHIBIT 99.10 - January 17, 2012

Attached files

Omagine, Inc. Reports