Omagine, Inc. - FORM S-1 - EX-99.11 - EXHIBIT 99.11

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-99.10 - EXHIBIT 99.10 - Omagine, Inc.	ex9910.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-99.14 - 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 99.11

OMAGINE, INC.

BENEFICIAL OWNER ELECTION FORM - WARRANTS

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

I (we) hereby instruct you as follows:

(CHECK THE APPLICABLE BOXES AND PROVIDE ALL REQUIRED INFORMATION)

Box 1A.  Please transfer my $5 Warrants as set forth below:

Please transfer ___________________ $5 Warrants to ________________________________

(number of $5 Warrants) ________________________________

________________________________

Box 1B.  Please transfer my $10 Warrants as set forth below:

Please transfer ___________________ $10 Warrants to ________________________________

(number of $10 Warrants) ________________________________

________________________________

Box 2A.  Please exercise my $5 Warrants for the purchase of Common Stock as set forth below:

I exercise		____________________		x		$ 5.00		=		$
		(no. of $5 Warrants)		x		(exercise price)		=		(amount enclosed)

Box 2B.  Please exercise my $10 Warrants for the purchase of Common Stock as set forth below:

I exercise		____________________		x		$ 10.00		=		$
		(no. of $10 Warrants)		x		(exercise price)		=		(amount enclosed)

Total Payment Required: $ __________________________________

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 exercise the number of Warrants and 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-99.11 - EXHIBIT 99.11 - January 17, 2012

Attached files

Omagine, Inc. Reports