Attached files

file filename
S-1 - COSI INCc69273_s1.htm
EX-4.7 - COSI INCc69273_ex4-7.htm
EX-4.9 - COSI INCc69273_ex4-9.htm
EX-4.8 - COSI INCc69273_ex4-8.htm
EX-5.1 - COSI INCc69273_ex5-1.htm
EX-23.1 - COSI INCc69273_ex23-1.htm
EX-10.1 - COSI INCc69273_ex10-1.htm
EX-99.5 - COSI INCc69273_ex99-5.htm
EX-99.2 - COSI INCc69273_ex99-2.htm
EX-99.1 - COSI INCc69273_ex99-1.htm
EX-99.3 - COSI INCc69273_ex99-3.htm
EX-99.6 - COSI INCc69273_ex99-6.htm
EX-99.8 - COSI INCc69273_ex99-8.htm
EX-99.4 - COSI INCc69273_ex99-4.htm
EX-4.10 - COSI INCc69273_ex4-10.htm

Exhibit 99.7

COSI, INC.

NOMINEE HOLDER CERTIFICATION

          The undersigned, a broker, custodian bank, trustee, depositary or other nominee holder of rights (the “Rights”) to purchase shares of common stock (“Common Stock”) of Cosi, Inc. (“Cosi”) pursuant to the Rights Offering described and provided for in the Cosi prospectus dated [●], 2012 (the “Prospectus”), hereby certifies to Cosi, American Stock Transfer and Trust Company, LLC, as subscription agent for the Rights Offering, and to Phoenix Advisory Partners, a division of American Stock Transfer & Trust Company, LLC, as information agent for the Rights Offering, that (1) the undersigned has exercised, on behalf of the beneficial owners thereof (which may include the undersigned), the number of Rights specified below pursuant to the basic subscription privilege (as defined in the Prospectus), and on behalf of beneficial owners of Rights who have subscribed for the purchase of additional shares of Common Stock pursuant to the over-subscription privilege (as defined in the Prospectus), listing separately below each such exercised basic subscription privilege and the corresponding over-subscription privilege (without identifying any such beneficial owner), and (2) each such beneficial owner’s basic subscription privilege has been exercised in full:

 

 

 

 

 

 

Number of Shares of Common Stock
Owned on the Record Date

 

Rights Exercised Pursuant to Basic
Subscription Privilege

 

Number of Shares Subscribed For
Pursuant to Over-Subscription
Privilege

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

 

 

 

 

 

 

 

 

 

 

 

Provide the following information if applicable:

 

 

 

 

Depository Trust Company (“DTC”)

 

Participant Number

 




 

 

 

[PARTICIPANT]

 

 

 

By:

 

 

 

 

 

 

 

Name:

 

 

 

Title:

 

 

 

DTC Basic Subscription Confirmation Number(s)

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