IMAGEWARE SYSTEMS INC - FORM 8-K - EX-10.1 - FORM OF SUBSCRIPTION AGREEMENT - September 19, 2017

Attached files

file filename
EX-3.1 - CERTIFICATE OF DESIGNATIONS, PREFERENCES, AND RIGHTS OF THE SERIES A CONVERTIBLE - IMAGEWARE SYSTEMS INCex3-1.htm
EX-99.1 - PRESS RELEASE - IMAGEWARE SYSTEMS INCex99-1.htm
EX-10.2 - FORM OF EXCHANGE AGREEMENT - IMAGEWARE SYSTEMS INCex10-2.htm
EX-5.1 - OPINION OF DISCLOSURE LAW GROUP, A PROFESSIONAL CORPORATION - IMAGEWARE SYSTEMS INCex5-1.htm
8-K - CURRENT REPORT - IMAGEWARE SYSTEMS INCiwsy8k_sep152017.htm
 
Exhibit 10.1
ImageWare Systems, Inc.
 
Subscription Form
 
Series A Convertible Preferred Stock
Liquidation Preference $1,000 per Share
 
Investor’s Name:
_____________________________________________________
 
 
Investor’s Address
_____________________________________________________
 
_____________________________________________________
 
 
Investor’s Social Security or Federal Tax Identification Number:
 
_____________________________________________________
 
 
Brokerage Firm (for delivering shares):
_____________________________________________________
 
 
Account Number at Brokerage Firm:
 _____________________________________________________
 
 
DTC Participant Number:
 _____________________________________________________
 
 
Number of Shares Subscribed for:
 
______________________________________________________
 
 
Amount Owed for Shares:
____________________________________ ($_____ per share)
 
Wire Information:
 
 
Date of Wire: ___________________
 
 
 
Fed Reference No.: ______________
 
Investor agrees and acknowledges that the Shares subscribed for shall be issued as of the date of acceptance of this Subscription Form by ImageWare Systems, Inc., and delivered to Investor within five (5) business days thereafter
 
Representations, Warranties, Agreements:
 
By executing and returning this form, the undersigned represents, warrants and agrees that:
 
(i)
he/she/it is the investor, or has full power and authority to act on behalf of and bind the investor in subscribing as set forth herein and making these representations, warranties and agreements;
 
(ii)
the shares are being offered pursuant to ImageWare System, Inc.’s (“ImageWare”) Prospectus dated May 4, 2017 and its Prospectus Supplement dated September 15, 2017 (available at http://iwsinc.com under Investor Relations/ Preferred Stock Offering, or by email to wwetherell@iwsinc.com;
 
(iii)
the investor has had full opportunity to read and review such Prospectus and Prospectus Supplement and the additional documents they incorporate by reference, and consult with an attorney regarding such Prospectus, Prospectus Supplement and additional documentation; and
 
(iv)
the information provided herein and these representations, warranties and agreements are accurate and complete, and shall remain so until the undersigned notifies ImageWare otherwise.
 
 
 
 
 
Contact information, if we have any questions:
 
__________________________________
 
(Phone)
 
 
 
 
 _________________________________
(Email)
 
 Signature:
 
______________________________
 
 
By:___________________________
 
 
Date:__________________________
 
  
Subscription Instructions:
 
1. Wire the funds to:
 
 
Bank name
 
 
Bank address
 
 
ABA routing #

 
Swift #

 
Account name
 
 
Account #

 
2. Execute the subscription form (being sure to include the date of the wire and the wire Fed. Ref. No.) and email the form to rcharest@disclosurelawgroup.com.
 
  
For questions please email: jsudweeks@disclosurelawgroup.com.
 
 
 
 

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