commonform.org / ironsides / purchaser-receipt / 1e4d
Download .docx Download .md Download .json Edit Analyze

The undersigned hereby acknowledges issuance of shares of Common Stock of , a Delaware corporation (the Company).

The undersigned further acknowledges that the Secretary of the Company, or his or her designee, is acting as escrow holder pursuant to the Common Stock Purchase Agreement that Purchaser has previously entered into with the Company. As escrow holder, the Secretary of the Company, or his or her designee, holds the original of those shares issued in the undersigned's name.