FORM OF RIGHTS SUBSCRIPTION CERTIFICATE

Contract Categories: Business Finance - Subscription Agreements
EX-4.3 4 w69766exv4w3.txt FORM OF RIGHTS SUBSCRIPTION CERTIFICATE EXHIBIT 4.3 FORM OF RIGHTS SUBSCRIPTION CERTIFICATE Rights Certificate No.: _________ Number of Rights: ________ THE TERMS AND CONDITIONS OF THE RIGHTS OFFERING ARE SET FORTH IN THE BLUE RIDGE REAL ESTATE COMPANY AND BIG BOULDER CORPORATION PROSPECTUS DATED _________, 2005 (THE "PROSPECTUS") AND ARE INCORPORATED HEREIN BY REFERENCE. COPIES OF THE PROSPECTUS ARE AVAILABLE UPON REQUEST FROM HSBC BANK USA, NATIONAL ASSOCIATION, THE SUBSCRIPTION AGENT. BLUE RIDGE REAL ESTATE COMPANY BIG BOULDER CORPORATION INCORPORATED UNDER THE LAWS OF THE COMMONWEALTH OF PENNSYLVANIA CUSIP NO.:096005103 RIGHTS SUBSCRIPTION CERTIFICATE EVIDENCING SUBSCRIPTION RIGHTS TO PURCHASE ______ SHARES OF COMMON STOCK OF BLUE RIDGE REAL ESTATE COMPANY AND BIG BOULDER CORPORATION SUBSCRIPTION PRICE: $_____ PER SHARE THE SUBSCRIPTION RIGHTS WILL EXPIRE IF NOT EXERCISED ON OR BEFORE 5:00 P.M., NEW YORK CITY TIME, ON _________________, 2005, UNLESS EXTENDED OR THE RIGHTS OFFERING IS TERMINATED BY BLUE RIDGE REAL ESTATE COMPANY AND BIG BOULDER CORPORATION REGISTERED OWNER: ______________________________ THIS CERTIFIES THAT the registered owner whose name is inscribed hereon is the owner of the number of subscription rights ("Rights") set forth above. Each whole Right entitles the holder thereof, to subscribe for and purchase, at the subscription price per share of _____ (the "Subscription Price"), one share of our common stock, each representing one share of common stock, no par value, of Blue Ridge Real Estate Company, a Pennsylvania corporation ("Blue Ridge"), and one share of common stock, no par value of Big Boulder Corporation, a Pennsylvania corporation ("Big Boulder"), pursuant to a rights offering (the "Rights Offering"), on the terms and subject to the conditions set forth in the Prospectus and the "Instructions for Use of Blue Ridge and Big Boulder Rights Subscription Certificates" accompanying this Rights Subscription Certificate (the "Basic Subscription Privilege"). If any of the shares available for purchase in the Rights Offering are not purchased by other holders of Rights pursuant to the exercise of their Basic Subscription Privilege (the "Excess Shares"), any Rights holder that exercises its Basic Subscription Privilege in full may subscribe for a number of Excess Shares in an amount not to exceed the number of shares available for purchase by such shareholder under its Basic Subscription Privilege, pursuant to the terms and conditions of the Rights Offering, subject to proration, as described in the Prospectus (the "Over-Subscription Privilege"). The Rights represented by this Rights Subscription Certificate may be exercised by completing Form-1 and any other appropriate forms on the reverse side hereof and by returning the full payment of the Subscription Price for each Right subscribed for, in addition to the payment due for shares purchased through your Basic Subscription Privilege, in accordance with the "Instructions for Use of Blue Ridge and Big Boulder Rights Subscription Certificates" that accompany this Rights Subscription Certificate. The Rights evidenced by this Rights Subscription Certificate may not be transferred or sold. The subscription rights will not be listed for trading on any stock exchange or on the OTC Bulletin Board. IN WITNESS WHEREOF, Blue Ridge and Big Boulder have caused this Rights Subscription Certificate to be duly executed under their corporate seals. Dated: ___________, 2005 BLUE RIDGE REAL ESTATE COMPANY By:____________________________ Name: Title: BIG BOULDER CORPORATION By:____________________________ Name: Title: DELIVERY OPTIONS FOR RIGHTS SUBSCRIPTION CERTIFICATE FOR DELIVERY BY MAIL: HSBC Bank USA, National Association One Hanson Place, Lower Level Brooklyn, NY 11243 BY HAND DELIVERY OR OVERNIGHT COURIER: HSBC Bank USA, National Association One Hanson Place, Lower Level Brooklyn, NY 11243 DELIVERY OTHER THAN IN THE MANNER OR TO THE ADDRESSES LISTED ABOVE WILL NOT CONSTITUTE VALID DELIVERY PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY FORM 1 - EXERCISE OF SUBSCRIPTION RIGHTS To subscribe for shares pursuant to your Basic Subscription Privilege, please complete lines (a) and (c) and sign under Form 3 below. To subscribe for shares pursuant to your Over-subscription Privilege, please also complete line (b) and sign under Form 3 below. (a) I apply for ______ Shares x $_______ = $ ________ (No. of new Shares) (subscription price) (Payment) If you have exercised your Basic Subscription Privilege in full and wish to subscribe for additional shares pursuant to your Over-Subscription Privilege: (b) I apply for ______Shares x $_____ = $ ________ (No. of new Shares) (subscription price) (Payment) (c) Total Amount of Payment Enclosed = $ __________ METHOD OF PAYMENT (CHECK ONE): [ ] Check or bank draft drawn on a U.S. bank, or postal, telegraphic or express money order payable to "HSBC Bank USA, National Association, as Subscription Agent for Blue Ridge Real Estate Company and Big Boulder Corporation." Funds paid by an uncertified check may take at least five business days to clear. [ ] Wire transfer of immediately available funds directly to the account maintained by HSBC Bank USA, National Association, as Subscription Agent for Blue Ridge Real Estate Company and Big Boulder Corporation, for purposes of accepting subscriptions in this Rights Offering, at HSBC Bank USA, National Association, ABA #0210001088, Account No. 002-60006-4. FORM 2 -- DELIVERY TO DIFFERENT ADDRESS If you wish for the shares of our common stock underlying your subscription rights to be delivered to an address different from that shown on the face of this Rights Subscription Certificate, please enter the alternate address below, sign under Form 3 and have your signature guaranteed under Form 4. FORM 3 -- SIGNATURE I acknowledge that I have received the Prospectus for this Rights Offering and I hereby irrevocably subscribe for the number of shares indicated above on the terms and conditions specified in the Prospectus. Signature(s) IMPORTANT: The signature(s) must correspond with the name(s) as printed on the reverse of this Rights Subscription Certificate in every particular, without alteration or enlargement, or any other change whatsoever. FORM 4 -- SIGNATURE GUARANTEE This form must be completed if you have completed Form 2. Signature Guaranteed: (Name of Bank or Firm) By: (Signature of Officer) IMPORTANT: The signature(s) should be guaranteed by an eligible guarantor institution (bank, stock broker, savings & loan association or credit union) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15.