Movie Star, Inc. Beneficial Owner Election Form for Rights Offering

Contract Categories: Business Finance › Subscription Agreements
Summary

This form is used by shareholders of Movie Star, Inc. to instruct their broker or custodian whether to exercise their rights to purchase additional shares of common stock as part of a rights offering. Shareholders can choose to exercise or not exercise their rights, specify the number of shares to purchase, and indicate payment details. The form must be completed and signed by the shareholder, and is subject to the terms described in the company's prospectus.

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EX-4.2 3 file3.htm BENEFICIAL OWNER ELECTION FORM



Exhibit 4.2


MOVIE STAR, INC.


BENEFICIAL OWNER ELECTION FORM


The undersigned acknowledge(s) receipt of your letter and the enclosed materials referred to therein relating to instructions regarding the rights offering (the “Rights Offering”) by Movie Star, Inc. (the “Company”) to the holders of record of its Common Stock, $0.01 par value (“Common Stock”), as of the close of business on ___________, 2007 (the “Record Date”), as described in the Company’s Prospectus dated _________, 2007 (the “Prospectus”), whereby such holders will receive rights (the “Rights”) to subscribe for and purchase shares of its Common Stock.  The Rights are described in detail in the Prospectus.


This will instruct you whether to exercise Rights to purchase shares of the Common Stock with respect to the Common Stock held by you for the account of the undersigned on the Record Date, pursuant to the terms and subject to the conditions set forth in the Prospectus and the related “Instructions As to Use of Movie Star Subscription Rights Certificates.”


Box 1.

¨ Please DO NOT EXERCISE RIGHTS for shares of Common Stock

Box 2.

¨ Please EXERCISE RIGHTS for shares of Common Stock as set forth below:


 

 

 


Subscription Right

 

 

NUMBER OF
RIGHTS		 NUMBER OF
WHOLE SHARES1		  

PER SHARE
SUBSCRIPTION
PRICE

  PAYMENT  


Basic Subscription Right:

 

 

X

$

 

=

$                           



Over Subscription Right:

 

 

X

$

 

$

 




Box 3.

¨ Payment in the following amount is enclosed: $________________


Box 4.

¨ Please deduct payment from the following account maintained by you as follows:



Type of Account

 

Account No.

 

 

 

Amount to be deducted: $

 

 

 

 

 

 

SIGNATURE(S)

 

 

Please type of print name(s) below:

 

 

 

 

 

 

 

Date:

 



______________

1     Number of Rights multiplied by __________, rounded down to the nearest whole number.