NUMBER OF RIGHTS CUSIP 620107 110
Exhibit 4.5
RIGHTS CERTIFICATE #: | NUMBER OF RIGHTS CUSIP 620107 110 |
THE TERMS AND CONDITIONS OF THE RIGHTS OFFERING ARE SET FORTH IN THE COMPANYS PROSPECTUS
DATED , 2012 (THE PROSPECTUS) AND ARE INCORPORATED HEREIN BY REFERENCE.
COPIES OF THE PROSPECTUS ARE AVAILABLE UPON REQUEST FROM PHOENIX ADVISORY PARTNERS,
THE INFORMATION AGENT.
Motricity, Inc.
Incorporated under the laws of the State of Delaware
SUBSCRIPTION RIGHTS CERTIFICATE
Evidencing Subscription Rights to Purchase Units Consisting of 0.02599 Shares of 13% Redeemable Series J Preferred
Stock and 0.21987 Warrants, Each to Purchase one Share of Common Stock of Motricity, Inc.
Subscription Price: $0.65 per Unit
THE SUBSCRIPTION RIGHTS WILL EXPIRE IF NOT EXERCISED ON OR
BEFORE 5:00 P.M., NEW YORK CITY TIME, ON , 2012,
UNLESS EXTENDED BY THE BOARD OF DIRECTORS OF THE COMPANY
REGISTERED
OWNER:
This Subscription Rights Certificate is not valid unless countersigned by the subscription agent and registered by the registrar.
Witness the seal of Motricity, Inc. and the signatures of its duly authorized officers.
Dated:
/S/ James R. Smith, Jr | /S/ Nathan Fong | |
President, Chief Executive Officer | Chief Financial Officer, Treasurer and | |
and Principal Executive Officer | Principal Financial Officer |
DELIVERY OPTIONS FOR SUBSCRIPTION RIGHTS CERTIFICATE
Delivery other than in the manner or to the addresses listed below will not constitute valid delivery.
American Stock Transfer & Trust Company, LLC
Attn: Corporate Actions
6201 15th Avenue
Brooklyn, New York 11219
PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY.
FORM 1-EXERCISE OF SUBSCRIPTION RIGHTS
To subscribe for units pursuant to your basic subscription privilege, please complete lines (a) and (c) and sign under Form 4 below. To subscribe for units pursuant to your over-subscription privilege, please also complete line (b) and sign under Form 4 below. To the extent you subscribe for more units than you are entitled under either the basic subscription privilege or the over-subscription privilege, you will be deemed to have elected to purchase the maximum number of units for which you are entitled to subscribe under the basic subscription privilege or over-subscription privilege, as applicable. To the extent that you properly exercise your rights for a number of units that exceeds the number of unsubscribed units that are available to you, any excess subscription payments will be returned to you as soon as practicable, without interest or penalty, following the expiration of the Rights Offering.
(a) EXERCISE OF BASIC SUBSCRIPTION PRIVILEGE:
I apply for |
| units x $ | = $ |
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(no. of new units) | (subscription price) | (amount enclosed) |
(b) EXERCISE OF OVER-SUBSCRIPTION PRIVILEGE:
If you have exercised your basic subscription privilege and wish to subscribe for additional units pursuant to your over-subscription privilege:
I apply for |
| units x $ | = $ |
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(no. of new units) | (subscription price) | (amount enclosed) |
(c) Total Amount of Payment Enclosed = $
METHOD OF PAYMENT (CHECK ONE)
¨ | Certified or uncertified check payable to American Stock Transfer & Trust Company, LLC as Subscription Agent. |
¨ | Bank draft (cashiers check) payable to American Stock Transfer & Trust Company, LLC as Subscription Agent. |
¨ | U.S. postal money order payable to American Stock Transfer & Trust Company, LLC as Subscription Agent. |
¨ | Wire transfer of immediately available funds directly to the account maintained by American Stock Transfer & Trust Company, LLC, as Subscription Agent, for purposes of accepting subscriptions in this Rights Offering at JPMorgan Chase Bank, 55 Water Street, New York, New York 10005, ABA #021000021, Account # 530-354624 American Stock Transfer FBO Motricity, Inc., with reference to the rights holders name. |
FORM 2-TRANSFER TO DESIGNATED TRANSFEREE
To transfer your subscription rights to another person, complete this Form 2 and have your signature guaranteed under Form 5.
For value received of the subscription rights represented by this Subscription Rights Certificate are assigned to:
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Social Security # |
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Signature(s): |
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IMPORTANT: The signature(s) must correspond with the name(s) as printed on the reverse of this Subscription Rights Certificate in every particular, without alteration or enlargement, or any other change whatsoever.
FORM 3-DELIVERY TO DIFFERENT ADDRESS
If you wish for shares of Series J preferred stock or common stock warrants underlying your subscription rights to be delivered to an address different from that shown on the face of this Subscription Rights Certificate, please enter the alternate address below, sign under Form 4 and have your signature guaranteed under Form 5.
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FORM 4-SIGNATURE
TO SUBSCRIBE: I acknowledge that I have received the Prospectus for this Rights Offering and I hereby irrevocably subscribe for the number of units indicated above on the terms and conditions specified in the Prospectus.
Signature(s): |
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IMPORTANT: The signature(s) must correspond with the name(s) as printed on the reverse of this Subscription Rights Certificate in every particular, without alteration or enlargement, or any other change whatsoever.
FORM 5-SIGNATURE GUARANTEE
This form must be completed if you have completed any portion of Forms 2 or 3.
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.
FOR INSTRUCTIONS ON THE USE OF MOTRICITY, INC.S SUBSCRIPTION RIGHTS CERTIFICATES, CONSULT PHOENIX ADVISORY PARTNERS, THE INFORMATION AGENT, AT (877)  ###-###-#### (FOR INDIVIDUALS) OR ###-###-#### (FOR BANKS AND BROKERS)