Schmitt Industries, Inc. Nominee Holder Certification for Rights Offering

Contract Categories: Business Finance › Subscription Agreements
Summary

This document is a certification form used by banks, custodian banks, or other nominee holders to confirm the exercise of non-transferable subscription rights to purchase shares of Schmitt Industries, Inc. common stock. The nominee holder certifies, on behalf of beneficial owners, the number of shares subscribed for under both the basic and over-subscription rights as part of a rights offering described in the company's prospectus. The form requires details about the shares owned and subscribed for, and must be signed by an authorized representative of the nominee holder.

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EX-4.7 8 d485956dex47.htm EX-4.7 EX-4.7

EXHIBIT 4.7

SCHMITT INDUSTRIES, INC.

UP TO [●] SHARES OF COMMON STOCK

ISSUABLE UPON EXERCISE OF NON-TRANSFERABLE RIGHTS

TO SUBSCRIBE FOR SUCH SHARES

NOMINEE HOLDER CERTIFICATION

The undersigned, a bank, custodian bank or other nominee holder (the “Nominee Holder”) of rights (the “Subscription Rights”) to purchase shares of common stock, no par value (the “Shares”) of SCHMITT INDUSTRIES, INC. (the “Company”), pursuant to the rights offering described in the Company’s Prospectus, dated [●], 2017, hereby certifies to the Company and Broadridge Corporate Issuer Solutions, Inc., as subscription agent for the rights offering, that the undersigned has exercised, on behalf of the beneficial owners thereof (which may include the undersigned), the Subscription Rights to subscribe for the number of Shares specified below under the Basic Subscription Right, and on behalf of beneficial owners of Subscription Rights who have exercised their Basic Subscription Rights in full, requests to subscribe for the number of additional Shares specified below pursuant to the Over-subscription Right, the terms of which are described further in the Prospectus, listing separately each exercised Basic Subscription Right and any corresponding Over-subscription Right as to each beneficial owner (without identifying any such beneficial owner) for whom the Nominee Holder is acting hereby:

 

NUMBER OF

SHARES OWNED

ON RECORD DATE

  

NUMBER OF SHARES

SUBSCRIBED FOR

PURSUANT TO BASIC

SUBSCRIPTION RIGHT

  

NUMBER OF SHARES

SUBSCRIBED FOR

PURSUANT TO

OVERSUBSCRIPTION RIGHT

   
   
   
   
   

 

 

 

Name of Broker, Custodian Bank or Other Nominee  

  
   
  By:          

 

Authorized Signature                                         

   

 

  Name:       (please type or print)                                         

Provide the following information if applicable:

 

 

Depository Trust Company (“DTC”) Participant Number

 

  Participant

  By:  

 

  Name:          

 

  Title:  

 

            DTC Subscription Confirmation Numbers