Attached files
| file | filename |
|---|---|
| S-1 - NEPHROS INC | v197780_s1.htm |
| EX-5.1 - NEPHROS INC | v197780_ex5-1.htm |
| EX-99.3 - NEPHROS INC | v197780_ex99-3.htm |
| EX-99.2 - NEPHROS INC | v197780_ex99-2.htm |
| EX-99.5 - NEPHROS INC | v197780_ex99-5.htm |
| EX-99.1 - NEPHROS INC | v197780_ex99-1.htm |
| EX-4.11 - NEPHROS INC | v197780_ex4-11.htm |
| EX-99.4 - NEPHROS INC | v197780_ex99-4.htm |
| EX-10.57 - NEPHROS INC | v197780_ex10-57.htm |
| EX-10.56 - NEPHROS INC | v197780_ex10-56.htm |
| EX-99.7 - NEPHROS INC | v197780_ex99-7.htm |
| EX-23.1 - NEPHROS INC | v197780_ex23-1.htm |
Exhibit
99.6
NEPHROS,
INC.
UP
TO 175,000,000 SHARES OF COMMON STOCK AND
WARRANTS
TO PURCHASE UP TO 161,793,248 SHARES OF COMMON STOCK
ISSUABLE
UPON EXERCISE OF NON-TRANSFERRABLE RIGHTS TO SUBSCRIBE
FOR
SUCH SHARES AND WARRANTS
NOMINEE
HOLDER CERTIFICATION
The undersigned, a bank, broker,
trustee, depository or other nominee holder (the “Nominee Holder”) of rights
(the “Subscription Rights”) to purchase units (the “Units”) consisting of shares
of common stock, par value $0.001 per share (“Common Stock”), and warrants (the
“Warrants”) to purchase shares of Common Stock of NEPRHOS, INC. (the “Company”),
pursuant to the rights offering described in the Company’s prospectus dated [•],
2010 (the “Prospectus”), hereby certifies to the Company and Continental Stock
Transfer & Trust Company, 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 Units specified below under the basic subscription
privilege, and on behalf of beneficial owners of rights who have exercised their
basic subscription privileges in full, requests to subscribe for the number of
additional Units specified below pursuant to the over-subscription privilege,
the terms of which are described further in the Prospectus, listing separately
each exercised basic subscription privilege and any corresponding
over-subscription privilege as to each beneficial owner (without identifying any
such beneficial owner) for whom the Nominee Holder is acting
hereby:
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number of
shares owned
on record date
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number of units
subscribed for
pursuant to basic
subscription privilege
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number of units
subscribed for
pursuant to over-
subscription privilege
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Provide
the following if applicable:
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Name
of Nominee Holder
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By:
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Depository
Trust Company (“DTC”)
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Authorized
Signature
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Participant
Number
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Name:
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Participant
Name
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By:
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Name:
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Title:
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DTC
Subscription Confirmation
Numbers
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