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S-1/A - GRAND HAVANA INC.uniqueunders1a2.htm
EX-4 - GRAND HAVANA INC.ex4.htm
EX-5.1 - GRAND HAVANA INC.ex5_1.htm
EX-3.3 - GRAND HAVANA INC.ex3_3.htm
EX-3.2 - GRAND HAVANA INC.ex3_2.htm
EX-3.1 - GRAND HAVANA INC.ex3_1.htm
EX-23.1 - GRAND HAVANA INC.ex23_1.htm
EX-10.2 - GRAND HAVANA INC.ex10_2.htm

 

 

Unique Underwriters, Inc.

Subscription Agreement

 

UNIQUE UNDERWRITERS, INC.

5650 Colleyville Blvd.

Colleyville TX 76034

 

Gentlemen:

 

You have informed the undersigned (the “Purchaser”) that UNIQUE UNDERWRITERS,

INC., a Texas Corporation, (the “Company”) wishes to raise a minimum of Fifty Thousand

Dollars ($50,000) and a maximum of One Hundred Thousand Dollars ($100,000) from

various persons by selling up to 5,000,000 shares of the Company’s Common Stock,

$0.001 par value (the “Shares”), at a price of One Dollar ($.02) per Share.

 

I have received, read, and understand the Limited Offering Memorandum dated June 1,

2010 (the “Memorandum”). I further understand that my rights and responsibilities as a

Purchaser will be governed by the terms and conditions of this Subscription Agreement,

the Memorandum and the Shares (the “Share Documents”). I understand that you will rely

on the following information to confirm that I am an “Accredited Investor”, as defined in

Regulation D promulgated under the Securities Act of 1933, as amended (the “Securities

Act”), or one of 35 Non-Accredited Investors that will be allowed to purchase Shares in this

Offering (subject to Company approval), and that I am qualified to be a Purchaser.

 

This Subscription Agreement is one of a number of such subscriptions for Shares. By

signing this Subscription Agreement, I offer to purchase and subscribe from the Company

the number of Shares set forth below on the terms specified herein. The Company

reserves the right, in its complete discretion, to reject any subscription offer or to reduce

the number of Shares allotted to me. If this offer is accepted, the Company will execute a

copy of this Subscription Agreement and return it to me. I understand that commencing on

the date of this Memorandum all funds received by the Company in full payment of

subscriptions for Shares will be deposited in an escrow account. The Company has set a

minimum offering proceeds figure of $50,000 for this Offering. The Company has

established an Investment Holding Account with (Chase Bank, Account # 842036204), into

which the minimum offering proceeds will be placed. At least 2,500,000 Shares must be

sold for $50,000 before such proceeds will be released from the escrow account and

utilized by the Company. After the minimum number of Shares are sold, all proceeds from

the sale of Shares will be delivered directly to the Company and be available for its use.

 

1. Accredited Investor. I am an Accredited Investor because I qualify within one of the

following categories:

 

Please Check The Appropriate Category

_____ $1,000,000 Net Worth.

 

A natural person whose individual net worth, or joint net worth with that person’s spouse,

at the time of his purchase exceeds $1,000,000.

______________

Purchaser’s Initials

 

_____ $200,000/$300,000 Income.

 

A natural person who had an individual income in excess of $200,000 (including

contributions to qualified employee benefit plans) or joint income with such person’s

spouse in excess of $300,000 per year in each of the two most recent years and who

reasonably expects to attain the same individual or joint levels of income (including such

contributions) in the current year.

 

_____ Director or Officer of Issuer.

 

Any director or executive officer of the Company

_____ All Equity Owners In Entity Are Accredited.

 

An entity, (i.e. corporation, partnership, trust, IRA, etc.) in which all of the equity owners

are Accredited Investors as defined herein.

_____ Corporation.

 

A corporation not formed for the specific purpose of acquiring the Shares offered, with total

assets in excess of $5,000,000.

_____ Other Accredited Investor.

 

Any natural person or entity which qualifies as an Accredited Investor pursuant to Rule

501(a) of Regulation D promulgated under the Act; specify basis for qualification:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

______One of 35 Non-Accredited Investors that may be allowed to invest in the offering

 

2. Representations and Warranties. I represent and warrant to the Company that:

(a) I (i) have adequate means of providing for my current needs and possible

contingencies and I have no need for liquidity of my investment in the Shares, (ii) can

bear the economic risk of losing the entire amount of my investment in Shares, and (iii)

have such knowledge and experience that I am capable of evaluating the relative risks and

merits of this investment; (iv) the purchase of Shares is consistent, in both nature and

amount, with my overall investment program and financial condition.

 

(b) The address set forth below is my true and correct residence, and I have no intention

of becoming a resident of any other state or jurisdiction.

 

(c) I have not utilized the services of a “Purchaser Representative” (as defined in

Regulation D promulgated under the Securities Act) because I am a sophisticated,

experienced investor, capable of determining and understanding the risks and merits of

this investment.

______________

Purchaser’s Initials

 

(d) I have received and read, and am familiar with the Share Documents, including the

Memorandum and the forms of certificate for Shares. All documents, records and books

pertaining to the Company and the Shares requested by me, including all pertinent records

of the Company, financial and otherwise, have been made available or delivered to me.

 

(e) I have had the opportunity to ask questions of and receive answers from the

Company’s officers and representatives concerning the Company’s affairs generally and

the terms and conditions of my proposed investment in the Shares.

 

(f) I understand the risks implicit in the business of the Company. Among other things, I

understand that there can be no assurance that the Company will be successful in

obtaining the funds necessary for its success. If only a fraction of the maximum amount of

the Offering is raised, the Company may not be able to expand as rapidly as anticipated,

and proceeds from this Offering may not be sufficient for the Company’s long term needs.

 

(g) Other than as set forth in the Memorandum, no person or entity has made any

representation or warranty whatsoever with respect to any matter or thing concerning the

Company and this Offering, and I am purchasing the Shares based solely upon my own

investigation and evaluation.

 

(h) I understand that no Shares have been registered under the Securities Act, nor have

they been registered pursuant to the provisions of the securities or other laws of applicable

jurisdictions.

 

(i) The Shares for which I subscribe are being acquired solely for my own account, for

investment and are not being purchased with a view to or for their resale or distribution. In

order to induce the Company to sell Shares to me, the Company will have no obligation to

recognize the ownership, beneficial or otherwise, of the Shares by anyone but me.

 

(j) I am aware of the following:

(i)The Shares are a speculative investment which involves a high degree of

risk; and

(ii) My investment in the Shares is not readily transferable; it may not be

possible for me to liquidate my investment.

(iii) The financial statements of the Company have merely been compiled, and

have not been reviewed or audited.

(iv) There are substantial restrictions on the transferability of the Shares

registered under the Securities Act; and

______________

Purchaser’s Initials

 

(v) No federal or state agency has made any finding or determination as to the

fairness of the Shares for public investment nor any recommendation or

endorsement of the Shares;

 

(k) Except as set forth in the Memorandum, none of the following information has ever

been represented, guaranteed, or warranted to me expressly or by implication, by any

broker, the Company, or agents or employees of the foregoing, or by any other person:

(i) The appropriate or exact length of time that I will be required to hold the Shares;

(ii) The percentage of profit and/or amount or type of consideration, profit, or

loss to be realized, if any, as a result of an investment in the Shares; or

(iii) That the past performance or experience of the Company, or associates,

agents, affiliates, or employees of the Company or any other person, will in any

way indicate or predict economic results in connection with the purchase of

Shares;

(iv) The amount of dividends or distributions that the Company will make;

(l) I have not distributed the Memorandum to anyone, no other person has used the

Memorandum, and I have made no copies of the Memorandum; and

 

(m) I hereby agree to indemnify and hold harmless the Company, its officers, directors,

and representatives from and against any and all liability, damage, cost or expense,

including reasonable attorneys fees, incurred on account of or arising out of:

(i) Any inaccuracy in the declarations, representations, and warranties set forth

above;

(ii) The disposition of any of the Shares by me which is contrary to the foregoing

declarations, representations, and warranties; and

(iii) Any action, suit or proceeding based upon (1) the claim that said

declarations, representations, or warranties were inaccurate or misleading or

otherwise cause for obtaining damages or redress from the Company; or (2) the

disposition of any of the Shares.

 

(n) By entering into this Subscription Agreement, I acknowledge that the Company is

relying on the truth and accuracy of my representations.

 

The foregoing representation and warranties are true and accurate as of the date hereof,

shall be true and accurate as of the date of the delivery of the funds to the Company and

shall survive such delivery. If, in any respect, such representations and warranties are not

true and accurate prior to delivery of the funds, I will give written notice of the fact to the

Company, specifying which representations and warranties are not true and accurate and

the reasons therefore.

______________

Purchaser’s Initials

 

3. Transferability. I understand that I may sell or otherwise transfer my Shares only if

registered under the Securities Act or I provide the Company with an opinion of counsel

acceptable to the Company to the effect that such sale or other transfer may be made in

absence of registration under the Securities Act. I have no right to cause the Company to

register the Shares. Any certificates or other documents representing my Shares will

contain a restrictive legend reflecting this restriction, and stop transfer instructions will

apply to my Shares.

 

4. Indemnification. I understand the meaning and legal consequences of the

representations and warranties contained in Paragraph 2 hereof, and I will indemnify and

hold harmless the Company, its officers, directors, and representatives involved in the

offer or sale of the Shares to me, as well as each of the managers and representatives,

employees and agents and other controlling persons of each of them, from and against

any and all loss, damage or liability due to or arising out of a breach of any representation

or warranty of mine contained in this Subscription Agreement.

 

5. Revocation. I will not cancel, terminate or revoke this Subscription Agreement or any

agreement made by me hereunder and this Subscription Agreement shall survive my

death or disability.

 

6. Termination of Agreement. If this subscription is rejected by the Company, then this

Subscription Agreement shall be null and void and of no further force and effect, no party

shall have any rights against any other party hereunder, and the Company shall promptly

return to me the funds delivered with this Subscription Agreement.

7. Miscellaneous.

 

(a) This Subscription Agreement shall be governed by and construed in accordance with

the substantive law of the State of Texas.

 

(b) This Subscription Agreement constitutes the entire agreement between the parties

hereto with respect to the subject matter hereof and may be amended only in writing

and executed by all parties.

 

8. Ownership Information. Please print here the total number of Shares to be purchased,

and the exact name(s) in which the Shares will be registered.

 

Total Shares:_________________

 

Name(s):_____________________________________________________________

_____ Single Person

_____ Husband and Wife, as community property

_____ Joint Tenants (with right of survivorship)

_____ Tenants in Common

_____ A Married Person as separate property

_____ Corporation or other organization

_____ A Partnership

_____ Trust

_____ IRA

______________

Purchaser’s Initials

 

_____ Tax-Qualified Retirement Plan

(i) Trustee(s)/ Custodian_________________________________________

(ii) Trust Date_________________________________________________

(iii) Name of Trust_____________________________________________

(iv) For the Benefit of___________________________________________

 

_____ Other:________________________________________________________

(please explain)

 

Social Security or Tax I.D.#:____________________________________________

Residence Address:

_____________________________________________________________________

Street Address

_____________________________________________________________________

City State Zip

Mailing Address: (Complete only if different from residence)

_____________________________________________________________________

 

Street Address (If P.O.Box, include address for surface delivery if different than

residence)

_____________________________________________________________________

 

 

 

City State Zip

Phone Numbers

Home: (_______)_____________________

Business: (_______)___________________

Facsimile: (_______)___________________

______________

Purchaser’s Initials

 

9. Date and Signatures. Dated ______________________________, 2010.

 

Signatures Purchaser Name (Print)

____________________________ ____________________________

___________________________ ____________________________

 

(Each co-owner or joint owner must sign - Names must be signed exactly as listed

under “Purchaser Name”)

 

ACCEPTED:

Unique Underwriters, Inc.

 

By:________________________________ Dated:______________________, 2010

Samuel Wolfe

Chief Executive Officer

______________

Purchaser’s