Attached files
file | filename |
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S-1 - FORM S-1 - MACE SECURITY INTERNATIONAL INC | w82592sv1.htm |
EX-4.6 - EX-4.6 - MACE SECURITY INTERNATIONAL INC | w82592exv4w6.htm |
EX-4.4 - EX-4.4 - MACE SECURITY INTERNATIONAL INC | w82592exv4w4.htm |
EX-4.5 - EX-4.5 - MACE SECURITY INTERNATIONAL INC | w82592exv4w5.htm |
EX-99.3 - EX-99.3 - MACE SECURITY INTERNATIONAL INC | w82592exv99w3.htm |
EX-99.7 - EX-99.7 - MACE SECURITY INTERNATIONAL INC | w82592exv99w7.htm |
EX-99.2 - EX-99.2 - MACE SECURITY INTERNATIONAL INC | w82592exv99w2.htm |
EX-99.5 - EX-99.5 - MACE SECURITY INTERNATIONAL INC | w82592exv99w5.htm |
EX-99.1 - EX-99.1 - MACE SECURITY INTERNATIONAL INC | w82592exv99w1.htm |
EX-99.4 - EX-99.4 - MACE SECURITY INTERNATIONAL INC | w82592exv99w4.htm |
EX-23.1 - EX-23.1 - MACE SECURITY INTERNATIONAL INC | w82592exv23w1.htm |
EX-99.6 - EX-99.6 - MACE SECURITY INTERNATIONAL INC | w82592exv99w6.htm |
Exhibit 4.3
DELIVERY OPTIONS FOR SUBSCRIPTION RIGHTS CERTIFICATE
Delivery other than in the manner or to the addresses listed below will not constitute valid delivery.
If delivering by mail: | If delivering by hand or overnight courier: | |
American Stock Transfer & Trust Company, LLC | American Stock Transfer & Trust Company, LLC | |
Attn: Reorganization Department | Operations Center | |
P.O. Box 2042 | Attn: Reorganization Department | |
New York, New York 10272-2042 | 6201 15th Avenue | |
Brooklyn, New York 11219 |
PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY.
FORM 1-EXERCISE OF SUBSCRIPTION RIGHTS
To subscribe for shares pursuant to your Subscription Right, please complete lines (a) and
(c) and sign under Form 3 below. To subscribe for shares pursuant to your Over-Subscription
Right, please also complete line (b) and sign under Form 3 below. To the extent you
subscribe for more Shares than you are entitled under the Subscription Right or the
Over-Subscription Right, you will be deemed to have elected to
purchase the maximum number of shares for which you are entitled to subscribe under the Subscription Right or
Over-Subscription Right, as applicable. Under your Subscription Right (paragraph a below)
you may subscribe for three shares for each Subscription Right you hold.
(a) EXERCISE OF SUBSCRIPTION RIGHT:
I apply for ______________ shares x $.__ | = $_______________ | |||
(no. of new shares)
|
(subscription price) | (amount enclosed) |
(b) EXERCISE OF OVER-SUBSCRIPTION RIGHT
If you have exercised your Subscription Right in full and wish
to subscribe for additional shares in an amount equal to up to 5% of the issued Common Stock
for of the Company complete the number of shares to which you wish to subscribe pursuant to
your Over-Subscription Right:
I apply for ______________ shares x $.__ | = $_______________ | |||
(no. of new shares)
|
(subscription price) | (amount enclosed) |
(c) Total
Amount of Payment Enclosed = $__________________
METHOD OF PAYMENT (CHECK ONE)
o | Check or bank draft payable to American Stock Transfer & Trust Company, LLC as Subscription Agent. | |
o | 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 Mace Security International, Inc. with reference to the rights holders name. |
FORM 2-DELIVERY TO DIFFERENT ADDRESS
If you wish for the Common Stock underlying your subscription rights, a
certificate representing unexercised subscription rights or the proceeds of any sale of
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 3 and have your signature guaranteed under Form 4.
FORM 3-SIGNATURE
TO SUBSCRIBE: I acknowledge that I have received the Prospectus for this Rights Offering and I
hereby irrevocably subscribe for the number of shares indicated above on the terms and
conditions specified in the Prospectus. By signing below I confirm that (1) after giving
effect to the exercise of my Rights, I will not beneficially own, as determined in accordance
with Rule 13d-3 under the Securities Exchange Act of 1934, as amended, more than 5.00% of the
Companys outstanding shares of Common Stock (calculated immediately upon the closing of the
rights offering after giving effect to the sale of the Additional Stock, as described in the
Prospectus) and (2), if I already beneficially own, as determined in accordance with Rule
13d-3 under the Securities Exchange Act of 1934, as amended, in excess of 5.00% of the
Companys outstanding shares of Common Stock I will not, via the exercise of the Rights,
increase my proportionate interest in the Companys Common Stock (with respect to (1) or (2),
any such excess shares, the Excess Shares). I agree to cooperate with the Company and
provide to the Company any and all information requested by the Company in connection with
verifying the percentage of Common Stock I beneficially own.
Signature(s): |
||
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 4-SIGNATURE GUARANTEE
This form must be completed only if you have requested that we send your shares
to an address other than that shown on the face of this Subscription Rights Certificate
(Form 2).
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 THIS SUBSCRIPTION RIGHTS CERTIFICATE, CONTACT THE
INFORMATION AGENT,
PHOENIX ADVISORY PARTNERS, AT (212) 493-3910 for BANKS AND BROKERS OR (877) 478-5038 ALL
OTHERS
RIGHTS CERTIFICATE #: | NUMBER OF RIGHTS |
THE TERMS AND CONDITIONS OF THE RIGHTS OFFERING
ARE SET FORTH IN THE COMPANYS PROSPECTUS DATED
_______, 2011 (THE PROSPECTUS) AND ARE
INCORPORATED HEREIN BY REFERENCE. COPIES OF THE
PROSPECTUS ARE AVAILABLE UPON REQUEST FROM MACE
SECURITY INTERNATIONAL, INC., AND PHOENIX
ADVISORY PARTNERS, THE INFORMATION AGENT FOR THE
RIGHTS OFFERING.
Mace Security International, Inc.
Incorporated under the laws of the State of Delaware
Incorporated under the laws of the State of Delaware
NON - TRANSFERABLE SUBSCRIPTION RIGHTS CERTIFICATE
Evidencing Non-Transferable Subscription Rights to Purchase Shares of Common Stock of Mace Security International, Inc.
Subscription Price: $.__ per Share
THE SUBSCRIPTION RIGHTS WILL EXPIRE IF NOT EXERCISED ON OR BEFORE 5:00 P.M., EASTERN STANDARD TIME,
ON _______ __, 2011, UNLESS EXTENDED BY THE COMPANY
ON _______ __, 2011, UNLESS EXTENDED BY THE COMPANY
REGISTERED
OWNER:
OWNER:
THIS CERTIFIES THAT the registered owner whose name is inscribed hereon is the owner
of the
number of non-transferable subscription rights (Rights) set forth above. Each whole
Right entitles the holder thereof to subscribe for and purchase three shares of Common
Stock, with a par value of $0.01 per share, of Mace Security International, Inc., a
Delaware corporation, at a subscription price of $.__ per share (the Subscription
Privilege), pursuant to a rights offering (the
Rights Offering), on the terms and subject to the conditions set forth in the
Prospectus and the
Instructions as to Use of Mace Security International, Inc. Subscription Rights
Certificates accompanying this Subscription Rights Certificate. If any shares of
Common Stock available for purchase in the Rights Offering are not purchased by other
holders of Rights pursuant to the
exercise of their Subscription Privilege (the Excess Shares), any Rights holder that exercises
its
Subscription Privilege in full may subscribe for a number of Excess Shares pursuant
to the terms and conditions of the Rights Offering, subject to proration, as
described in the Prospectus (the Over-
Subscription Privilege). The Rights represented by this Subscription Rights
Certificate may be exercised by completing Form 1 and any other appropriate forms
on the reverse side hereof and by retuning the full payment of the subscription
price for each share of Common Stock in accordance with the Instructions as to Use
of Mace Security International, Inc. Subscription Rights Certificates that
accompany this Subscription Rights Certificate.
This Subscription Rights Certificate
is not valid unless countersigned by the
subscription agent and registered by the
registrar.
Witness the seal of the Corporation
and the signatures of its duly authorized
officers.
Dated:
and Principal Executive Officer |