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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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FORM 8-K/A
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act
of 1934
Date of Report (Date of earliest event reported) February 18, 1999
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AMERICAN INTERNATIONAL PETROLEUM CORPORATION
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(Exact name of registrant as specified in charter)
Nevada 0-14905 13-3130236
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(State or other jurisdiction (Commission (IRS Employer
of incorporation) File Number) Identification No.)
440 Madison Avenue, New York, New York 10022
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(Address of principal executive offices) (Zip Code)
Registrant's telephone number, including area code (212) 688-3333
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N/A
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(Former name or former address, if changed since last report.)
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Item 5. Other Events.
On February 18, 1999, the Registrant issued and sold
$10,000,000 principal amount of its 5% convertible secured debentures due 2004
(the "Debentures") and warrants to purchase 2,000,000 shares of common stock to
an institutional investor for a purchase price of $10,000,000. The net proceeds
from the sale were used primarily to repay certain indebtedness, including
$3,500,000 principal amount of our 14% convertible notes due April 21, 2000. The
Debentures and warrants were issued pursuant to the exemption from the
registration requirements of the Securities Act provided by Section 4(2) of the
Securities Act and Rule 506 of Regulation D promulgated by the SEC under
that Section.
The Debentures bear interest at the rate of 5% per annum,
payable on the last day of each calendar quarter, commencing March 31, 1999, and
are payable on February 18, 2004, or earlier upon acceleration following the
occurrence of an event of default. Payment of the Debentures is secured by a
mortgage and first priority security interest on specified fixed assets located
at the Lake Charles, Louisiana refinery of the Company's wholly owned
subsidiary, American International Refinery, Inc. The mortgage and security
interest will be released at such time as the outstanding principal amount of
the Debentures is less than $3,000,000. The Debentures are senior in right of
payment to all indebtedness of the Company and its subsidiaries, other than the
Company's 14% convertible notes due April 21, 2000, which rank pari passu with
the Debentures, and indebtedness secured by accounts receivable, inventory or
other assets of the Company and its subsidiaries, other than the fixed assets
subject to the mortgage and security interest.
The Debentures are convertible into shares of the Company's
common stock, at the option of the holder thereof, commencing August 17, 1999,
subject to the limitations stated below. The conversion price is equal to the
lesser of $1.288 and 85% of the average of the lowest three daily weighted
average sales prices of the common stock for the 20 trading days prior to the
date upon which the holder gives notice of conversion. The right of conversion
is subject to the following limitations:
1. The holder may convert the Debentures prior to
August 17, 1999 if the closing bid price of the
common stock is at least $1.55 per share for five
consecutive trading days, except that the number
of shares converted and sold on any one day prior
to August 17, 1999 may not exceed 10% of the
daily sales volume of the common stock.
2. The number of shares of common stock that the
holder may acquire upon conversion of the
Debentures, together with shares beneficially
owned by the holder and its affiliates, may not
exceed 4.9% of the total outstanding shares of
common stock. The holder may change this
limitation upon 61
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days prior notice to the Company or immediately
following a change in control of the Company.
3. The number of shares of common stock that the
holder may acquire upon conversion of the
Debentures may not exceed 12,243,376 shares of
common stock, representing 20% of the shares
outstanding on February 18, 1999, the date upon
which the convertible debentures were issued,
unless and until stockholders approve the
issuance upon conversion of more than 12,243,376
shares, as required by the rules of The Nasdaq
Stock Market, Inc.
4. The conversion price will be reduced if at any
time prior to January 18, 2000 the Company issues
shares of common stock (or securities
convertible, exercisable or exchangeable for
common stock) in a private placement at less than
$1.288 per share, if a fixed price, or less than
the discount specified in the Debentures. In
addition, the discount used to determine he
conversion rate will be increased by 1% during
the first 30 day period and an additional 1.5%
during each subsequent 30 day period following
June 18, 1999 that the registration statement,
referred to below, is not effective.
The Company has agreed to file a registration statement for
the resale of the shares of common stock that the holder may acquire upon
conversion of the Debentures and the warrants.
The Company may redeem up to $5,000,000 principal amount of
the Debentures during any 90 day period, commencing August 17, 1999, provided
that during the 90 day period preceding notice of redemption there has not been
an event of default and the Company's registration statement for the resale of
the common stock has remained effective. The redemption price for the Debentures
will be equal to the greater of (x) 115% of the principal amount, plus accrued
but unpaid interest and default payments and (y) the product of the conversion
rate and the closing bid price of the common stock on the first trading day
after the date a holder notifies the Company that the redemption will be
effective.
The holder has the right to require redemption of the
Debentures, in whole or in part, following a change in control of the Company at
a redemption price equal to 130% of the principal amount, plus accrued but
unpaid interest and penalties, or if the registration statement has not been
declared effective by August 17, 1999, to sell the Debentures to the Company at
a purchase price equal to 125% of the principal amount, plus accrued but unpaid
interest and penalties.
The warrants may be exercised at any time before February 18,
2004, at an exercise price of $2.061 per share, subject to the following
limitations:
1. The number of shares of common stock that the
holder may acquire upon exercise of the warrants,
together with shares beneficially owned by the
holder and its affiliates, may not exceed 4.9% of
the total outstanding shares of common stock. The
holder may change this limitation upon 61 days
prior notice to the Company or immediately
following a change in control of the Company.
2. The expiration date of the warrants will be
extended if the registration statement is not
declared effective by August 17, 1999, or the
effectiveness of the registration statement is
not continuously maintained thereafter, or if the
Company does not obtain and maintain the listing
of the shares of common stock that the holder may
acquire upon conversion
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of the Debentures and the exercise of the
warrants, or if the Company fails to issue shares
of common stock upon conversion of the
Debentures.
The holder has the right to sell the warrants to the Company
if the registration statement is not declared effective by August 17, 1999, for
a purchase price equal to (x) the product of the number of shares that the
holder may acquire upon exercise (without regard to any limitation concerning
beneficial ownership) and the average of the closing bid prices for the common
stock during the 10 trading days preceding the notice of redemption, minus (y)
the product of the number of shares that the holder may acquire upon exercise
(without regard to any limitation concerning beneficial ownership) and the
exercise price.
Item 7. Financial Statements and Exhibits.
(c) Exhibits
4.1* Convertible Debenture Purchase Agreement dated
February 11, 1999.
4.2 Form of 5% Convertible Secured Debenture, as amended.
4.3* Form of Warrant.
4.4* Form of Registration Rights Agreement.
4.5* Form of Mortgage and Security Agreement.
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*Previously filed
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of
1934, the Registrant has duly caused this report to be signed on its behalf by
the undersigned thereunto duly authorized.
AMERICAN INTERNATIONAL
PETROLEUM CORPORATION
Dated: April 26, 1999 By: s/ Denis J. Fitzpatrick
New York, New York ------------------------------
Denis J. Fitzpatrick
Vice President and
Chief Financial Officer
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THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
AMENDED, OR ANY STATE SECURITIES LAWS. IT MAY NOT BE SOLD OR OFFERED FOR SALE
EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER SAID ACT AND ANY
APPLICABLE STATE SECURITIES LAWS OR AN APPLICABLE EXEMPTION FROM SUCH
REGISTRATION REQUIREMENTS.
No. 1 $10,000,000
AMERICAN INTERNATIONAL PETROLEUM CORP.
5% CONVERTIBLE SECURED DEBENTURE DUE FEBRUARY 18, 2004
THIS DEBENTURE ("Debenture") is one of a duly authorized issue of
Debentures of AMERICAN INTERNATIONAL PETROLEUM CORP., a corporation duly
organized and existing under the laws of the State of Nevada (the "Company"),
designated as the Company's 5% Convertible Secured Debentures Due February 18,
2004, in an aggregate principal amount not exceeding TEN MILLION U.S. DOLLARS
(U.S.$10,000,000) (the "Debenture").
FOR VALUE RECEIVED, the Company promises to pay to HALIFAX FUND, L.P.,
a Cayman Islands limited partnership, the initial holder hereof, or its order
(including successors-in-interest, the "Holder"), the principal sum of TEN
MILLION U.S. DOLLARS (U.S.$10,000,000) on February 18, 2004 (the "Maturity
Date") and to pay interest on the principal sum outstanding under this Debenture
("Outstanding Principal Amount"), at the rate of 5% per annum due and payable
each March 31, June 30, September 30 and December 31 (each an "Interest Payment
Date") commencing March 31, 1999, or, at the option of the Company, at the
Maturity Date. Interest shall accrue and compound daily commencing on the date
hereof and shall continue until payment in full of all amounts due under this
Debenture. The interest so payable will be paid to the person in whose name this
Debenture is registered on the records of the Company regarding registration and
transfers of the Debenture (the "Debenture Register"). Capitalized terms used
herein and not otherwise defined shall have the meanings set forth in the
Convertible Debenture Purchase Agreement dated as of February 11, 1999 between
the Company and the Holder and the other parties thereto (the "Purchase
Agreement") or the Registration Rights Agreement dated as of February 18, 1999
between the Company and the Holder and the other parties thereto (the
"Registration Rights Agreement").
The principal of, interest on, and default payments (referred to below)
in respect of this Debenture are payable in such coin or currency of the United
States that as of the time of payment is legal tender for payment of public and
private debts at the address last appearing on the Debenture Register of the
Company as designated in writing by the Holder hereof from time to time. Any
interest when added to the Outstanding Principal Amount due under this Debenture
shall, for all purposes of this Debenture, be deemed to have been part of the
principal indebtedness originally evidenced by this Debenture including, without
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limitation, for purposes of determining amounts convertible into Common Shares
hereunder.
The Company will pay any principal due and all accrued and unpaid
interest due upon this Debenture to the person that is the Holder of this
Debenture on the records of the Company as of the Maturity Date and addressed to
such Holder at the last address appearing on the Debenture Register.
The Outstanding Principal Amount and interest due hereunder shall bear
interest, from and after the 31st day following the occurrence and during the
continuance of an Event of Default hereunder, at the rate equal to the lower of
the Citibank Prime Rate per annum plus 8% or the highest rate permitted by law.
Additional cash payments (referred to as "default payments") may be
required pursuant to the Registration Rights Agreement if there occurs an
"Interfering Event" (as defined therein). Such default payments, if not paid in
cash when due, may be treated by the Holder in its sole discretion as being
added to the Outstanding Principal Amount due under this Debenture.
Subject to applicable law, any interest otherwise payable that is not
paid because it would exceed the highest rate permitted by law shall become
payable whenever the payment thereof, together with other interest due would not
exceed such highest legal rate.
The Holder of this Debenture is entitled to certain rights and remedies
pursuant to the Purchase Agreement and Registration Rights Agreement, including
without limitation provisions requiring mandatory redemption of the Debenture.
This Debenture does not provide voting rights to the Holder.
The payment of this Debenture is secured by a pledge by the Company's
wholly owned subsidiary, American International Refinery, Inc. ("AIRI") to
Holder of certain collateral pursuant to the Mortgage and Security Agreement by
and between AIRI and Holder dated even date herewith (the "Mortgage and Security
Agreement"). The Company agrees to cause AIRI to perform all obligations under
the Mortgage and Security Agreement strictly in accordance with their terms. Any
default or event of default under the Mortgage and Security Agreement
constitutes a default under this Debenture. The mortgage and security interest
granted to Holder pursuant to the Mortgage and Security Agreement shall be
released as at such time as the Outstanding Principal Amount of this Debenture
is less than $3,000,000.
The Debentures shall rank senior in right to payment to (i) all classes
of equity securities of the Company and (ii) any debt securities issued by, or
other indebtedness of, the Company or any of its subsidiaries, other than (x)
the Company's 14% Convertible Notes due
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April 21, 2000, which rank pari passu with the Debentures and (y) indebtedness
which is secured by accounts receivable and/or inventory, or by the assets of
the Company or its subsidiaries other than the Collateral (as defined in the
Mortgage and Security Agreement); provided that the amount of any such
indebtedness may not exceed the value of the assets security such indebtedness.
This Debenture is subject to the following additional provisions:
1. Denomination. Subject to applicable law, the Debentures are exchangeable
for an equal aggregate principal amount of Debentures of different
denominations, as requested by the Holder surrendering the same. No service
charge will be made for such registration or transfer or exchange.
2. Transfers. This Debenture may be transferred or exchanged in the United
States only in compliance with the Securities Act of 1933, as amended (the
"Act"), and applicable state securities laws, or applicable exemptions
therefrom. Prior to due presentment for transfer of this Debenture, the Company
may treat the person in whose name this Debenture is duly registered on the
Company's Debenture Register as the owner hereof for the purpose of receiving
payment as herein provided, whether or not this Debenture is overdue.
3. Definitions. For purposes hereof the following definitions shall apply:
"Change in Control Transaction" shall mean (x) any consolidation or
merger of the Company with or into any other corporation or other entity or
person (whether or not the Company is the surviving corporation) or any other
corporate reorganization or transaction or series of related transactions
pursuant to which in excess of 50% of the Company's voting securities
outstanding immediately prior thereto is transferred through a merger,
consolidation, tender offer or similar transaction or otherwise, or (y) any
person or group of persons (as defined in Section 13(d) or 14(d) of the
Securities Exchange Act of 1934, as amended (the "Exchange Act")), together with
its affiliates and associates (as such terms are defined in Rule 405 under the
Act), becoming the beneficial owner (as described in Rule 13d- 3 under the
Exchange Act), directly or indirectly, or being deemed to have become the
beneficial owner, of in excess of 50% of the Company's then outstanding voting
securities.
"Closing Date" shall mean February 18, 1999.
"Closing Price" shall mean $1.0305.
"Common Stock" shall mean the common stock, par value $.08 per
share, of the Company.
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"Conversion Notice" shall have the meaning set forth in Paragraph
5(d).
"Conversion Price" shall have the meaning set forth in Paragraph
5(c).
"Conversion Rate" shall have the meaning set forth in Paragraph
5(b).
"Holder Conversion Date" shall have the meaning set forth in
Paragraph 5(d).
"Market Price for Shares of Common Stock" shall mean the price of
one share of Common Stock determined as follows:
(i) If the Common Stock is listed on Nasdaq NMS, the closing bid
price on the date of valuation;
(ii) If the Common Stock is listed on the New York Stock Exchange or
the American Stock Exchange, the closing bid price on such exchange on
the date of valuation;
(iii) If neither (i) nor (ii) apply but the Common Stock is quoted
in the over-the-counter market, another recognized exchange, on the
pink sheets or bulletin board, the lesser of (A) the lowest sales price
on the date of valuation or (B) the mean between the last reported
"bid" and "asked" prices thereof on the date of valuation; and
(iv) If neither clause (i), (ii) or (iii) above applies, the market
value as determined by a nationally recognized investment banking firm
or other nationally recognized financial advisor retained by the
Company for such purpose, taking into consideration, among other
factors, the earnings history, book value and prospects for the
Company, and the prices at which shares of Common Stock recently have
been traded. Such determination shall be conclusive and binding on all
persons.
"Trading Day" shall mean a day on which the Common Stock is traded
on the NASDAQ or principal exchange on which the Common Stock has been listed
(or any similar organization or agency succeeding such market or exchange's
functions of reporting prices).
4. Change in Control, Etc. If at any time there occurs any Change in
Control Transaction, Holder shall be entitled to have the Company redeem this
Debenture in whole or in part at a redemption price equal to 130% of the
Outstanding Principal Amount of this Debenture plus all accrued but unpaid
interest and penalties on this Debenture. Such Holder shall be entitled to make
such election at any time after commencement of the Change in Control
Transaction and up to 10 days after the effective date of the Change in Control
Transaction. For purposes of this Paragraph 4, the commencement date shall be
the day upon which the Change in Control Transaction was publicly announced.
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5. Conversion at the Option of the Holder. The Holder of this Debenture
shall have the following conversion rights.
(a) Holder's Right to Convert. This Debenture shall be convertible in
full at any time on or after the 181st day after the Closing Date, in whole or
in part, at the option of the Holder hereof, into fully paid, validly issued and
nonassessable shares of Common Stock; provided, however, if the Market Price for
Shares of Common Stock is 150% or more of the Closing Price for five consecutive
Trading Days prior to the 181st day following the Closing Date, this Debenture
shall be convertible at the option of the Holder hereof into fully paid, validly
issued and nonassessable shares of Common Stock, provided, however, that, in
such instance, Holder shall not convert and sell a number of shares of Common
Stock on any one day prior to the 181st day following the Closing Date that is
greater than ten percent (10%) of the daily volume of sales of Common Stock as
reported by Bloomberg on that date. If this Debenture is converted in part, the
remaining portion of this Debenture not so converted shall remain entitled to
the conversion rights provided herein.
(b) Conversion Rate for Holder Converted Shares. The Outstanding
Principal Amount of this Debenture that is converted into shares of Common Stock
at the option of the Holder shall be convertible into the number of shares of
Common Stock which results from application of the following formula:
P + I + D
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Conversion Price
P = Outstanding Principal Amount of this
Debenture submitted for conversion
I = accrued but unpaid interest (not previously
added to principal) on P as of the Holder Conversion Date
D = default payments (not previously added to
principal) as of the Holder Conversion Date
The number of shares of Common Stock into which each $1,000
principal amount of this Debenture hereto may be converted pursuant to this
paragraph hereof is hereafter referred to as the "Conversion Rate."
(c) Conversion Price. Subject to adjustment as provided herein, this
Debenture will have a conversion price (the "Conversion Price") equal to the
lesser of (i) $1.288 or (ii) 85% of the average of the lowest three daily
weighted average sales prices, as reported by Bloomberg, for the 20 Trading Days
prior to the Holder Conversion Date.
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(d) Mechanics of Conversion. In order to convert this Debenture (in
whole or in part) into full shares of Common Stock, the Holder shall surrender
this Debenture, duly endorsed, by either overnight courier or 2-day courier, to
the principal office of the Company, and shall give written notice in the form
of EXHIBIT 1 hereto (the "Conversion Notice") by facsimile (with the original of
such notice forwarded with the foregoing courier) to the Company at such office
that the Holder elects to convert the principal amount (plus accrued but unpaid
interest and default payments) specified therein, which such notice and election
shall be revocable by the Holder at any time prior to its receipt of the Common
Stock upon conversion; provided, however, that the Company shall not be
obligated to issue certificates evidencing the shares of the Common Stock
issuable upon such conversion unless either the Debenture evidencing the
principal amount is delivered to the Company as provided above, or the Holder
notifies the Company that such Debenture(s) has been lost, stolen or destroyed
and promptly executes an agreement reasonably satisfactory to the Company to
indemnify the Company from any loss incurred by it in connection with such lost,
stolen or destroyed Debenture(s).
Within three (3) Trading Days ("T+3") after delivery to the
Company of such Conversion Notice, the Company shall issue and deliver to such
Holder of Debenture(s) at the address of the Holder, or to its designee, a
certificate or certificates for the number of shares of Common Stock to which
the Holder shall be entitled as aforesaid, together with a calculation of the
Conversion Rate and a Debenture or Debentures for the principal amount of
Debentures not submitted for conversion. The date on which the Conversion Notice
is given (the "Holder Conversion Date") shall be deemed to be the date the
Company received by facsimile the Conversion Notice duly executed by the Holder,
and the Holder entitled to receive the shares of Common Stock issuable upon such
conversion shall be treated for all purposes as the record holder or holders of
such shares of Common Stock at the close of business on the Holder Conversion
Date.
In lieu of delivering physical certificates representing
the Common Shares issuable upon conversion of Debentures or the Warrant Shares
(as defined in the Purchase Agreement) deliverable upon exercise of Warrants (as
defined in the Purchase Agreement), provided the Company's transfer agent is
participating in the Depository Trust Company ("DTC") Fast Automated Securities
Transfer ("FAST") program, upon request of the Holder, the Company shall use its
best efforts to cause its transfer agent to electronically transmit the Common
Shares and Warrant Shares issuable upon conversion or exercise of Debentures or
Warrants to the Holder, by crediting the account of Holder's prime broker with
DTC through its Deposit Withdrawal Agent Commission ("DWAC") system. The time
periods for delivery described above shall apply to the electronic transmittals
through the DWAC system. The parties agree to coordinate with DTC to accomplish
this objective. The conversions pursuant to Sections 5 and 6 shall be deemed to
have been made immediately prior to the close of business on the Holder
Conversion Date. The person or persons entitled to receive the
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Common Shares issuable upon such conversion shall be treated for all purposes as
the record holder or holders of such Common Shares at the close of business on
the Holder Conversion Date.
6. Redemption at the Option of the Company.
Commencing on the 181st day after the Closing Date, the Company shall
have the option, on 10 days' prior written notice to the holders of the
Debentures ("Redemption Notice"), to redeem up to 50% of the original
Outstanding Principal Amount of the Debentures during any 90 day period, at the
"Redemption Price" (as defined in Section 6(b)); provided, however, that, for
the 90 days prior to the Redemption Notice, there has been (i) Effective
Registration and (ii) no Event of Default.
The "Redemption Price" shall be equal to the greater of (i) the sum of
(A) 115% of the Outstanding Principal Amount plus (B) accrued but unpaid
interest and default payments; or (ii) the product of (I) the Conversion Rate
and (II) the Market Price for Shares of Common Stock on the date on which a
holder notifies the Company that the redemption shall be deemed effective during
the period beginning on the date of the Redemption Notice and ending on the date
which is the first Trading Day following ten (10) days after the date of the
Redemption Notice (the "Redemption Date") (provided, that if a holder does not
provide notice to the Company specifying a Redemption Date, the first Trading
Day following ten (10) days after the date of the Redemption Notice shall be the
Redemption Date).
Any Redemption Notice must be given by facsimile or by overnight
courier to the holders of the Debentures. The Redemption Notice shall be
addressed to each such holder at the facsimile number or address of such holder
appearing on the books of the Company or given by such holder to the Company for
the purpose of notice. The Redemption Notice shall state the amount of cash that
the Company will deliver to the holders (or, in the event the Company will
redeem the entire Outstanding Principal Amount of Debentures, that the Company
will deliver the full Redemption Price to the holders) to redeem Debentures (the
"Redemption Amount"). Each holder of Debentures that receives a Redemption
Notice shall surrender its Debenture to the Company at the place designated in
such notice, or to such holder's agent, and shall thereupon be entitled to
receive payment of the such holder's pro rata share of the Redemption Amount. If
less than all of the Outstanding Principal Amount of Debentures is to be
redeemed for any reason, then the Company shall offer to deliver a pro rata
portion of the Redemption Amount to each holder of Debentures according to the
respective Outstanding Principal Amount of Debentures held by such holder.
The Company shall issue an amount equal to a holder's pro rata portion
of the Redemption Amount to any holder whose Debentures are redeemed, by wire
transfer or in cash by overnight courier within three (3) business days of
receipt by the Company or the holder's agent of Debentures tendered for
redemption, with delivery of certificates to be made
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by the holder's agent against delivery of the holder's pro rata portion of the
Redemption Amount.
Unless default shall be made by the Company in duly paying the
Redemption Amount (which default shall be deemed a breach of the terms of this
Debenture by the Company), in which case all the rights of the holders of such
Debentures shall continue, the holders of the Debentures sent to the Company by
the holder for redemption shall, from and after the date of the Redemption
Notice, cease to have any rights relating to such Debentures, except (i) the
right to receive a holder's pro rata portion of the Redemption Amount and (ii)
if less than all of the Outstanding Principal Amount of the Debentures
surrendered by the holder for redemption are actually redeemed, the right to
receive forthwith from the Company a new Debenture for the Unredeemed Principal
Amount (as defined below), and the redeemed Debenture shall not thereafter be
transferred on the books of the Company and shall not be deemed outstanding for
any purpose whatsoever. The "Unredeemed Principal Amount" shall equal (i) the
Outstanding Principal Amount prior to redemption, multiplied by (ii) the
quotient of (x) the Redemption Amount, divided by (y) the Redemption Price.
There shall be no redemption of any Debentures of the Company where
such action would be in violation of applicable law.
7. Stock Splits; Dividends; Adjustments; Reorganizations.
(a) If the Company, at any time while the Debentures are outstanding,
(i) shall pay a stock dividend or otherwise make a distribution or distributions
on any equity securities (including investments or securities convertible into
or exchangeable for such equity securities) in shares of Common Stock, (ii)
issue any securities payable in shares of Common Stock, (iii) subdivide
outstanding Common Shares into a larger number of shares or (iv) combine
outstanding Common Stock into a smaller number of shares, then the Conversion
Price shall be multiplied by a fraction, the numerator of which shall be the
number of shares of Common Stock outstanding before such event and the
denominator of which shall be the number of shares of Common Stock outstanding
after such event. Any adjustment made pursuant to this Paragraph 7(a) shall
become effective immediately after the record date for the determination of
shareholders entitled to receive such dividend or distribution and shall become
effective immediately after the effective date in the case of a subdivision or
combination.
(b) Notwithstanding anything else herein to the contrary, if at any
time within twelve (12) months after the Closing Date the Company issues or
sells any Common Stock (or other equity securities or rights exercisable or
exchangeable for, or convertible into, its Common Stock or such other equity
securities) in a private placement at a discount greater (or in the Holder's
judgment more favorable to the purchaser thereof) than the discount specified in
Paragraph 5(c) hereof or at a ceiling price less than the Conversion Price, the
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Conversion Price shall be reduced effective concurrently with such issue or sale
to provide the Holder such greater discount or lower Conversion Price.
For the purposes of the foregoing adjustment, in the case
of the issuance of any convertible or exchangeable securities, warrants, options
or other rights to subscribe for or to purchase or exchange for, shares of
Common Stock ("Exchangeable Securities"), the maximum number of shares of Common
Stock issuable upon exercise, conversion or exchange of such Exchangeable
Securities shall be deemed to be outstanding, provided that no further
adjustment shall be made upon the actual issuance of Common Stock upon exercise,
exchange or conversion of such Exchangeable Securities.
In the event of any such issuance for a consideration that
provides a discount greater than the discount specified in Paragraph 5(c) hereof
and that also is at a ceiling price less than the Conversion Price then in
effect, then there shall be only one such adjustment by reason of such issuance,
such adjustment to be that which results in the greatest reduction of the
Purchase Price computed as aforesaid.
(c) If the Company, at any time while the Debentures are outstanding,
shall distribute to all holders of Common Shares evidences of its indebtedness
or assets or rights or warrants to subscribe for or purchase any security
(excluding those referred to in Paragraph 7(b) above), then in each such case
the Conversion Price at which the Debenture shall thereafter be convertible
shall be adjusted by multiplying the Conversion Price in effect immediately
prior to the record date fixed for determination of shareholders entitled to
receive such distribution by a fraction, the numerator of which shall be such
Market Price for Shares of Common Stock on such record date less the then fair
market value at such record date of the portion of such assets or evidence of
indebtedness so distributed applicable to one outstanding Common Stock as
determined by the Board of Directors in good faith and the denominator of which
shall be the Market Price for Shares of Common Stock determined as of such
record date; provided, however that in the event of a distribution exceeding 25%
of the net assets of the Company, such fair market value shall be determined by
a nationally recognized or major regional investment banking firm or firm of
independent chartered accountants of recognized standing (which may be the firm
that regularly examines the financial statements of the Company) (an
"Appraiser") selected in good faith by the Board of Directors and Holders of a
majority in interest of the Debentures. In either case the adjustments shall be
described in a statement to be provided to all holders of Debentures regarding
the portion of assets or evidences of indebtedness so distributed. Such
adjustment shall be made whenever any such distribution is made and shall become
effective immediately after the record date mentioned in this subparagraph.
(d) (1) In the event that at any time or from time to time after the
Closing Date, the Common Stock issuable upon the conversion of the Debentures is
changed into the same or a different number of shares of any class or classes of
stock, whether by merger,
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<PAGE>
consolidation, recapitalization, reclassification or otherwise (other than a
subdivision or combination of shares or stock dividend or reorganization
provided for elsewhere in this Paragraph 7), then, as a condition to each such
event, provision shall be made in a manner reasonably acceptable to the Holders
of Debentures so that each Holder of Debentures shall have the right thereafter
to convert such Debenture into the kind of stock receivable upon such
recapitalization, reclassification or other change by holders of shares of
Common Stock, all subject to further adjustment as provided herein. In such
event, the formulae set forth herein for conversion and redemption shall be
equitably adjusted to reflect such change in number of shares or, if shares of a
new class of stock are issued, to reflect the market price of the class or
classes of stock (applying the same factors used in determining the Conversion
Price) issued in connection with the above described transaction.
(2) If at any time or from time to time after the Closing Date
there is a capital reorganization of the Common Stock, including by way of a
sale of all or substantially all of the assets of the Company (other than a
recapitalization, subdivision, combination, reclassification or exchange of
shares provided for elsewhere in this Paragraph 7), then, as a part of and a
condition to such reorganization, provision shall be made in a manner reasonably
acceptable to the Holders of the Debentures so that the Holders of the
Debentures shall thereafter be entitled to receive upon conversion of the
Debentures the number of shares of stock or other securities or property to
which a holder of the number of shares of Common Stock deliverable upon
conversion would have been entitled on such capital reorganization. In any such
case, appropriate adjustment shall be made in the application of the provisions
of this Paragraph 7 with respect to the rights of the Holders of the Debentures
after the reorganization to the end that the provisions of this Paragraph 7
shall be applicable after that event and be as nearly equivalent as may be
practicable, including, by way of illustration and not limitation, by equitably
adjusting the formulae set forth herein for conversion and redemption to reflect
the market price of the securities or property (applying the same factors used
in determining the Market Price for Shares of Common Stock) issued in connection
with the above described transaction.
(e) Whenever the Conversion Price is adjusted pursuant to Section 7(a),
(b), (c) or (d), the Company shall promptly mail to each Holder of the
Debentures, a notice setting forth the Conversion Price after such adjustment
and setting forth a brief statement of the facts requiring such adjustment.
(f) In the event of any taking by the Company of a record date of the
holders of any class of securities for the purpose of determining the holders
thereof who are entitled to receive any dividend or other distribution, any
security or right convertible or exchangeable into or entitling the holder
thereof to receive additional Common Shares, or any right to subscribe for,
purchase or otherwise acquire any shares of stock of any class or any other
securities or property, or to receive any other right or for any other purpose,
the Company shall deliver to each Holder of Debentures at least 20 days prior to
the date specified therein,
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<PAGE>
a notice specifying the date on which any such record is to be taken for the
purpose of such dividend, distribution, security, right or purpose and the
amount and character of such dividend, distribution, security, right or purpose.
8. Fractional Shares. No fractional shares of Common Stock or scrip
representing fractional shares of Common Stock shall be issuable hereunder. The
number of shares of Common Stock that are issuable upon any conversion shall be
rounded up to the nearest whole share.
9. Reservation of Stock Issuable Upon Conversion.
(a) Reservation Requirement. The Company covenants that it will at all
times reserve and keep available out of its authorized and unissued Common Stock
solely for the purpose of issuance upon conversion of the Debenture as herein
provided, free from preemptive rights or any other present or contingent
purchase rights of persons other than the Holders of the Debentures, a
sufficient number of Common Shares as shall be issuable (taking into account the
adjustments and restrictions of Paragraphs 5 and 7 hereof) upon the conversion
of all of the Debentures pursuant hereto. The Company covenants that all Common
Shares that shall be so issuable upon the conversion of all of the Debentures
pursuant hereto shall, upon issue, be duly and validly authorized and issued and
fully paid and nonassessable. So long as any Debentures remain outstanding the
Company agrees to reserve and at all times keep available solely for purposes of
conversion of Debentures such number of authorized but unissued shares of Common
Stock that is set forth in the Purchase Agreement, which shall be at least that
number of authorized but unissued shares of Common Stock sufficient to effect
the conversion of all outstanding Debentures.
(b) Deficiency. If the Company does not have a sufficient number of
shares of Common Stock available to satisfy the Company's obligations to a
Holder of Debentures upon receipt of a Conversion Notice or is otherwise unable
to issue such shares of Common Stock in accordance with the terms of this
Agreement, then such Holder shall be entitled to the rights and remedies set
forth in the Registration Rights Agreement.
10. No Reissuance of the Debenture. No Debentures acquired by the Company
by reason of redemption, purchase, exchange or otherwise shall be reissued, and
all such Debentures shall be retired.
11. No Impairment. The Company shall not intentionally take any action
which would impair the rights and privileges of the Debentures set forth herein
or the Holders thereof.
12. Limitations on Holder's Right to Convert.
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<PAGE>
(a) Notwithstanding anything to the contrary contained herein, no
Debenture may be converted, to the extent that, after giving effect to the
conversion and issuing the Common Shares to be issued pursuant to the applicable
Conversion Notice, the total number of shares of Common Stock deemed
beneficially owned by such Holder (other than by virtue of the ownership of
Debentures or ownership of other securities that have limitations on a Holder's
rights to exchange, convert or exercise similar to those limitations set forth
herein), together with all shares of Common Stock deemed beneficially owned by
such Holder's "affiliates" (as defined in Rule 405 of the Act) that would be
aggregated for purposes of determining whether a group under Section 13(d) of
the Securities Exchange Act of 1934, as amended, exists, would exceed 4.9% (the
"Restricted Ownership Percentage") of the total issued and outstanding shares of
the Company's Common Stock; provided that (w) each Holder shall have the right
at any time and from time to time to reduce its Restricted Ownership Percentage
immediately upon notice to the Company, (x) each Holder shall have the right at
any time and from time to time, to increase its Restricted Ownership Percentage
and otherwise waive in whole or in part the restrictions of this Paragraph 12(a)
upon 61 days' prior notice to the Company or immediately in the event of the
announcement of a pending or proposed Change in Control Transaction, (y) each
Holder may make any number of subsequent adjustments pursuant to clauses (w) or
(x) of this Paragraph 12(a) from time to time (which adjustment shall be
effective immediately if it results in a decrease in the percentage or shall be
effective upon 61 days' prior written notice or immediately in the event of the
announcement of a pending or proposed Change in Control Transaction if it
results in an increase in the percentage) and (z) each Holder may eliminate or
reinstate this limitation at any time and from time to time (which elimination
will be effective upon 61 days' prior notice and which reinstatement will be
effective immediately). Without limiting the foregoing, in the event of the
announcement of a pending or proposed Change in Control Transaction, any Holder
may reinstate immediately (in whole or in part) the requirement that any
increase in its Restricted Ownership Percentage be subject to 61 days' prior
written notice, notwithstanding such Change in Control Transaction, without
imposing such requirement on, or otherwise changing such Holder's rights with
respect to, any other Change in Control Transaction. For this purpose, any
material modification of the terms of a Change in Control Transaction will be
deemed to result in a new Change in Control Transaction. The term "deemed
beneficially owned" as used in this Debenture shall exclude shares that might
otherwise be deemed beneficially owned by reason of the convertibility of the
Debentures. The Company shall provide all Holders with the earlier of (i) 20
days' prior written notice of any such Change in Control Transaction, to the
extent the Company has prior knowledge of a Change in Control Transaction; or
(ii) notice on the day immediately following the Company's learning of any such
transaction, but only after, in the case of (i) and (ii), such Change in Control
Transaction has been publicly disclosed.
(b) Notwithstanding anything to the contrary contained herein, unless
the Company shall have obtained the approval of its stockholders to such
issuance in accordance
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<PAGE>
with the rules of the Nasdaq Stock Market, Inc. or other principal market on
which the Common Stock is then traded, this Debenture shall not be convertible
into a number of Common Shares which, when added to the number of Common Shares
previously issued upon conversion of the Debentures, would equal or exceed
twenty percent (20%) of the number of shares of Common Stock issued and
outstanding on the date the Debentures were first issued. The Company shall
redeem any Debenture (or portion thereof) for which a Conversion Notice has been
delivered, but which are not convertible into Common Shares due to the
limitation set forth in the preceding sentence, at a redemption price equal to
125% of the Outstanding Principal Amount, plus accrued but unpaid interest and
default payments, in accordance with the redemption procedures set forth in
Paragraphs 6(c), (d), (e) and (f) hereof.
13. Obligations Absolute. No provision of this Debenture shall alter or
impair the obligation of the Company, which is absolute and unconditional, to
pay the principal of, and interest and default payments on, this Debenture at
the time, place and rate, and in the manner, herein prescribed.
14. Waivers of Demand, Etc. The Company hereby expressly and irrevocably
waives demand and presentment for payment, notice of nonpayment, protest, notice
of protest, notice of dishonor, notice of acceleration or intent to accelerate,
bringing of suit and diligence in taking any action to collect amounts called
for hereunder, and will be directly and primarily liable for the payment of all
sums owing and to be owing hereon, regardless of and without any notice,
diligence, act or omission as or with respect to the collection of any amount
called for hereunder.
15. Replacement Debenture. In the event that any Holder notifies the
Company that its Debenture(s) have been lost, stolen or destroyed, replacement
Debenture(s) identical in all respects to the original Debenture(s) (except for
registration number and Outstanding Principal Amount, if different than that
shown on the original Debenture(s)), shall be issued to the Holder, provided
that the Holder executes and delivers to the Company an agreement reasonably
satisfactory to the Company to indemnify the Company from any loss incurred by
it in connection with such Debenture.
16. Payment of Expenses; Issue Taxes. The Company agrees to pay all debts
and expenses, including reasonable attorneys' fees, which may be incurred by the
Holder in enforcing the provisions of this Debenture and/or collecting any
amount due under this Debenture, the Purchase Agreement, any Warrant or the
Registration Rights Agreement. The Company shall pay any and all issue and other
taxes (excluding any income, franchise or similar taxes) that may be payable in
respect of any issue or delivery of Common Shares on conversion of any Debenture
pursuant hereto.
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<PAGE>
17. Defaults. If one or more of the following described "Events of Default"
shall occur:
The Company shall default in the timely payment of (i) interest on this
Debenture or (ii) the principal of this Debenture, and in each case such default
shall not have been cured within five (5) days ; or
Any of the representations or warranties made by the Company or AIRI,
as the case may be, herein, in the Purchase Agreement, the Mortgage and Security
Agreement, the Registration Rights Agreement, any Warrant or in any certificate
or financial or other statements heretofore or hereafter furnished by or on
behalf of the Company or AIRI, as the case may be, in connection with the
execution and delivery of this Debenture or such other documents shall be false
or misleading in any material respect at the time made; or
The Company or AIRI, as the case may be, shall fail to perform or
observe in any material respect any covenant or agreement in the Purchase
Agreement or the Registration Rights Agreement, the Mortgage and Security
Agreement or any other material covenant, term, provision, condition, agreement
or obligation of the Company under this Debenture and such failure shall
continue uncured for a period of five (5) business days after notice from the
Holder of such failure; or
The Company shall (1) become insolvent; (2) admit in writing its
inability to pay its debts generally as they mature; (3) make an assignment for
the benefit of creditors or commence proceedings for its dissolution; or (4)
apply for or consent to the appointment of a trustee, liquidator or receiver for
it or for a substantial part of its property or business; or
A trustee, liquidator or receiver shall be appointed for the Company or
for a substantial part of its property or business without its consent and shall
not be discharged within thirty (60) days after such appointment; or
Any governmental agency or any court of competent jurisdiction at the
instance of any governmental agency shall assume custody or control of the whole
or any substantial portion of the properties or assets of the Company and shall
not be dismissed within thirty (30) days thereafter; or
The Company shall sell or otherwise transfer all or substantially all
of its assets; or
Bankruptcy, reorganization, insolvency or liquidation proceedings or
other proceedings or relief under any bankruptcy law or any law for the relief
of debt shall be instituted by or against the Company and, if instituted against
the Company, shall not be dismissed within thirty (60) days after such
institution, or the Company shall by any action or answer approve of, consent
to, or acquiesce in any such proceedings or admit to any material allegations
of, or default in answering a petition filed in any such proceeding; or
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<PAGE>
The Company shall be in default of any of its indebtedness (excluding
indebtedness incurred in the ordinary course of business such as trade debt and
accounts payable and indebtedness secured by accounts receivable and inventory)
that gives the holder thereof the right to accelerate such indebtedness; or
A "going private" transaction under Rule 13e-3 promulgated pursuant to
the Exchange Act shall have been announced; or
A tender offer by the Company under Rule 13e-4 promulgated pursuant to
the Exchange Act shall have been announced; or
An event of default shall have occurred under the Mortgage and Security
Agreement;
then, or at any time thereafter, and in each and every such case, unless such
Event of Default shall have been waived in writing by the Holder (which waiver
shall not be deemed to be a waiver of any subsequent default), at the option of
the Holder and in the Holder's sole discretion the Holder may consider the
Debenture immediately due and payable, without presentment, demand, protest or
notice of any kind, all of which are hereby expressly waived, anything herein or
in any other instruments to the contrary notwithstanding, and the Holder may
immediately, and without expiration of any period of grace, enforce any and all
of the Holder's rights and remedies provided herein or any other rights or
remedies afforded by law. In such event, the Debenture shall be redeemed at a
redemption price per Debenture equal to 125% of the Outstanding Principal Amount
of the Debenture, plus accrued but unpaid interest and default payments on the
Debenture.
18. Savings Clause. In case any provision of this Debenture is held by a
court of competent jurisdiction to be excessive in scope or otherwise invalid or
unenforceable, such provision shall be adjusted rather than voided, if possible,
so that it is enforceable to the maximum extent possible, and the validity and
enforceability of the remaining provisions of this Debenture will not in any way
be affected or impaired thereby, and such provision shall remain effective in
all other jurisdictions.
19. Entire Agreement. This Debenture, the Warrants and the agreements
referred to in this Debenture constitute the full and entire understanding and
agreement between the Company and the Holder with respect to the subject hereof.
Neither this Debenture nor any term hereof may be amended, waived, discharged or
terminated other than by a written instrument signed by the Company and the
Holder.
20. Assignment, Etc. The Holder (but not the Company) may, without notice,
transfer or assign this Debenture or any interest herein and may mortgage,
encumber or
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<PAGE>
transfer any of its rights or interest in and to this Debenture or any part
hereof and, without limitation, each assignee, transferee and mortgagee (which
may include any affiliate of the Holder) shall have all of the rights of the
Holder under this Debenture and shall have the right to transfer or assign its
interest. The Company agrees that, subject to compliance with the Purchase
Agreement, after receipt by the Company of written notice of assignment from the
Holder or from the Holder's assignee, all principal, interest and other amounts
which are then and thereafter become due under this Debenture shall be paid to
such assignee at the place of payment designated in such notice. This Debenture
shall be binding upon the Company and its successors and affiliates and shall
inure to the benefit of the Holder and its successors and assigns.
21. No Waiver. No failure on the part of the Holder to exercise, and no
delay in exercising any right, remedy or power hereunder shall operate as a
waiver thereof, nor shall any single or partial exercise by the Holder of any
right, remedy or power hereunder preclude any other or future exercise of any
other right, remedy or power. Each and every right, remedy or power hereby
granted to the Holder or allowed it by law or other agreement shall be
cumulative and not exclusive of any other, and may be exercised by the Holder
from time to time.
22. Certificate for Conversion Price Adjustment. The Company shall, upon
the written request at any time of any Holder of this Debenture, furnish or
cause to be furnished to such Holder a certificate prepared by the chief
financial officer of Company setting forth any adjustments or readjustments of
the Conversion Price pursuant to this Debenture.
23. Notices. The Company shall distribute to the Holder of this Debenture
copies of all notices, materials, annual and quarterly reports, proxy
statements, information statements and any other documents distributed generally
to the holders of shares of Common Stock of the Company, at such times and by
such method as such documents are distributed to such holders of such Common
Stock, but shall not directly or indirectly provide material non-public
information to the Holder without such Holder's prior written consent.
24. Specific Enforcement. The Company agrees that irreparable damage would
occur in the event that any of the provisions of this Debenture were not
performed in accordance with their specific terms or were otherwise breached. It
is accordingly agreed that the Holder of this Debenture shall be entitled to
swift specific performance, injunctive relief or other equitable remedies to
prevent or cure breaches of the provisions of this Debenture and to enforce
specifically the terms and provisions hereof, this being in addition to any
other remedy to which any of them may be entitled under agreement, at law or in
equity.
25. Miscellaneous. Unless otherwise provided herein, any notice or other
communication to a party hereunder shall be sufficiently given if in writing and
personally delivered, facsimiled or mailed to said party by certified mail,
return receipt requested, at its
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<PAGE>
address set forth herein or such other address as either may designate for
itself in such notice to the other and communications shall be deemed to have
been received when delivered personally or, if sent by mail or facsimile, then
when actually received by the party to whom it is addressed. Whenever the sense
of this Debenture requires, words in the singular shall be deemed to include the
plural and words in the plural shall be deemed to include the singular.
Paragraph headings are for convenience only and shall not affect the meaning of
this document.
26. GOVERNING LAW; CONSENT TO JURISDICTION. THIS DEBENTURE SHALL BE
GOVERNED BY AND CONSTRUED AND ENFORCED IN ACCORDANCE WITH THE LAWS OF THE STATE
OF NEW YORK APPLICABLE TO AGREEMENTS TO BE EXECUTED AND PERFORMED ENTIRELY
WITHIN SUCH STATE. THE COMPANY (I) HEREBY IRREVOCABLY SUBMITS TO THE EXCLUSIVE
JURISDICTION OF THE STATE AND FEDERAL COURTS LOCATED IN NEW YORK COUNTY, NEW
YORK FOR THE PURPOSES OF ANY SUIT, ACTION OR PROCEEDING ARISING OUT OF OR
RELATED TO THIS DEBENTURE AND (II) HEREBY WAIVES, AND AGREES NOT TO ASSERT IN
ANY SUCH SUIT, ACTION OR PROCEEDING, ANY CLAIM THAT IT IS NOT PERSONALLY SUBJECT
TO THE JURISDICTION OF SUCH COURT, THAT THE SUIT, ACTION OR PROCEEDING IS
BROUGHT IN AN INCONVENIENT FORUM OR THAT THE VENUE OF THE SUIT, ACTION OR
PROCEEDING IS IMPROPER. THE COMPANY CONSENTS TO PROCESS BEING SERVED IN ANY SUCH
SUIT, ACTION OR PROCEEDING BY MAILING A COPY THEREOF TO SUCH PARTY AS PROVIDED
HEREIN AND AGREES THAT SUCH SERVICE SHALL CONSTITUTE GOOD AND SUFFICIENT SERVICE
OF PROCESS AND NOTICE THEREOF. NOTHING IN THIS PARAGRAPH SHALL AFFECT OR LIMIT
ANY RIGHT TO SERVE PROCESS IN ANY OTHER MANNER PERMITTED BY LAW.
[Signature Page Follows ]
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<PAGE>
IN WITNESS WHEREOF, the Company has caused this instrument to be duly
executed by an officer thereunto duly authorized.
Dated: February 18,1999
AMERICAN INTERNATIONAL PETROLEUM
CORP.
By:______________________________
Name:______________________
Title:_____________________
Address:___________________
[Signature page to 5% Convertible Secured Debenture of
American International Petroleum Corp.]
<PAGE>
EXHIBIT 1
(To be Executed by Registered Holder
in order to Convert Debenture)
CONVERSION NOTICE
FOR
5% CONVERTIBLE SECURED DEBENTURE DUE FEBRUARY 18, 2004
The undersigned, as Holder of the 5% Convertible Secured Debenture Due February
18, 2004 of AMERICAN INTERNATIONAL PETROLEUM CORP. (the "Company"), in the
outstanding principal amount of U.S$10,000,000 (the "Debenture"), hereby elects
to convert that portion of the outstanding principal amount of the Debenture
shown on the next page into shares of Common Stock, par value $.08 per share
(the "Common Stock"), of the Company according to the conditions of the
Debenture, as of the date written below. The undersigned hereby requests that
share certificates for the Common Stock to be issued to the undersigned pursuant
to this Conversion Notice be issued in the name of, and delivered to, the
undersigned or its designee as indicated below. If shares are to be issued in
the name of a person other than the undersigned, the undersigned will pay all
transfer taxes payable with respect thereto. No fee will be charged to the
Holder for any conversion, except for transfer taxes, if any.
Conversion Information: NAME OF HOLDER:
By:__________________________________
Print Name:__________________________
Print Title:_________________________
Print Address of Holder:
_____________________________________
_____________________________________
Issue Common Stock to:_______________
at:__________________________________
Electronically transmit and credit
Common Stock to:
___________________at:_______________
_____________________________________
Holder Conversion Date
_____________________________________
Applicable Conversion Rate
THE COMPUTATION OF THE NUMBER OF COMMON SHARES TO
BE RECEIVED IS SET FORTH ON THE ATTACHED PAGE
<PAGE>
Page 2 to Conversion Notice for:_____________________________________________
(Name of Holder)
COMPUTATION OF NUMBER OF COMMON SHARES TO BE RECEIVED
A. Outstanding Principal Amount to be converted: $_________
B. Accrued, unpaid interest on Outstanding Principal
Amount to be converted: $_________
C. Default payments due Holder: $_________
Total dollar amount converted (total of A + B + C) $
=========
Conversion Price $_________
Number of Shares of Common Stock = Total dollar amount Converted $_________
= $
Conversion Price
Number of shares of Common Stock = ______________
If the conversion is not being settled by DTC, please issue and deliver _____
certificate(s) for shares of Common Stock in the following amount(s):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Please issue and deliver _____ new Debenture(s) in the following amounts:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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