-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NaaQYCWHUTFBjRvX0vIECUjeeG/gYQ2HBHNp5B/3KuFeoNeF5iM9DeSkwaH8zu3D 2509jOUd5ez+S+vQBZMjQw== 0000897101-08-001287.txt : 20080605 0000897101-08-001287.hdr.sgml : 20080605 20080605134549 ACCESSION NUMBER: 0000897101-08-001287 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20080530 ITEM INFORMATION: Unregistered Sales of Equity Securities ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20080605 DATE AS OF CHANGE: 20080605 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EAUTOCLAIMS, INC CENTRAL INDEX KEY: 0001034694 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 954583945 STATE OF INCORPORATION: NV FISCAL YEAR END: 0731 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-23903 FILM NUMBER: 08882571 BUSINESS ADDRESS: STREET 1: 110 EAST DOUGLAS RD CITY: OLDSMAR STATE: FL ZIP: 34677 BUSINESS PHONE: 8137491020 MAIL ADDRESS: STREET 1: 110 EAST DOUGLAS RD CITY: OLDSMAR STATE: FL ZIP: 34677 FORMER COMPANY: FORMER CONFORMED NAME: EAUTOCLAIMS COM INC DATE OF NAME CHANGE: 20000706 FORMER COMPANY: FORMER CONFORMED NAME: TRANSFORMATION PROCESSING INC DATE OF NAME CHANGE: 19980306 8-K 1 eauto082516_8k.htm FORM 8-K DATED MAY 30, 2008 eAUTOCLAIMS, INC. FORM 8-K DATED MAY 30, 2008
 
 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


FORM 8-K


 

CURRENT REPORT

 

PURSUANT TO SECTION 13 OR 15(d) OF

THE SECURITIES EXCHANGE ACT OF 1934

 

Date of Report (Date of earliest event reported): May 30, 2008

 

Commission File Number 0-23903

 


eAUTOCLAIMS, INC.

(Exact name of registrant as specified in its charter)

 

Nevada

95-4583945

(State or other jurisdiction of

incorporation or organization)

(IRS Employer

Identification No.)

 

110 East Douglas Road, Oldsmar, Florida

34677

(Address of principal executive offices)

(Zip Code)

 

(813) 749-1020

(Registrant’s telephone number)

 


Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

o

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

o

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

o

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

o

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 


 
 



Item 3.02.

Unregistered Sales of Equity Securities

 

 

On May 30, 2008, the Chairman of the Board agreed to convert his $200,000 in outstanding notes into shares of the Company’s common stock at the fair market value of $.035 per share. Accordingly, a total of 5,714,285 shares were issued as a result of this conversion. Also on May 30, 2008 the Company raised an additional $400,000 for working capital from the Chairman through the issuance of shares and warrants of the Company’s common stock. As a result of this transaction the Company issued a total of 11,428,571 shares to the Chairman at the approximate fair market value of $.035 per share. The Company also issued a three year warrant to purchase 8,571,428 shares of the Company’s common stock at an exercise price of $.035 per share. The Company paid a total of $24,000 to an agent for helping to facilitate this transaction.

 

Item 9.01

Financial Statements and Exhibits

 

Exhibit Number Description

 

 

99.1

Common Stock Purchase Warrant

 

 

99.2

Subscription Agreement

 

 

99.3

Conversion Letter

 

 

 




SIGNATURE

 

Pursuant to the requirements of the Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

Date:   June 5, 2008

 

eAUTOCLAIMS, INC.

 

By: 


/s/ Jeffrey Dickson

 

 

Print Name:   

Jeffrey Dickson

 

 

Title:

CEO and President






EX-99.1 2 eauto082516_ex99-1.htm COMMON STOCK PURCHASE WARRANT eAUTOCLAIMS, INC. COMMON STOCK PURCHASE WARRANT

Exhibit 99.1

Void after 5:00 p.m., New York Time on May 30, 2011

Warrant to Purchase 8,571,428 Shares of Common Stock

 

_________________________________

 

WARRANT TO PURCHASE COMMON STOCK

 

OF

 

eAUTOCLAIMS, INC.

_________________________________

 

THIS WARRANT AND THE SHARES OF COMMON STOCK

ISSUABLE PURSUANT TO THIS WARRANT HAVE NOT

BEEN REGISTERED UNDER THE SECURITIES ACT OF

1933, AS AMENDED (THE “SECURITIES ACT”),

AND ARE BEING OFFERED AND SOLD PURSUANT

TO RULE 506 OF REGULATION D

 

 

FOR VALUE RECEIVED, eAutoclaims, Inc., a Nevada corporation (the “Company”), grants the following rights to W. AUSTIN LEWIS IV (“Holder”):

 

 

ARTICLE 1. DEFINITIONS.

 

As used herein, the following terms shall have the following meanings, unless the context shall otherwise require:

 

(a)       “Common Stock” shall mean the common stock, par value $0.001 per share, of the Company.

 

(b)       “Corporate Office” shall mean the office of the Company (or its successor) at which at any particular time its principal business shall be administered.

 

(c)       “Closing” shall mean the date the Company receives funds from the Investor in payment for the Underlying Shares.

 

(d)       “Exercise Date” shall mean any date upon which the Holder shall give the Company a Notice of Exercise.

 

(e)       “Exercise Price” shall mean the price to be paid to the Company for each share of Common Stock to be purchased upon exercise of this Warrant in accordance with the terms hereof. The Exercise Price is $.035 per Share.

 

(f)        “Expiration Date” shall mean 5:00 p.m. (New York time) on May 30, 2011.





(g)       “SEC” shall mean the United States Securities and Exchange Commission.

 

(h)       “Underlying Shares” shall mean the shares of the Common Stock issuable upon exercise of the Warrant.

 

ARTICLE 2. EXERCISE AND AGREEMENTS.

 

2.1       Exercise of Warrant. This Warrant shall entitle Holder to purchase up to eight million five hundred seventy one thousand four hundred twenty eight (8,571,428) shares of Common Stock (the “Shares”) at the Exercise Price. This Warrant shall be exercisable at any time and from time to time prior to the Expiration Date (the “Exercise Period”). This Warrant and the right to purchase Shares hereunder shall expire and become void at the Expiration Date.

 

2.2       Manner of Exercise.

 

(a)        Holder may exercise this Warrant at any time, starting at the time of closing and from time to time during the Exercise Period, in whole or in part (but not in denominations of fewer than 100,000 Shares, except upon an exercise of this Warrant with respect to the remaining balance of Shares purchasable hereunder at the time of exercise), by delivering to the Company (i) a duly executed Notice of Exercise in substantially the form attached as Appendix 1 hereto, and (ii) a wire transfer or check for the aggregate Exercise Price of the Shares being purchased.

 

(b)        From time to time upon exercise of this Warrant, in whole or part, in accordance with its terms, the Company will instruct its transfer agent to deliver stock certificates to the Holder representing the number of Shares being purchased pursuant to such exercise, subject to adjustment as described herein.

 

(c)        Promptly following any exercise of this Warrant, if the Warrant has not been fully exercised and has not expired, the Company will deliver to the Holder a new Warrant for the balance of the Shares covered hereby.

 

2.3       Termination. All rights of the Holder in this Warrant, to the extent they have not been exercised, shall terminate on the Expiration Date.

 

2.4       No Rights Prior to Exercise. Prior to its exercise pursuant to Section 2.2 above, this Warrant shall not entitle the Holder to any voting or other rights as holder of Shares.

 

2.5       Adjustments.

 

(a)        Reclassification. In case of any reclassification, stock split, or reverse stock split, or reverse stock split, or conveyance. Any such provision shall include provision for adjustments that shall be as nearly equivalent as may be practicable to the adjustments provided for in this Section 2.5. The foregoing provisions shall similarly apply to successive reclassifications, capital reorganizations, stock dividends, stock split, or reverse stock split, and other changes of outstanding shares of Common Stock.

 

2




(b)         Merger. In the case of any consolidation or merger of the Company with or into another corporation (other than a consolidation or merger in which the Company is the continuing corporation and which does not result in any reclassification, capital reorganization, stock dividend or other change of outstanding change of outstanding common stock), or in the case of any sale or conveyance to another corporation of the property of the corporation as, or substantially as, an entirety (collectively “Sale of the Business”) the Company shall give the warrant holder at least twenty (20) business days advance notice of the material terms and conditions of the Sale of Business transaction. The Warrant Holder shall notify the Company within five (5) business days of the expected closing date of the Sale of Business as disclosed in the notification by the Company to the Warrant Holder of the Warrant Holder’s intent to exercise this Warrant, which exercise shall include the notice of exercise and a bank cashier’s or certified check for the aggregate Exercise Price of the underlying Shares being purchased. If the Warrant Holder does not timely elect to exercise the Warrant in accordance with these provisions the Warrant shall terminate and be null and void.

 

2.6       Fractional Shares. No fractional Shares shall be issuable upon exercise of this Warrant and the number of Shares to be issued shall be rounded up to the nearest whole Share. If a fractional Share interest arises upon any exercise of the Warrant, the Company shall eliminate such fractional Share interest by issuing Holder an additional full Share.

 

ARTICLE 3. REPRESENTATIONS AND COVENANTS OF THE COMPANY.

 

3.1       Representations and Warranties. The Company hereby represents and warrants to the Holder as follows:

 

(a)        All Shares which may be issued upon the exercise of the purchase right represented by this Warrant shall, upon issuance, be duly authorized, validly issued, fully-paid and nonassessable, and free of any liens and encumbrances except for restrictions on transfer provided for herein or under applicable federal and state securities laws, and not subject to any pre-emptive rights.

 

(b)       The Company is a corporation duly organized and validly existing under the laws of the State of Nevada, and has the full power and authority to issue this Warrant and to comply with the terms hereof. The execution, delivery and performance by the Company of its obligations under this Warrant, including, without limitation, the issuance of the Shares upon any exercise of the Warrant have been duly authorized by all necessary corporate action. This Warrant has been duly executed and delivered by the Company and is a valid and binding obligation of the Company, enforceable in accordance with its terms, except as enforcement may be limited by applicable bankruptcy, insolvency, reorganization or similar laws affecting enforceability of creditors’ rights generally and except as the availability of the remedy of specific enforcement, injunctive relief or other equitable relief is subject to the discretion of the court before which any proceeding therefor may be brought.

 

(c)        The Company is not subject to or bound by any provision of any certificate or articles of incorporation or by-laws, mortgage, deed of trust, lease, note, bond, indenture, other instrument or agreement, license, permit, trust, custodianship, other restriction or any applicable provision of any law, statute, rule, regulation, judgment, order, writ, injunction or decree of any court, governmental body, administrative agency or arbitrator which could prevent or be violated by or under which there would be a default (or right of termination) as a result of the execution, delivery and performance by the Company of this Warrant.

 

3




(d)       The Company is subject to the reporting requirements of Section 13 or Section 15d of the Securities Exchange Act of 1934, as amended. The Company is eligible to issue the Warrants and the Underlying Shares pursuant to Rule 506 of Regulation D promulgated under the Securities Act.

 

ARTICLE 4. REDEMPTION OF WARRANTS.

 

4.         Redemption of Warrants. The Company, at its option, may redeem all or any portion on a pro rata basis, of the outstanding Warrants at a price of $.01 per Warrant, upon at least 10 days’ notice to the registered Holders of Warrants, provided that the average closing price per share of Common Stock (determined as hereinafter provided) shall have been $.30 or greater, and an average of 500,000 shares traded per day, for a period of 10 consecutive business days per day ended immediately prior to the date of such notice. For the purpose of determining whether the Company may redeem the Warrants pursuant to this Section 4, the closing price per share of Common Stock for each day shall be the last reported sales price, regular way, or, in case no such reported sale takes place on such day, the average of the reported closing bid and asked prices, regular way, in either case, on any exchange (NASDAQ or OTC:BB) on which the Common Stock is listed or admitted to trading, or, if there is no such representative closing bid on NASDAQ or OTC.BB on such day, a price determined in any reasonable manner approved by the Board of Directors of the Company.

 

If the Company shall elect to redeem the Warrants pursuant to this Section 4, notice of redemption shall be given to the Holder at least 10 days prior to the date fixed for redemption, to their last addresses as they shall appear on the warrant register, but failure to give such notice by mail to the Holder of any Warrant, or any defect therein, shall not affect the validity of the proceedings for the redemption of any other Warrants. The notice shall state that the Company is redeeming the Warrant pursuant to the Section 4 at the redemption price of $.01 per Warrant, and the date fixed for redemption; shall state that payment of the redemption price of the Warrants will be made at the corporate offices of the Company upon presentation and surrender of such Warrants; shall state that the right to exercise the Warrants will terminate as provided in this Agreement (stating the date of such termination); and shall state the Exercise Price. The date of redemption for the Warrants pursuant to this Section 4 shall be any date chosen by the Company which complies with the notice requirement set forth in this Section 4. The Holder shall have the right to exercise the Warrants during this ten (10) day notice period by complying with the manner of exercise provisions of Section 2.2. If the Holder does not elect to exercise during this ten (10) day redemption notice period, the Warrants shall be considered redeemed and cancelled. If the giving of notice of redemption shall have been completed as provided above, and if funds sufficient for the redemption of the Warrants pursuant to this Section 4 shall have been deposited into a separate bank account for such purpose, the right to exercise the Warrants shall terminate, provided the Warrant holder does not exercise during the ten (10) day redemption notice period, at the close of business on the business day preceding the date fixed for redemption, and the Holder shall thereafter be entitled upon surrender of his Warrant, only to receive $.01 per Warrant, without interest.

 

ARTICLE 5. MISCELLANEOUS.

 

5.1       Transfer. This Warrant may not be transferred or assigned, in whole or in part, at any time, except in compliance with applicable federal and state securities laws by the transferor and the transferee (including, without limitation, the delivery of an investment representation letter and a legal opinion reasonably satisfactory to the Company), provided that this Warrant may not be transferred or assigned such that either the Holder or any transferee will, following such transfer or assignment, hold a Warrant for the right to purchase fewer than 100,000 Shares.

 

4




5.2       Transfer Procedure. Subject to the provisions of Section 5.1, Holder may transfer or assign this Warrant by giving the Company notice setting forth the name, address and taxpayer identification number of the transferee or assignee, if applicable (the “Transferee”) and surrendering this Warrant to the Company for reissuance to the Transferee (and the Holder, in the event of a transfer or assignment of this Warrant in part). (Each of the persons or entities in whose name any such new Warrant shall be issued is herein referred to as a Holder”).

 

5.3       Loss, Theft, Destruction or Mutilation. If this Warrant shall become mutilated or defaced or be destroyed, lost or stolen, the Company shall execute and deliver a new Warrant in exchange for and upon surrender and cancellation of such mutilated or defaced Warrant or, in lieu of and in substitution for such Warrant so destroyed, lost or stolen, upon the Holder filing with the Company evidence satisfactory to it that such Warrant has been so mutilated, defaced, destroyed, lost or stolen. However, the Company shall be entitled, as a condition to the execution and delivery of such new Warrant, to demand indemnity satisfactory to it and payment of the expenses and charges incurred in connection with the delivery of such new Warrant. Any Warrant so surrendered to the Company shall be canceled.

 

5.4       Notices. All notices and other communications from the Company to the Holder or vice versa shall be deemed delivered and effective when given personally, by facsimile transmission and confirmed in writing or mailed by first-class registered or certified mail, postage prepaid at such address and/or facsimile number as may have been furnished to the Company or the Holder, as the case may be, in writing by the Company or the Holder from time to time.

 

5.5       Waiver. This Warrant and any term hereof may be changed, waived, or terminated only by an instrument in writing signed by the party against which enforcement of such change, waiver, discharge or termination is sought.

 

5.6       Governing Law. This Warrant shall be governed by and construed in accordance with the laws of the State of Florida, without giving effect to its principles regarding conflicts of law.

 

 

Dated: May 30, 2008

 

eAUTOCLAIMS, INC.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attest:

 

By:

 

 

 

Name:

 

 

 

 

Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOLDER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

W. Austin Lewis IV

 

 

#439579v1

 

5




APPENDIX 1

 

NOTICE OF EXERCISE

 

1.         The undersigned hereby elects to purchase __________ shares of the Common Stock of eAutoclaims, Inc. pursuant to the terms of the attached Warrant, and tenders herewith payment of the purchase price of such shares in full.

 

2.         Please issue a certificate or certificates representing said shares in the name of the undersigned or in such other name as is specified below:

 

3.         The undersigned represents it is acquiring the shares solely for its own account and not with a view toward the resale or distribution thereof except in compliance with applicable securities laws.

 

 

 

 

 

 

 

 

 

 

 

 

(Signature)

 

 

 

(Date)

 

 

 








EX-99.2 3 eauto082516_ex99-2.htm STOCK SUBSCRIPTION AGREEMENT eAUTOCLAIMS.COM, INC. STOCK SUBSCRIPTION AGREEMENT

Exhibit 99.2

eAUTOCLAIMS.COM, INC.

STOCK SUBSCRIPTION AGREEMENT

 

1.     General. This Subscription Agreement is dated as of May 30, 2008, and sets forth the terms under which the undersigned investor, W. AUSTIN LEWIS IV (the “Investor”), is acquiring 11,428,571 shares of the common stock (“Shares”) of eAUTOCLAIMS.COM, INC., a Nevada corporation (the “Company”), for a purchase price of $400,000.00 or $.035 per Share. In addition to the Shares, and for no additional consideration, the Company will deliver its Stock Purchase Warrant to the Investor for the purchase of up to 8,571,428 Shares at a purchase price of $.035, subject to redemption by the Company under certain circumstances (the “Warrant’). The Shares, the Warrant and the Shares underlying the Warrant being purchased pursuant to this Subscription Agreement are collectively referred to herein as the “Securities”.

 

The Company is offering the Shares at an initial purchase price of $.035 per Share. The Company is reserving up to an additional 8,571,428 Shares of its common stock which may be issued to the Investors pursuant to the terms of the Warrant, as hereafter described. The Investor is also granted piggyback registration rights in connection with this offering as more fully described in Section 6 of this Subscription Agreement.

 

The Securities are being offered by the Company to a suitable Investor pursuant to Rules 505 or 506 of Regulation D and Section 4(2) of the Securities Act of 1933, as amended. Execution of this Subscription Agreement by the Investor shall constitute an offer by the Investor to subscribe for the Securities on the terms and conditions specified herein and in the Term Sheet. The Company reserves the right to reject such subscription offer, or, by executing a copy of this Subscription Agreement, to accept such offer.

 

2.        Acceptance of Subscription Agreement. The Company’s acceptance of this Subscription Agreement shall be indicated by the execution hereof by an officer of the Company.

 

3.        Investor’s Representations, Warranties and Covenants. The Investor represents, warrants and covenants to the Company as follows:

 

a.        He acknowledges that he has been furnished with and has been given access to all underlying documents in connection with this transaction as well as such other information as he deems necessary or appropriate as a prudent and knowledgeable investor in evaluating his investment in the Securities. He further acknowledges that the Company has given him the opportunity to obtain additional information and to evaluate the merits and risks of his investment. He acknowledges that he has had the opportunity to ask questions of, and receive satisfactory answers from, the officers and directors of the Company concerning the terms and conditions of the offering.

 

b.        He acknowledges that this transaction has not been scrutinized by the United States Securities and Exchange Commission or by any state securities commissions.

 

c.        He has adequate means of providing for his current and future needs and possible personal contingencies, and has no need for liquidity of his investment in the Securities.

 

d.        He can bear the economic risk of losing his entire investment in the Securities.

 




 

e.        He is acquiring the Securities for his own account, for investment only and not with a view toward the resale, fractionalization, division or distribution thereof and he has no present plans to enter into any contract, undertaking, agreement or arrangement for any such resale, distribution, division or fractionalization thereof.

 

f.         He does not have an overall commitment to investments that are not readily marketable, including the Securities and other similar investments, disproportionate to his net worth or gross income.

 

g.        He understands that the offer and sale of the Securities is being made by means of a private placement and that he has read or reviewed and is familiar with this Subscription Agreement and the Company’s filings under the Securities Exchange Act of 1934, as amended.

 

h.        He was previously informed that all documents, records and books pertaining to this investment were at all times available at the offices of the Company, located at 110 East Douglas Road, Oldsmar, Florida 34677; that all such documents, records and books pertaining to this investment requested by the Investor have been made available to him and any persons he has retained to advise him; and that he has no questions concerning any aspect of the investment for which he has not previously received satisfactory answers.

 

i.         He and his agents or advisers have had an opportunity to ask questions of and receive answers from the Company, or a person or persons acting on its behalf, concerning the terms and conditions of this Subscription Agreement and the transactions contemplated hereby and thereby, as well as the affairs of the Company and related matters.

 

j.         He has had an opportunity to obtain additional information necessary to verify the accuracy of the information referred to in subparagraph (i) hereof. Specifically, the Investor acknowledges receipt and confirms Investor has thoroughly reviewed and read the Company’s Form 10-KSB for the year ended July 31, 2007 and the Company’s Form 10-QSB for the three (3) months periods ended October 31, 2007, January 31, 2008 and April 30, 2008.

 

k.           HE UNDERSTANDS THAT THE SECURITIES ARE A SPECULATIVE INVESTMENT, WHICH INVOLVE A HIGH DEGREE OF RISK OF LOSS BY HIM OF HIS ENTIRE INVESTMENT. THERE IS NO ASSURANCE THAT THE RISKS SET FORTH IN THIS SUBSCRIPTION AGREEMENT ARE THE MOST SIGNIFICANT WHICH AN INVESTOR SHOULD CONSIDER.

 

l.            He understands all aspects of and risks associated with this investment or has consulted with his own financial adviser who has advised him thereof and he has no further questions with respect thereto.

 

m.          Unless the Shares are registered as described in Section 6, the undersigned will be required to comply with the provisions of Rule 144 adopted by the Securities and Exchange Commission under the Securities Act with respect to the resale of the Shares. Investor understands Rule 144 has at least a six (6) month holding period and limits on the amount of securities that may be sold in any 90 day period. THUS, THE INVESTOR MAY NOT BE ABLE TO LIQUIDATE HIS INVESTMENT OR TRANSFER ANY SHARES WITHOUT POTENTIAL ADVERSE FINANCIAL CONSEQUENCES. THEREFORE, THE SECURITIES SHOULD NOT BE PURCHASED UNLESS THE INVESTOR HAS LIQUID ASSETS SUFFICIENT TO ASSURE THAT SUCH PURCHASE WILL CAUSE NO UNDUE FINANCIAL DIFFICULTIES AND UNLESS THE INVESTOR CAN OTHERWISE PROVIDE FOR HIS CURRENT NEEDS AND POSSIBLE PERSONAL CONTINGENCIES.

 

Page 2 of 9

 



n.        He is knowledgeable and experienced in financial and business matters. He and/or his financial or business advisers, if any, are capable of evaluating the merits and risks of an investment in the Securities.

 

o.        All information which he has provided to the Company concerning his financial position and knowledge of financial and business matters is correct and complete as of the date set forth at the end of this Subscription Agreement, and if there should be any material change in such information prior to acceptance of this Subscription Agreement by the Company, he will immediately provide the Company with such information.

 

p.        He is a bona fide resident of the State of Florida, maintains his principal residence there or has a driver’s license in that state, and is at least eighteen (18) years of age.

 

q.        If he is executing this Subscription Agreement on behalf of a corporation, partnership, trust or other entity, he has been duly authorized by such entity to execute this Subscription Agreement and all other instruments in connection with the purchase of the Shares, his signature is binding upon such corporation, partnership, trust or other entity and he represents and warrants that such corporation, partnership, trust or other entity was not organized for the purpose of acquiring the Shares subscribed for pursuant to this Subscription Agreement and that the acquisition of the Shares is an authorized investment of the corporation, partnership, trust or other entity.

 

r.         He is aware that that Company will pay a fee to Brimberg and Co. in connection with this transaction.

 

s.        This Subscription Agreement shall be binding upon the heirs, estate, legal representatives, successors and assigns of the undersigned.

 

4.        Regulation FD Confidentiality Covenant of Investor. The Investor understands that certain of the information made available to Investor in connection with the purchase of the Securities is confidential and no currently publicly available. Accordingly, the Investor expressly agrees to treat the information provided to Investor regarding the Company, including possible future transactions, in strict confidence and not disclose such information to any other party. Investor understands the Company is relying upon Investor’s agreement of confidentiality to comply with the exemptive provisions of Regulation FD as set forth in Rule 100(a)(b)(2)(ii) of Regulation FD.

 

5.        Company’s Representations and Warranties. The Company hereby represents and warrants as follows:

 

a.        (i)         It is duly organized, validly existing and in good standing under the laws of Nevada;

 

           (ii)        the Company has all requisite power and authority to sell the Securities as provided herein;

 


Page 3 of 9

 



(iii)      the Company is current in its periodic reporting obligations under the Securities Exchange Act of 1934, as amended;

 

(iv)      this Subscription Agreement has been duly executed and delivered on its behalf and constitutes its legal, valid and binding agreement;

 

(v)       If shares of the Company’s common stock are subdivided or combined into a greater or smaller number of shares of common stock, the number of shares reserved for issuance pursuant to the Warrant shall be proportionately reduced in case of subdivision of shares or proportionately increased in the case of combination of shares.

 

6.          Piggyback Registration Rights. If at any time prior to the removal of restrictive legends pursuant to Rule 144(k) (i.e. holding period), (i) the Company proposes to register shares of Common Stock under the Securities Act, other than on Forms S-8 , S-4 or any successor forms, in connection with a public offering of such shares for cash (a “Proposed Registration”) and (ii) a Registration Statement covering the resale of all of the shares (“Registrable Securities”) is not then effective and available for sales thereof by the Investors, the Company shall, at such time, promptly give each Investor written notice of such Proposed Registration. Each Investor shall have ten (10) Business Days from its receipt of such notice to deliver to the Company a written request specifying the amount of Registrable Securities that such Investor intends to sell and such Investor’s intended method of distribution. Upon receipt of such request, the Company shall use its best efforts to cause all Registrable Securities which the Company has been requested to register to be registered under the Securities Act to the extent necessary permit their sale or other disposition in accordance with the intended methods of distribution specified in the request of such Investor; provided, however, that the Company shall have the right to postpone or withdraw any Proposed Registration without obligation to the Investor. If, in connection with any underwritten public offering for the account of the Company or for stockholders of the Company that have contractual rights to require the Company to register shares of Common Stock, the managing underwriter(s) thereof shall impose a limitation on the number of shares of Common Stock which may be included in a Proposed Registration because, in the judgment of such underwriter(s), marketing or other factors dictate such limitation is necessary to facilitate such offering, then the Company shall be obligated to include in such Proposed Registration only such limited portion of the Registrable Securities with respect to which each Investor has requested inclusion hereunder as such underwriter(s) shall permit. Any exclusion of Registrable Securities shall be made pro rate among the Investors seeking to include Registrable Securities in a Proposed Registration, in proportion to the number of Registrable Securities sought to be included by such Investors; provided, however, that the Company shall not exclude any Registrable Securities unless the Company has first excluded all outstanding securities, the holders of which are not entitled to inclusion of such securities in such Proposed Registration or are not entitled to pro rata inclusion with the Registrable Securities; and provided, further, that, after giving effect to the immediately preceding proviso, any exclusion of Registrable Securities shall be made pro rata with holders of other securities having the right to include such securities in the Proposed Registration.

 

7.        Responsibility and Indemnification. The Company will exercise its best judgment in the conduct of all matters arising under this Subscription Agreement. The undersigned acknowledges that he understands the meaning and legal consequences of the representations and warranties contained herein, and he hereby agrees to indemnify and hold harmless the Company, its officers, directors, shareholders and employees, and any of their affiliates and their officers, directors, shareholders and employees, or any professional advisor or entity thereto, from and against any and all loss, damage, liability or expense, including costs and reasonable attorney’s fees, to which said entities and persons may be put or which they may incur by reason of, or in connection with, any misrepresentation made by the Investor, any breach of any of his warranties, or his failure to fulfill any of his covenants or agreements under this Subscription Agreement.

 

Page 4 of 9

 



 

8.        Company Solely Responsible for Disclosure; No Independent Review or Opinions. The Company has assumed sole responsibility for compliance with the disclosure requirements of federal and state securities laws in connection with the offer and sale of the Shares. No law firm, accounting firm, securities broker/dealer or other third party has conducted any due diligence review of the Company and its business and affairs or any disclosures with respect thereto, written or oral, made by the Company or others. Notwithstanding the preparation of any documents or agreements related to the Company or this investment, the Company’s law firm has not rendered any legal opinions concerning any aspect of the Company’s business and affairs, including but not limited to, the validity or enforceability of any contracts, agreements, obligations or security interests related to an investment in the Company. By execution of this Subscription Agreement, the undersigned acknowledges that the Company is solely responsible for all disclosures to potential Investors concerning the Company and its business and affairs and that no legal opinions have been rendered by the Company’s law firm as described above.

 

9.        Survival of Representations, Warranties, Covenants and Agreements. The representations, warranties, covenants and agreements contained herein shall survive the delivery of, and the payment for, the Securities.

 

10.      Notices. Any and all notices, designations, consents, offers, acceptances or any other communication provided for herein shall be given in writing by registered or certified mail which shall be addressed, in the case of the Company, to 110 East Douglas Road, Oldsmar, Florida 34677, and in the case of the Investor, to the address set forth in this Subscription Agreement or otherwise appearing on the books of the Company or his residence or to such other address as may be designated by him in writing.

 

11.      Miscellaneous. This Subscription Agreement shall be governed by and construed and enforced in accordance with the laws of the State of Florida, both substantive and remedial. The section headings contained herein are for reference purposes only and shall not in any way affect the meaning or interpretation of this Subscription Agreement. This Subscription Agreement shall be enforceable in accordance with its terms and be binding upon and shall inure to the benefit of the parties hereto and their respective successors, assigns, executors and administrators, but this Subscription Agreement and the respective rights and obligations of the parties hereunder shall not be assignable by any party hereto without the prior written consent of the other. This Subscription Agreement represents the entire understanding and agreement between the parties hereto with respect to the subject matter hereof; supersedes all prior negotiations, letters and understandings relating to the subject matter hereof; and cannot be amended, supplemented or modified except by an instrument in writing signed by the party against whom enforcement of any such amendment, supplement or modification is sought. In the event of any litigation between the parties to this Subscription Agreement relating to, or arising out of, this Subscription Agreement, the prevailing party shall be entitled to an award of reasonable attorney’s fees and costs, whether incurred before, during or after trial or at the appellate level. The failure or finding of invalidity of any provision of this Subscription Agreement shall in no manner affect the right to enforce the other provisions of same, and the waiver by any party of any breach of any provision of this Subscription Agreement shall not be construed to be a waiver by such party of any subsequent breach of any other provision.

 

Page 5 of 9

 



12.      State Blue Sky Notices:

 

The following special provisions are applicable solely to the residents of the various states mentioned:

 

FOR FLORIDA RESIDENTS: THESE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR THE FLORIDA SECURITIES ACT, BY REASON OF SPECIFIC EXEMPTIONS THEREUNDER RELATING OT THE LIMITED AVAILABILITY OF THE OFFERING. THESE SECURITIES CANNOT BE SOLD, TRANSFERRED, OR OTHERWISE DISPOSED OF TO ANY PERSON OR ENTITY UNLESS THEY ARE SUBSEQUENTLY REGISTERED OR EXEMPTION FROM REGISTRATION IS AVAILABLE.

 

THE SHARES REFERRED TO HEREIN WILL BE SOLD TO, AND ACQUIRED BY, THE HOLDER IN A TRANSACTION EXEMPT UNDER SECTION 517.061 OF THE FLORIDA SECURITIES ACT. THE SHARES HAVE NOT BEEN REGISTERED UNDER SAID ACT IN THE STATE OF FLORIDA. IN ADDITION, ALL FLORIDA RESIDENTS SHALL HAVE THE PRIVILEGE OF VOIDING THE PURCHASE WITHIN THREE (3) DAYS AFTER THE FIRST TENDER OF CONSIDERATION IS MADE BY SUCH PURCHASER TO THE ISSUER, AN AGENT OF THE ISSUER, OR AN ESCROW AGENT OR WITHIN THREE (3) DAYS AFTER THE AVAILABILITY OF THAT PRIVILEGE IS COMMUNICATED TO SAID PURCHASER, WHICHEVER OCCURS LATER.

 

13.      Suitability Questions. Please complete all of the following suitability questions which apply to the Investor.

 

a.        I am an Accredited Investor because I meet one of the following standards:

 

___     (i)        An individual whose individual net worth, or joint net worth with that individual’s spouse, exceeds $1,000,000 (including the value of homes, home furnishings and personal automobiles).

 

___     (ii)        Natural person(s) who had an income in excess of $200,000 (individual) or $300,000 (joint) in each of the years 2006 and 2007 and who reasonably expects an income in excess of $200,000 (individual) or $300,000 (joint) in 2008. For purposes of this offering, individual income shall equal adjusted income, as reported in the Investor’s federal tax return, increased by the following amounts: (i) the amount of any tax exempt interest received, (ii) the amount of losses claimed as a limited partner in a limited partnership, (iii) any deduction claimed for depletion, (iv) amounts contributed to an IRA or Keogh retirement plan, (v) alimony paid, and (vi) any amount by which income from long-term capital gains has been reduced in arriving at adjusted gross income pursuant to the provisions of Section 1202 of the Internal Revenue Code. For the individual test, income related to a spouse is excluded.

 

___     (iii)       Employee Benefit Plan which has total assets in excess of $5,000,000.

 



Page 6 of 9

 



___     (iv)      A Self-Directed Plan with investment decisions made solely by persons that are accredited Investors.

 

___     (v)       A Trust with total assets in excess of $5,000,000 not formed for the specific purpose of acquiring the securities offered, whose purchase is directed by a sophisticated person as described in Rule 506(b) (2) (ii) of the Securities Act.

 

___     (vi)       Any entity in which all of the equity owners are accredited Investors.

 

b.        Do you think you have sufficient knowledge of the Company to evaluate the risks associated with investing in the Shares?

 

Yes___    No___         If so, why?

 

 

 

 

c.        If you answered “No” to the preceding question, do you have an Investment Advisor or Purchaser Representative upon whom you rely for investment advice?

 

 

Yes___  

No___

 

If so, please provide his name and address

 

 

 

 

d.        Do you understand the nature of the investment in the Shares and the risks involved?

 

 

Yes___  

No___

 

e.        Do you understand that unless the Company registers your Shares under the Securities Act, you will not be able to resell the Shares which you purchase, unless you do so in an exempt transaction or unless you comply with the provisions of Rule 144 and applicable state securities laws?

 

 

Yes___  

No___

 

f.         Do you understand that there is no assurance of any financial return on this investment and that you run the risk of losing your entire investment?

 

 

Yes___  

No___

 

g.         Are you aware that you have the opportunity to inspect the Company’s financial records, legal documents, and other records?

 

Yes___    No___ 

Did you do so?  Yes___    No___ 

 

 


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h.

Are you acting for your own account?

 

 

Yes___  

No___

 

 

If No, please complete the following:

 

 

(i)

Capacity in which you are acting (agent, trustee or otherwise):

 

 

 

(ii)

Name, address and telephone number(s) of person(s) you represent:

 

 

 

 

(iii)

Nature of evidence of authority attached:

 

 

 

14.      Documents Incorporated by Reference. By execution of this Subscription Agreement, the Investor acknowledges that he has been provided with a copy of the following:

 

         Form 10-KSB for year ended July 31, 2007.

         Form 10-QSB for three (3) months ended October 31, 2007, January 31, 2008 and April 30, 2008.

 

IN WITNESS WHEREOF, the undersigned has executed this Subscription Agreement this 30th day of May, 2008.

 







Page 8 of 9

 



TYPE OF OWNERSHIP (Check One)

 

___ 

INDIVIDUAL OWNERSHIP (One Signature Required)

___  

COMMUNITY PROPERTY (one signature required if interest in one name, two signatures required if interest held in both names)

 

 

 

 

___ 

JOINT TENANTS WITH RIGHT OF SURVIVORSHIP (both parties must sign)

___  

TENANTS IN COMMON (both or all parties must sign)

 

 

 

 

___ 

PARTNERSHIP (please include a copy of the partnership agreement authorizing signature)

___  

Grantor Trust

 

 

 

 

___ 

CORPORATION (please include certified corporate resolution authorizing signature)

___  

CUSTODIAN

 

 

 

 

___ 

PROFIT SHARING PLAN

___  

PENSION PLAN

 

 

 

 

___ 

IRA

___  

KEOGH

 

 

 

 

 

 

WITNESSES:

 

 

 

 

Investor Signature

 

 

 

 

 

 

 

 

W. Austin Lewis IV

 

 

 

 

 

Social Security Number_____________________

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

City, State and Zip

 

 

 

SUBSCRIPTION ACCEPTED:

 

 

 

 

 

eAUTOCLAIMS.COM, INC.

 

 

 

 

 

By:

 

 

 

 

 

 

 

Title:

 

 

 

 

 

439421v1

 

 

Page 9 of 9



EX-99.3 4 eauto082516_ex99-3.htm CONVERSION LETTER

Exhibit 99.3

May 30, 2008

 

 

 

 

 

W. Austin Lewis IV

45 Rockefeller Plaza, Suite 2570

New York, New York 10111

 

Mr. Larry C. Colton, CFO

eAutoclaims, Inc

110 East Douglas Road

Oldsmar, Florida 34677

 

Dear Mr. Colton:

 

This letter shall serve as my consent and agreement to convert the $200,000 in notes owed to me by eAutoclaims, Inc. into eAutoclaims, Inc. restricted common stock at the price of $.035 per share. Upon acceptance of this agreement, please issue to me 5,714,285 shares of restricted eAutoclaims, Inc. stock.

 

Sincerely,

 

 

 

W. Austin Lewis IV

 

ACCEPTED:

 

eAutoclaims, Inc.

 

By:

 

Name:

 

Title:

 

 

 






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