EX-99.1 8 a2058712zex-99_1.txt EXHIBIT 99-1 EXHIBIT 99.1 Subscription Application (Revised) EXHIBIT 99.1 SUBSCRIPTION AGREEMENT SUBSCRIPTION AGREEMENT AND LETTER OF INVESTMENT INTENT InPurple, Inc. 600 Anton Blvd. 11th Floor Costa Mesa, CA Gentlemen: The undersigned hereby tenders this subscription for the purchase of _______________ Shares of common stock of INPURPLE, INC., a Delaware corporation (the "Company") at a price of $5.00 per Share. A check or other form of payment payable to "INPURPLE, INC." in the amount of $_____________ in cash is also delivered herewith. The undersigned understands that a subscription for the Shares may be rejected for any reason and that, in the event that this subscription is rejected, the funds delivered herewith will be promptly returned, without interest thereon or deduction therefrom. By execution below, the undersigned acknowledges that the Company is relying upon the accuracy and completeness of the representations contained herein in complying with its obligations under applicable securities laws. The undersigned represents and warrants that the undersigned is a bona fide resident of, is domiciled in and received the offer and made the decision to invest in the Shares in the state set forth on the signature page hereof, and the Shares are being purchased by the undersigned in the undersigned's name solely for the undersigned's own beneficial interest and not as nominee for, or on behalf of, or for the beneficial interest of, or with the intention to transfer to, any other person, trust or organization. The undersigned, if other than an individual, makes the following representations: (a) The undersigned was not organized for the specific purpose of acquiring the Shares; and (b) This Subscription Agreement and Letter of Investment Intent have been duly authorized by all necessary action on the part of the undersigned, have been duly executed by an authorized representative of the undersigned, and are legal, valid and binding obligations of the undersigned enforceable in accordance with their respective terms. 6. Manner in Which Title is To Be Held. Place an "X" in one space below: (a) _____ Individual Ownership (b) _____ Community Property (c) _____ Joint Tenant with Right of Survivorship (both parties must sign) (d) _____ Partnership (e) _____ Tenants in Common (f) _____ Corporation (g) _____ Trust (h) _____ Other (Describe): _______________________________________________________ 7. My state of residence and the state I received the offer to invest and made the decision to invest in the Shares is: __________________ SIGNATURES Executed this _____ day of ________________, 2001, at _________________________. Please print above the exact name(s) in which the Shares are to be held. The undersigned hereby represents he has read this entire Subscription Agreement and Letter of Investment Intent as well as the Memorandum. INDIVIDUAL Address to Which Correspondence Should be Directed _______________________________________ _____________________________________ Signature (Individual) Printed Name _____________________________________ Street address ________________________________________ _____________________________________ Signature (All record holders should sign) City, State and Zip Code ________________________________________ _____________________________________ Name(s) Typed or Printed Tax Identification or Social Security Number ( ) ------------------------------------- Telephone Number
CORPORATION, PARTNERSHIP, TRUST, OR OTHER ENTITY Address to Which Correspondence Should be Directed Name of Entity ___________________________________ _____________________________________ Type of Entity (i.e., corporation, Street Address partnership, etc.) ___________________________________ _____________________________________ State of Formation of Entity City, State and Zip Code By:_______________________________________ _____________________________________ *Signature Tax I.D. or Social Security Number ( ) Its:______________________________________ ------------------------------------- Title Telephone Number __________________________________________ Name Typed or Printed
*If Shares are being subscribed for by an entity, the Certificate of Signatory must also be completed. CERTIFICATE OF SIGNATORY TO BE COMPLETED IF SHARES ARE BEING SUBSCRIBED FOR BY AN ENTITY. I, _______________________________, am the _______________________________ of (the "Entity"). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of the Subscription Agreement and Letter of Investment Intent and to purchase and hold the Shares, and certify that the Subscription Agreement and Letter of Investment Intent have been duly and validly executed on behalf of the Entity and constitute legal and binding obligations of the Entity. IN WITNESS WHEREOF, I have hereto set my hand this ____ day of ________ 2001. ______________________________________ Signature ACCEPTANCE This Subscription Agreement is accepted as of _________________________ , 2001. INPURPLE, INC., a Delaware corporation By:____________________________ Sean P. Lewis, Chairman