Full payment of the exercise price for each share you wish to purchase must be made in U.S. dollars by (1) certified check drawn upon a U.S. bank payable to the Rights Agent, or (2) cashier’s check drawn upon a U.S. bank or express money order payable to the Rights Agent, in each case in accordance with the “Instructions as to use of CTI BioPharma Corp. Subscription Rights Certificates” that accompanied the mailing of the Prospectus. Notwithstanding the foregoing, Eligible Holders who hold shares as a depository or nominee must make all payments by wire transfer of immediately available funds to the account maintained by the Rights Agent.
Payments of the exercise price will be held in an escrow account until five business days following the Expiration Date, unless the Company withdraws or terminates the Subscription Rights offering. No interest will be paid to you on the funds you deposit with the Rights Agent. You will not receive any interest on the payments held by the Rights Agent before your shares have been issued to you or your payment is returned to you, without interest, because your exercise has not been satisfied for any reason.
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PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY |
Section 1: OFFERING INSTRUCTIONS To subscribe for shares pursuant to your Subscription Rights, please complete line (a) AND/OR (b). |
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Exercise of Subscription Rights |
(a) I apply for | | shares x (no. of new Common Stock shares) | | $1.00 (exercise price) | | = $ (amount enclosed) |
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(b) I apply for | | shares x (no. of new Series X Preferred shares) | | $10,000 (exercise price) | | = $ (amount enclosed) |
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[NOTE: If you are NOT a Preferred Eligible Holder and you apply to purchase shares of Series X Preferred, you will not receive any, but will instead receive an equivalent number of shares of Common Stock in consideration for the same purchase price.] PLEASE DISREGARD THIS MAILING IF YOU DO NOT WISH TO EXERCISE YOUR RIGHT TO SUBSCRIBE. |
Section 2: SUBSCRIPTION AUTHORIZATION I acknowledge that I have received the Prospectus for this offering of Subscription Rights and I hereby subscribe for the number of shares indicated above on the terms and conditions specified in the Prospectus relating to the subscription in the Subscription Rights offering. |
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Signature of Subscriber(s) |
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(and address if different than that listed on this Subscription Certificate) |
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Telephone number (including area code): |
Please complete all applicable information and return to:Computershare Trust Company, N.A.
By First Class Mail: Computershare Trust Company, N.A., Corporate Actions Voluntary Offer, P.O. Box 43011, Providence, RI 02940-3011
By Express Mail or Overnight Delivery: Computershare Trust Company, N.A., Corporate Actions
Voluntary Offer, 250 Royall Street, Suite V, Canton, MA 02021
DELIVERY OF THIS RIGHTS CERTIFICATE TO AN ADDRESS OTHER THAN AS SET FORTH ABOVE DOES NOT CONSTITUTE A VALID DELIVERY.
Any questions regarding this Rights Certificate and Subscription Rights offering may be directed to Georgeson LLC
toll free at (888)613-9988