Exhibit (a)(1)(iii)
NOTICE OF GUARANTEED DELIVERY
To Tender Shares of Common Stock
of
COGENTIX MEDICAL, INC.
at
$3.85 Per Share, Net in Cash
Pursuant to the Offer to Purchase dated March 26, 2018
by
CAMDEN MERGER SUB, INC.
a wholly owned subsidiary
of
LM US PARENT, INC.
THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT 12:00 MIDNIGHT, NEW YORK
CITY TIME, AT THE END OF FRIDAY, APRIL 20, 2018, UNLESS THE OFFER IS EXTENDED.
This Notice of Guaranteed Delivery, or one substantially in the form hereof, must be used to accept the Offer (as defined below) if (i) certificates representing shares of common stock, par value $0.01 per share (the “Shares”), of Cogentix Medical, Inc., a Delaware corporation, are not immediately available, (ii) the procedure for book-entry transfer cannot be completed on a timely basis or (iii) time will not permit all required documents to reach Broadridge Corporate Issuer Solutions, Inc. (the “Depositary”) prior to the expiration of the Offer. This Notice of Guaranteed Delivery may be delivered by facsimile transmission, mail or overnight courier to the Depositaryand must include a guarantee by an Eligible Institution (as defined inSection 3 of the Offer to Purchase). SeeSection 3 of the Offer to Purchase.
The Depositary for the Offer is:
| By Registered or Certified Mail: | By Hand or Overnight Courier: | |
| Broadridge, Inc. Attn: BCISRe-Organization Dept. P.O. Box 1317 Brentwood, NY 11717-0693 | Broadridge, Inc. Attn: BCIS IWS 51 Mercedes Way | |
DELIVERY OF THIS INSTRUMENT TO AN ADDRESS, OR TRANSMISSION OF INSTRUCTIONS VIA FACSIMILE TRANSMISSION, OTHER THAN AS SET FORTH ABOVE, WILL NOT CONSTITUTE A VALID DELIVERY TO THE DEPOSITARY.
THIS FORM IS NOT TO BE USED TO GUARANTEE SIGNATURES. IF A SIGNATURE ON A LETTER OF TRANSMITTAL IS REQUIRED TO BE GUARANTEED BY AN “ELIGIBLE INSTITUTION” UNDER THE INSTRUCTIONS THERETO, SUCH SIGNATURE GUARANTEE MUST APPEAR IN THE APPLICABLE SPACE PROVIDED IN THE SIGNATURE BOX ON THE APPROPRIATE LETTER OF TRANSMITTAL.
The Eligible Institution that completes this form must communicate the guarantee to the Depositary and must deliver the Letter of Transmittal or an Agent’s Message (as defined inSection 2 of the Offer to Purchase) and certificates for Shares (as defined below) to the Depositary within the time period shown herein. Failure to do so could result in a financial loss to such Eligible Institution.
Ladies and Gentlemen:
Pursuant to the guaranteed delivery procedures set forth inSection 3 of the Offer to Purchase, the undersigned hereby tenders to Camden Merger Sub, Inc., a Delaware corporation, a wholly-owned subsidiary of LM US Parent, Inc., a Delaware corporation, the number of shares of common stock, par value $0.01 per share (the “Shares”), of Cogentix Medical, Inc., a Delaware corporation, specified below, upon the terms and subject to the conditions set forth in the Offer to Purchase, dated March 26, 2018, and in the related Letter of Transmittal (which, together with the Offer to Purchase, as they may be amended or supplemented from time to time, collectively constitute the “Offer”). The undersigned hereby acknowledges receipt of the Letter of Transmittal.
Name(s) of Record Holder(s): | ||
Number of Shares Tendered: | ||
Certificate Number(s) (if available): | ||
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Address(es): | ||
| (Zip Code) | ||
Name of Tendering Institution: | ||
Area Code and Telephone No.(s): | ||
☐ Check if delivery will be by book-entry transfer | ||
Signature(s): | ||
DTC Account No.: | ||
Transaction Code No.: | ||
Dated: | , 2018 | |
GUARANTEE
(Not to be used for signature guarantee)
The undersigned, an Eligible Institution (as defined inSection 3 of the Offer to Purchase), hereby (i) represents that the above-named person(s) “own(s)” the Shares tendered hereby within the meaning ofRule 14e-4 under the Securities Exchange Act of 1934, as amended (“Rule14e-4”), (ii) represents that the tender of Shares effected hereby complies withRule 14e-4, and (iii) guarantees delivery to the Depositary, at one of its addresses set forth above, of certificates representing the Shares tendered hereby, in proper form for transfer, or a confirmation of a book-entry transfer of such Shares into the Depositary’s account at The Depository Trust Company, in either case together with a properly completed and duly executed Letter of Transmittal (or facsimile thereof) or, in the case of a book-entry transfer, an Agent’s Message (as defined inSection 2 of the Offer to Purchase), together with any other documents required by the Letter of Transmittal, all within three (3) Nasdaq Capital Market trading days after the date hereof.
| Name of Firm | ||||
| Address | ||||
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| Area Code and Telephone No. | ||||
| Authorized Signature | ||||
| Name (Please Print or Type) | ||||
| Title | ||||
Date: , 2018
| NOTE: | DO NOT SEND CERTIFICATES FOR COMMON SHARES WITH THIS NOTICE. CERTIFICATES SHOULD BE SENT WITH YOUR LETTER OF TRANSMITTAL. |