Exhibit (a)(5)
i2 Telecom International, Inc.
Participation Statement
Pursuant to the
Offer to
Exchange Warrants
[Name of Participant]
Eligible Warrant Grant Date |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Number of Unexercised Underlying Eligible Warrants |
|
|
|
|
|
|
| ||||
|
|
|
|
|
|
|
| Eligible Warrant Exercise Price |
|
|
|
|
|
|
|
|
| |||||||
| Eligible Warrant Expiration Date |
|
|
|
|
|
|
|
|
|
|
|
| Total Number of New Shares to be issued if all |
| |||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
| |||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
| |||||||||||
| ||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||
Legal Notices
This Participation Statement is governed by the actual terms and conditions set forth in the Offer to Exchange provided to you at the commencement of the Offer.
You are strongly advised to read the Offer to Exchange that will be filed on Schedule TO and the other documents related to the Offer filed with the Securities and Exchange Commission because they contain important information. You may obtain copies of these documents for free at the Securities and Exchange Commission website (www.sec.gov) or from the Company, by contacting Paul R. Arena, at (404) 567-4750.
The “Eligible Warrant Exercise Price” and “Number Of Unexercised Shares Underlying Eligible Warrants” columns reflect the 1:10 reverse stock split effected by i2 Telecom International, Inc. in May 2009.
