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CONTROL NUMBER [0000] MESA INC. SUBSCRIPTION CERTIFICATE FOR
SUBSCRIPTION CERTIFICATE FOR SHARES OF SERIES A 8% CUMULATIVE CONVERTIBLE
PREFERRED STOCK
VOID IF NOT EXERCISED AT OR BEFORE 5:00 P.M.
(NEW YORK CITY TIME) ________ , 1996, THE EXPIRATION DATE
EXPIRATION DATE [ __________ , 1996] THIS SUBSCRIPTION CERTIFICATE IS TRANSFERABLE
AND MAY BE DIVIDED AT THE OFFICE
OF THE SUBSCRIPTION AGENT
EXPIRATION DATE [ __________ , 1996] [ ]
SUBSCRIPTION PRICE U.S.$2.26 PER SHARE OF
THIS SUBSCRIPTION CERTIFICATE MAY BE USED TO
SUBSCRIBE FOR SHARES OR MAY BE ASSIGNED OR SOLD,
FULL INSTRUCTIONS APPEAR ON THE BACK OF THIS
SUBSCRIPTION CERTIFICATE.
REGISTERED OWNER [OWNER] CUSIP [000000 00 0]
[0000000000] [**NUMBER OF RIGHTS**]
The registered owner of this Subscription Certificate, named above, or assignee,
is entitled to the number of Rights to subscribe for shares of Series A 8%
Cumulative Convertible Preferred Stock, par value $.01 per share (the "Series A
Preferred Stock"), of MESA Inc. ("Mesa") shown above, in the ratio of one share
of Series A Preferred Stock for each Right, pursuant to the Basic Subscription
Right and upon the terms and conditions and at the price for each Share of
Series A Preferred Stock specified in the Company's Prospectus dated
[ __________ , 1996].
If you subscribe for fewer than all the shares represented by his Subscription
Certificate, the Subscription Agent will issue a new Subscription Certificate
representing the balance of the unsubscribed Rights, provided that the
Subscription Agent has received your Subscription Certificate and payment prior
to 5:00 p.m., New York City time, on [ __________ , 1996]. No new Subscription
Certificate will be issued after such date.
IMPORTANT: Complete appropriate form on reverse
DATE: [ __________ , 1996]
[G. Michael Prescott] MESA INC. LOGO
LOGO ---------------------------------------- LOGO
Secretary ----------------------------------------
Chairman of the Board
Chief Executive Officer
[seal]
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PLEASE FILL IN ALL APPLICABLE INFORMATION
TO: American Stock Transfer & Trust Company Expiration Date: --------- ,
Subscription Agent 1996
40 Wall Street, 46th Floor
New York, New York 10005
A. Basic Subscription Privilege ------------ x $2.26 = $ -------
(No. of Shares) (Subscription
Price)
B. Oversubscription Privilege ------------ x $2.26 = $ -------(1)
(No. of Shares) (Subscription
Price)
C. Amount of Check Enclosed (or = $ -------
amount in notice of
guaranteed
delivery) payable to MESA
Inc.
D. Sell any remaining Rights / /
E. Sell all of my Rights / /
(1) The Oversubscription Privilege can be exercised only by a holder of Common Stock as of the Record Date, as
described in the Prospectus, and only if the Rights issued to him are exercised to the fullest extent possible.
F. Name of Soliciting Dealer / / Lehman Brothers Inc.
/ / Other: ---------------------------
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SECTION 1. TO SUBSCRIBE: I hereby irrevocably subscribe for the number of
shares of Series A Preferred Stock for the price indicated as the total of A and
B hereon upon the terms and conditions specified in the Prospectus related
hereto, receipt of which is acknowledged. I hereby agree that if I fail to pay
for the Shares of Series A Preferred Stock for which I have subscribed, the
Company may exercise any of the remedies set forth in the Prospectus.
TO SELL: If I have checked either the box on line D or on line E, I
authorize the sale of Rights by the Dealer Manager according to the procedures
described in the Prospectus.
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Signature of Subscriber(s)
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Address for delivery of Shares
If permanent change of address, check here / /
Please give your telephone number: ( )
- ---------------------
Tax I.D. Number or Social Security Number:
- ------------------------------------
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SECTION 2. TO TRANSFER RIGHTS (except pursuant to D and E above). For
value received,
- ------------- of the Rights represented by the Subscription Certificate are
assigned to:
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(Print Full Name of Assignee)
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(Print Full Address)
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Signature(s) of Assignor(s)
IMPORTANT: The signature(s) must correspond in every particular, without
alteration, with the name(s) as printed on the face of this
Subscription Certificate.
Your signature must be guaranteed by an Eligible Guarantor Institution which is
a participant in a recognized securities guarantee program
Signature ----------------------------------------
(Name of Bank or Firm)
Guaranteed By
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(Signature of Officer and Title)
PROCEEDS FROM THE SALE OF RIGHTS MAY BE SUBJECT TO WITHHOLDING OF U.S.
TAXES UNLESS THE SELLER'S CERTIFIED U.S. TAXPAYER IDENTIFICATION NUMBER (OR
CERTIFICATE REGARDING FOREIGN STATUS) IS ON FILE WITH THE SUBSCRIPTION AGENT AND
THE SELLER IS NOT OTHERWISE SUBJECT TO U.S. BACKUP WITHHOLDING.