EX-4.3 13 doc12.txt COMMON STOCK PURCHASE WARRANT Exhibit 4.3 Common Stock Purchase Warrant COMMON STOCK PURCHASE WARRANT ----------------------------- National Beauty Corp., a Nevada corporation Expiration Date: _______, 2005 COMMON STOCK PURCHASE WARRANT ----------------------------- National Beauty Corp., a Nevada corporation Expiration Date: _______, 2005 No. ______ Warrant for subscription to purchase $.001 par value common stock of National Beauty Corp., a Nevada corporation (the "Company") as set forth more fully in that certain Warrant Agreement dated _________, 2002 between the Company and the Warrant Agent. This is to certify that the holder named below, or assigns, is entitled to subscribe, at the rate of Twenty-Five Cents ($.25) per share, for _____________________ shares of $.001 par value common stock of the Company upon the following conditions: The right of subscription can be exercised only by the surrender of this warrant, with the form of subscription on the reverse side hereof duly signed, at the office of the Company wherever located or at the principal place of business of the Company in the State of Florida, as shown from time to time by the records of the Nevada Secretary of State, accompanied by cash or certified funds in payment for said subscription at the rate of Twenty Five Cents ($.25) per share, whereupon the subscriber will become entitled to the issuance of a certificate or certificates for the shares of said stock so subscribed and paid for. If said right of subscription is not exercised in the manner above provided this warrant shall become and be wholly void and of no value, and the right of subscription evidenced hereby shall wholly cease and terminate. This warrant may be transferred on surrender of this warrant, properly endorsed using the form of assignment on the reverse hereof, and is divisible on surrender, at either of said offices of the Company, in which case a new warrant or warrants will be issued. On the reverse side hereof are two forms: (1) A form of subscription, to be executed by the shareholder named below or the shareholder's assignee; and (2) A form of assignment, to be executed by such shareholder if the shareholder wishes to assign the right to subscribe. Dated: ____________, 2002 National Beauty Corp., a Nevada corporation By: __________________ Name: Edward Roth Title: President Name & Address of Holder (Reverse Side of Common Stock Purchase Warrant) SUBSCRIPTION AGREEMENT (Do not execute the assignment if you execute this subscription.) Payment Should Accompany This Subscription Agreement. Make Checks Payable to National Beauty Corp., a Nevada corporation Date _______________. National Beauty Corp., a Nevada corporation: The undersigned hereby subscribes for the stock covered by this warrant. Subscriber's signature: _____________________ Printed name in full: _______________________ Telephone Number: _______________________ Mailing address for stock certificate unless otherwise ordered. ______________________ ______________________ ______________________ ASSIGNMENT (Do not execute this assignment if you execute the subscription) National Beauty Corp., a Nevada corporation: Date _______________. For value received the rights described in this warrant, together with all right, title and interest therein, are hereby assigned to ____________________________________________ [Name], _____________________________________________________________________ [Address]. Signature of holder: ___________________________________ Printed name in full: __________________________________ Witness: _____________________ THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 (THE "ACT") AND ARE "RESTRICTED SECURITIES" AS THAT TERM IS DEFINED IN RULE 144 UNDER THE ACT. THE SECURITIES MAY NOT BE OFFERED FOR SALE, SOLD OR OTHERWISE TRANSFERRED EXCEPT PURSUANT TO A REGISTRATION STATEMENT UNDER THE ACT OR PURSUANT TO AN EXEMPTION FROM REGISTRATION UNDER THE ACT, THE AVAILABILITY OF WHICH IS TO BE ESTABLISHED TO THE SATISFACTION OF THE COMPANY.