Form 2875.9940 - Escrow Agreement Template

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2875.9940 ESCROW AGREEMENT.
ESCROW AGREEMENT
THIS ESCROW AGREEMENT made and entered into this ____________ day of
_________________________________, 20__, by and between
______________________________________________________ (herein collectively referred to as
Depositors); ________________________________, a corporate fiduciary with principal office in
__________________________________________________ (hereinafter called the Escrow Agent);
___________________________________________________ a corporation with principal offices in
_____________________________________________________________________________________
(hereinafter called the Issuer) and the commissioner of commerce for the State of Minnesota (hereinafter
called the commissioner);
WITNESSETH THAT:
Each of the Depositors is the owner of
______________________________________________________________________________________
(description of security) of the Issuer and each owns the number of units of such security listed opposite his
or her name on Annex A, attached hereto and made a part hereof.
The Issuer has applied to the commissioner for registration of its securities for sale to residents of
Minnesota, and as a condition of registration the Depositors, the Escrow Agent and the Issuer agree to be
bound by this Agreement and the applicable rules and regulations of the commissioner.
Each of the Depositors has deposited the securities listed opposite his or her name on Annex A
with the Escrow Agent, and the Escrow Agent hereby acknowledges receipt thereof. These securities are
herein collectively referred to as “escrowed securities.”
THEREFORE, the parties agree as follows:
1. The Escrow Agent agrees to hold the escrowed securities until such time as Escrow Agent shall
receive a written release issued by the commissioner permitting the release from escrow of all or a part of
the escrowed securities held under this Agreement. Upon receipt of such release, the Escrow Agent may
release to each Depositor all or a part of the escrowed securities in accordance with the order of the
commissioner.
Subject to the above provisions, the term of escrow under this Agreement shall run for a period of
______________ years from the date of the Order of Registration, unless at an earlier date the Issuer shall
have demonstrated annual net earnings, after taxes and excluding extraordinary items, determined in
accordance with generally accepted accounting principles, for any two consecutive years after the date of
the Order of Registration, of at least _______________ percent of an amount determined by multiplying the
total number of outstanding shares of the Issuer, including the escrowed securities, by the average price per
share paid by public investors. The existence of the required annual net earnings shall be demonstrated by
certification to that effect furnished to the commissioner by an independent certified public accountant or an
authorized officer of the issuer. In addition, the Issuer and each of the Depositor shall furnish the
commissioner a written statement that none of the escrowed securities nor any interests therein have been
sold, transferred or otherwise disposed of (except as permitted by paragraph #4) as a condition of the
release from escrow.
2. Notwithstanding any provision of paragraph 1, the commissioner may, in his or her discretion,
terminate the term of escrow with respect to all or any part of the escrowed securities of any Depositor
before the expiration of the period of occurrence of the event specified in paragraph 1 and release such
securities if the commissioner determines that the release of such securities to the Depositor(s) will not be
detrimental to the Issuer, the public investors or any other party concerned. At the time of release by the
commissioner of any securities from escrow, the application of this Agreement shall terminate with respect
to the securities so released.
3. While it is held in escrow pursuant to this Agreement, no escrowed security nor any interest
therein, nor any right or title thereto, may be sold or transferred, by means of transfer of the security
separate from the certificate representing it or otherwise, without the prior written release of the
commissioner, except that the release of the commissioner need not be obtained to transfer escrowed
shares by will or the laws of descent and distribution or otherwise by order or process of any Court.
4. Upon receipt of such written release from the commissioner directing that some or all of the
escrowed securities of the Depositor held under this Escrow Agreement be released for the purpose of
transfer to another person against concurrent deposit of the securities so transferred, the Escrow Agent may
release such securities but only against such deposit under this Agreement of all the transferred securities.
The commissioner shall authorize such transfer of the escrowed securities only upon receipt of a signed

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