Exhibit 10.4
THIS WARRANT AND THE COMMON
STOCK ISSUABLE UPON EXERCISE HEREOF HAVE NOT BEEN REGISTERED OR
QUALIFIED FOR SALE UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR
ANY STATE SECURITIES LAW AND MAY NOT BE SOLD OR TRANSFERRED IN THE
ABSENCE OF SUCH REGISTRATION OR QUALIFICATION OR AN EXEMPTION
THEREFROM UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND ANY
SUCH APPLICABLE STATE LAWS.
THIS WARRANT AND THE COMMON
STOCK ISSUABLE UPON EXERCISE HEREOF (1) MAY, UNDER CERTAIN
CIRCUMSTANCES, BE SUBJECT TO A CERTAIN INVESTOR RIGHTS AGREEMENT OF
EVEN DATE HEREWITH BETWEEN THE ISSUER HEREOF AND INITIAL HOLDER
HEREOF (THE “ INVESTOR RIGHTS AGREEMENT ”) THAT
RESTRICTS CERTAIN TRANSFERS OF SUCH SECURITIES AND (2) MAY BE
SUBJECT TO CERTAIN RIGHTS AND OBLIGATIONS PROVIDED FOR IN THAT
CERTAIN REGISTRATION RIGHTS AGREEMENT OF EVEN DATE HEREWITH BETWEEN
THE ISSUER HEREOF AND THE INITIAL HOLDER HEREOF (THE “
REGISTRATION RIGHTS AGREEMENT ”). A COPY OF SUCH
AGREEMENTS SHALL BE FURNISHED WITHOUT CHARGE BY THE ISSUER HEREOF
TO THE HOLDER HEREOF UPON WRITTEN REQUEST.
|
No. 2005 -
03
|
|
Date of Issuance: May 13,
2005
|
WARRANT TO PURCHASE
SHARES OF COMMON STOCK
OF
HEALTHAXIS INC.
THIS IS TO CERTIFY that, for value received, Tak
Investments, Inc., a Delaware corporation (the
“Holder”) is entitled to purchase from Healthaxis Inc.,
a Pennsylvania corporation (the “ Company ”), at
any time from the date of issuance and on or before the Expiration
Date, the number of shares of Common Stock of the Company equal to
555,556 plus one (1) additional share of Common Stock for each four
(4) shares of Common Stock purchased pursuant to Warrant No.
2005-01 (or any successor instrument or instruments), up to an
aggregate of 1,388,889 shares of Common Stock of the Company (as
adjusted pursuant to Section 2 of this Warrant) at the
Exercise Price on the terms and subject to the conditions
hereinafter set forth.
Capitalized terms used herein without definition
shall have the meanings set forth in Section 8 of this
Warrant.
1.
Exercise of Warrant .
(a) Subject to the terms and
conditions set forth herein, the Holder shall have the right, at
its option, to exercise this Warrant in whole or in part at any
time during the period commencing on the Issue Date and ending on
the Expiration Date. To exercise this Warrant, the Holder shall
deliver to the Company (i) a notice of exercise in the form
attached hereto (the “ Notice of Exercise ”)
duly completed and
executed, (ii) an amount in
cash equal to the Exercise Price, (iii) this Warrant; and
(iv) such documentation as the Company may reasonably require
in connection with establishing an exemption from registration
under federal and state securities law for the issuance of shares
of Common Stock to Holder upon the exercise hereof, including,
without limitation, an investor questionnaire, and a letter of
securities law representations and warranties concerning Holder and
Holder’s investment in such securities. At the option of the
Holder, payment of the Exercise Price shall be made: (A) by
wire transfer of funds to an account in a bank located in the
United States designated by the Company for such purpose;
(B) by certified or official bank check payable to the order
of the Company; (C) by the method authorized by Section 1(c) hereof
(if applicable); or (D) a combination of such
methods.
(b) Upon receipt of the required
deliveries, and subject to Section 1(c) below, the
Company shall, as promptly as practicable and no later than three
(3) business days after receipt of the Notice of Exercise, cause to
be issued and delivered to the Holder, subject to the terms of the
Investor Rights Agreement, a certificate or certificates
representing shares of Common Stock equal in the aggregate to the
number of shares of Common Stock specified in the Notice of
Exercise. The shares of Common Stock so purchased shall be deemed
to be issued to the Holder, as the record owner of such shares as
of the close of business on the Exercise Date. The Company shall
pay all reasonable expenses, taxes and other charges payable in
connection with the preparation, execution and delivery of stock
certificates pursuant to this Section 1.
(c) Notwithstanding any provision
herein to the contrary, commencing on the second anniversary of the
Issue Date, and provided that (i) the Company’s Warrant No.
2005-01 has been exercised for at least $5 million; (ii) the
Company’s Common Stock does not trade, at any time during the
12-month period immediately prior to the Exercise Date, at a daily
market price greater than $3.50 per share for twenty (20) trading
days during any consecutive thirty (30) trading day period, and
(iii) the Company’s average annual sales growth rate for the
two fiscal years immediately prior to the Exercise Date is less
than fifteen percent (15%), then with respect to up to 55,556
shares of Common Stock of the Company, plus one (1) additional
share of Common Stock for each forty (40) shares of Common Stock
purchased pursuant to the Company’s Warrant No. 2005-01 (or
any successor instrument or instruments), up to an aggregate of
138,889 shares of Common Stock of the Company, in lieu of
exercising this Warrant for cash, Holder may elect, at any time
after the second anniversary of the Issue Date, to receive Common
Stock equal to the value (as determined below) of this Warrant (or
the portion thereof being exercised) by surrender of this Warrant
at the principal office of the Company, together with the form of
Election to Exercise attached as Exhibit A hereto fully executed,
in which event the Company shall issue to Holder that number of
shares of Common Stock computed using the following
formula:
|
Where
|
Y =
|
|
the number of shares of Common
Stock to be issued to Holder
|
|
Z =
|
|
the aggregate number of shares of
Common Stock then purchasable on a cashless basis under this
Warrant or, if only a portion of this Warrant is being exercised on
a cashless basis, the number of shares of Common Stock for which
this Warrant is being exercised on a cashless basis (at the date of
such calculation)
|
2
|
C =
|
|
Market Price of one share of
Common Stock (at the date of such calculation)
|
For purposes of this Section, the
Market Price of one share of the Common Stock shall be calculated
as follows: If the Common Stock is traded on a national securities
exchange, the Nasdaq Stock Market or the over-the-counter market,
the last reported price on the date of valuation at which the
Common Stock has traded on such exchange or the Nasdaq Stock
Market, or the average of the bid and asked prices on the
over-the-counter market on the date of valuation or, if no sale
took place on such date, the last date on which a sale took place.
If the Common Stock is not so traded, the Market Price of one share
of the Common Stock shall be as determined by agreement of the
parties hereto, or if the parties hereto cannot reach agreement,
then such value shall be determined by appraisal by an independent
investment banking firm selected by the Company and acceptable to
Holder; provided, however, that if Holder and the Company cannot
agree on such investment banking firm, such appraised value shall
be determined by an independent investment banking firm
independently selected by the agreement of an investment banking
firm selected by each of the Company and Holder. The cost of such
appraisal shall be borne by the Company.
2.
Adjustment of Exercise Price and Number of Shares . The
Exercise Price and the number of shares of Common Stock obtainable
upon exercise of this Warrant shall be subject to adjustment from
time to time as provided in this Section 2.
(a) If the Company at any time after
the Issue Date: (i) pays or makes a stock dividend on its Common
Stock in shares of Common Stock, (ii) subdivides outstanding shares
of Common Stock into a larger number of shares, (iii) issues
any shares of Common Stock by reclassification of shares of Common
Stock, or (iv) effects a reverse stock split of Common Stock,
then this Warrant shall thereafter be exercisable for that number
of shares that would have derived had the Warrant been exercised
immediately prior to the events listed in (i), (ii), (iii) or (iv)
above (and the Exercise Price thereof shall be correspondingly
adjusted). In the case of a subdivision or re-classification, any
adjustment made pursuant to this Section 2(a) shall become
effective immediately after the effective date of such subdivision
or re-classification. Such adjustments shall be made successively
whenever any event listed above shall occur.
(b) If at any time after the Issue
Date, the Common Stock issuable upon the exercise of the Warrant is
changed into the same or a different number of shares of any class
or classes of stock, whether by recapitalization, reclassification,
exchange, substitution or otherwise, and other than a capital
reorganization, merger or consolidation (the adjustment for which
is provided for in Section 2(c)), in any such event the Holder
shall have the right thereafter to exercise this Warrant for stock
into the kind and amount of stock and other securities and property
receivable in connection with such recapitalization,
reclassification or other change that it would have been entitled
to receive had it exercised this Warrant immediately prior to such
recapitalization, reclassification, exchange, substitution or other
event, all subject to further adjustments as provided herein or
with respect to such other securities or property by the terms
thereof (and the Exercise Price of this Warrant shall be
correspondingly adjusted).
3
(c) If at any time after the Issue
Date, the Common Stock is converted into other securities or
property, whether pursuant to a capital reorganization, merger,
consolidation or otherwise (other than a recapitalization,
reclassification, subdivision, exchange or substitution of shares
provided for in Section 2(b)), as a part of such transaction,
provision shall be made so that the Holder shall thereafter be
entitled to receive upon exercise of this Warrant the number of
shares of stock or other securities or property to which a holder
of the number of shares of Com