Form: S-1

General form of registration statement for all companies including face-amount certificate companies

April 28, 2016

Documents

 

Exhibit 99.7

 

CRYOPORT, INC.

 

NOMINEE HOLDER CERTIFICATION

 

The undersigned, a broker, custodian bank, trustee, depositary or other nominee holder of subscription rights (the “Rights”) to purchase shares of common stock, par value $0.001 per share (“Common Stock”), of Cryoport, Inc., a Nevada corporation (the “Company”), pursuant to the rights offering described and provided for in the Company’s prospectus, dated [•], 2016 (the “Prospectus”), hereby certifies to the Company and Continental Stock Transfer & Trust Company, as subscription agent for the rights offering, that (1) the undersigned has exercised, on behalf of the beneficial owners thereof (which may include the undersigned), the number of Rights specified below pursuant to the basic subscription privilege (as defined in the Prospectus), and on behalf of beneficial owners of Rights who have subscribed for the purchase of additional shares of Common Stock pursuant to the over-subscription privilege (as defined in the Prospectus), listing separately below each such exercised basic subscription privilege and the corresponding over-subscription privilege (without identifying any such beneficial owner), and (2) each such beneficial owner’s basic subscription privilege has been exercised in full if subscribing for the purchase of additional shares of Common Stock pursuant to the over-subscription privilege:

 

 

Number of Shares of Common Stock Held on the Record Date Number of Shares of Common Stock Into Which the Warrants Held by You Were Exercisable on the Record Date Rights Exercised Pursuant to Basic Subscription Privilege Number of Shares Subscribed For Pursuant to Over-Subscription Privilege
         
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Name of Undersigned:

 

 

 

By: _______________________________ (Authorized Signature)

Name:

Title:

 

 

Provide the following information if applicable:

 

Depository Trust Company (“DTC”) Participant Number:

 

Participant:

 

DTC Basic Subscription Confirmation Number(s):

 

 

 

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