Exhibit
4.4


 


Microbot
Medical Inc.


2020
Omnibus Performance Award Plan


 


RESTRICTED
STOCK AWARD AGREEMENT


 


Microbot
Medical Inc. (the “Corporation”), pursuant to the terms of the Microbot Medical Inc. 2020 Omnibus Performance Award
Plan (the “Plan”) and the Restricted Stock Award attached to this Restricted Stock Award Agreement, hereby grants
to the individual named below the right to receive the number of shares of the Corporation’s Common Stock, also as is set
forth below. The terms of this Restricted Stock Award Agreement are subject to all of the provisions of the Plan and the attached
Restricted Stock Award, with such provisions being incorporated herein by reference.


 


	1.	Date
    of Grant:	_____________________	 
	 	 	 	 
	2.	Name
    of Participant:	_____________________	 
	 	 	 	 
	3.	Number
    of Shares:	_____________________
    Shares of Common Stock	 


 


	4.	Vesting
    of shares of Restricted Stock:	[ADD
    APPENDIX CONTAINING PERFORMANCE VESTING PROVISIONS IF DESIRED]


 


	Vesting
    Date	 	No.
    of Shares Vested
	 	 	 
	 	 	 
	 	 	 
	 	 	 


 


The
Participant acknowledges receipt of, and understands and agrees to be bound by all of the terms of, this Restricted Stock Award
Agreement, the attached Restricted Stock Award and the Plan, and that the terms thereof supersede any and all other written or
oral agreements between the Participant and the Corporation regarding the subject matter contained herein. 


 


	Microbot
    Medical Inc.:	 	[NAME
    OF PARTICIPANT]:
	 	 	 
	By:	   	 	 	                 
	Title:
    	 	 	Date:	 
	Date:	 	 	 	 


 




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RESTRICTED
STOCK AWARD 


 


THIS
AGREEMENT made as of the grant date set forth in Section 1 of the Restricted Stock Award Agreement to which this Agreement
is attached (the “Date of Grant”) between Microbot Medical Inc. a Delaware corporation (hereinafter referred to as
the “Corporation”), and the individual identified in Section 2 of the Restricted Stock Award Agreement to which this
Agreement is attached (hereinafter referred to as the “Participant”).


 


W
I T N E S S E T H:


 


WHEREAS,
the Corporation has adopted the Microbot Medical Inc. 2020 Omnibus Performance Award Plan (the “Plan”), providing
for the grant of restricted shares of Common Stock of the Corporation (“Restricted Stock”) to Employees of the Corporation;
and


 


WHEREAS,
the Plan’s administrative committee (the “Committee”) has authorized the grant of shares of Restricted Stock
to the Participant on the date of this Agreement, thereby allowing the Participant to acquire a proprietary interest in the Corporation
in order that the Participant will have a further incentive for remaining with and increasing his or her efforts on behalf of
the Corporation; and


 


WHEREAS,
this Agreement is prepared in conjunction with and under the terms of the Plan, which are incorporated herein and made a part
hereof by reference; and


 


WHEREAS,
the Participant has accepted the grant of shares of Restricted Stock and has agreed to the terms and conditions stated herein.


 


NOW,
THEREFORE, in consideration of the foregoing and of the mutual covenants hereinafter set forth and other good and valuable
consideration, the receipt and adequacy of which are hereby acknowledged, the parties hereto hereby agree as follows:


 


1.
Grant of Award. The Corporation hereby grants to the Participant as a separate incentive in connection with his or her
employment and not in lieu of any salary or other compensation for his services, an award of that number of shares of Restricted
Stock (as set forth in Item 3 of the Restricted Stock Award Agreement to which this Agreement is attached) (the “Shares”)
on the date hereof, subject to all of the terms and conditions in this Agreement and the Plan.


 


2.
Shares Held in Escrow. Unless and until the Shares shall have vested in the manner set forth in Sections 3 or 4 hereof,
such Shares, although issued in the name of the Participant, shall be held by the Secretary of the Corporation as escrow agent
(the “Escrow Agent”), and shall not be sold, transferred or otherwise disposed of and shall not be pledged or otherwise
hypothecated. The Corporation may instruct the transfer agent for its Common Stock to place a legend on the certificates representing
the Shares or otherwise note on its records such restrictions on transfer. The Shares shall be delivered by the Escrow Agent to
the Participant only after the restrictions on such Shares have lapsed pursuant to Section 3 and 4 hereof, and all other terms
and conditions in this Agreement have been satisfied.


 




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3.
Restriction on Shares. Except as otherwise provided in this Agreement, the restrictions on the Shares shall lapse in such
amounts and upon such dates as set forth in Item 4 of the Restricted Stock Award Agreement to which this Agreement is attached.


 


4.
Committee Discretion to Accelerate Vesting. The Committee may decide, in its absolute discretion, to accelerate the lapse
of any restrictions on the balance, or some lesser portion of the balance, of the Shares at any time. If so accelerated, such
restrictions shall be considered to have lapsed as of the date specified by the Committee.


 


5.
Forfeiture. As of the date of Participant’s Termination of Service [for any reason] [for any reason other
than [death or Disability], the Shares as to which the restrictions described in Section 3, above, have not
lapsed (either by satisfaction of such restrictions or by action of the Committee pursuant to the provisions of Section 4) shall
thereupon be forfeited and automatically transferred to and reacquired by the Corporation at no cost to the Corporation. [Furthermore,
as of the date the restrictions set forth in Section 3, above, have not lapsed because the applicable performance goals
established by the Committee were not met, the Shares with respect to which such restrictions have not lapsed because such performance
goals were not met shall thereupon be forfeited and automatically transferred to and reacquired by the Corporation at no cost
to the Corporation.] The Participant hereby appoints the Escrow Agent, with full power of substitution, as the Participant’s
true and lawful attorney-in-fact with irrevocable power and authority in the name and on behalf of the Participant to take any
action and execute all documents and instruments, including, without limitation, stock powers which may be necessary to transfer
the certificate or certificates evidencing such forfeited shares to the Corporation upon such Termination of Service [or other
forfeiture of Shares]. [In the event of the Participant’s Termination of Service due to his [death or disability],
any and all remaining restrictions on the Shares set forth under Section 3 hereof, shall immediately lapse.]


 


6.
Continuous Service Required. The restrictions placed on Shares, as described in Section 3 hereof, shall not lapse in accordance
with any of the provisions of this Agreement unless the Participant shall have been in continuous Service from the Date of Grant
until the date such lapse occurs.


 


7.
Withholding of Taxes. Notwithstanding anything in this Agreement to the contrary, no certificate representing any Share
or Shares may be released from the escrow established pursuant to Section 2 of this Agreement unless and until the Participant
shall have delivered to the Corporation the minimum statutorily required amount of any federal, state or local income or other
taxes which the Corporation may be required by law to withhold with respect to such shares of Stock. Pursuant to such procedures
as may be established by the Committee in its discretion, the Participant may elect to satisfy any such income tax withholding
requirement by having the Corporation withhold Shares otherwise deliverable to the Participant or by delivering to the Corporation
previously acquired shares of Common Stock provided that the Committee, in its discretion, may disallow satisfaction of such withholding
by the delivery or withholding of any shares of Common Stock.


 


8.
After the Death of the Participant. Any delivery to be made to the Participant under this Agreement shall, if the Participant
is then deceased, be made to the Participant’s designated beneficiary, or if no such beneficiary survives the Participant,
his estate. Any transferee must furnish the Corporation with (a) written notice of his status as transferee, and (b) evidence
satisfactory to the Corporation to establish the validity of the transfer and compliance with any laws or regulations pertaining
to said transfer.


 




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9.
Reservation of Shares. The Corporation shall at all times during the term of this Agreement reserve and keep available
such number of shares of the Common Stock as will be sufficient to satisfy the requirements of this Agreement. The Shares deliverable
to the Participant may be either previously authorized but unissued shares or issued shares which have been reaquired by the Corporation.


 


10.
Approval of Counsel. The issuance and delivery of Shares pursuant to the Plan shall be subject to approval by the Corporation’s
counsel of all legal matters in connection therewith, including, but not limited to, compliance with the requirements of the Securities
Act of 1933, as amended, and the Securities Exchange Act of 1934, as amended, and the rules and regulations thereunder, and the
requirements of any stock exchange or automated trading medium upon which the Common Stock may then be listed or traded.


 


11.
Certificate Legend. Until the restrictions on the Shares shall have lapsed, each certificate representing the Shares shall
bear the following legend:


 


“The
sale or other transfer of the shares of stock represented by this certificate, whether voluntary, involuntary, or by operation
of law, is subject to certain restrictions on transfer as set forth in the Microbot Medical Inc. 2020 Omnibus Performance Award
Plan, and in a Restricted Stock Award Agreement dated [DATE] and entered into by and between Microbot Medical Inc. and
[NAME OF GRANTEE]. A copy of the Plan and such Restricted Stock Award Agreement may be obtained from the [Chief Executive
Officer] of Microbot Medical Inc.”


 


12.
Limitation of Action. The Participant and the Corporation each acknowledges that every right of action accruing to him
or it, as the case may be, and arising out of or in connection with this Agreement against the Corporation, on the one hand, or
against the Participant, on the other hand, shall, irrespective of the place where an action may be brought, cease and be barred
by the expiration of three years from the date of the act or omission in respect of which such right of action arises.


 


13.
Benefits of Agreement. This Agreement shall inure to the benefit of the Corporation, the Participant and their respective
heirs, executors, administrators, personal representatives, successors and assigns.


 


14.
Severability. In the event that any one or more provisions of this Agreement shall be deemed to be illegal or unenforceable,
such illegality or unenforceability shall not affect the validity and enforceability of the remaining legal and enforceable provisions
hereof, which shall be construed as if such illegal or unenforceable provision or provisions had not been inserted.


 


15.
Service. Nothing contained in this Agreement shall be construed as (a) a contract of employment between the Participant
and the Corporation, (b) as a right of the Participant to be continued in the Service of the Corporation, or (c) as a limitation
of the right of the Corporation to discharge the Participant at any time, with or without cause (subject to any applicable employment
agreement).


 




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16.
Definitions. Unless otherwise defined herein, all capitalized terms used in this Agreement shall have the same definitions
as set forth in the Plan.


 


17.
Incorporation of Terms of Plan. This Agreement shall be interpreted under, and subject to, all of the terms and provisions
of the Plan, which are incorporated herein by reference. In the event of any inconsistencies between the provisions of this Agreement
and the provisions of the Plan, the provisions of the Plan shall control.


 


18.
No Strict Construction. The language used in this Agreement shall be deemed to be the language chosen by the parties hereto
to express their mutual intent, and no rule of strict construction shall apply against any party.


 


19.
Injunctive Relief. The restrictions set forth in this Agreement are necessary for the protection of the business and goodwill
of the Corporation and are considered by the Participant to be reasonable for such purpose. The Participant agrees that any breach
by the Participant of any term set forth under this Agreement is likely to cause the Corporation substantial and irrevocable damage
and, therefore, any such breach shall entitle the Corporation, in addition to any other legal remedies available to it, to apply
to any court of competent jurisdiction to enjoin such breach, threatened breach, alleged breach or alleged threatened breach.
The Parties hereto understand and intend that each restriction set forth herein shall be construed as separable and divisible
from every other restriction, and that the unenforceability, in whole or in part, of any other restriction, will not affect the
enforceability of the remaining restrictions and that one or more or all of such restrictions may be enforced in whole or in part
as the circumstances warrant. The Participant hereby acknowledges that he is fully cognizant of the restrictions imposed upon
him pursuant to the terms of this Agreement.


 


BY
WAY OF EXECUTION OF THE RESTRICTED STOCK AWARD AGREEMENT TO WHICH THIS AGREEMENT IS ATTACHED, the Corporation and the Participant
(and each of their heirs, successors and assigns) agree to be bound by each and every one of the terms set forth in this Agreement.


 




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