exhibit_4-1.htm










Exhibit 4.1


 



	 	 	  

ORDINARY SHARES


NOMINAL VALUE NIS .04

	 	  

ORDINARY SHARES


NOMINAL VALUE NIS .04


	 	 	 	 
	 	 	  

TOP IMAGE SYSTEMS, LTD.


INCORPORATED UNDER THE LAWS OF THE STATE OF ISRAEL

	 	  

ORDINARY


SHARES


 

	 
	 	 	 	 
	 	 	 	  

CUSIP M87896 10 2


SEE REVERSE FOR CERTAIN DEFINITIONS


	 	 	 	 
	 	
THIS CERTIFIES THAT


 


 


 


 



is the owner of



	 
	 	
 



FULLY PAID AND NONASSESSABLE ORDINARY SHARES, NOMINAL VALUE NIS .04, OF


 


TOP IMAGE SYSTEMS, LTD. (herein called the “Company”) transferable on the books of the Company by the holder hereof in person or by duly authorized attorney, upon surrender of this certificate properly endorsed. This certificate is not valid until countersigned and registered by the Transfer Agent and Registrar.


 


    IN WITNESS WHEREOF, the Company has caused the facsimile signatures of its duly authorized officers to be printed hereon.







Dated:




	 	 	 	
 


	 	 	
Controller

	
President

	 






 


 




  





  











  






 



TOP IMAGE SYSTEMS, LTD.


 


The Company will furnish to any shareholder upon request and without charge a full statement of the designations, preferences, limitations and relative rights of the shares of each class and series authorized to be issued.


 


The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations:


 



	TEN COM	  --	
as tenants in common

	
UNIF GIFT MIN ACT --

	  	
Custodian

	  
	TEN ENT	  --	
as tenants by the entireties

	  	
(Cust)

	  	
(Minor)


	JT TEN	  --	
as joint tenants with right of survivorship 


and not as tenants in common

	  	
Under Uniform Gifts Minors


	 	 	 	  	
Act

	  	  
	 	 	
 

	  	
(State)

	  
	 	 	
 


Additional abbreviations may also be used though not in the above list







 



	
For value received,    

	  	
 hereby sell, assign and transfer unto


	  	  	  	  	  
	
PLEASE INSERT SOCIAL SECURITY OR OTHER


IDENTIFYING NUMBER OF ASSIGNEE

	  	  	  	  
	  	  	  	  	  
	  	  	  	  	  
	  	  	  
	  	  	  	  	  
	  	  	  	  	  
	  
	
Please print or typewrite name and address including postal zip code of assignee


	  	  	  	  	  
	  
	  	  	  	  	  
	  	  	  	  	  
	  
	  	  	  	  	  
	  	  	  	  	  
	  
	

Ordinary Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint



	  	  	  
	  	  	  	  	  
	  
	  	  	  	  	  
	  	  	  	  	  
	  	  	  	  	  
	
Attorney to transfer said stock on the books of the within-named Company with full power of substitution in the premises


	  	  	  	  	  
	  	  	  	  	  
	  	  	  	  	  
	  	  	  	  	  
	
Dated,

	  	  	  	  	  
	  	  	  	  	  
	  	  	  	  	  
	  	  
	  	  	  	  	  
	  	  	  	  	  
	
Signature(s) Guaranteed.

	  	  	  	  
	  	  	  	  	  
	  	  	  	  	  
	  	  	  	  	  
	
THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITU-


TION  (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT


UNIONS WITH MEMBERSHIP IN AN APPROVED MEDALLION SIGNATURE GUARANTEE


PROGRAM) PURSUANT TO S.E.C. RULE 17Ad-15.