exhibit_4-1.htm










 


EXHIBIT 4.1


 


[FACE OF CERTIFICATE]








	
NUMBER

	
SHARES ORDINARY


	
CERT#

	  





 


MAPI – PHARMA LTD.


INCORPORATED UNDER THE LAWS OF THE STATE OF ISRAEL


NIS 1.00 PAR VALUE ORDINARY SHARES








	
THIS CERTIFIES that


 

	  
	
 is the owner of

	  





 


FULLY PAID AND NON-ASSESSABLE ORDINARY SHARES, NIS 1.00 PAR VALUE, OF


MAPI – PHARMA LTD.







transferable on the books of the Company in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.







Dated:








	
/s/ Ehud Marom

	
/s/ Nir Bernstein


	
Chief Executive Officer

	
Chief Financial Officer







 



	
COUNTERSIGNED AND REGISTERED


 

	  	  	  
	
 VSTOCK TRANSFER, LLC

	  	  	  
	
 Transfer Agent and Registrar


 

	  	  	  
	
  By:  _________________

	  	  	  





AUTHORIZED SIGNATURE


 




  





  











  






 


[REVERSE CERTIFICATE]







MAPI – PHARMA LTD.







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 to Minors


	
Act_____________________


	
          (State)







 


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


 


For value received, ______________________________________ hereby sells, assigns and transfers unto


PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE:


______________________________________________________________________________________







______________________________________________________________________________________


(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE, OF ASSIGNEE)


______________________________________________________________________________________







______________________________________________________________________________________







______________________________________________________________________________________







_________________________________________________________________________________shares







of the capital stock represented by the within Certificate, and do hereby irrevocably constitute and appoint







___________________________________________________________________________________, 


Attorney







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







Dated _________________________________________







x____________________________________________________________________________________


THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE. THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (Banks, Stockbrokers, Savings and Loan Associations and Credit Unions)


 


Signature(S) Guaranteed:







________________________________________________


 


 


TRANSFER FEE WILL APPLY