Document:

THIS WARRANT AND THE UNDERLYING SHARES
OF COMMON STOCK HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), OR ANY
OTHER SECURITIES LAWS, HAVE BEEN TAKEN FOR INVESTMENT, AND MAY NOT BE SOLD OR TRANSFERRED OR OFFERED FOR SALE OR TRANSFER UNLESS
A REGISTRATION STATEMENT UNDER THE SECURITIES ACT AND OTHER APPLICABLE SECURITIES LAWS WITH RESPECT TO SUCH SECURITIES IS THEN
IN EFFECT, OR IN THE OPINION OF COUNSEL TO THE ISSUER OF THESE SECURITIES, SUCH REGISTRATION UNDER THE SECURITIES ACT AND OTHER
APPLICABLE SECURITIES LAWS IS NOT REQUIRED.

 

	Date: __________, 2012	 	Warrant No. GP-_____

 

WARRANT FOR THE PURCHASE OF SHARES
OF

COMMON STOCK OF GRANDPARENTS.COM,
INC.

THIS IS TO CERTIFY
that, for value received, ____________________, its successors and assigns (collectively, the “Holder” or “Holders”),
are entitled to purchase, subject to the terms and conditions hereinafter set forth, the Warrant Shares (as defined below) of common
stock, $0.01 par value per share (the “Common Stock”) of GRANDPARENTS.COM, INC., a Delaware corporation (the
“Company”), and to receive certificates for the Common Stock so purchased. The exercise price of this Warrant
is $0.50 per share (the “Exercise Price”). This Warrant is being issued in connection with that certain Note Purchase
Agreement, dated as of December 7, 2012, by and the among the Company and the Investors named therein (the “Purchase Agreement”).
The term “Warrant Shares” shall mean ___________ (_____) shares of the Company (subject to adjustment as contemplated
herein), provided that in the event that Holder’s Note is repaid in full or the Holder does not convert Holder’s Note
as contemplated in Section 2.5 of the Purchase Agreement, the number of shares shall be automatically reduced by fifty percent
(50%).

 

1.          Exercise
Period. This Warrant shall become exercisable by the Holders beginning upon the date set forth above and ending at 5:00 p.m.,
New York, New York time, five (5) years from the date of this Warrant (the “Exercise Period”). This Warrant
will terminate automatically and immediately upon the expiration of the Exercise Period.

 

    	 

    	 

    

  

2.          Exercise
of Warrant; Cashless Exercise.

 

(a)          Exercise.
This Warrant may be exercised, in whole or in part, at any time and from time to time during the Exercise Period. Such exercise
shall be accomplished by tender to the Company of an amount equal to the Exercise Price multiplied by number of underlying shares
being purchased (the “Purchase Price”), either (a) in cash, by wire transfer or by certified check or bank cashier’s
check, payable to the order of the Company, or (b) by surrendering such number of shares of Common Stock received upon exercise
of this Warrant with an aggregate Fair Market Value (as defined below) equal to the Purchase Price (as described in the following
paragraph (a “Cashless Exercise”), together with presentation and surrender to the Company of this Warrant with
an executed subscription agreement in substantially the form attached hereto as Exhibit A (the “Subscription”).
Upon receipt of the foregoing, the Company will deliver to the Holders, as promptly as possible, a certificate or certificates
representing the shares of Common Stock so purchased, registered in the name of the Holders or its transferee (as permitted under
Section 3 below). With respect to any exercise of this Warrant, the Holders will for all purposes be deemed to have become the
holder of record of the number of shares of Common Stock purchased hereunder on the date the Subscription has been properly executed
and payment of the Purchase Price have both been received by the Company (the “Exercise Date”), irrespective
of the date of delivery of the certificate evidencing such shares of the Common Stock, except that, if the date of such receipt
is a date on which the stock transfer books of the Company are closed, such person will be deemed to have become the holder of
such shares at the close of business on the next succeeding date on which the stock transfer books are open. Fractional shares
of Common Stock will not be issued upon the exercise of this Warrant. In lieu of any fractional shares that would have been issued
but for the immediately preceding sentence, the Holders will be entitled to receive cash equal to the current market price of such
fraction of a share of Common Stock on the trading day immediately preceding the Exercise Date. In the event this Warrant is exercised
in part, the Company shall issue a new Warrant to the Holders covering the aggregate number of shares of Common Stock as to which
this Warrant remains exercisable for.

 

(b)          Cashless
Exercise. If the Holders elect to conduct a Cashless Exercise, the Company shall cause to be delivered to the Holder a certificate
or certificates representing the number of shares of Common Stock computed using the following formula:

 

X = Y (A-B)

                     A

 

	Where:	 
	 	 	 	 	 
	 	X	=	the number of shares of Common Stock to be issued to Holder;	 
	 	 	 	 	 
	 	Y	=	the portion of this Warrant (in number of shares of Common Stock) being exercised by Holder (at the date of such calculation);	 
	 	 	 	 	 
	 	A	=	the Fair Market Value (as defined below) of one share of Common Stock on the Exercise Date, calculated by taking the average Fair Market Value over the last 10 trading days (not including the Exercise Date); and	 
	 	 	 	 	 
	 	B	=	Warrant Price (as adjusted to the date of such calculation).	 

 

(c)          Definition
of Fair Market Value. For purposes of this Warrant, “Fair Market Value” shall mean: (i) if the principal
trading market for such securities is a national securities exchange including The Nasdaq Stock Market or the Over-the-Counter
Bulletin Board (or a similar system then in use), the average of the last reported sales price on the principal market for each
of the ten (10) trading days immediately prior to such Exercise Date; or (ii) if clause (i) is not applicable, and if bid and ask
prices for shares of Common Stock are reported by the principal trading market or the Pink Sheets, the average of the average of
the high bid and low ask prices so reported for each of the ten (10) trading days immediately prior to such Exercise Date. Notwithstanding
the foregoing, if there is no last reported sales price or bid and ask prices, as the case may be, for the day in question, then
Fair Market Value shall be determined as of the latest day prior to such day for which such last reported sales price or bid and
ask prices, as the case may be, are available, unless such securities have not been traded on an exchange or in the over-the-counter
market for thirty (30) or more days immediately prior to the day in question, in which case the Fair Market Price shall be determined
in good faith by, and reflected in a formal resolution of, the board of directors of the Company.

 

    	2

    	 

    

  

(d)          Limitations
on Exercise. Notwithstanding anything to the contrary contained herein, the number of shares that may be acquired by the Holder
upon any exercise of this Warrant (or otherwise in respect hereof) shall be limited to the extent necessary to insure that, following
such exercise (or other issuance), the total number of shares of Common Stock then beneficially owned by such Holder and its affiliates
and any other persons whose beneficial ownership of Common Stock would be aggregated with the Holder's for purposes of Section
13(d) of the Securities Exchange Act of 1934, as amended, and the rules and regulations promulgated thereunder (the “Exchange
Act”), does not exceed 4.999% of the total number of issued and outstanding shares of Common Stock (including for such
purpose the shares of Common Stock issuable to the Holder upon exercise of this Warrant and other derivative securities); provided,
however, upon the Holder providing the Company with sixty-one (61) days written notice (the “Waiver Notice”)
that the Holder would like to waive such limitation with regard to any or all shares of Common Stock issuable upon exercise of
this Warrant, the Company, in its sole and absolute discretion, may waive compliance with this Section 2(d) and this Section 2(d)
shall be of no force or effect with regard to those shares of Common Stock referenced in the Waiver Notice following such 61-day
period. For purposes of this Section 2(d), beneficial ownership shall be determined in accordance with Section 13(d) of the Exchange
Act and the rules and regulations promulgated thereunder. This provision shall not restrict the number of shares of Common Stock
which a Holder may receive or beneficially own in order to determine the amount of securities or other consideration that such
Holder may receive in the event of a Fundamental Transaction as contemplated in Section 4(e) of this Warrant.

 

3.          Recording,
Transferability, Exchange and Obligations to Issue Common Stock.

 

(a)          Registration
of Warrant. The Company shall register this Warrant, upon records to be maintained by the Company for that purpose (the “Warrant
Register”), in the name of the record Holder hereof from time to time. The Company may deem and treat the registered
Holder of this Warrant as the absolute owner hereof for the purpose of any exercise hereof or any distribution to the Holder, and
for all other purposes, absent actual notice to the contrary from the transferee and transferor.

 

(b)          Registration
of Transfers. The Company shall register the transfer of any portion of this Warrant in the Warrant Register, upon surrender
of this Warrant, with the Form of Assignment attached hereto as Exhibit B duly completed and signed, to the Company at its
address specified herein. As a condition to the transfer, the Company may request a legal opinion as contemplated by the legend.
Upon any such registration or transfer, a new Warrant to purchase Common Stock, in substantially the form of this Warrant (any
such new Warrant, a “New Warrant”), evidencing the portion of this Warrant so transferred shall be issued to
the transferee and a New Warrant evidencing the remaining portion of this Warrant not so transferred, if any, shall be issued to
the transferring Holder. The acceptance of the New Warrant by the transferee thereof shall be deemed the acceptance by such transferee
of all of the rights and obligations of a holder of a Warrant.

 

    	3

    	 

    

  

(c)          Exchange
of Warrant. This Warrant is exchangeable upon its surrender by the Holders to the Company for new Warrants of like tenor and
date representing in the aggregate the right to purchase the number of shares purchasable hereunder, each of such new Warrants
to represent the right to purchase such number of shares as may be designated by the Holders at the time of such surrender (not
to exceed the aggregate number of shares underlying this Warrant).

 

(d)          Obligation
to Deliver Common Stock. The Company’s obligations to issue and deliver Common Stock in accordance with the terms hereof
are absolute and unconditional, irrespective of any action or inaction by the Holder to enforce the same, any waiver or consent
with respect to any provision hereof, the recovery of any judgment against any person or any action to enforce the same, or any
setoff, counterclaim, recoupment, limitation or termination, or any breach or alleged breach by the Holder or any other person
of any obligation to the Company or any violation or alleged violation of law by the Holder or any other person, and irrespective
of any other circumstance which might otherwise limit such obligation of the Company to the Holder in connection with the issuance
of Common Stock. Nothing herein shall limit a Holder’s right to pursue any other remedies available to it hereunder, at law
or in equity including, without limitation, a decree of specific performance and/or injunctive relief with respect to the Company’s
failure to timely deliver certificates representing shares of Common Stock upon exercise of this Warrant as required pursuant to
the terms hereof.

 

4.          Adjustments
to Exercise Price and Number of Shares Subject to Warrant. The Exercise Price and the number of shares of Common Stock purchasable
upon the exercise of this Warrant are subject to adjustment from time to time upon the occurrence of any of the events specified
in this Section 4. For the purpose of this Section 4, “Common Stock” means shares now or hereafter authorized
of any class of common stock of the Company, however designated, that has the right to participate in any distribution of the assets
or earnings of the Company without limit as to per share amount (excluding, and subject to any prior rights of, any class or series
of preferred stock).

 

(a)          In
case the Company shall (i) pay a dividend or make a distribution in shares of Common Stock to holders of shares of Common Stock,
(ii) subdivide its outstanding shares of Common Stock into a greater number of shares, (iii) combine its outstanding shares of
Common Stock into a smaller number of shares, or (iv) issue by reclassification of its shares of Common Stock other securities
of the Company, then the Exercise Price in effect at the time of the record date for such dividend or on the effective date of
such subdivision, combination or reclassification, and/or the number and kind of securities issuable on such date, shall be proportionately
adjusted so that the Holders of this Warrant thereafter exercised shall be entitled to receive the aggregate number and kind of
shares of Common Stock (or such other securities other than Common Stock) of the Company, at the same aggregate Exercise Price,
that, if such Warrant had been exercised immediately prior to such date, the Holders would have owned upon such exercise and been
entitled to receive by virtue of such dividend, distribution, subdivision, combination or reclassification. Such adjustment shall
be made successively whenever any event listed above shall occur.

 

    	4

    	 

    

  

(b)          In
case the Company shall fix a record date for the making of a distribution to all holders of Common Stock (including any such distribution
made in connection with a consolidation or merger in which the Company is the surviving corporation) of cash, evidences of indebtedness
or assets, or subscription rights or warrants, the Exercise Price to be in effect after such record date shall be determined by
multiplying the Exercise Price in effect immediately prior to such record date by a fraction, the numerator of which shall be the
Fair Market Value per share of Common Stock on such record date, less the amount of cash so to be distributed or the Fair Market
Value (as determined in good faith by, and reflected in a formal resolution of, the board of directors of the Company) of the portion
of the assets or evidences of indebtedness so to be distributed, or of such subscription rights or warrants, applicable to one
share of Common Stock, and the denominator of which shall be the Fair Market Value per share of Common Stock. Such adjustment shall
be made successively whenever such a record date is fixed; and in the event that such distribution is not so made, the Exercise
Price shall again be adjusted to be the Exercise Price which would then be in effect if such record date had not been fixed.

 

(c)          Notwithstanding
any provision herein to the contrary, no adjustment in the Exercise Price shall be required unless such adjustment would require
an increase or decrease of at least 1% in the Exercise Price; provided, however, that any adjustments which by reason of this Section
4(c) are not required to be made shall be carried forward and taken into account in any subsequent adjustment. All calculations
under this Section 4 shall be made to the nearest cent or the nearest one-hundredth of a share, as the case may be.

 

(d)          In
the event that at any time, as a result of an adjustment made pursuant to Section 4(a) above, the Holders of any Warrant thereafter
exercised shall become entitled to receive any shares of capital stock of the Company other than shares of Common Stock, thereafter
the number of such other shares so receivable upon exercise of any Warrant shall be subject to adjustment from time to time in
a manner and on terms as nearly equivalent as practicable to the provisions with respect to the shares of Common Stock contained
in this Section 4, and the other provisions of this Warrant shall apply on like terms to any such other shares.

 

(e)          If,
at any time while this Warrant is outstanding, (i) the Company effects any merger or consolidation of the Company with or into
another company, (ii) the Company effects any sale of all or substantially all of its assets in one or a series of related transactions,
(iii) any tender offer or exchange offer (whether by the Company or another company or person) is completed pursuant to which holders
of Common Stock are permitted to tender or exchange their shares for other securities, cash or property, or (iv) the Company effects
any reclassification of the Common Stock or any compulsory share exchange pursuant to which the Common Stock is effectively converted
into or exchanged for other securities, cash or property (in any such case, a “Fundamental Transaction”), then
the Holder shall have the right thereafter to receive, upon exercise in full of this Warrant, the same amount and kind of securities,
cash or property as it would have been entitled to receive upon the occurrence of such Fundamental Transaction if it had been,
immediately prior to such Fundamental Transaction, the holder of the number of Common Stock then issuable upon exercise in full
of this Warrant (the “Alternate Consideration”). For purposes of any such exercise, the determination
of the Exercise Price shall be appropriately adjusted to apply to such Alternate Consideration based on the amount of Alternate
Consideration issuable in respect of one share of Common Stock in such Fundamental Transaction, and the Company shall apportion
the Exercise Price among the Alternate Consideration in a reasonable manner reflecting the relative value of any different components
of the Alternate Consideration. If holders of Common Stock are given any choice as to the securities, cash or property to be received
in a Fundamental Transaction, then the Holder shall be given the same choice as to the Alternate Consideration it receives upon
any exercise of this Warrant following such Fundamental Transaction. At the Holder’s option and request, any successor to
the Company or surviving entity in such Fundamental Transaction shall issue to the Holder a new warrant substantially in the form
of this Warrant and consistent with the foregoing provisions and evidencing the Holder’s right to purchase the Alternate
Consideration for the aggregate Exercise Price upon exercise thereof. Any such successor or surviving entity shall be deemed to
be required to comply with the provisions of this Section 4(e) and shall insure that this Warrant (or any such replacement security)
will be similarly adjusted upon any subsequent transaction analogous to a Fundamental Transaction.

 

    	5

    	 

    

  

(f)          In
case any event shall occur as to which the other provisions of this Section 4 are not strictly applicable but the failure to make
any adjustment would not fairly protect the purchase rights represented by this Warrant in accordance with the essential intent
and principles hereof, then, in each such case, the Company shall effect such adjustment, on a basis consistent with the essential
intent and principles established in this Section 4, as may be necessary to preserve, without dilution, the purchase rights represented
by this Warrant.

 

(g)          Upon
the occurrence of each adjustment pursuant to this Section 4, the Company at its expense will promptly compute such adjustment
in accordance with the terms of this Warrant and prepare a certificate setting forth such adjustment, including a statement of
the adjusted Exercise Price and adjusted number or type of Common Stock or other securities issuable upon exercise of this Warrant
(as applicable), describing the transactions giving rise to such adjustments and showing in detail the facts upon which such adjustment
is based. Upon written request, the Company will promptly deliver a copy of each such certificate to the Holder and to the Company’s
Transfer Agent.

 

5.          Registration
Rights. This Warrant has not been registered under the Securities Act of 1933, as amended (the “Securities Act”).
When exercised, the stock certificates shall bear the following legend unless all of the shares may be publicly sold under Rule
144(b)(1) of the Securities Act (or successor rule).

 

“The securities
represented by this certificate have not been registered under the Securities Act of 1933, as amended (the “Securities Act”),
and may not be offered for sale or sold except pursuant to (i) an effective registration statement under the Securities Act, or
(ii) an opinion of counsel, if such opinion and counsel shall be reasonably satisfactory to counsel to the issuer, that an exemption
from registration under the Securities Act is available.”

 

6.          Reservation
of Common Stock. The Company covenants that it will at all times reserve and keep available out of the aggregate of its authorized
but unissued and otherwise unreserved Common Stock, solely for the purpose of enabling it to issue Common Stock upon exercise of
this Warrant as herein provided, the number of shares of Common Stock which are then issuable and deliverable upon the exercise
in full of this Warrant, free from preemptive rights or any other contingent purchase rights of persons other than the Holder (taking
into account the adjustments and restrictions of Section 4). The Company covenants that all Common Stock so issuable and deliverable
shall, upon issuance and the payment of the applicable Exercise Price in accordance with the terms hereof, be duly and validly
authorized, issued and fully paid and nonassessable.

 

    	6

    	 

    

  

7.          Replacement
of Warrant.  If this Warrant is mutilated, lost, stolen or destroyed, the Company shall issue or cause to be issued in exchange
and substitution for and upon cancellation hereof, or in lieu of and substitution for this Warrant, a New Warrant, but only upon
receipt of evidence reasonably satisfactory to the Company of such loss, theft or destruction and customary and reasonable indemnity
(which may include a surety bond), if requested. Applicants for a New Warrant under such circumstances shall also comply with such
other reasonable regulations and procedures and pay such other reasonable third-party costs as the Company may prescribe. If a
New Warrant is requested as a result of a mutilation of this Warrant, then the Holder shall deliver such mutilated Warrant to the
Company as a condition precedent to the Company's obligation to issue the New Warrant.

 

8.          Charges,
Taxes and Expenses. Issuance and delivery of certificates for shares of Common Stock upon exercise of this Warrant shall be
made without charge to the Holder for any issue or transfer tax, withholding tax, transfer agent fee or other incidental tax or
expense in respect of the issuance of such certificates, all of which taxes and expenses shall be paid by the Company; provided,
however, that the Company shall not be required to pay any tax which may be payable in respect of any transfer involved
in the registration of any certificates for Common Stock or Warrants in a name other than that of the Holder. The Holder shall
be responsible for all other tax liability that may arise as a result of holding or transferring this Warrant or receiving Common
Stock upon exercise hereof.

 

9.          Notices
to Holders. In the event of (a) any fixing by the Company of a record date with respect to the holders of any class of securities
of the Company for the purpose of determining which of such holders are entitled to dividends or other distributions, or any rights
to subscribe for, purchase or otherwise acquire any shares of capital stock of any class or any other securities or property, or
to receive any other right, (b) any capital reorganization of the Company, or reclassification or recapitalization of the capital
stock of the Company or any transfer of all or substantially all of the assets or business of the Company to, or consolidation
or merger of the Company with or into, any other entity or person, or (c) any voluntary or involuntary dissolution or winding up
of the Company, then and in each such event the Company will give the Holders a written notice specifying, as the case may be (i)
the record date for the purpose of such dividend, distribution, or right, and stating the amount and character of such dividend,
distribution, or right; or (ii) the date on which any such reorganization, reclassification, recapitalization, transfer, consolidation,
merger, conveyance, dissolution, liquidation, or winding up is to take place and the time, if any is to be fixed, as of which the
holders of record of Common Stock (or such capital stock or securities receivable upon the exercise of this Warrant) shall be entitled
to exchange their shares of Common Stock (or such other stock securities) for securities or other property deliverable upon such
event. Any such notice shall be given at least ten (10) days prior to the earliest date therein specified.

 

10.         No
Rights as a Stockholder. This Warrant does not entitle the Holders to any voting rights or other rights as a stockholder of
the Company, nor to any other rights whatsoever except the rights herein set forth; provided, however, that the Company
shall not close any merger agreement in which it is not the surviving entity, or sell all or substantially all of its assets unless
the Company shall have first provided the Holders with at least ten (10) days’ prior written notice.

 

    	7

    	 

    

  

11.         Additional
Covenants of the Company.

 

(a)          If
upon issuance of any shares for which this Warrant is exercisable, the Common Stock is listed for trading or trades on any national
securities exchange including The Nasdaq Stock Market upon the issuance, the Company shall, at its expense, promptly obtain and
maintain the listing or qualifications for trading of such shares.

 

(b)          The
Company shall comply with the reporting requirements of Section 13 of the Exchange Act for so long as and to the extent that such
requirements apply to the Company.

 

(c)          The
Company shall not, by amendment of its Certificate of Incorporation or through any reorganization, transfer of assets, consolidation,
merger, dissolution, issuance or sale of securities, or any other voluntary action, avoid or seek to avoid the observance or performance
of any of the terms of this Warrant. Without limiting the generality of the foregoing, the Company (i) will at all times reserve
and keep available, solely for issuance and delivery upon exercise of this Warrant, shares of Common Stock issuable from time to
time upon exercise of this Warrant, (ii) will not increase the par value of any shares of Common Stock issuable upon exercise of
this Warrant above the amount payable therefor upon such exercise, and (c) will take all such actions as may be necessary or appropriate
in order that the Company may validly and legally issue fully paid and nonassessable stock.

 

12.         Successors
and Assigns. This Warrant shall be binding upon and inure to the benefit of the Company, the Holders and their respective successors
and permitted assigns.

 

13.         Severability.
 Every provision of this Warrant is intended to be severable. If any term or provision hereof is illegal or invalid for any
reason whatsoever, such illegality or invalidity shall not affect the remainder of this Warrant.

 

14.         Governing
Law. This Warrant shall be governed by and construed in accordance with the laws of the state where the Company is incorporated
as of the time of construction without giving effect to the principles of choice of laws thereof.

 

15.         Attorneys’
Fees. In any action or proceeding brought to enforce any provision of this Warrant, the prevailing party shall be entitled
to recover reasonable attorneys’ fees in addition to its costs and expenses and any other available remedies.         

 

16.         Good
Faith. The Company will at all times act in good faith assist in the carrying out of all terms and obligations set forth in
this Warrant, and in the taking of all such action as may be necessary or appropriate in order to protect the rights of the holder
of this Warrant against such impairment.

  

    	8

    	 

    

 

IN WITNESS WHEREOF, the Company has caused
this Warrant to be executed by its duly authorized officer as of the date first set forth above.

 

	 	GRANDPARENTS.COM, INC.
	 	 	 
	 	By:	 
	 	 	Name: Joseph Bernstein
	 	 	Title:  Co-Chief Executive Officer

 

[Signature Page to Common Stock Warrant]

 

    	 

    	 

    

 

Warrant

Exhibit A 

SUBSCRIPTION FORM

  

The undersigned hereby irrevocably subscribes
for _______ shares of the Common Stock (the “Stock”) of Grandparents.com, Inc. (the “Company”)
pursuant to and in accordance with the terms and conditions of the attached Warrant No. __ (the “Warrant”),
and hereby makes payment of $_______ therefor by [tendering cash, wire transferring or delivering a certified check or bank cashier’s
check, payable to the order of the Company] [surrendering _______ shares of Common Stock received upon exercise of the Warrant,
which shares have an aggregate fair market value equal to such payment as required in Section 2 of the Warrant]. The undersigned
requests that a certificate for the Stock be issued in the name of the undersigned and be delivered to the undersigned at the address
stated below. If the Stock is not all of the shares purchasable pursuant to the Warrant, the undersigned requests that a new Warrant
of like tenor for the balance of the remaining shares purchasable thereunder be delivered to the undersigned at the address stated
below.

 

In connection with the issuance of the Stock,
I hereby represent to the Company that I am acquiring the Stock for my own account for investment and not with a view to, or for
resale in connection with, a distribution of the shares within the meaning of the Securities Act of 1933, as amended (the “Securities
Act”).

 

I understand that if at this time the Stock
has not been registered under the Securities Act, I must hold such Stock indefinitely unless the Stock is subsequently registered
and qualified under the Securities Act or is exempt from such registration and qualification. I shall make no transfer or disposition
of the Stock unless (a) such transfer or disposition can be made without registration under the Securities Act by reason of a specific
exemption from such registration and such qualification, or (b) a registration statement has been filed pursuant to the Securities
Act and has been declared effective with respect to such disposition. I agree that each certificate representing the Stock delivered
to me shall bear substantially the same as set forth on the front page of the Warrant.

 

I further agree that the Company may place
stop transfer orders with its transfer agent same effect as the above legend. The legend and stop transfer notice referred to above
shall be removed only upon my furnishing to the Company an opinion of counsel (reasonably satisfactory to the Company) to the effect
that such legend may be removed.

 

	Date:	 	 	Signed:	 
	 	 	 	 	 
	 	 	 	Print Name:	 
	 	 	 	 	 
	 	 	 	Address:	 

 

    	 

    	 

    

 

Warrant

Exhibit B

ASSIGNMENT

For Value Received __________________ hereby
sells, assigns and transfers to _________________________ the Warrant No. __ attached hereto and the rights represented thereby
to purchase _________ shares of Common Stock in accordance with the terms and conditions hereof, and does hereby irrevocably constitute
and appoint ___________________________ as attorney to transfer such Warrant on the books of the Company with full power of substitution.

 

	Dated:	 	 	Signed:	 
	Please print or typewrite	 	 	Please insert Social Security
	name and address of	 	 	or other Tax Identification
	assignor:	 	 	Number of Assignor:

 

 

	Dated:	 	 	Signed:	 
	Please print or typewrite	 	 	Please insert Social Security
	name and address of	 	 	or other Tax Identification
	assignor:	 	 	Number of Assignor:ex4-1.htm

Exhibit 4.1

 

FRONT

 

Asure

Software

 

Asure Software, Inc.

 

Incorporated under the Laws of the State of Delaware

 

This Certifies That

 

SPECIMEN

 

Is the owner of

 

Fully Paid and nonassessable shares of the common stock, $0.01 par value per share, of

 

Asure Software, Inc.

 

Transferable on the books of the Corporation by the holder hereof in person or by attorney upon surrender of this Certificate properly endorsed.  This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

 

IN WITNESS WHEREOF, the Corporation has caused the facsimile signatures of its duly authorized officers and the facsimile seal of the corporation to be affixed to this Certificate.

 

Dated:

 

 

Chairman of the Board                                                                           Chief Executive Officer

 

  

  

  

 

BACK

 

Asure Software, Inc.

 

The Corporation will furnish without charge to each stockholder who so requests the powers, designations, preferences and relative participating, option or other special rights of each class of stock or series thereof of the corporation, and the qualifications, limitations or restrictions of such preferences and/or rights, such request may be made to the corporation, or to the transfer agent of the Corporation.

 

This Certificate also evidences and entitles the holder hereof to certain rights as set forth in an amended and restated rights agreement between Asure Software, Inc. (f.k.a. Forgent Networks, Inc.) and American Stock Transfer & Trust Company LLC as the rights agent, dated as of October 28, 2009 (the “Rights Agreement”), the terms of which are hereby incorporated herein by reference and a copy of which is on file at the principal executive offices of Asure Software, Inc.  Under certain circumstances, as set forth in the rights agreement, such rights will be evidenced by separate certificates and will no longer be evidenced by this certificate.  Asure Software, Inc. will mail to the holder of this certificate a copy of the rights agreement without charge after receipt of a written request therefor, under certain circumstances set forth in the rights agreement, rights issued to, or held by, any person who is, was or becomes an acquiring person or any affiliate or associate thereof (as such terms are defined in the rights agreement).  Whether currently held by or on behalf of such person or by any subsequent holder, may become null and void.

 

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 registrations:

 

TEN COM – as tenants in common                                                                                     UNIF GIFT MIN ACT         (Cust)       Custodian       (Minor)      

TEN ENT - as tenants by the entireties                                                                                     Under Uniform Gifts to Minors

JT TEN  - as joint tenants with right of                                                                                     Act ________

survivorship and not as tenants in common

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 number or Other identifying number of assignee)

 

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

 

 

  

 

	

 

	 Shares

  

Of the common 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 Corporation with full power of substitution in the premises.

Dated:                                                                                

	
 

	Notice:                                                                                            

	
  

	
The signature to this assignments must correspond with the name as written upon the face of the certificate in every particular, without a alteration or enlargement, or any change whatever.

Signature(s) Guaranteed:

The signatures must be guaranteed by an eligible guarantor institution

(banks, stockbrokers, savings and loan associations and credit unions

with membership in an approved signature guarantee medallion program,

pursuant to S.E.C. Rule 17AD-15.

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00210-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00210-of-00352.parquet"}]]