Document:

Exhibit 4.1

 

THIS
WARRANT AND THE UNDERLYING SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES
ACT”) OR THE SECURITIES LAWS OF ANY STATE OF THE UNITED STATES. THE SECURITIES MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED,
HYPOTHECATED, TRANSFERRED OR ASSIGNED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT FOR SUCH TRANSACTION UNDER APPLICABLE
SECURITIES LAWS OR UNLESS OFFERED, SOLD, PLEDGED, HYPOTHECATED OR TRANSFERRED PURSUANT TO AN AVAILABLE EXEMPTION FROM THE REGISTRATION
REQUIREMENTS OF THOSE LAWS. THE COMPANY SHALL BE ENTITLED TO REQUIRE AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT SUCH
REGISTRATION IS NOT REQUIRED.

 

ONDAS
HOLDINGS INC.

 

FORM
OF

COMMON STOCK WARRANT

 

September
27, 2019

 

Void
After September 27, 2022

 

THIS
CERTIFIES THAT, for value received and subject to the terms and conditions set forth below, [● or assigns (the “Holder”),
is entitled to subscribe for and purchase at the Exercise Price (defined below) from Ondas Holdings Inc., a Nevada corporation
(the “Company”) [● fully-paid and non-assessable shares of Common Stock of the Company. This
Warrant is being issued pursuant to that certain Securities Purchase Agreement by and among the Company, the Holder and certain
other parties thereto, dated September 27, 2019 (the “Agreement”).

 

1.
DEFINITIONS. As used herein, the following terms shall have the following respective meanings:

 

(a)
“Common Stock” shall mean the Company’s Common Stock, par value $0.001 per share.

 

(b)
“Exercise Period” shall mean the period commencing six months after the date of issuance and ending
three years after the date of issuance on September 27, 2022, unless sooner terminated as provided below.

 

(c)
“Exercise Price” shall mean $3.25.

 

(d)
“Sale of the Company” shall mean (i) a transaction or series of related transactions with one or more
non-affiliates, pursuant to which such non-affiliate(s) acquires capital stock of the Company or the surviving entity, in either
case, possessing the voting power to elect a majority of the board of directors or a majority of the outstanding capital stock
of the Company or the surviving entity (whether by merger, consolidation, sale or transfer of the Company’s outstanding
capital stock or otherwise); or (ii) the sale, lease or other disposition (including exclusive license) of all or substantially
all of the Company’s assets or any other transaction resulting in all or substantially all of the Company’s assets
being converted into securities of any other entity or cash; provided, however, that the sale by the Company of capital stock
for the purpose of financing its business shall not be deemed to be a Sale of the Company.

 

(e)
“Warrant Shares” shall mean the shares of the Company’s Common Stock issuable upon exercise of
this Warrant, subject to adjustment pursuant to the terms herein, including but not limited to adjustment pursuant to Section 5
below.

 

     

     

    

 

2.
EXERCISE OF WARRANT.

 

(a)
Method of Exercise. The rights represented by this Warrant may be exercised in whole or in part at any time during the
Exercise Period, by delivery of the following to the Company:

 

(i)
an executed Notice of Exercise in the form attached hereto;

 

(ii)
this Warrant; and

 

(iii)
Payment:

 

(1)
Payment of the then-applicable Exercise Price per share multiplied by the number of Warrant Shares being purchased upon exercise
of the Warrant (such amount, the “Aggregate Exercise Price”) made in the form of cash, or by certified
check, bank draft or money order payable in lawful money of the United States of America or in the form of a Cashless Exercise
to the extent permitted in Section 2(a)(iii)(2) below.

 

(2)
If at the time of exercise there is no effective registration statement for the resale of the Warrant Shares, or the prospectus
contained therein is not available for use, the Holder may, in its sole discretion, exercise all or any part of the Warrant in
a “cashless” or “net-issue” exercise (a “Cashless Exercise”) by delivering to
the Company (A) the Notice of Exercise and (B) the original Warrant, pursuant to which the Holder shall surrender the right to
receive upon exercise of this Warrant, a number of Warrant Shares having a value (as determined below) equal to the Aggregate
Exercise Price, in which case, the number of Warrant Shares to be issued to the Holder upon such exercise shall be calculated
using the following formula:

 

X
= Y * (A - B)

A

 

	     with:X
    =	the
    number of Warrant Shares to be issued to the Holder
	 	 	 
	 	Y
    =	the
    number of Warrant Shares with respect to which the Warrant is being exercised

 

	 	A
    =	the
    fair value per share of Common Stock on the date of exercise of this Warrant
	 	 	 
	 	B
    =	the
    then-current Exercise Price of the Warrant

 

Solely
for the purposes of this paragraph, “fair value” per share of Common Stock shall mean the average Closing
Price (as defined below) per share of Common Stock for the twenty (20) Trading Days immediately preceding the date on which the
Notice of Exercise is deemed to have been sent to the Company. “Closing Price” means, for any date,
the price determined by the first of the following clauses that applies:  (a) if the Common Stock is then listed or
quoted on the NASDAQ Capital Market or any other national securities exchange, the closing price per share of the Common Stock
for such date (or the nearest preceding date) on the primary eligible market or exchange on which the Common Stock is then listed
or quoted; (b) if prices for the Common Stock are then quoted on the OTC Bulletin Board or any tier of the OTC Markets, the closing
bid price per share of the Common Stock for such date (or the nearest preceding date) so quoted; or (c) if prices for the Common
Stock are then reported in the “Pink Sheets” published by the National Quotation Bureau Incorporated (or a similar
organization or agency succeeding to its functions of reporting prices), the most recent closing bid price per share of the Common
Stock so reported. If the Common Stock is not publicly traded as set forth above, the “fair value” per share of Common
Stock shall be reasonably and in good faith determined by the Board of Directors of the Company as of the date which the Notice
of Exercise is deemed to have been sent to the Company. “Trading Day” means a day on which the Common
Stock is traded on an applicable national securities exchange, on the OTC Bulletin Board or otherwise.

 

    2

     

    

 

For
purposes of Rule 144 promulgated under the Securities Act, it is intended, understood and acknowledged that the Warrant Shares
issued in a cashless exercise transaction shall be deemed to have been acquired by the Holder, and the holding period for such
shares shall be deemed to have commenced, on the date of issuance of this Warrant.

 

(b)
Partial Exercise. If this Warrant is exercised in part only, the Company shall, upon surrender of this Warrant, execute
and deliver, within 10 days of the date of exercise, a new Warrant evidencing the rights of the Holder, or such other person as
shall be designated in the Notice of Exercise, to purchase the balance of the Warrant Shares purchasable hereunder. If the Holder
exercises this Warrant or attempts to exercise this Warrant before the Company shall have delivered to the Holder a new Warrant
as contemplated above, then the Holder shall be deemed to have validly exercised this Warrant pursuant to this Section 2
without having complied with the requirements of Section 2(a)(ii). In no event shall this Warrant be exercised
for a fractional Warrant Share, and the Company shall not distribute a Warrant exercisable for a fractional Warrant Share. Fractional
Warrant Shares shall be treated as provided in Section 7 hereof.

 

(c)
Effect of Exercise. Upon the exercise of the rights represented by this Warrant, shares of Common Stock shall be issued
for the Warrant Shares so purchased, and shall be registered in the name of the Holder or persons affiliated with the Holder,
if the Holder so designates, on or before the third (3rd) business day after the rights represented by this Warrant
shall have been so exercised and shall be issued in certificate or book-entry form and delivered to the Holder, if so requested.
The person in whose name any Warrant Shares are to be issued upon exercise of this Warrant shall be deemed to have become the
holder of record of such shares on the date on which this Warrant was surrendered and payment of the Exercise Price was made,
irrespective of the date of issuance of the shares of Common Stock, except that, if the date of such surrender and payment is
a date when the stock transfer books of the Company are closed, such person shall 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.

 

3.
COVENANTS OF THE COMPANY.

 

(a)
Covenants as to Warrant Shares. If at any time the number of authorized but unissued shares of Company Stock shall not
be sufficient to permit exercise of this Warrant, the Company will take such corporate action as may, in the opinion of its counsel,
be necessary to increase its authorized but unissued shares of Company Stock (or other securities as provided herein) to such
number of shares as shall be sufficient for such purposes.

 

(b)
No Impairment. Except and to the extent as waived or consented to by the Holder or otherwise in accordance with Section 2
hereof, the Company will not, by amendment of its Certificate of Incorporation (as such may be amended from time to time),
or through any means, avoid or seek to avoid the observance or performance of any of the terms to be observed or performed hereunder
by the Company, but will at all times in good faith assist in the carrying out of all the provisions of this Warrant and in the
taking of all such action as may be necessary or appropriate in order to protect the exercise rights of the Holder against impairment.

 

(c)
Notices of Record Date. In the event of any taking by the Company of a record of the holders of any class of securities
for the purpose of determining the holders thereof who are entitled to receive any dividend (other than a cash dividend which
is the same as cash dividends paid in previous quarters) or other distribution, the Company shall mail to the Holder, at least
ten (10) days prior to the record date, a notice specifying the date on which any such record is to be taken for the purpose
of such dividend or distribution.

 

    3

     

    

 

4.
REPRESENTATIONS OF HOLDER.

 

(a)
Acquisition of Warrant for Personal Account. The Holder represents and warrants that it is acquiring the Warrant and the
Warrant Shares solely for its account for investment and not with a present view toward the public distribution of said Warrant
or Warrant Shares or any part thereof and has no intention of selling or distributing said Warrant or Warrant Shares or any arrangement
or understanding with any other persons regarding the sale or distribution of said Warrant or Warrant Shares, except as would
not result in a violation of the Securities Act. The Holder will not, directly or indirectly, offer, sell, pledge, transfer or
otherwise dispose of (or solicit any offers to buy, purchase or otherwise acquire or take a pledge of) the Warrant except in accordance
with the Securities Act and will not, directly or indirectly, offer, sell, pledge, transfer or otherwise dispose of (or solicit
any offers to buy, purchase or otherwise acquire or take a pledge of) the Warrant Shares except in accordance with the provisions
of the Securities Act.

 

(b)
Securities Are Not Registered.

 

(i)
The Holder understands that the offer and sale of the Warrant or the Warrant Shares have not been registered under the Securities
Act on the basis that no distribution or public offering of such securities of the Company is to be effected. The Holder realizes
that the basis for the exemption may not be present if, notwithstanding its representations, the Holder has a present intention
of acquiring the securities for a fixed or determinable period in the future, selling (in connection with a distribution or otherwise),
granting any participation in, or otherwise distributing the securities. The Holder has no such present intention.

 

(ii)      
The Holder recognizes that the Warrant and the Warrant Shares may have to be held indefinitely unless the resale thereof is subsequently
registered under the Securities Act or an exemption from such registration is available. Except as provided in a separate registration
rights agreement between the Holder and the Company, the Holder recognizes that the Company has no obligation to register the
Warrant or the Warrant Shares, or to comply with any exemption from such registration.

 

(iii)
The Holder is aware that neither the Warrant nor the Warrant Shares may be sold pursuant to Rule 144 adopted under the Securities
Act unless certain conditions are met, including, among other things, the availability of certain current public information about
the Company and the required holding period under Rule 144 being satisfied. Holder is aware that any such sale made in reliance
on Rule 144, if Rule 144 is available, may be made only in accordance with the terms of Rule 144.

 

(c)
Disposition of Warrant and Warrant Shares. The Holder understands and agrees that all certificates evidencing the Warrant
Shares to be issued to the Holder may bear a legend in substantially the following form:

 

THESE
SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 OR ANY APPLICABLE STATE SECURITIES LAWS. THEY MAY NOT BE
SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF A REGISTRATION STATEMENT IN EFFECT WITH RESPECT TO THE RESALE
OF THE SECURITIES UNDER SUCH ACT OR APPLICABLE STATE SECURITIES LAWS OR AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT
SUCH REGISTRATION IS NOT REQUIRED OR UNLESS SOLD PURSUANT TO RULE 144 OR RULE 144A OF SUCH ACT.

 

    4

     

    

 

5.
CHANGES IN OUTSTANDING SHARES. In the event of changes in the outstanding Common Stock by reason of stock dividends, split-ups,
recapitalizations, reclassifications, combinations or exchanges of shares, separations, reorganizations, liquidations, or the
like, the number and class of shares available under the Warrant in the aggregate and the Exercise Price shall be correspondingly
adjusted to give the Holder of the Warrant, on exercise for the same aggregate Exercise Price, the total number, class, and kind
of shares as the Holder would have owned had the Warrant been exercised prior to the event and had the Holder continued to hold
such shares until after the event requiring adjustment. The form of this Warrant need not be changed because of any adjustment
in the number, class, and kind of shares subject to this Warrant. The Company shall promptly provide a certificate from an authorized
officer notifying the Holder in writing of any adjustment in the Exercise Price and/or the total number, class, and kind of shares
issuable upon exercise of this Warrant, which certificate shall specify the Exercise Price and number, class and kind of shares
under this Warrant after giving effect to such adjustment.

 

6.
SALE OF THE COMPANY. In the event of a Sale of the Company, then the Company shall ensure that lawful and adequate provision
shall be made whereby the Holder shall thereafter have the right to purchase and receive upon the basis and upon the terms and
conditions herein specified and in lieu of the Warrant Shares immediately theretofore issuable upon exercise of this Warrant only
as provided for in Section 2(a)(iii)(1), such shares of stock, securities or assets (including cash) as would have been issuable
or payable with respect to or in exchange for a number of Warrant Shares equal to the number of Warrant Shares immediately theretofore
issuable upon exercise of this Warrant, had such Sale of the Company not taken place, and in any such case appropriate provision
shall be made with respect to the rights and interests of the Holder to the end that the provisions hereof (including, without
limitation, provision for adjustment of the Exercise Price) shall thereafter be applicable, as nearly equivalent as may be practicable
in relation to any share of stock, securities or assets (including cash) thereafter deliverable upon the exercise thereof. The
Company shall not affect any Sale of the Company unless prior to or simultaneously with the consummation thereof the successor
entity (if other than the Company) resulting from such Sale of the Company, or the entity purchasing or otherwise acquiring such
assets or other appropriate corporation or entity shall assume the obligation to deliver to the Holder, at the last address of
the Holder appearing on the books of the Company, such shares of stock, securities or assets (including cash) as, in accordance
with the foregoing provisions, the Holder may be entitled to purchase, and the other obligations under this Warrant. The provisions
of this Section 6 shall similarly apply to successive Sales of the Company.

 

7.
FRACTIONAL SHARES, ADJUSTMENT OF EXERCISE PRICE. No fractional shares shall be issued upon the exercise of this Warrant as
a consequence of any adjustment pursuant hereto. All Warrant Shares (including fractions) issuable upon exercise of this Warrant
may be aggregated for purposes of determining whether the exercise would result in the issuance of any fractional share. If, after
aggregation, the exercise would result in the issuance of a fractional share, the Company shall, in lieu of issuance of any fractional
share, pay the Holder otherwise entitled to such fraction a sum in cash equal to the product resulting from multiplying the then
current fair market value of a Warrant Share by such fraction. No adjustment in the Exercise Price shall be required unless such
adjustment would require an increase or decrease of at least $0.0001; provided, however, that any adjustments which by reason
of this Section 7 are not required to be made shall be carried forward and taken into account in any subsequent adjustment.
All calculations under this Section 7 shall be made to the $0.0001 or to the nearest 1/100th of a share, as the case may
be.

 

8.
NO STOCKHOLDER RIGHTS. This Warrant in and of itself shall not entitle the Holder to any voting rights or, except as otherwise
set forth herein, other rights as a stockholder of the Company.

 

9.
RESERVATION OF SHARES. The Company shall at all times reserve and keep available out of its authorized but unissued shares
Common Stock no less than 100% of the maximum number of shares of Common Stock issuable upon full exercise of the Warrant.

 

    5

     

    

 

10.
TRANSFER OF WARRANT. Subject to applicable laws and compliance with Section 4(c) hereof, this Warrant and
all rights hereunder are transferable, by the Holder in person or by duly authorized attorney, upon delivery of this Warrant
and the form of assignment attached hereto to any transferee designated by Holder.

 

11.
LOST, STOLEN, MUTILATED OR DESTROYED WARRANT. If this Warrant is lost, stolen, mutilated or destroyed, the Company may,
on such terms as to indemnity or otherwise as it may reasonably impose (which shall, in the case of a mutilated Warrant,
include the surrender thereof), issue a new Warrant of like denomination and tenor as the Warrant so lost, stolen, mutilated
or destroyed. Any such new Warrant shall constitute an original contractual obligation of the Company, whether or not the
allegedly lost, stolen, mutilated or destroyed Warrant shall be at any time enforceable by anyone.

 

12.
MODIFICATIONS AND WAIVER. Provisions of this Warrant may be amended or modified, or a provision or requirement hereof
waived, only with the written consent of the Company and the Holder.

 

13.  
NOTICES, ETC. All notices required or permitted hereunder shall be in writing and shall be deemed effectively given as specified
in the Securities Purchase Agreement.

 

14.  
ACCEPTANCE. Receipt of this Warrant by the Holder shall constitute acceptance of and agreement to all of the terms and conditions
contained herein.

 

15.  
GOVERNING LAW. This Warrant shall be construed and enforced in accordance with, and all questions concerning the construction,
validity, interpretation and performance of this Warrant shall be governed by, the internal laws of the State of New York, without
giving effect to any choice of law or conflict of law provision or rule (whether of the State of New York or any other jurisdictions)
that would cause the application of the laws of any jurisdictions other than the State of New York. The Company hereby irrevocably
submits to the exclusive jurisdiction of the state and federal courts sitting in The City of New York, Borough of Manhattan, for
the adjudication of any dispute hereunder or in connection herewith or with any transaction contemplated hereby or discussed herein,
and hereby irrevocably waives, and agrees not to assert in any suit, action or proceeding, any claim that it is not personally
subject to the jurisdiction of any such court, that such suit, action or proceeding is brought in an inconvenient forum or that
the venue of such suit, action or proceeding is improper. Nothing contained herein shall be deemed to limit in any way any right
to serve process in any manner permitted by law. Nothing contained herein shall be deemed or operate to preclude the Holder from
bringing suit or taking other legal action against the Company in any other jurisdiction to collect on the Company’s obligations
to the Holder, to realize on any collateral or any other security for such obligations, or to enforce a judgment or other court
ruling in favor of the Holder. EACH OF THE PARTIES HERETO HEREBY IRREVOCABLY WAIVES ANY RIGHT SUCH PARTY MAY HAVE TO, AND AGREES
NOT TO REQUEST, A JURY TRIAL FOR THE ADJUDICATION OF ANY DISPUTE HEREUNDER OR IN CONNECTION WITH OR ARISING OUT OF THIS NOTE OR
ANY TRANSACTION CONTEMPLATED HEREBY.

 

16.  
DESCRIPTIVE HEADINGS. The descriptive headings of the several paragraphs of this Warrant are inserted for convenience only
and do not constitute a part of this Warrant. The language in this Warrant shall be construed as to its fair meaning without regard
to which party drafted this Warrant.

 

17.  
SEVERABILITY. The invalidity or unenforceability of any provision of this Warrant in any jurisdiction shall not affect the
validity or enforceability of such provision in any other jurisdiction, or affect any other provision of this Warrant, which shall
remain in full force and effect.

 

18.  
ENTIRE AGREEMENT. This Warrant, the Registration Rights Agreement and the Securities Purchase Agreement among the Holder,
the Company and certain other parties thereto dated September 27, 2019, constitute the entire agreement between the parties pertaining
to the subject matter contained in it and supersede all prior and contemporaneous agreements, representations, and undertakings
of the parties, whether oral or written, with respect to such subject matter.

 

[Signature
Page Follows]

 

    6

     

    

 

IN
WITNESS WHEREOF, the Company has caused this Warrant to be executed by its duly authorized officer as of September 27, 2019.

 

	 	ONDAS
    HOLDINGS INC.
	 	 	 
	 	By:	 
	 	Name:	Eric
    Brock 
	 	Title:	Chief
    Executive Officer
	 	 	 
	 	Address
    for Notice:
	 	 	 
	 	Ondas
    Holdings Inc.
	 	165
Gibraltar Court 
	 	Sunnyvale,
    CA 94089
	 	Attention:
    Chief Executive Officer

 

[Signature Page to Warrant]

 

     

     

    

 

NOTICE
OF EXERCISE

 

TO:
ONDAS HOLDINGS INC.

 

(1)
The undersigned hereby irrevocably elects to exercise this Warrant and to purchase thereunder, ___________________ full shares
of Ondas Holdings Inc. Common Stock issuable upon exercise of the Warrant and delivery of:

 

	 	●	$_________
    (in cash as provided for in the foregoing Warrant) and any applicable taxes payable by the undersigned pursuant to such Warrant;
    and

 

	 	●	__________
    shares of Common Stock (pursuant to a Cashless Exercise in accordance with Section 2(a)(iii)(2) of the Warrant) (check
    here if the undersigned desires to deliver an unspecified number of shares equal the number sufficient to effect a Cashless
    Exercise [___]).

 

(2)
Please issue a certificate or certificates representing said shares of Common Stock in the name of the undersigned or in such
other name as is specified below:

 

 

(Name)

 

 

 

(Address)

 

(3)
If the shares issuable upon this exercise of the Warrant are not all of the Warrant Shares which the Holder is entitled to
acquire upon the exercise of the Warrant, the undersigned requests that a new Warrant evidencing the rights not so exercised be
issued in the name of and delivered to:

 

 

 

(Name)

 

 

 

(Address
and social security or federal employer identification number (if applicable))

 

(4)
The undersigned represents that (i) the aforesaid shares of Company Stock are being acquired for the account of the undersigned
for investment and not with a view to, or for resale in connection with, the distribution thereof and that the undersigned has
no present intention of distributing or reselling such shares in violation of the Securities Act of 1933, as amended (the “Securities
Act”); (ii) the undersigned is aware of the Company’s business affairs and financial condition and has
acquired sufficient information about the Company to reach an informed and knowledgeable decision regarding its investment in
the Company; (iii) the undersigned is experienced in making investments of this type and has such knowledge and background
in financial and business matters that the undersigned is capable of evaluating the merits and risks of this investment and protecting
the undersigned’s own interests; (iv) the undersigned understands that the issuance of the shares of Company Stock
upon exercise of this Warrant has not been registered under the Securities Act by reason of a specific exemption from the registration
provisions of the Securities Act, which exemption depends upon, among other things, the bona fide nature of the investment intent
as expressed herein, and, because the issuance of such securities has not been registered under the Securities Act, such securities
must be held indefinitely unless the resale thereof is subsequently registered under the Securities Act or an exemption from such
registration is available; (v) the undersigned is aware that the aforesaid shares of Company Stock may not be sold pursuant
to Rule 144 adopted under the Securities Act unless certain conditions are met and until the undersigned has held the shares for
the time period prescribed by Rule 144, that among the conditions for use of Rule 144 is the availability of current information
to the public about the Company; and (vi) the undersigned agrees not to make any disposition of all or any part of the aforesaid
shares of Company Stock unless and until there is then in effect a registration statement under the Securities Act covering such
proposed disposition and such disposition is made in accordance with said registration statement, or the undersigned has furnished
the Company with an opinion of counsel, reasonably satisfactory to the Company, to the effect that such disposition is not required
to be registered pursuant to the Securities Act or any applicable state securities laws; provided, that no opinion shall
be required for any disposition made or to be made in accordance with the provisions of Rule 144.

 

	Date:	 	 	Signature:
     	 
	 	 	 	 	 
	 	 	 	Print Name:	 

 

    7

     

    

 

ASSIGNMENT
FORM

 

(To
assign the foregoing Warrant, subject to compliance with Section 4(c) hereof, execute this form and supply required information.
Do not use this form to purchase shares.)

 

FOR
VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to:

 

 

 

(Name)

 

 

 

(Address)

 

Dated:
________________, 20___

 

	 	Holder’s Name:	 
	 	 	 
	 	Holder’s Signature:	 
	 	 	 
	 	Holder’s Address:	 

 

NOTE:
The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration
or enlargement or any change whatever. Officers of corporations and those acting in a fiduciary or other representative capacity
should file proper evidence of authority to assign the foregoing Warrant.Exhibit
4.2

 

THIS
WARRANT AND THE UNDERLYING SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES
ACT”) OR THE SECURITIES LAWS OF ANY STATE OF THE UNITED STATES. THE SECURITIES MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED,
HYPOTHECATED, TRANSFERRED OR ASSIGNED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT FOR SUCH TRANSACTION UNDER APPLICABLE
SECURITIES LAWS OR UNLESS OFFERED, SOLD, PLEDGED, HYPOTHECATED OR TRANSFERRED PURSUANT TO AN AVAILABLE EXEMPTION FROM THE REGISTRATION
REQUIREMENTS OF THOSE LAWS. THE COMPANY SHALL BE ENTITLED TO REQUIRE AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT SUCH
REGISTRATION IS NOT REQUIRED.

 

ONDAS
HOLDINGS INC.

 

FORM
OF

COMMON STOCK WARRANT

 

September
27, 2019

 

Void
After September 27, 2022

 

THIS
CERTIFIES THAT, for value received and subject to the terms and conditions set forth below, National Securities Corporation,
or assigns (the “Holder”), is entitled to subscribe for and purchase at the Exercise Price (defined
below) from Ondas Holdings Inc., a Nevada corporation (the “Company”) [·] fully-paid and non-assessable
shares of Common Stock of the Company. This Warrant is being issued pursuant to that certain Placement Agent Agreement by and
between the National Securities Corporation and the Company, dated September 27, 2019 (the “Agreement”).

 

1.
DEFINITIONS. As used herein, the following terms shall have the following respective meanings:

 

(a)
“Common Stock” shall mean the Company’s Common Stock, par value $0.001 per share.

 

(b)
“Exercise Period” shall mean the period commencing six months after the date of issuance and ending
three years after the date of issuance on September 27, 2022, unless sooner terminated as provided below.

 

(c)
“Exercise Price” shall mean $3.25.

 

(d)
“Sale of the Company” shall mean (i) a transaction or series of related transactions with one or more
non-affiliates, pursuant to which such non-affiliate(s) acquires capital stock of the Company or the surviving entity, in either
case, possessing the voting power to elect a majority of the board of directors or a majority of the outstanding capital stock
of the Company or the surviving entity (whether by merger, consolidation, sale or transfer of the Company’s outstanding
capital stock or otherwise); or (ii) the sale, lease or other disposition (including exclusive license) of all or substantially
all of the Company’s assets or any other transaction resulting in all or substantially all of the Company’s assets
being converted into securities of any other entity or cash; provided, however, that the sale by the Company of capital stock
for the purpose of financing its business shall not be deemed to be a Sale of the Company.

 

(e)
“Warrant Shares” shall mean the shares of the Company’s Common Stock issuable upon exercise of
this Warrant, subject to adjustment pursuant to the terms herein, including but not limited to adjustment pursuant to Section 5
below.

 

     

     

    

 

2.
EXERCISE OF WARRANT.

 

(a)
Method of Exercise. The rights represented by this Warrant may be exercised in whole or in part at any time during the
Exercise Period, by delivery of the following to the Company:

 

(i)
an executed Notice of Exercise in the form attached hereto;

 

(ii)
this Warrant; and

 

(iii)
Payment:

 

(1)
Payment of the then-applicable Exercise Price per share multiplied by the number of Warrant Shares being purchased upon exercise
of the Warrant (such amount, the “Aggregate Exercise Price”) made in the form of cash, or by certified
check, bank draft or money order payable in lawful money of the United States of America or in the form of a Cashless Exercise
to the extent permitted in Section 2(a)(iii)(2) below.

 

(2)
If at the time of exercise there is no effective registration statement for the resale of the Warrant Shares, or the prospectus
contained therein is not available for use, the Holder may, in its sole discretion, exercise all or any part of the Warrant in
a “cashless” or “net-issue” exercise (a “Cashless Exercise”) by delivering to
the Company (A) the Notice of Exercise and (B) the original Warrant, pursuant to which the Holder shall surrender the right to
receive upon exercise of this Warrant, a number of Warrant Shares having a value (as determined below) equal to the Aggregate
Exercise Price, in which case, the number of Warrant Shares to be issued to the Holder upon such exercise shall be calculated
using the following formula:

 

X
= Y * (A - B)

A

 

	    with:
      X =	the
    number of Warrant Shares to be issued to the Holder
	 	 	 
	 	Y
    =	the
    number of Warrant Shares with respect to which the Warrant is being exercised

 

	 	A
    =	the
    fair value per share of Common Stock on the date of exercise of this Warrant
	 	 	 
	 	B
    =	the
    then-current Exercise Price of the Warrant

  

Solely
for the purposes of this paragraph, “fair value” per share of Common Stock shall mean the average Closing
Price (as defined below) per share of Common Stock for the twenty (20) Trading Days immediately preceding the date on which the
Notice of Exercise is deemed to have been sent to the Company. “Closing Price” means, for any date,
the price determined by the first of the following clauses that applies:  (a) if the Common Stock is then listed or
quoted on the NASDAQ Capital Market or any other national securities exchange, the closing price per share of the Common Stock
for such date (or the nearest preceding date) on the primary eligible market or exchange on which the Common Stock is then listed
or quoted; (b) if prices for the Common Stock are then quoted on the OTC Bulletin Board or any tier of the OTC Markets, the closing
bid price per share of the Common Stock for such date (or the nearest preceding date) so quoted; or (c) if prices for the Common
Stock are then reported in the “Pink Sheets” published by the National Quotation Bureau Incorporated (or a similar
organization or agency succeeding to its functions of reporting prices), the most recent closing bid price per share of the Common
Stock so reported. If the Common Stock is not publicly traded as set forth above, the “fair value” per share of Common
Stock shall be reasonably and in good faith determined by the Board of Directors of the Company as of the date which the Notice
of Exercise is deemed to have been sent to the Company. “Trading Day” means a day on which the Common
Stock is traded on an applicable national securities exchange, on the OTC Bulletin Board or otherwise.

 

    2

     

    

 

For
purposes of Rule 144 promulgated under the Securities Act, it is intended, understood and acknowledged that the Warrant Shares
issued in a cashless exercise transaction shall be deemed to have been acquired by the Holder, and the holding period for such
shares shall be deemed to have commenced, on the date of issuance of this Warrant.

 

(b)
Partial Exercise. If this Warrant is exercised in part only, the Company shall, upon surrender of this Warrant, execute
and deliver, within 10 days of the date of exercise, a new Warrant evidencing the rights of the Holder, or such other person as
shall be designated in the Notice of Exercise, to purchase the balance of the Warrant Shares purchasable hereunder. If the Holder
exercises this Warrant or attempts to exercise this Warrant before the Company shall have delivered to the Holder a new Warrant
as contemplated above, then the Holder shall be deemed to have validly exercised this Warrant pursuant to this Section 2
without having complied with the requirements of Section 2(a)(ii). In no event shall this Warrant be exercised
for a fractional Warrant Share, and the Company shall not distribute a Warrant exercisable for a fractional Warrant Share. Fractional
Warrant Shares shall be treated as provided in Section 7 hereof.

 

(c)
Effect of Exercise. Upon the exercise of the rights represented by this Warrant, shares of Common Stock shall be issued
for the Warrant Shares so purchased, and shall be registered in the name of the Holder or persons affiliated with the Holder,
if the Holder so designates, on or before the third (3rd) business day after the rights represented by this Warrant
shall have been so exercised and shall be issued in certificate or book-entry form and delivered to the Holder, if so requested.
The person in whose name any Warrant Shares are to be issued upon exercise of this Warrant shall be deemed to have become the
holder of record of such shares on the date on which this Warrant was surrendered and payment of the Exercise Price was made,
irrespective of the date of issuance of the shares of Common Stock, except that, if the date of such surrender and payment is
a date when the stock transfer books of the Company are closed, such person shall 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.

 

3.
COVENANTS OF THE COMPANY.

 

(a)
Covenants as to Warrant Shares. If at any time the number of authorized but unissued shares of Company Stock shall not
be sufficient to permit exercise of this Warrant, the Company will take such corporate action as may, in the opinion of its counsel,
be necessary to increase its authorized but unissued shares of Company Stock (or other securities as provided herein) to such
number of shares as shall be sufficient for such purposes.

 

(b)
No Impairment. Except and to the extent as waived or consented to by the Holder or otherwise in accordance with Section 2
hereof, the Company will not, by amendment of its Certificate of Incorporation (as such may be amended from time to time),
or through any means, avoid or seek to avoid the observance or performance of any of the terms to be observed or performed hereunder
by the Company, but will at all times in good faith assist in the carrying out of all the provisions of this Warrant and in the
taking of all such action as may be necessary or appropriate in order to protect the exercise rights of the Holder against impairment.

 

(c)
Notices of Record Date. In the event of any taking by the Company of a record of the holders of any class of securities
for the purpose of determining the holders thereof who are entitled to receive any dividend (other than a cash dividend which
is the same as cash dividends paid in previous quarters) or other distribution, the Company shall mail to the Holder, at least
ten (10) days prior to the record date, a notice specifying the date on which any such record is to be taken for the purpose
of such dividend or distribution.

 

    3

     

    

 

4.
REPRESENTATIONS OF HOLDER.

 

(a)
Acquisition of Warrant for Personal Account. The Holder represents and warrants that it is acquiring the Warrant and the
Warrant Shares solely for its account for investment and not with a present view toward the public distribution of said Warrant
or Warrant Shares or any part thereof and has no intention of selling or distributing said Warrant or Warrant Shares or any arrangement
or understanding with any other persons regarding the sale or distribution of said Warrant or Warrant Shares, except as would
not result in a violation of the Securities Act. The Holder will not, directly or indirectly, offer, sell, pledge, transfer or
otherwise dispose of (or solicit any offers to buy, purchase or otherwise acquire or take a pledge of) the Warrant except in accordance
with the Securities Act and will not, directly or indirectly, offer, sell, pledge, transfer or otherwise dispose of (or solicit
any offers to buy, purchase or otherwise acquire or take a pledge of) the Warrant Shares except in accordance with the provisions
of the Securities Act.

 

(b)
Securities Are Not Registered.

 

(i)    
The Holder understands that the offer and sale of the Warrant or the Warrant Shares have not been registered under the Securities
Act on the basis that no distribution or public offering of such securities of the Company is to be effected. The Holder realizes
that the basis for the exemption may not be present if, notwithstanding its representations, the Holder has a present intention
of acquiring the securities for a fixed or determinable period in the future, selling (in connection with a distribution or otherwise),
granting any participation in, or otherwise distributing the securities. The Holder has no such present intention.

 

(ii)    
The Holder recognizes that the Warrant and the Warrant Shares may have to be held indefinitely unless the resale thereof is subsequently
registered under the Securities Act or an exemption from such registration is available. Except as provided in a separate registration
rights agreement between the Holder and the Company, the Holder recognizes that the Company has no obligation to register the
Warrant or the Warrant Shares, or to comply with any exemption from such registration.

 

(iii)
The Holder is aware that neither the Warrant nor the Warrant Shares may be sold pursuant to Rule 144 adopted under the Securities
Act unless certain conditions are met, including, among other things, the availability of certain current public information about
the Company and the required holding period under Rule 144 being satisfied. Holder is aware that any such sale made in reliance
on Rule 144, if Rule 144 is available, may be made only in accordance with the terms of Rule 144.

 

(c)
Disposition of Warrant and Warrant Shares. The Holder understands and agrees that all certificates evidencing the Warrant
Shares to be issued to the Holder may bear a legend in substantially the following form:

 

THESE
SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 OR ANY APPLICABLE STATE SECURITIES LAWS. THEY MAY NOT BE
SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF A REGISTRATION STATEMENT IN EFFECT WITH RESPECT TO THE RESALE
OF THE SECURITIES UNDER SUCH ACT OR APPLICABLE STATE SECURITIES LAWS OR AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT
SUCH REGISTRATION IS NOT REQUIRED OR UNLESS SOLD PURSUANT TO RULE 144 OR RULE 144A OF SUCH ACT.

 

    4

     

    

 

5.
CHANGES IN OUTSTANDING SHARES. In the event of changes in the outstanding Common Stock by reason of stock dividends, split-ups,
recapitalizations, reclassifications, combinations or exchanges of shares, separations, reorganizations, liquidations, or the
like, the number and class of shares available under the Warrant in the aggregate and the Exercise Price shall be correspondingly
adjusted to give the Holder of the Warrant, on exercise for the same aggregate Exercise Price, the total number, class, and kind
of shares as the Holder would have owned had the Warrant been exercised prior to the event and had the Holder continued to hold
such shares until after the event requiring adjustment. The form of this Warrant need not be changed because of any adjustment
in the number, class, and kind of shares subject to this Warrant. The Company shall promptly provide a certificate from an authorized
officer notifying the Holder in writing of any adjustment in the Exercise Price and/or the total number, class, and kind of shares
issuable upon exercise of this Warrant, which certificate shall specify the Exercise Price and number, class and kind of shares
under this Warrant after giving effect to such adjustment.

 

6.
SALE OF THE COMPANY. In the event of a Sale of the Company, then the Company shall ensure that lawful and adequate provision
shall be made whereby the Holder shall thereafter have the right to purchase and receive upon the basis and upon the terms and
conditions herein specified and in lieu of the Warrant Shares immediately theretofore issuable upon exercise of this Warrant only
as provided for in Section 2(a)(iii)(1), such shares of stock, securities or assets (including cash) as would have been issuable
or payable with respect to or in exchange for a number of Warrant Shares equal to the number of Warrant Shares immediately theretofore
issuable upon exercise of this Warrant, had such Sale of the Company not taken place, and in any such case appropriate provision
shall be made with respect to the rights and interests of the Holder to the end that the provisions hereof (including, without
limitation, provision for adjustment of the Exercise Price) shall thereafter be applicable, as nearly equivalent as may be practicable
in relation to any share of stock, securities or assets (including cash) thereafter deliverable upon the exercise thereof. The
Company shall not affect any Sale of the Company unless prior to or simultaneously with the consummation thereof the successor
entity (if other than the Company) resulting from such Sale of the Company, or the entity purchasing or otherwise acquiring such
assets or other appropriate corporation or entity shall assume the obligation to deliver to the Holder, at the last address of
the Holder appearing on the books of the Company, such shares of stock, securities or assets (including cash) as, in accordance
with the foregoing provisions, the Holder may be entitled to purchase, and the other obligations under this Warrant. The provisions
of this Section 6 shall similarly apply to successive Sales of the Company.

 

7.
FRACTIONAL SHARES, ADJUSTMENT OF EXERCISE PRICE. No fractional shares shall be issued upon the exercise of this Warrant as
a consequence of any adjustment pursuant hereto. All Warrant Shares (including fractions) issuable upon exercise of this Warrant
may be aggregated for purposes of determining whether the exercise would result in the issuance of any fractional share. If, after
aggregation, the exercise would result in the issuance of a fractional share, the Company shall, in lieu of issuance of any fractional
share, pay the Holder otherwise entitled to such fraction a sum in cash equal to the product resulting from multiplying the then
current fair market value of a Warrant Share by such fraction. No adjustment in the Exercise Price shall be required unless such
adjustment would require an increase or decrease of at least $0.0001; provided, however, that any adjustments which by reason
of this Section 7 are not required to be made shall be carried forward and taken into account in any subsequent adjustment.
All calculations under this Section 7 shall be made to the $0.0001 or to the nearest 1/100th of a share, as the case may
be.

 

8.
NO STOCKHOLDER RIGHTS. This Warrant in and of itself shall not entitle the Holder to any voting rights or, except as otherwise
set forth herein, other rights as a stockholder of the Company.

 

9.
RESERVATION OF SHARES. The Company shall at all times reserve and keep available out of its authorized but unissued shares
Common Stock no less than 100% of the maximum number of shares of Common Stock issuable upon full exercise of the Warrant.

 

    5

     

    

 

10.
TRANSFER OF WARRANT. Subject to applicable laws and compliance with Section 4(c) hereof, this Warrant and
all rights hereunder are transferable, by the Holder in person or by duly authorized attorney, upon delivery of this Warrant
and the form of assignment attached hereto to any transferee designated by Holder.

 

11.
LOST, STOLEN, MUTILATED OR DESTROYED WARRANT. If this Warrant is lost, stolen, mutilated or destroyed, the Company may,
on such terms as to indemnity or otherwise as it may reasonably impose (which shall, in the case of a mutilated Warrant,
include the surrender thereof), issue a new Warrant of like denomination and tenor as the Warrant so lost, stolen, mutilated
or destroyed. Any such new Warrant shall constitute an original contractual obligation of the Company, whether or not the
allegedly lost, stolen, mutilated or destroyed Warrant shall be at any time enforceable by anyone.

 

12.
MODIFICATIONS AND WAIVER. Provisions of this Warrant may be amended or modified, or a provision or requirement hereof
waived, only with the written consent of the Company and the Holder.

 

13.
NOTICES, ETC. All notices required or permitted hereunder shall be in writing and shall be deemed effectively given as
specified in the Placement Agent Agreement.

 

14.
ACCEPTANCE. Receipt of this Warrant by the Holder shall constitute acceptance of and agreement to all of the terms and
conditions contained herein.

 

15.
GOVERNING LAW. This Warrant shall be construed and enforced in accordance with, and all questions concerning the
construction, validity, interpretation and performance of this Warrant shall be governed by, the internal laws of the State
of New York, without giving effect to any choice of law or conflict of law provision or rule (whether of the State of New
York or any other jurisdictions) that would cause the application of the laws of any jurisdictions other than the State of
New York. The Company hereby irrevocably submits to the exclusive jurisdiction of the state and federal courts sitting in The
City of New York, Borough of Manhattan, for the adjudication of any dispute hereunder or in connection herewith or with any
transaction contemplated hereby or discussed herein, and hereby irrevocably waives, and agrees not to assert in any suit,
action or proceeding, any claim that it is not personally subject to the jurisdiction of any such court, that such suit,
action or proceeding is brought in an inconvenient forum or that the venue of such suit, action or proceeding is improper.
Nothing contained herein shall be deemed to limit in any way any right to serve process in any manner permitted by law.
Nothing contained herein shall be deemed or operate to preclude the Holder from bringing suit or taking other legal action
against the Company in any other jurisdiction to collect on the Company’s obligations to the Holder, to realize on any
collateral or any other security for such obligations, or to enforce a judgment or other court ruling in favor of the Holder.
EACH OF THE PARTIES HERETO HEREBY IRREVOCABLY WAIVES ANY RIGHT SUCH PARTY MAY HAVE TO, AND AGREES NOT TO REQUEST, A JURY
TRIAL FOR THE ADJUDICATION OF ANY DISPUTE HEREUNDER OR IN CONNECTION WITH OR ARISING OUT OF THIS NOTE OR ANY TRANSACTION
CONTEMPLATED HEREBY.

 

16.
DESCRIPTIVE HEADINGS. The descriptive headings of the several paragraphs of this Warrant are inserted for convenience
only and do not constitute a part of this Warrant. The language in this Warrant shall be construed as to its fair meaning
without regard to which party drafted this Warrant.

 

17.
SEVERABILITY. The invalidity or unenforceability of any provision of this Warrant in any jurisdiction shall not affect
the validity or enforceability of such provision in any other jurisdiction, or affect any other provision of this Warrant,
which shall remain in full force and effect.

 

18.
ENTIRE AGREEMENT. This Warrant, the Registration Rights Agreement and the Placement Agent Agreement between
the Holder and the Company dated September 3, 2019, constitute the entire agreement between the parties pertaining to the
subject matter contained in it and supersede all prior and contemporaneous agreements, representations, and undertakings of
the parties, whether oral or written, with respect to such subject matter.

 

[Signature
Page Follows]

 

    6

     

    

 

IN
WITNESS WHEREOF, the Company has caused this Warrant to be executed by its duly authorized officer as of September ___, 2019.

 

	 	ONDAS
    HOLDINGS INC.
	 	 	 
	 	By:	         
	 	Name:	Eric
    Brock 
	 	Title:	Chief
    Executive Officer
	 	 	 
	 	Address
    for Notice:
	 	 	 
	 	Ondas
    Holdings Inc.
	 	165
Gibraltar Court 
	 	Sunnyvale,
    CA 94089
	 	Attention:
    Chief Executive Officer

 

National
Securities corporation

 

	By:	 	 
	Name:	 	 
	Title:	 	 

 

Address
for Notice:

 

National
Securities Corporation

200
Vesey Street, 25th Floor

New
York, NY 10281

Jonathan
Rich, EVP – Head of Investment Banking

 

[Signature Page to Warrant]

 

    7

     

    

 

NOTICE
OF EXERCISE

 

TO:
ONDAS HOLDINGS INC.

 

(1)
The undersigned hereby irrevocably elects to exercise this Warrant and to purchase thereunder, ___________________ full shares
of Ondas Holdings Inc. Common Stock issuable upon exercise of the Warrant and delivery of:

 

	 	●	$_________
    (in cash as provided for in the foregoing Warrant) and any applicable taxes payable by the undersigned pursuant to such Warrant;
    and

 

	 	●	__________
    shares of Common Stock (pursuant to a Cashless Exercise in accordance with Section 2(a)(iii)(2) of the Warrant) (check
    here if the undersigned desires to deliver an unspecified number of shares equal the number sufficient to effect a Cashless
    Exercise [___]).

 

(2)
Please issue a certificate or certificates representing said shares of Common Stock in the name of the undersigned or in such
other name as is specified below:

 

 

 

(Name)

 

 

 

(Address)

 

(3)
If the shares issuable upon this exercise of the Warrant are not all of the Warrant Shares which the Holder is entitled to
acquire upon the exercise of the Warrant, the undersigned requests that a new Warrant evidencing the rights not so exercised be
issued in the name of and delivered to:

 

 

 

(Name)

 

 

 

(Address
and social security or federal employer identification number (if applicable))

 

(4)
The undersigned represents that (i) the aforesaid shares of Company Stock are being acquired for the account of the undersigned
for investment and not with a view to, or for resale in connection with, the distribution thereof and that the undersigned has
no present intention of distributing or reselling such shares in violation of the Securities Act of 1933, as amended (the “Securities
Act”); (ii) the undersigned is aware of the Company’s business affairs and financial condition and has
acquired sufficient information about the Company to reach an informed and knowledgeable decision regarding its investment in
the Company; (iii) the undersigned is experienced in making investments of this type and has such knowledge and background
in financial and business matters that the undersigned is capable of evaluating the merits and risks of this investment and protecting
the undersigned’s own interests; (iv) the undersigned understands that the issuance of the shares of Company Stock
upon exercise of this Warrant has not been registered under the Securities Act by reason of a specific exemption from the registration
provisions of the Securities Act, which exemption depends upon, among other things, the bona fide nature of the investment intent
as expressed herein, and, because the issuance of such securities has not been registered under the Securities Act, such securities
must be held indefinitely unless the resale thereof is subsequently registered under the Securities Act or an exemption from such
registration is available; (v) the undersigned is aware that the aforesaid shares of Company Stock may not be sold pursuant
to Rule 144 adopted under the Securities Act unless certain conditions are met and until the undersigned has held the shares for
the time period prescribed by Rule 144, that among the conditions for use of Rule 144 is the availability of current information
to the public about the Company; and (vi) the undersigned agrees not to make any disposition of all or any part of the aforesaid
shares of Company Stock unless and until there is then in effect a registration statement under the Securities Act covering such
proposed disposition and such disposition is made in accordance with said registration statement, or the undersigned has furnished
the Company with an opinion of counsel, reasonably satisfactory to the Company, to the effect that such disposition is not required
to be registered pursuant to the Securities Act or any applicable state securities laws; provided, that no opinion shall
be required for any disposition made or to be made in accordance with the provisions of Rule 144.

 

	Date:	 	 	Signature:
     	 
	 	 	 	 	 
	 	 	 	Print Name:	 

 

     

     

    

 

ASSIGNMENT
FORM

 

(To
assign the foregoing Warrant, subject to compliance with Section 4(c) hereof, execute this form and supply required information.
Do not use this form to purchase shares.)

 

FOR
VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to:

 

 

 

(Name)

 

 

 

(Address)

 

Dated:
________________, 20___

 

	 	Holder’s Name:	 
	 	 	 
	 	Holder’s Signature:	 
	 	 	 
	 	Holder’s Address:	 

 

NOTE:
The signature to this Assignment Form must correspond with the name as it appears on the face of the Warrant, without alteration
or enlargement or any change whatever. Officers of corporations and those acting in a fiduciary or other representative capacity
should file proper evidence of authority to assign the foregoing Warrant.

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