SEC Filing Document

Company: BIOVENTRIX, INC.
Ticker: 
CIK: 1283259
Filing Type: S-1
Document Type: EX-4.1
Date Filed: 2026-02-12
Accession Number: 0001493152-26-006407
Exchange: 
SIC Code: 3841
SIC Description: Surgical & Medical Instruments & Apparatus
URL: https://www.sec.gov/Archives/edgar/data/1283259/000149315226006407/ex4-1.htm

Chunk 4 of 5
Word Count: 156
Character Count: 1348

Document Content:

applicable, a new Purchase Warrant representing the number of shares of Common Stock for which this Purchase Warrant has not been converted. Name of Investing Entity _________________________________________________ Signature Name of Authorized Signatory _________________________________________________ Title of Authorized Signatory _________________________________________________ INSTRUCTIONS FOR REGISTRATION OF SECURITIES Name: (Print in Block Letters) Address: Exhibit FORM OF ASSIGNMENT be executed by the registered Holder to effect a transfer of the within Purchase Warrant): FOR VALUE RECEIVED, __________________ does hereby sell, assign and transfer unto the right to purchase [●] shares of the common stock, $0.0001 par value per share (the “Common Stock”), of BioVentrix, Inc., a Delaware corporation (the “Company”), evidenced by the Purchase Warrant to _________________________________________________ and does hereby authorize the Company to transfer such right on the books of the Company. Dated: Name of Investing Entity _________________________________________________ Signature Name of Authorized Signatory _________________________________________________ Title of Authorized Signatory _________________________________________________ INSTRUCTIONS FOR REGISTRATION OF SECURITIES

Name:

(Print
in Block Letters)

Address: