Attached files
file | filename |
---|---|
S-1/A - S-1/A - REGENERX BIOPHARMACEUTICALS INC | w78085a2sv1za.htm |
EX-1.1 - EX-1.1 - REGENERX BIOPHARMACEUTICALS INC | w78085a2exv1w1.htm |
EX-4.7 - EX-4.7 - REGENERX BIOPHARMACEUTICALS INC | w78085a2exv4w7.htm |
EX-5.1 - EX-5.1 - REGENERX BIOPHARMACEUTICALS INC | w78085a2exv5w1.htm |
EX-4.5 - EX-4.5 - REGENERX BIOPHARMACEUTICALS INC | w78085a2exv4w5.htm |
EX-23.1 - EX-23.1 - REGENERX BIOPHARMACEUTICALS INC | w78085a2exv23w1.htm |
Exhibit 4.6
THIS WARRANT WILL BE VOID IF NOT EXERCISED PRIOR TO 5:00 P.M. NEW YORK CITY TIME, MAY, 2015 WARRANTS W REGENERX BIO PHARMACEUTICALS, INC. WARRANT CERTIFICATE CUSIP 75886X 11 6 |
SUBSCRIPTION FORM
To Be Executed by the Registered Holder in Order to Exercise Warrants
To Be Executed by the Registered Holder in Order to Exercise Warrants
The undersigned Registered Holder
irrevocably elects to exercise
Warrants
represented by this Warrant Certificate, and to purchase the shares of Common Stock issuable upon
the exercise of such Warrants, and requests that Certificates for such shares shall be issued in
the name of
and be delivered to
and, if such number of Warrants shall not be all the Warrants evidenced by this Warrant
Certificate, that a new Warrant Certificate for the balance of such Warrants be registered in the
name of, and delivered to, the Registered Holder at the address stated below:
Dated: |
||||
(Signature) | ||||
(Address) | ||||
(Tax Identification Number) |
Signature Guaranteed:
THE SIGNATURE TO THE SUBSCRIPTION FORM MUST CORRESPOND TO THE NAME WRITTEN UPON THE
FACE OF THIS
WARRANT CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE
WHATSOEVER, AND MUST BE GUARANTEED BY A COMMERCIAL BANK OR TRUST COMPANY OR A MEMBER FIRM OF THE
AMERICAN STOCK EXCHANGE, NEW YORK STOCK EXCHANGE, PACIFIC STOCK EXCHANGE OR CHICAGO STOCK
EXCHANGE.
ASSIGNMENT
To Be Executed by the Registered Holder in Order to Assign Warrants
To Be Executed by the Registered Holder in Order to Assign Warrants
FOR VALUE RECEIVED,
hereby sell, assign and transfer unto
and be delivered to
of the Warrants represented by this Warrant Certificate, and hereby irrevocably constitute
and appoint
Dated: |
||||
Signature |
Signature Guaranteed:
THE SIGNATURE TO THE ASSIGNMENT OF THE SUBSCRIPTION FORM MUST CORRESPOND TO THE NAME WRITTEN
UPON THE FACE OF THIS WARRANT CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR
ANY CHANGE WHATSOEVER, AND MUST BE GUARANTEED BY A COMMERCIAL BANK OR TRUST COMPANY OR A MEMBER
FIRM OF THE AMERICAN STOCK EXCHANGE, NEW YORK STOCK EXCHANGE, PACIFIC STOCK EXCHANGE OR CHICAGO
STOCK EXCHANGE.