Attached files
| file | filename |
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| S-1/A - AMENDMENT NO 6 TO FORM S1 - ENDRA Life Sciences Inc. | end_s1a.htm |
| EX-5.1 - FORM OF OPINION - ENDRA Life Sciences Inc. | exhibit5_1.htm |
| EX-4.2 - FORM OF WARRANT AGREEMENT AND WARRANT - ENDRA Life Sciences Inc. | exhibit4_2.htm |
| EX-1.1 - FORM OF UNDERWRITING AGREEMENT - ENDRA Life Sciences Inc. | exhibit1_1.htm |
Exhibit 4.10
FORM OF SPECIMEN UNIT CERTIFICATE
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NUMBER
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U-_____________
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UNITS
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SEE REVERSE FOR CERTAIN
DEFINITIONS
ENDRA LIFE SCIENCES INC.
CUSIP [________]
UNITS CONSISTING OF ONE SHARE OF COMMON STOCK
AND
ONE WARRANT TO PURCHASE ONE SHARE OF COMMON
STOCK
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THIS
CERTIFIES THAT
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is the
owner of
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Units.
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Each Unit (“Unit”)
consists of one (1) share of common stock, par value $0.0001 per
share (“Common
Stock”), of ENDRA LIFE SCIENCES INC., a Delaware
corporation (the “Company”),
and one (1) warrant (“Warrant”).
The Warrant entitles the holder to purchase one (1) share of Common
Stock for $[___] per share (subject to adjustment). The Warrant
will become exercisable on (i) the first trading day following the
sixtieth (60th) day following the date of the prospectus filed
in connection with the Company’s initial public offering or (ii) such earlier
date as Dougherty & Company LLC shall determine is acceptable,
and will expire unless exercised before 5:00 p.m. New York City
time on the date which is five (5) years from the date of the
prospectus filed in connection with the Company’s initial public offering of this Unit
(the “Expiration
Date”).
The Common Stock and Warrant comprising each Unit shall begin to
trade separately on (i) the first trading day following the
sixtieth (60th) day following the date of the prospectus filed
in connection with the Company’s initial public offering or (ii) such earlier
date as Dougherty & Company LLC shall determine is
acceptable.
The terms of the Warrants are governed by a Warrant Agreement,
dated as of [____], 2017, between the Company and Corporate Stock
Transfer, Inc., as Warrant Agent, and are subject to the terms and
provisions contained therein, all of which terms and provisions the
holder of this certificate consents to by acceptance hereof. Copies
of the Warrant Agreement are on file at the office of the Warrant
Agent at 3200 Cherry Creek Drive South, #430, Denver, CO 80209 and
are available to any Warrant holder on written request and without
cost.
This certificate shall be governed by and construed under New York
law. This certificate is not valid unless countersigned by the
Transfer Agent and Registrar of the Company.
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Witness the facsimile seal of
the Company and the facsimile signature of its duly authorized
officers.
[ENDRA LIFE SCIENCES INC.]
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COUNTERSIGNED
AND REGISTERED:
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CORPORATE
STOCK TRANSFER, INC.
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TRANSFER
AGENT AND REGISTRAR
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BY:
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AUTHORIZED
OFFICER
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By
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(SIGNATURE)
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CHIEF
EXECUTIVE OFFICER
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(SEAL)
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(SIGNATURE)
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SECRETARY
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[REVERSE
OF CERTIFICATE]
ENDRA LIFE SCIENCES INC.
The Company will furnish without charge to each
stockholder who so requests, a statement of the powers,
designations, preferences and relative, participating, optional or
other special rights of each class of shares or series thereof of
the Company and the qualifications, limitations, or restrictions of
such preferences and/or rights. This certificate and the Units
represented hereby are issued and shall be held subject to the
terms and conditions applicable to the securities underlying and
comprising the Units, including, as applicable, the Company’s
Certificate of Incorporation and all amendments thereto, the
Warrant Agreement and resolutions of the Company’s Board of
Directors providing for the issue of securities (copies of which
may be obtained from the secretary of the Company), to all of which
the holder(s) of this certificate by acceptance hereof
assents.
The following abbreviations, when used in the
inscription on the face of this certificate, shall be construed as
though they were written out in full according to applicable laws
or regulations:
TEN COM - as tenants in common
TEN ENT - as tenants by the
entireties
JT TEN - as joint tenants with right of
survivorship and not as tenants in common
UNIF GIFT MIN ACT-
Custodian
(Cust)
(Minor)
under
Uniform Gifts to Minors Act
(State)
Additional abbreviations may also be used though
not in the above list.
For value received
, hereby sell(s), assign(s) and transfer(s) unto
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE(S)
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(PLEASE
PRINT OR TYPEWRITE NAME(S) AND ADDRESS(ES), INCLUDING ZIP CODE, OF
ASSIGNEE(S))
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Units
represented by the within Certificate, and hereby irrevocably
constitute(s) and appoint(s)
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Attorney to transfer the said Units on the books of the within
named Company with full power of substitution in the
premises.
Dated:
NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH
THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY
PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE
WHATEVER.
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Signature(s)
Guaranteed:
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By
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THE SIGNATURE(S) 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 SEC RULE
17Ad-15).