Exhibit 4.4
FORM OF SHARE CERTIFICATE
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Number | | Shares |
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| | CUSIP: M74240 108 |
| | See Reverse for |
| | Certain |
| | Definitions |
NEUROSENSE THERAPEUTICS LTD.
INCORPORATED UNDER THE LAWS OF THE STATE OF ISRAEL
THIS CERTIFIES that is the record holder of |
FULLY PAID AND NON-ASSESSABLE ORDINARY
SHARES, NO PAR VALUE, OF
NeuroSense Therapeutics Ltd.
transferable on the books of the Company by the holder hereof in person or by duly authorized attorney upon surrender of this Certificate properly endorsed, or with an appropriate instrument of transfer. This Certificate and the shares represented hereby are issued and shall be held subject to all the provisions of the Articles of Association of the Company and amendments thereto, to all of which the holder by the acceptance hereof assents. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.
IN WITNESS WHEREOF, the said Company caused this certificate to be signed by facsimile signatures of its duly authorized officers.
Dated:
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Chief Executive Officer | | Chief Financial Officer |
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, OR DESTROYED THE COMPANY WILL REQUIRE A BOND INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.
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:
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TEN COM - | | as tenants in common | | UNIF GIFT MIN ACT | | _____ | | Custodian | | ______ | |
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TEN ENT - | | as tenants by the entireties | | | | (Cust) | | | | (Minor) | |
JT TEN - | | as joint tenants with right of survivorship and not as tenants in common | | under Uniform Gifts to Minors Act | | | |
COM PROP - | | as community property | | | | | |
| | | | | | | | (State) | |
| UNIF TRF MIN ACT | | ______ | Custodian until age | | ______ | |
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| | | (Cust) | | | (Minor) | |
| under Uniform Transfers to Minors Act | | | |
| | | ______ | |
| | | | | (State) | |
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Additional abbreviations may also be used though not in the above list.
FOR VALUE RECEIVED, ______________________HEREBY SELLS, ASSIGNS AND TRANSFERS UNTO
PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE
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Please print or typewrite name and address including postal zip code of assignee |
ordinary shares represented by the within certificate, and do hereby irrevocably constitute and appoint
Attorney-in-fact to transfer the said stock on the books of the within named company with full power of substitution in the premises.
Dated
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| | NOTICE: THE SIGNATURE 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, WHATSOEVER. |
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Signature(s) Guaranteed: | | |
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THE SIGNATURE(S) SHOULD 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 17 AD-15. GUARANTEES BY A NOTARY PUBLIC ARE NOT ACCEPTABLE. SIGNATURE GUARANTEES MUST NOT BE DATED. | | |
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