Attached files
file | filename |
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S-1/A - CorMedix Inc. | v177841_s1a.htm |
EX-1.1 - CorMedix Inc. | v177841_ex1-1.htm |
EX-4.5 - CorMedix Inc. | v177841_ex4-5.htm |
EX-4.4 - CorMedix Inc. | v177841_ex4-4.htm |
EX-3.5 - CorMedix Inc. | v177841_ex3-5.htm |
EX-5.1 - CorMedix Inc. | v177841_ex5-1.htm |
EX-4.1 - CorMedix Inc. | v177841_ex4-1.htm |
EX-4.3 - CorMedix Inc. | v177841_ex4-3.htm |
EX-23.1 - CorMedix Inc. | v177841_ex23-1.htm |
Exhibit
4.2
No.
_______
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CORMEDIX
INC.
Incorporated
under the Laws of the State of Delaware
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_________
UNITS
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UNITS
EACH CONSISTING OF TWO SHARES OF COMMON STOCK
AND ONE
WARRANT TO PURCHASE ONE SHARE OF COMMON STOCK
SEE
REVERSE FOR CERTAIN DEFINITIONS
THIS
CERTIFIES THAT ___________________________________ IS THE OWNER OF
_________________ UNITS. Each Unit (“Unit”) consists of two (2)
shares of common stock, par value $0.001 per share (“Common Stock”), of CORMEDIX
INC., a Delaware corporation (the “Corporation”), and one warrant (each, a
“Warrant”). Each Warrant entitles the holder to purchase one (1)
share of Common Stock for $[___] per share (subject to
adjustment). Each Warrant will become exercisable upon the earlier to
occur of the expiration of the underwriters’ over-allotment option as described
in the Corporation’s Registration Statement on Form S-1 (Registration No.
333-163380) or the exercise in full of such over-allotment option, and will
expire on [___________], 2015. The terms of the Warrants are governed
by a warrant agreement (the “Warrant Agreement”) between the Corporation and its
transfer agent, dated as of [________], 2010, as amended, restated or
supplemented from time to time, 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 will be on file at the office of the Warrant Agent at 2672 Bayshore
Pkwy, Suite 1055, Mountain View, CA 94043, and are available to any Warrant
holder on written request and without cost.
The
Units represented by this certificate will automatically separate and the Common
Stock and Warrant comprising each Unit will trade separately on [________],
2010, unless Maxim Group LLC determines that an earlier date is acceptable for
separate trading to begin, in which case the Corporation will publicly announce
the date for separate trading to begin.
WITNESS
the facsimile seal of the Corporation and the facsimile signatures of its duly
authorized officers.
Dated:
_______, 2010
CORMEDIX
INC.
CORPORATE
SEAL
Delaware
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President
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Secretary
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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
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as
tenants in common
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Unif
Gift Min Act -
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________
Custodian __________
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TEN
ENT
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tenants
by the entireties
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(Cust) (Minor)
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JT
TEN
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as
joint tenants with right of survivorship and not as tenants
in
common
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Under
Uniform Gifts to Minors Act:
____________________
(State)
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Additional
abbreviations may also be used though not in the above list.
CORMEDIX
INC.
The
Corporation will furnish without charge to each stockholder who so requests the
powers, designations, preferences and relative, participating, option or other
special rights of each class of stock or series thereof of the Corporation 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.
For
Value Received, __________________________________ hereby sell, assign and
transfer unto
PLEASE
INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE
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(PLEASE
PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF
ASSIGNEE)
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Units
represented by the within Certificate, and do hereby irrevocably constitute and
appoint _____________________________ Attorney, to transfer the said Units on
the books of the within named Corporation with full power of substitution in the
premises.
Dated
__________________
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By:
___________________________________________________
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By:
___________________________________________________
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NOTICE:
THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) 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 S.E.C. RULE 17Ad-15.
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