COMMON STOCK PURCHASE WARRANT Warrant To Purchase _________ Shares of Common Stock of NEXMED, INC.
THIS
WARRANT AND THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER
THE
SECURITIES ACT OF 1933, AS AMENDED, AND MAY NOT BE OFFERED, SOLD, ASSIGNED
OR
TRANSFERRED, IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER SAID
ACT OR UNLESS THE COMPANY HAS RECEIVED AN OPINION OF COUNSEL REASONABLY
SATISFACTORY TO THE COMPANY THAT REGISTRATION UNDER SAID ACT IS NOT REQUIRED.
Warrant
No. NEXM-____
COMMON
STOCK PURCHASE WARRANT
Warrant
To
Purchase _________ Shares of Common Stock of NEXMED, INC.
THIS
IS TO CERTIFY THAT ___________, or registered assigns (the “Holder”), is
entitled, during the Exercise Period (as hereinafter defined), to purchase
from
NexMed, Inc., a Nevada corporation (the “Company”), the Warrant Stock (as
hereinafter defined and subject to adjustment as provided herein), in whole
or
in part, at a purchase price of $1.11 per share, all on and subject to the
terms
and conditions hereinafter set forth.
1. Definitions.
As used in this Warrant, the following terms have the respective meanings set
forth below:
“Affiliate”
means any person or entity that, directly or indirectly through one or more
intermediaries, controls or is controlled by or is under common control with
a
person or entity, as such terms are used in and construed under Rule 144 under
the Securities Act. With respect to a Holder of Warrants, any investment fund
or
managed account that is managed on a discretionary basis by the same investment
manager as such Holder will be deemed to be an Affiliate of such Holder.
“Appraised
Value”
means, in respect of any share of Common Stock on any date herein specified,
the
fair saleable value of such share of Common Stock (determined without giving
effect to the discount for (i) a minority interest or (ii) any lack of liquidity
of the Common Stock or to the fact that the Company may have no class of equity
registered under the Exchange Act) as of the last day of the most recent fiscal
month ending prior to such date specified, based on the value of the Company
on
a fully-diluted basis, as determined by a nationally recognized investment
banking firm selected by the Company’s Board of Directors and having no prior
relationship with the Company.
“Business
Day”
means any day except Saturday, Sunday and any day which shall be a legal holiday
or a day on which banking institutions in the State of New Jersey generally
are
authorized or required by law or other government actions to close.
“Change
of Control”
means the (i) acquisition by an individual or legal entity or group (as set
forth in Section 13(d) of the Exchange Act) of more than one-half of the voting
rights or equity interests in the Company; or (ii) sale, conveyance, or other
disposition of all or substantially all of the assets, property or business
of
the Company or the merger into or consolidation with any other corporation
(other than a wholly owned subsidiary corporation) or effectuation of any
transaction or series of related transactions where holders of the Company’s
voting securities prior to such transaction or series of transactions fail
to
continue to hold at least 50% of the voting power of the Company (or, if other
than the Company, the successor or acquiring entity) immediately following
such
transaction.
“Closing
Date”
means January 23, 2006.
“Commission”
means the Securities and Exchange Commission or any other federal agency then
administering the Securities Act and other federal securities laws.
“Common
Stock”
means (except where the context otherwise indicates) the Common Stock, $0.001
par value per share, of the Company as constituted on the Closing Date, and
any
capital stock into which such Common Stock may thereafter be changed or
converted, and shall also include (i) capital stock of the Company of any other
class (regardless of how denominated) issued to the holders of shares of Common
Stock upon any reclassification thereof which is also not preferred as to
dividends or assets on liquidation over any other class of stock of the Company
and which is not subject to redemption and (ii) shares of common stock of any
successor or acquiring corporation received by or distributed to the holders
of
Common Stock of the Company in the circumstances contemplated by Section 4.4.
“Current
Market Price”
means, in respect of any share of Common Stock on any date herein specified,
(1) if
there shall not then be a public market for the Common Stock, the higher of
(a)
the book value per share of Common Stock at such date, and
(b)
the Appraised Value per share of Common Stock at such date,
or
(2) if
there shall then be a public market for the Common Stock, the higher of (x)
the
book value per share of Common Stock at such date, and (y) the average of the
daily market prices for the five (5) consecutive Trading Days immediately before
such date. The daily market price for each such Trading Day shall be (i) the
closing bid price on such day on the principal stock exchange (including Nasdaq)
on which such Common Stock is then listed or admitted to trading, or quoted,
as
applicable, (ii) if no sale takes place on such day on any such exchange, the
last reported closing bid price on such day as officially quoted on any such
exchange (including Nasdaq), (iii) if the Common Stock is not then listed or
admitted to trading on any stock exchange, the last reported closing bid price
on such day in the over-the-counter market, as furnished by the National
Association of Securities Dealers Automatic Quotation System or the National
Quotation Bureau, Inc., (iv) if neither such corporation at the time is engaged
in the business of reporting such prices, as furnished by any similar firm
then
engaged in such business, or (v) if there is no such firm, as furnished by
any
member of the NASD selected mutually by the holder of this Warrant and the
Company or, if they cannot agree upon such selection, as selected by two such
members of the NASD, one of which shall be selected by holder of this Warrant
and one of which shall be selected by the Company.
2
“Current
Warrant Price”
means, in respect of a share of Common Stock at any date herein specified,
the
price at which a share of Common Stock may be purchased pursuant to this Warrant
on such date. Unless and until the Current Warrant Price is adjusted pursuant
to
the terms herein, the initial Current Warrant Price shall be $1.11 per share
of
Common Stock.
“Exchange
Act”
means the Securities Exchange Act of 1934, as amended, or any similar federal
statute, and the rules and regulations of the Commission thereunder, all as
the
same shall be in effect from time to time.
“Exercise
Period”
means the period during which this Warrant is exercisable pursuant to Section
2.1.
“Expiration
Date”
means January 23, 2010.
“GAAP”
means generally accepted accounting principles in the United States of America
as from time to time in effect.
“NASD”
means the National Association of Securities Dealers, Inc., or any successor
corporation thereto.
“Other
Property”
has the meaning set forth in Section 4.4.
“Person”
means any individual, sole proprietorship, partnership, joint venture, trust,
incorporated organization, association, corporation, limited liability company,
institution, public benefit corporation, entity or government (whether federal,
state, county, city, municipal or otherwise, including, without limitation,
any
instrumentality, division, agency, body or department thereof).
“Purchase
Agreement”
means that certain Common Stock and Warrant Purchase Agreement dated as of
January 23, 2006 among the Company and the other parties named therein, pursuant
to which this Warrant was originally issued.
“Restricted
Common Stock”
means shares of Common Stock which are, or which upon their issuance upon the
exercise of any Warrant would be required to be, evidenced by a certificate
bearing the restrictive legend set forth in Section 3.2.
“Securities
Act”
means the Securities Act of 1933, as amended, or any similar federal statute,
and the rules and regulations of the Commission thereunder, all as the same
shall be in effect at the time.
“Trading
Day”
means any day on which the primary market on which shares of Common Stock are
listed is open for trading.
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“Transfer”
means any disposition of any Warrant or Warrant Stock or of any interest in
either thereof, which would constitute a sale thereof within the meaning of
the
Securities Act.
“Warrants”
means this Warrant and all warrants issued upon transfer, division or
combination of, or in substitution for, any thereof. All Warrants shall at
all
times be identical as to terms and conditions and date, except as to the number
of shares of Common Stock for which they may be exercised.
“Warrant
Price”
means an amount equal to (i) the number of shares of Common Stock being
purchased upon exercise of this Warrant pursuant to Section 2.1, multiplied
by
(ii) the Current Warrant Price.
“Warrant
Stock”
means the ________ shares of Common Stock to be purchased upon the exercise
hereof, subject to adjustment as provided herein.
2. Exercise
of Warrant.
2.1. Manner
of Exercise.
From and after the date that is six (6) months after the date of issuance hereof
and until 5:00 P.M., New York time, on the Expiration Date (the “Exercise
Period”), the Holder may exercise this Warrant, on any Business Day, for all or
any part of the number of shares of Warrant Stock purchasable
hereunder.
In
order to exercise this Warrant, in whole or in part, the Holder shall deliver
to
the Company at its principal office or at the office or agency designated by
the
Company pursuant to Section 12, (i) a written notice of Xxxxxx’s election to
exercise this Warrant, which notice shall specify the number of shares of
Warrant Stock to be purchased, (ii) payment of the Warrant Price as provided
herein, and (iii) this Warrant. Such notice shall be substantially in the form
of the subscription form appearing at the end of this Warrant as Exhibit
A,
duly executed by the Holder or its agent or attorney. Upon receipt thereof,
the
Company shall, as promptly as practicable, and in any event within five Business
Days thereafter, execute or cause to be executed and deliver or cause to be
delivered to the Holder a certificate or certificates representing the aggregate
number of full shares of Warrant Stock issuable upon such exercise, together
with cash in lieu of any fraction of a share, as hereinafter provided. The
stock
certificate or certificates so delivered shall be, to the extent possible,
in
such denomination or denominations as the Holder shall request in the notice
and
shall be registered in the name of the Holder or such other name as shall be
designated in the notice. This Warrant shall be deemed to have been exercised
and such certificate or certificates shall be deemed to have been issued, and
the Holder or any other Person so designated to be named therein shall be deemed
to have become a Holder of record of such shares for all purposes, as of the
date when the notice, together with the payment of the Warrant Price and this
Warrant, is received by the Company as described above. If this Warrant shall
have been exercised in part, the Company shall, at the time of delivery of
the
certificate or certificates representing Warrant Stock, deliver to the Holder
a
new Warrant evidencing the rights of the Holder to purchase the unpurchased
shares of Common Stock called for by this Warrant, which new Warrant shall
in
all other respects be identical with this Warrant, or at the request of the
Holder, appropriate notation may be made on this Warrant and the same returned
to the Holder.
4
Payment
of the Warrant Price may be made at the option of the Holder by: (i) certified
or official bank check payable to the order of the Company, (ii) wire transfer
to the account of the Company or (iii) the surrender and cancellation of a
portion of shares of Common Stock then held by the Holder or issuable upon
such
exercise of this Warrant, which shall be valued and credited toward the total
Warrant Price due the Company for the exercise of the Warrant based upon the
Current Market Price of the Common Stock. All shares of Common Stock issuable
upon the exercise of this Warrant pursuant to the terms hereof shall be validly
issued and, upon payment of the Warrant Price, shall be fully paid and
nonassessable and not subject to any preemptive rights.
2.2. Fractional
Shares.
The Company shall not be required to issue a fractional share of Common Stock
upon exercise of any Warrant. As to any fraction of a share which the Holder
of
one or more Warrants, the rights under which are exercised in the same
transaction, would otherwise be entitled to purchase upon such exercise, the
Company shall pay an amount in cash equal to the Current Market Price per share
of Common Stock on the date of exercise multiplied by such fraction.
2.3. Continued
Validity.
A Holder of shares of Common Stock issued upon the exercise of this Warrant,
in
whole or in part (other than a Holder who acquires such shares after the same
have been publicly sold pursuant to a Registration Statement under the
Securities Act or sold pursuant to Rule 144 thereunder), shall continue to
be
entitled with respect to such shares to all rights to which it would have been
entitled as the Holder under Sections 10 and 13 of this Warrant.
2.4. Restrictions
on Exercise Amount.
(i) Unless
a Holder delivers to the Company irrevocable written notice prior to the date
of
issuance hereof or sixty-one days prior to the effective date of such notice
that this Section 2.4(i) shall not apply to such Holder, the Company shall
not
issue to the Holder, and the Holder may not acquire, a number of shares of
Warrant Stock to the extent that, upon such exercise, the number of shares
of
Common Stock then beneficially owned by such holder and its Affiliates and
any
other persons or entities whose beneficial ownership of Common Stock would
be
aggregated with the Holder’s for purposes of Section 13(d)
of
the Exchange Act (including shares held by any “group” of which the holder is a
member,but
excluding shares beneficially owned by virtue of the ownership of securities
or
rights to acquire securities that have limitations on the right to convert,
exercise or purchase similar to the limitation set forth
herein)
would
exceed
9.9% of the total number of shares of Common Stock of the Company then issued
and outstanding. For purposes hereof, “group” has the meaning set forth in
Section 13(d) of the Exchange Act and applicable regulations of the Commission,
and the percentage held by the holder shall be determined in a manner consistent
with the provisions of Section 13(d) of the Exchange Act. Each delivery of
a
notice of exercise by a Holder will constitute a representation by such Holder
that it has evaluated the limitation set forth in this paragraph and determined,
based on the most recent public filings by the Company with the Commission,
that
the issuance of the full number of shares of Warrant Stock requested in such
notice of exercise is permitted under this paragraph.
(ii) In
the event the Company is prohibited from issuing shares of Warrant Stock as
a
result of any restrictions or prohibitions under applicable law or the rules
or
regulations of any stock exchange, interdealer quotation system or other
self-regulatory organization, the Company shall as soon as possible seek the
approval of its stockholders and take such other action to authorize the
issuance of the full number of shares of Common Stock issuable upon exercise
of
this Warrant.
5
3. Transfer,
Division and Combination.
3.1. Transfer.
The Warrants and the Warrant Stock shall be freely transferable, subject to
compliance with all applicable laws, including, but not limited to the
Securities Act; provided, however, that a Holder must obtain the prior written
consent of the Company in order to transfer Warrants representing the right
to
purchase less than 100,000 shares of Warrant Stock. If, at the time of the
surrender of this Warrant in connection with any transfer of this Warrant or
the
resale of the Warrant Stock, this Warrant or the Warrant Stock, as applicable,
shall not be registered for resale under the Securities Act, the Company may
require, as a condition of allowing such transfer (i) that the Holder or
transferee of this Warrant or the Warrant Stock as the case may be, furnish
to
the Company a written opinion of counsel that is reasonably acceptable to the
Company to the effect that such transfer may be made without registration under
the Securities Act, (ii) that the Holder or transferee execute and deliver
to
the Company an investment letter in form and substance acceptable to the Company
and substantially in the form attached as Exhibit
B
hereto and (iii) that the transferee be an “accredited investor” as defined in
Rule 501(a) promulgated under the Securities Act. Transfer of this Warrant
and
all rights hereunder, in whole or in part, in accordance with the foregoing
provisions, shall be registered on the books of the Company to be maintained
for
such purpose, upon surrender of this Warrant at the principal office of the
Company referred to in Section 2.1 or the office or agency designated by the
Company pursuant to Section 12, together with a written assignment of this
Warrant substantially in the form of Exhibit
C
hereto duly executed by the Holder or its agent or attorney and funds sufficient
to pay any transfer taxes payable upon the making of such transfer. Upon such
surrender and, if required, such payment, the Company shall execute and deliver
a new Warrant or Warrants in the name of the assignee or assignees and in the
denomination specified in such instrument of assignment, and shall issue to
the
assignor a new Warrant evidencing the portion of this Warrant not so assigned,
and this Warrant shall promptly be cancelled. Following a transfer that complies
with the requirements of this Section 3.1, the Warrant may be exercised by
a new
Holder for the purchase of shares of Common Stock regardless of whether the
Company issued or registered a new Warrant on the books of the
Company.
In
connection with any transfer of this Warrant after the Registration Statement
(as defined in the Registration Rights Agreement) is declared effective under
the Securities Act, the Holder
or transferee of this Warrant shall
reimburse the Company for its reasonable out of pocket costs in connection
with
such transfer (including without limitation the reasonable attorneys fees for
preparing and filing a prospectus supplement with the SEC and/or delivering
an
updated opinion letter to the Seller’s transfer agent).
3.2. Restrictive
Legends.
Each certificate for Warrant Stock initially issued upon the exercise of this
Warrant, and each certificate for Warrant Stock issued to any subsequent
transferee of any such certificate shall be stamped or otherwise imprinted
with
legends in substantially the following form:
6
“THE
SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE
SECURITIES ACT OF 1933 AS AMENDED, AND MAY NOT BE OFFERED, SOLD, ASSIGNED OR
TRANSFERRED, IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER SAID
ACT OR UNLESS NEXMED, INC. (THE “COMPANY”) HAS RECEIVED AN OPINION OF COUNSEL
REASONABLY SATISFACTORY TO THE COMPANY THAT REGISTRATION UNDER SAID ACT IS
NOT
REQUIRED.”
“THE
SALE,
TRANSFER OR ASSIGNMENT OF THE SECURITIES REPRESENTED BY THIS CERTIFICATE IS
SUBJECT TO THE TERMS AND CONDITIONS OF A CERTAIN REGISTRATION RIGHTS AGREEMENT
DATED AS OF JANUARY 23, 2006, AS AMENDED FROM TIME TO TIME, AMONG THE COMPANY
AND CERTAIN HOLDERS OF ITS OUTSTANDING SECURITIES. COPIES OF SUCH AGREEMENT
MAY
BE OBTAINED AT NO COST BY WRITTEN REQUEST MADE BY THE HOLDER OF RECORD OF THIS
CERTIFICATE TO THE SECRETARY OF THE COMPANY.”
3.3. Division
and Combination; Expenses; Books.
This Warrant may be divided or combined with other Warrants upon presentation
hereof at the aforesaid office or agency of the Company, together with a written
notice specifying the names and denominations in which new Warrants are to
be
issued, signed by the Holder or its agent or attorney. Subject to compliance
with Section 3.1 as to any transfer which may be involved in such division
or
combination, the Company shall execute and deliver a new Warrant or Warrants
in
exchange for the Warrant or Warrants to be divided or combined in accordance
with such notice. The Company shall prepare, issue and deliver at its own
expense the new Warrant or Warrants under this Section 3. The Company agrees
to
maintain, at its aforesaid office or agency, books for the registration and
the
registration of transfer of the Warrants.
4. Adjustments.
The number of shares of Common Stock for which this Warrant is exercisable,
and
the price at which such shares may be purchased upon exercise of this Warrant,
shall be subject to adjustment from time to time as set forth in this Section
4.
The Company shall give the Holder notice of any event described below which
requires an adjustment pursuant to this Section 4 in accordance with Sections
5.1 and 5.2.
4.1. Stock
Dividends, Subdivisions and Combinations.
If at any time while this Warrant is outstanding the Company shall:
(i) declare
a dividend or make a distribution on its outstanding shares of Common Stock
in
shares of Common Stock,
(ii) subdivide
its outstanding shares of Common Stock into a larger number of shares of Common
Stock, or
(iii) combine
its outstanding shares of Common Stock into a smaller number of shares of Common
Stock, then:
(1) the
number of shares of Common Stock acquirable upon exercise of this Warrant
immediately after the occurrence of any such event shall be adjusted to equal
the number of shares of Common Stock which a record holder of the same number
of
shares of Common Stock that would have been acquirable under this Warrant
immediately prior to the record date for such dividend or distribution or the
effective date of such subdivision or combination would own or be entitled
to
receive after such record date or the effective date of such subdivision or
combination, as applicable, and
7
(2) the
Current Warrant Price shall be adjusted to equal:
(A) the
Current Warrant Price in effect at the time of the record date for such dividend
or distribution or of the effective date of such subdivision or combination,
multiplied by the number of shares of Common Stock into which this Warrant
is
exercisable immediately prior to the adjustment, divided by
(B) the
number of shares of Common Stock into which this Warrant is exercisable
immediately after such adjustment.
Any
adjustment made pursuant to clause (i) of this paragraph shall become effective
immediately after the record date for the determination of stockholders entitled
to receive such dividend or distribution, and any adjustment pursuant to clauses
(ii) or (iii) of this paragraph shall become effective immediately after the
effective date of such subdivision or combination.
4.2. Certain
Other Distributions.
If at any time while this Warrant is outstanding the Company shall cause the
holders of its Common Stock to be entitled to receive any dividend or other
distribution of:
(i) cash,
(ii) any
evidences of its indebtedness, any shares of stock of any class or any other
securities or property or assets of any nature whatsoever (other than cash
or
additional shares of Common Stock as provided in Section 4.1 hereof), or
(iii) any
warrants or other rights to subscribe for or purchase any evidences of its
indebtedness, any shares of stock of any class or any other securities or
property or assets of any nature whatsoever, then:
(1) the
number of shares of Common Stock acquirable upon exercise of this Warrant shall
be adjusted to equal the product of the number of shares of Common Stock
acquirable upon exercise of this Warrant immediately prior to the record date
for such dividend or distribution, multiplied by a fraction (x) the numerator
of
which shall be the Current Warrant Price per share of Common Stock at the date
of taking such record and (y) the denominator of which shall be such Current
Warrant Price minus the amount allocable to one share of Common Stock of any
such cash so distributable and of the fair value (as determined in good faith
by
the Board of Directors of the Company) of any and all such evidences of
indebtedness, shares of stock, other securities or property or warrants or
other
subscription or purchase rights so distributable; and
(2) the
Current Warrant Price in effect immediately prior to the record date fixed
for
determination of stockholders entitled to receive such distribution shall be
adjusted to equal (x) the Current Warrant Price multiplied by the number of
shares of Common Stock acquirable upon exercise of this Warrant immediately
prior to the adjustment, divided by (y) the number of shares of Common Stock
acquirable upon exercise of this Warrant immediately after such adjustment.
A
reclassification of the Common Stock (other than a change in par value, or
from
par value to no par value or from no par value to par value) into shares of
Common Stock and shares of any other class of stock shall be deemed a
distribution by the Company to the holders of its Common Stock of such shares
of
such other class of stock within the meaning of this Section 4.2 and, if the
outstanding shares of Common Stock shall be changed into a larger or smaller
number of shares of Common Stock as a part of such reclassification, such change
shall be deemed a subdivision or combination, as the case may be, of the
outstanding shares of Common Stock within the meaning of Section
4.1.
8
4.3. Other
Provisions Applicable to Adjustments.
The following provisions shall be applicable to the making of adjustments of
the
number of shares of Common Stock into which this Warrant is exercisable and
the
Current Warrant Price provided for in Section 4:
(a)
When
Adjustments to Be Made.
The adjustments required by Section 4 shall be made whenever and as often as
any
specified event requiring an adjustment shall occur, except that any that would
otherwise be required may be postponed (except in the case of a subdivision
or
combination of shares of the Common Stock, as provided for in Section 4.1)
up
to, but not beyond the date of exercise if such adjustment either by itself
or
with other adjustments not previously made adds or subtracts less than 1% of
the
shares of Common Stock into which this Warrant is exercisable immediately prior
to the making of such adjustment. Any adjustment representing a change of less
than such minimum amount (except as aforesaid) which is postponed shall be
carried forward and made as soon as such adjustment, together with other
adjustments required by this Section 4 and not previously made, would result
in
a minimum adjustment or on the date of exercise. For the purpose of any
adjustment, any specified event shall be deemed to have occurred at the close
of
business on the date of its occurrence.
(b)
Fractional
Interests.
In computing adjustments under this Section 4, fractional interests in Common
Stock shall be taken into account to the nearest 1/100th of a share.
(c)
When
Adjustment Not Required.
If the Company undertakes a transaction contemplated under this Section 4 and
as
a result takes a record of the holders of its Common Stock for the purpose
of
entitling them to receive a dividend or distribution or subscription or purchase
rights or other benefits contemplated under this Section 4 and shall, thereafter
and before the distribution to stockholders thereof, legally abandon its plan
to
pay or deliver such dividend, distribution, subscription or purchase rights
or
other benefits contemplated under this Section 4, then thereafter no adjustment
shall be required by reason of the taking of such record and any such adjustment
previously made in respect thereof shall be rescinded and annulled.
(d)
Escrow
of Stock.
If after any property becomes distributable pursuant to Section 4 by reason
of
the taking of any record of the holders of Common Stock, but prior to the
occurrence of the event for which such record is taken, a holder of this Warrant
exercises the Warrant during such time, then such holder shall continue to
be
entitled to receive any shares of Common Stock issuable upon exercise hereunder
by reason of such adjustment and such shares or other property shall be held
in
escrow for the holder of this Warrant by the Company to be issued to holder
of
this Warrant upon and to the extent that the event actually takes place.
Notwithstanding any other provision to the contrary herein, if the event for
which such record was taken fails to occur or is rescinded, then such escrowed
shares shall be canceled by the Company and escrowed property returned to the
Company.
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4.4. Reorganization,
Reclassification, Merger, Consolidation or Disposition of Assets.
(a)
If there shall occur a Change of Control and, pursuant to the terms of such
Change of Control, shares of common stock of the successor or acquiring
corporation, or any cash, shares of stock or other securities or property of
any
nature whatsoever (including warrants or other subscription or purchase rights)
in addition to or in lieu of common stock of the successor or acquiring
corporation (“Other Property”), are to be received by or distributed to the
holders of Common Stock of the Company, then the Holder of this Warrant shall
have the right thereafter to receive, upon the exercise of the Warrant, the
number of shares of common stock of the successor or acquiring corporation
or of
the Company, if it is the surviving corporation, and the Other Property
receivable upon or as a result of such Change of Control by a holder of the
number of shares of Common Stock into which this Warrant is exercisable
immediately prior to such event.
(b)
In case of any such Change of Control described in Section 4.4(a) above, the
resulting, successor or acquiring entity (if other than the Company) and, if
an
entity different from the successor or acquiring entity, the entity whose
capital stock or assets the holders of the Common Stock are entitled to receive
as a result of such Change of Control, shall expressly assume the due and
punctual observance and performance of each and every covenant and condition
contained in this Warrant to be performed and observed by the Company and all
the obligations and liabilities hereunder, subject to such modifications as
may
be deemed appropriate (as determined by resolution of the Board of Directors
of
the Company) in order to provide for adjustments of shares of the Common Stock
into which this Warrant is exercisable which shall be as nearly equivalent
as
practicable to the adjustments provided for in Section 4. For purposes of
Section 4, common stock of the successor or acquiring corporation shall include
stock of such corporation of any class which is not preferred as to dividends
or
assets on liquidation over any other class of stock of such corporation and
which is not subject to redemption and shall also include any evidences of
indebtedness, shares of stock or other securities which are convertible into
or
exchangeable for any such stock, either immediately or upon the arrival of
a
specified date or the happening of a specified event and any warrants or other
rights to subscribe for or purchase any such stock. The foregoing provisions
of
this Section 4 shall similarly apply to successive Change of Control
transactions.
4.5. Other
Action Affecting Common Stock.
In case at any time or from time to time the Company shall take any action
in
respect of its Common Stock, other than the payment of dividends permitted
by
Section 4 or any other action described in Section 4, then, unless such action
will not have a materially adverse effect upon the rights of the holder of
this
Warrant, the number of shares of Common Stock or other stock into which this
Warrant is exercisable and/or the purchase price thereof shall be adjusted
in
such manner as may be equitable in the circumstances.
4.6. Certain
Limitations.
Notwithstanding anything herein to the contrary, the Company agrees not to
enter
into any transaction which, by reason of any adjustment hereunder, would cause
the Current Warrant Price to be less than the par value per share of Common
Stock.
10
4.7. Stock
Transfer Taxes.
The issue of stock certificates upon exercise of this Warrant shall be made
without charge to the holder for any tax in respect of such issue. The Company
shall not, however, be required to pay any tax which may be payable in respect
of any transfer involved in the issue and delivery of shares in any name other
than that of the holder of this Warrant, and the Company shall not be required
to issue or deliver any such stock certificate unless and until the person
or
persons requesting the issue thereof shall have paid to the Company the amount
of such tax or shall have established to the satisfaction of the Company that
such tax has been paid.
5. Notices
to Warrant Holders.
5.1. Certificate
as to Adjustments.
Upon the occurrence of each adjustment or readjustment of the Current Warrant
Price, the Company, at its expense, shall promptly compute such adjustment
or
readjustment in accordance with the terms hereof and prepare and furnish to
the
Holder of this Warrant a certificate setting forth such adjustment or
readjustment and showing in detail the facts upon which such adjustment or
readjustment is based. The Company shall, upon the written request at any time
of the Holder of this Warrant, furnish or cause to be furnished to such Holder
a
like certificate setting forth (i) such adjustments and readjustments, (ii)
the
Current Warrant Price at the time in effect and (iii) the number of shares
of
Common Stock and the amount, if any, or other property which at the time would
be received upon the exercise of Warrants owned by such Holder.
5.2. Notice
of Corporate Action.
If at any time:
(a) the
Company shall take a record of the holders of its Common Stock for the purpose
of entitling them to receive a dividend (other than a cash dividend payable
out
of earnings or earned surplus legally available for the payment of dividends
under the laws of the jurisdiction of incorporation of the Company) or other
distribution, or any right to subscribe for or purchase any evidences of its
indebtedness, any shares of stock of any class or any other securities or
property, or to receive any other right, or
(b) there
shall be any capital reorganization of the Company, any reclassification or
recapitalization of the capital stock of the Company or any consolidation or
merger of the Company with, or any sale, transfer or other disposition of all
or
substantially all the property, assets or business of the Company to, another
corporation, or
(c) there
shall be a voluntary or involuntary dissolution, liquidation or winding up
of
the Company;
then,
in any one or more of such cases, the Company shall give to the Holder (i)
at
least 20 days’ prior written notice of the date on which a record date shall be
selected for such dividend, distribution or right or for determining rights
to
vote in respect of any such reorganization, reclassification, merger,
consolidation, sale, transfer, disposition, dissolution, liquidation or winding
up, and (ii) in the case of any such reorganization, reclassification, merger,
consolidation, sale, transfer, disposition, dissolution, liquidation or winding
up, at least 20 days’ prior written notice of the date when the same shall take
place. Such notice in accordance with the foregoing clause also shall specify
(i) the date on which any such record is to be taken for the purpose of such
dividend, distribution or right, the date on which the holders of Common Stock
shall be entitled to any such dividend, distribution or right, and the amount
and character thereof, and (ii) the date on which any such reorganization,
reclassification, merger, consolidation, sale, transfer, disposition,
dissolution, liquidation or winding up is to take place and the time, if any
such time is to be fixed, as of which the holders of Common Stock shall be
entitled to exchange their shares of Common Stock for securities or other
property deliverable upon such reorganization, reclassification, merger,
consolidation, sale, transfer, disposition, dissolution, liquidation or winding
up. Each such written notice shall be sufficiently given if addressed to the
Holder at the last address of the Holder appearing on the books of the Company
and delivered in accordance with Section 16.2.
11
5.3. No
Rights as Stockholder.
This Warrant does not entitle the Holder to any voting or other rights as a
stockholder of the Company prior to exercise and payment for the Warrant Price
in accordance with the terms hereof.
6. No
Impairment.
The Company shall not by any action, including, without limitation, amending
its
articles of incorporation or through any reorganization, transfer of assets,
consolidation, merger, dissolution, issue or sale of securities or any other
voluntary action, avoid or seek to avoid the observance or performance of any
of
the terms of this Warrant, but will at all times in good faith assist in the
carrying out of all such terms and in the taking of all such actions as may
be
necessary or appropriate to protect the rights of the Holder against impairment.
Without limiting the generality of the foregoing, the Company will (a) not
increase the par value of any shares of Common Stock receivable upon the
exercise of this Warrant above the amount payable therefor upon such exercise
immediately prior to such increase in par value, (b) take all such action as
may
be necessary or appropriate in order that the Company may validly and legally
issue fully paid and nonassessable shares of Common Stock upon the exercise
of
this Warrant, and (c) use its best efforts to obtain all such authorizations,
exemptions or consents from any public regulatory body having jurisdiction
thereof as may be necessary to enable the Company to perform its obligations
under this Warrant. Upon the request of the Holder, the Company will at any
time
during the period this Warrant is outstanding acknowledge in writing, in form
satisfactory to the Holder, the continuing validity of this Warrant and the
obligations of the Company hereunder.
7. Reservation
and Authorization of Common Stock; Registration With Approval of Any
Governmental Authority.
From and after the Closing Date, the Company shall at all times reserve and
keep
available for issue upon the exercise of Warrants such number of its authorized
but unissued shares of Common Stock as will be sufficient to permit the exercise
in full of all outstanding Warrants (without regard to any ownership limitations
provided in Section 2.4(i)). All shares of Common Stock which shall be so
issuable, when issued upon exercise of any Warrant and payment therefor in
accordance with the terms of such Warrant, shall be duly and validly issued
and
fully paid and nonassessable, and not subject to preemptive rights. Before
taking any action which would cause an adjustment reducing the Current Warrant
Price below the then par value, if any, of the shares of Common Stock issuable
upon exercise of the Warrants, the Company shall take any corporate action
which
may be necessary in order that the Company may validly and legally issue fully
paid and non-assessable shares of such Common Stock at such adjusted Current
Warrant Price. Before taking any action which would result in an adjustment
in
the number of shares of Common Stock for which this Warrant is exercisable
or in
the Current Warrant Price, the Company shall obtain all such authorizations
or
exemptions thereof, or consents thereto, as may be necessary from any public
regulatory body or bodies having jurisdiction thereof. If any shares of Common
Stock required to be reserved for issuance upon exercise of Warrants require
registration or qualification with any governmental authority under any federal
or state law before such shares may be so issued (other than as a result of
a
prior or contemplated distribution by the Holder of this Warrant), the Company
will in good faith and as expeditiously as possible and at its expense endeavor
to cause such shares to be duly registered.
12
8. Taking
of Record; Stock and Warrant Transfer Books.
In the case of all dividends or other distributions by the Company to the
holders of its Common Stock with respect to which any provision of Section
4
refers to the taking of a record of such holders, the Company will in each
such
case take such a record and will take such record as of the close of business
on
a Business Day. The Company will not at any time, except upon dissolution,
liquidation or winding up of the Company, close its stock transfer books or
Warrant transfer books so as to result in preventing or delaying the exercise
or
transfer of any Warrant.
9. Registration
Rights. The resale of the Warrant Stock shall be registered in accordance
with the terms and conditions contained in that certain Registration Rights
Agreement dated of even date hereof, among the Holder, the Company and the
other
parties named therein (the “Registration Rights Agreement”). The Holder
acknowledges that pursuant to the Registration Rights Agreement, the Company
has
the right to request that the Holder furnish information regarding such Holder
and the distribution of the Warrant Stock as is required by law or the
Commission to be disclosed in the Registration Statement (as such term is
defined in the Registration Rights Agreement), and the Company may exclude
from
such registration the shares of Warrant Stock acquirable hereunder if Holder
fails to furnish such information within a reasonable time prior to the filing
of each Registration Statement, supplemented prospectus included therein and/or
amended Registration Statement.
10. Supplying
Information.
Upon any default by the Company of its obligations hereunder or under the
Registration Rights Agreement, the Company shall cooperate with the Holder
in
supplying such information as may be reasonably necessary for such Holder to
complete and file any information reporting forms presently or hereafter
required by the Commission as a condition to the availability of an exemption
from the Securities Act for the sale of any Warrant or Restricted Common Stock.
11. Loss
or Mutilation.
Upon receipt by the Company from the Holder of evidence reasonably satisfactory
to it of the ownership of and the loss, theft, destruction or mutilation of
this
Warrant and indemnity or security reasonably satisfactory to it and
reimbursement to the Company of all reasonable expenses incidental thereto
and
in case of mutilation upon surrender and cancellation hereof, the Company will
execute and deliver in lieu hereof a new Warrant of like tenor to the Holder;
provided, however, that in the case of mutilation, no indemnity shall be
required if this Warrant in identifiable form is surrendered to the Company
for
cancellation.
12. Office
of the Company.
As long as any of the Warrants remain outstanding, the Company shall maintain
an
office or agency (which may be the principal executive offices of the Company)
where the Warrants may be presented for exercise, registration of transfer,
division or combination as provided in this Warrant.
13
13. Financial
and Business Information.
13.1. Quarterly
Information.
The Company will deliver to the Holder, as soon as available and in any event
within 45 days after the end of each of the first three quarters of each fiscal
year of the Company, one copy of an unaudited consolidated balance sheet of
the
Company and its subsidiaries as at the end of such quarter, and the related
unaudited consolidated statements of income, retained earnings and cash flow
of
the Company and its subsidiaries for such quarter and, in the case of the second
and third quarters, for the portion of the fiscal year ending with such quarter,
setting forth in each case in comparative form the figures for the corresponding
periods in the previous fiscal year. Such financial statements shall be prepared
by the Company in accordance with GAAP and accompanied by the certification
of
the Company’s chief executive officer or chief financial officer that such
financial statements present fairly the consolidated financial position, results
of operations and cash flow of the Company and its subsidiaries as at the end
of
such quarter and for such year-to-date period, as the case may be; provided,
however, that the Company shall have no obligation to deliver such quarterly
information under this Section 13.1 to the extent it is publicly available;
and
provided further, that if such information contains material non-public
information, the Company shall so notify the Holder prior to delivery thereof
and the Holder shall have the right to refuse delivery of such information.
13.2. Annual
Information.
The Company will deliver to the Holder as soon as available and in any event
within 90 days after the end of each fiscal year of the Company, one copy of
an
audited consolidated balance sheet of the Company and its subsidiaries as at
the
end of such year, and audited consolidated statements of income, retained
earnings and cash flow of the Company and its subsidiaries for such year;
setting forth in each case in comparative form the figures for the corresponding
periods in the previous fiscal year; all prepared in accordance with GAAP,
and
which audited financial statements shall be accompanied by an opinion thereon
of
the independent certified public accountants regularly retained by the Company,
or any other firm of independent certified public accountants of recognized
national standing selected by the Company; provided, however, that the Company
shall have no obligation to deliver such annual information under this Section
13.2 to the extent it is publicly available; and provided further, that if
such
information contains material non-public information, the Company shall so
notify the Holder prior to delivery thereof and the Holder shall have the right
to refuse delivery of such information.
13.3. Filings.
The Company will file all regular or periodic reports (pursuant to the Exchange
Act) required to be filed with the Commission and will deliver to Holder
promptly upon their becoming available one copy of each report, notice or proxy
statement sent by the Company to its stockholders generally, to the extent
not
publicly available.
14. Limitation
of Liability.
No provision hereof, in the absence of affirmative action by the Holder to
purchase shares of Common Stock, and no enumeration herein of the rights or
privileges of the Holder hereof, shall give rise to any liability of the Holder
for the purchase price of any Common Stock, whether such liability is asserted
by the Company or by creditors of the Company.
14
15. Redemption.
15.1 Subject
to the Purchase Agreement and subject to the terms set forth herein (including
without limitation subsection 15.2 below), in the event that the closing sale
price of the Company’s Common Stock (as reported by the Nasdaq Stock Market or
such other principal stock exchange on which such Common Stock is then listed
or
admitted to trading, or quoted, as applicable) is greater than $5.00 (as
appropriately and equitably adjusted for stock splits, reverse stock splits,
stock dividends and the similar events) for a period (“Pricing Period”) of ten
(10) consecutive Trading Days, the Company shall have the right, upon at least
ten (10) Trading Days' prior written notice to the Holder (“Redemption Notice”),
to redeem all or a portion of this Warrant representing any or all of the then
remaining number of shares underlying this Warrant (not previously exercised),
at a redemption price equal to $.01 per share issuable hereunder for the portion
hereof being redeemed. Any redemption hereunder shall occur on the date
specified in the Redemption Notice (“Redemption Date”), provided that such
Redemption Date may not occur until at least ten (10) Trading Days following
the
date on which the Holder receives the Redemption Notice (the “Redemption Notice
Date”). The Company may not deliver any Redemption Notice until after the
completion of the Pricing Period, and must deliver any Redemption Notice within
five (5) Trading Days following the last day of any Pricing Period. The period
from the Redemption Notice Date to the Redemption Date shall be referred to
herein as the “Post-Call Period”. The Holder may exercise this Warrant,
including any portion subject to a Redemption Notice, at any time and from
time
to time during the period from the Redemption Notice Date through the date
on
which the redemption price for such Warrants is paid by the Company (and
thereafter if such redemption price is not paid), and the Company shall honor
all tendered subscription forms during such period. If the Company intends
to
redeem less than all of the then outstanding Warrants issued to Purchasers
under
the Purchase Agreement, it shall do so on a pro rata basis among such holders
in
accordance with this Section.
15.2 Notwithstanding
anything to the contrary herein, the Company shall be prohibited from exercising
its right to redeem this Warrant pursuant to this Section if at any time during
the Post-Call Period or during the thirty (30) consecutive Trading Days
immediately preceding such Post-Call Period there fails to exist “Effective
Registration”. “Effective Registration” shall mean (i) the resale of all
Registrable Securities (as defined in the Registration Rights Agreement) is
covered by an effective registration statement in accordance with the terms
of
the Registration Rights Agreement which registration statement is not subject
to
any suspension or stop orders; (ii) the resale of such Registrable Securities
may be effected pursuant to a current and deliverable prospectus that is not
subject at the time to any blackout or similar circumstance; (iii) such
Registrable Securities are listed, or approved for listing prior to issuance,
on
either the New York Stock Exchange, the American Stock Exchange, the Nasdaq
Stock Market or such other principal stock exchange on which such Common Stock
is then listed or admitted to trading, or quoted, as applicable (each an
“Approved Market”) and are not subject to any trading suspension (nor shall
trading generally have been suspended on such exchange or market), and the
Company shall not have been notified of any pending or threatened proceeding
or
other action to delist or suspend the Common Stock on the Approved Market on
which the Common Stock is then traded or listed; (iv) the requisite number
of
shares of Common Stock shall have been duly authorized and reserved for issuance
as required by the terms of the Agreements; and (vi) none of the Company or
any
direct or indirect subsidiary of the Company is (1) subject to any bankruptcy
or
insolvency proceeding or (2) in breach of this Warrant, the Purchase Agreement
or any Related Documents.
15
16.
Miscellaneous.
16.1 Nonwaiver
and Expenses.
No course of dealing or any delay or failure to exercise any right hereunder
on
the part of the Holder shall operate as a waiver of such right or otherwise
prejudice Holder’s rights, powers or remedies. If the Company fails to make,
when due, any payments provided for hereunder, or fails to comply with any
other
provision of this Warrant, the Company shall pay to the Holder such amounts
as
shall be sufficient to cover any third party costs and expenses including,
but
not limited to, reasonable attorneys’ fees, including those of appellate
proceedings, incurred by the Holder in collecting any amounts due pursuant
hereto or in otherwise enforcing any of its rights, powers or remedies
hereunder.
16.2 Notice
Generally.
All notices, requests, demands or other communications provided for herein
shall
be in writing and shall be given in the manner and to the addresses set forth
in
the Purchase Agreement.
16.3 Successors
and Assigns.
Subject to compliance with the provisions of Section 3.1, this Warrant and
the
rights evidenced hereby shall inure to the benefit of and be binding upon the
successors of the Company and the successors and assigns of the Holder. The
provisions of this Warrant are intended to be for the benefit of all Holders
from time to time of this Warrant, and shall be enforceable by any such Holder.
16.4 Amendment.
This Warrant may be modified or amended or the provisions of this Warrant waived
with the written consent of both the Company and the Holder.
16.5 Severability.
Wherever possible, each provision of this Warrant shall be interpreted in such
manner as to be effective and valid under applicable law, but if any provision
of this Warrant shall be prohibited by or invalid under applicable law, such
provision shall be modified to the extent of such prohibition or invalidity,
without invalidating the remainder of such provision or the remaining provisions
of this Warrant.
16.6 Headings.
The headings used in this Warrant are for the convenience of reference only
and
shall not, for any purpose, be deemed a part of this Warrant.
16.7 Governing
Law.
This Warrant and the transactions contemplated hereby shall be deemed to be
consummated in the State of New York and shall be governed by and interpreted
in
accordance with the local laws of the State of New York without regard to the
provisions thereof relating to conflicts of laws. The Company hereby irrevocably
consents to the exclusive jurisdiction of the State and Federal courts located
in New York City, New York in connection with any action or proceeding arising
out of or relating to this Warrant. In any such litigation the Company agrees
that the service thereof may be made by certified or registered mail directed
to
the Company pursuant to Section 16.2.
[Signature
Page Follows]
16
IN
WITNESS WHEREOF, NexMed, Inc. has caused this Warrant to be executed by its
duly
authorized officer and attested by its Secretary.
Dated: January ___, 2006 | ||
NEXMED, INC. | ||
|
|
|
Date: | By: | /s/ |
Name: |
||
Title: | ||
Attest: | |||
By: | |||
|
|||
Title: Secretary |
17
EXHIBIT
A
SUBSCRIPTION
FORM
[To
be executed only upon exercise of Warrant]
NexMed,
Inc.
000
Xxxxxxxxx Xxxxxxxxx
Robbinsville,
NJ 08691
Attention:
Chief Financial Officer
Facsimile
No.: 000-000-0000
Xxxxx
Fargo Bank, N.A.
Shareowner
Services
000
Xxxxx
Xxxxxxx Xxxxxxxx Xxxxxx
South
St
Xxxx, MN 55075-1139
Attn: Xxxx Xxxxx
Attn: Xxxx Xxxxx
Fax:
000-000-0000
1. The
undersigned registered owner hereby elects to purchase ______ shares
of
the Common Stock of NexMed, Inc. pursuant to the terms of the attached Warrant,
and tenders herewith payment of the purchase price of such shares in
full.
2. The
undersigned registered owner hereby elects to convert the attached Warrant
into
Common Stock of NexMed, Inc. through “cashless exercise” in the manner specified
in the Warrant. This conversion is exercised with respect to
_____________________ of the shares of Warrant Stock covered by the
Warrant.
3. Please
issue a certificate or certificates representing said shares in the name of
the
undersigned or in such other name as is specified below:
(Name)
|
|||
|
|||
|
|||
(Address)
|
and, if such shares of Common Stock shall not include all of the shares of Common Stock issuable as provided in this Warrant, that a new Warrant of like tenor and date for the balance of the shares of Common Stock issuable hereunder be delivered to the undersigned.
18
(Delete
following paragraph if not applicable:)
[Holder
hereby represents to you that it has sold or has current plans to resell all
of
such Common Shares received upon this exercise of this Warrant, solely in
accordance with the terms of the Registration Statement filed with the U.S.
Securities and Exchange Commission by the Company covering such Common Shares
as
described under the section entitled "Plan of Distribution"
therein.]
(Name of Registered Owner) |
|||
(Signature of Registered Owner) |
|||
(Street Address) |
|||
(State) (Zip Code) |
NOTICE:
The signature on this subscription must correspond with the name as written
upon
the face of the Warrant in every particular, without alteration or enlargement
or any change whatsoever.
19
EXHIBIT
B
FORM
OF INVESTMENT REPRESENTATION LETTER
Re:
|
Common
Stock, par value $0.001 per share (“Common Stock”), of NexMed, Inc., a
Nevada corporation
(“Company”).
|
In
connection with the acquisition by the undersigned (“Transferee”)
of:
□
|
warrants
(“Warrants”) to purchase _______ shares of Common Stock,
or
|
□
|
_______
shares of Common Stock issued upon the exercise of
Warrants,
|
the
Transferee hereby represents and warrants to the Company as follows:
The
Transferee (i) is an “Accredited Investor” as that term is defined in Rule 501
of Regulation D promulgated under the Securities Act of 1933, as amended (the
“Act”); and (ii) has the ability to bear the economic risks of such Transferee’s
prospective investment, including a complete loss of Transferee’s investment in
the Warrants and/or the shares of Common Stock issuable upon the exercise
thereof (collectively, the “Securities”).
The
Transferee, by acceptance of the Securities, represents and warrants to the
Company that the Securities and all other securities acquired upon any and
all
exercises of the Warrants are purchased for the Transferee’s own account, and
not with view to distribution of either the Securities or any other securities
purchasable upon exercise of the Warrants in violation of applicable securities
laws.
The
Transferee acknowledges that (i) the Securities have not been registered under
the Act, (ii) the Securities are “restricted securities” and the certificate(s)
representing the Securities shall bear the following legend, or a similar legend
to the same effect, until (i) in the case of the shares of Common Stock
underlying the Warrants, such shares shall have been registered for resale
by
the Transferee under the Act and effectively been disposed of in accordance
with
a registration statement that has been declared effective; or (ii) in the
opinion of counsel for the Company such Securities may be sold without
registration under the Act:
“The
securities represented by this certificate have not been registered under the
Securities Act of 1933 as amended, and may not be offered, sold, assigned or
transferred, in the absence of an effective registration statement under said
act or unless NexMed, Inc. (the “Company”) has received an opinion of counsel
reasonably satisfactory to the Company that registration under said Act is
not
required.”
“The
sale, transfer or assignment of the securities represented by this certificate
is subject to the terms and conditions of a certain registration rights
agreement dated as of January___,
2006,
as amended from time to time, among the Company and certain holders of its
outstanding securities. Copies of such agreement may be obtained at no cost
by
written request made by the holder of record of this certificate to the
secretary of the Company.”
IN
WITNESS WHEREOF, the Transferee has caused this Investment Representation Letter
to be duly executed this __ day of __________ 2___.
Transferee Name: | |||
|
|||
By:
|
|||
Name: Title: |
|||
|
20
EXHIBIT
C
ASSIGNMENT
FORM
FOR
VALUE RECEIVED the undersigned registered owner of this Warrant for the purchase
of shares of common stock of NexMed, Inc. hereby sells, assigns and transfers
unto the Assignee named below all of the rights of the undersigned under this
Warrant, with respect to the number of shares of common stock set forth
below:
|
|||
|
|||
(Name and Address of Assignee) |
|||
(Number of Shares of Common Stock) |
and
does hereby irrevocably constitute and appoint ____________ attorney-in-fact
to
register such transfer on the books of the Company, maintained for the purpose,
with full power of substitution in the premises.
Dated: | |||
|
|||
(Print Name and Title) |
|||
(Signature) |
|||
(Witness) |
NOTICE: The signature on this assignment must correspond with the name as written upon the face of the Warrant in every particular, without alteration or enlargement or any change whatsoever.
21