PLACEMENT AGENT PREFERRED INVESTMENT OPTION Microbot Medical Inc.Microbot Medical Inc. • January 2nd, 2024 • Surgical & medical instruments & apparatus • New York
Company FiledJanuary 2nd, 2024 Industry JurisdictionTHIS SERIES E PREFERRED INVESTMENT OPTION (the “Preferred Investment Option”) certifies that, for value received, _____________ or its assigns (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after the date set forth above (the “Initial Exercise Date”) and on or prior to 5:00 p.m. (New York City time) on July 3, 2029 (the “Termination Date”) but not thereafter, to subscribe for and purchase from Microbot Medical Inc., a Delaware corporation (the “Company”), up to ______ shares (as subject to adjustment hereunder, the “Preferred Investment Option Shares”) of Common Stock. The purchase price of one share of Common Stock under this Preferred Investment Option shall be equal to the Exercise Price, as defined in Section 2(b).This Preferred Investment Option is issued pursuant to that certain engagement letter, dated as of October 24, 2023, by and between the Company and H.C. Wainwright & Co., LL