PLACEMENT AGENT ORDINARY SHARE PURCHASE WARRANT PAINREFORM LTD.Placement Agent Ordinary Share Agreement • December 27th, 2023 • Painreform Ltd. • Pharmaceutical preparations • New York
THIS PLACEMENT AGENT ORDINARY SHARE PURCHASE WARRANT (the “Warrant”) 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 set forth above (the “Initial Exercise Date”) and on or prior to 5:00 p.m. (New York City time) on December 28, 2028 (the “Termination Date”) but not thereafter, to subscribe for and purchase from PainReform Ltd., a company formed under the laws of the State of Israel (the “Company”), up to ______ shares (as subject to adjustment hereunder, the “Warrant Shares”) of the Company’s Ordinary Shares. The purchase price of one Ordinary Share under this Warrant shall be equal to the Exercise Price, as defined in Section 2(b). This Warrant is issued pursuant to that certain engagement letter, dated as of December 18, 2023, as amended, by and between the Company and H.C. Wainwright & Co., LLC (the “Engagement
