EX-4.1 5 s000535x7_ex4-1.htm EXHIBIT 4.1

Exhibit 4.1
 

             
  SHARES OF

  Ordinary Shares  
 
      NUMBER OF
  CERTIFICATE  

XXXXX
 
             
  Foamix Pharmaceuticals Ltd.
INCORPORATED UNDER THE LAWS OF THE STATE OF ISRAEL
             
             
             
  THIS CERTIFIES that ______________________________________________________
Is the owner of __________________________________________________(___________)
 
             
             
             
  Fully paid and non-assessable Shares of NIS 0.16 value per share, of  
       
  Foamix Pharmaceuticals Ltd.  
       
transferable on the books of the Company in person or by duly authorized attorney upon
surrender of this certificate properly endorsed.
             
             
       
  This certificate is not valid unless countersigned by the Transfer Agent and registered by the Registrar.  
             
       
       
  Witness, the seal of the Company and the signature of its duly authorized officer dated _____ _, 2014  
             
             
             
             
             
         
              _________, Director   _________, Director    
             
             
             
 
 
             
         

 
                 
  PLEASE INSERT SOCIAL SECURITY OR OTHER      
  IDENTIFYING NUMBER OF ASSIGNEE        
           
           
       
             
     
  PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE  
     
     
             
                 
   
          shares of  
       
  the ordinary shares represented by the within Certificate, and do hereby irrevocably  
     
  constitute and appoint ________________________________________  
     
     
     
  attorney to transfer the said Shares on the books of the within named Corporation with full power of substitution in the premises.  
             
  Dated ________________________________________      
        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 WHATEVER.  
  SIGNATURE(S) GUARANTEED:      
  ______________________________________________      
  THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANK, STOCKBROKERS, SAVING AND LOAN ASSOCIATION AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C RULE 17Ad-15.