Top Image Systems, Ltd.



Exhibit 4.1
 
     
ORDINARY SHARES
NOMINAL VALUE NIS .04
   
ORDINARY SHARES
NOMINAL VALUE NIS .04
       
     
INCORPORATED UNDER THE LAWS OF THE STATE OF ISRAEL
   
ORDINARY
SHARES
 
 
       
       
CUSIP M87896 10 2
SEE REVERSE FOR CERTAIN DEFINITIONS
       
 
THIS CERTIFIES THAT
 
 
 
 
is the owner of
 
 
 
FULLY PAID AND NONASSESSABLE ORDINARY SHARES, NOMINAL VALUE NIS .04, OF
 
TOP IMAGE SYSTEMS, LTD. (herein called the “Company”) transferable on the books of the Company by the holder hereof in person or by duly authorized attorney, upon surrender of this certificate properly endorsed. This certificate is not valid until countersigned and registered by the Transfer Agent and Registrar.
 
    IN WITNESS WHEREOF, the Company has caused the facsimile signatures of its duly authorized officers to be printed hereon.

Dated:
     
 
   
Controller
President
 
 
 
 
 

 
 
 
The Company will furnish to any shareholder upon request and without charge a full statement of the designations, preferences, limitations and relative rights of the shares of each class and series authorized to be issued.
 
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   --
as tenants in common
UNIF GIFT MIN ACT --
 
Custodian
 
TEN ENT   --
as tenants by the entireties
 
(Cust)
 
(Minor)
JT TEN   --
as joint tenants with right of survivorship
and not as tenants in common
 
Under Uniform Gifts Minors
       
Act
   
   
 
 
(State)
 
   
 
Additional abbreviations may also be used though not in the above list
 
For value received,   
 
 hereby sell, assign and transfer unto
         
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
       
         
         
     
         
         
 
Please print or typewrite name and address including postal zip code of assignee
         
 
         
         
 
         
         
 
Ordinary Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint
     
         
 
         
         
         
Attorney to transfer said stock on the books of the within-named Company with full power of substitution in the premises
         
         
         
         
Dated,
         
         
         
   
         
         
Signature(s) Guaranteed.
       
         
         
         
THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITU-
TION  (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT
UNIONS WITH MEMBERSHIP IN AN APPROVED MEDALLION SIGNATURE GUARANTEE
PROGRAM) PURSUANT TO S.E.C. RULE 17Ad-15.