Number of warrants represented by this certificate: [●]
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Date: [●], 2023
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Certificate number: [●]
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1. |
Expiry Time:
At the Expiry Time, all Warrants will expire and be null and void.
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2. |
Exercise Price: Each Warrant entitles to Holder to purchase from the Company one (1) Common Share at a price equal to $1.50 (the “Exercise Price”). The number of Common Shares which the Holder is entitled to acquire on exercise of the Warrants and the Exercise Price are subject to adjustment in accordance with this Warrant Certificate.
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3. |
Exercise Procedure:
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3.1 |
Deliveries: Subject to Section 3.3 and Section 7.2, the Holder may exercise the Warrants before the Expiry Time, in whole or in
part, by delivering to the Company during regular business hours at its principal office located at Kibbutz Glil Yam, Central District, Israel, 4690500 (the “Principal Office”), (or at any other address as the Company
may notify the Holder in writing):
|
3.1.1 |
this Warrant Certificate, with a properly completed and signed subscription form substantially in the form attached as Schedule 3.1.1 (the “Subscription Form”) and any other documents contemplated in the Subscription Form; and
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3.1.2 |
a certified cheque, bank draft or wire transfer payable to or to the order of the Company (or other form of payment acceptable to the Company) in the amount of the
aggregate Exercise Price for the Common Shares being purchased.
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3.2 |
Issuance: The Common Shares subscribed for under the Subscription
Form will be issued in the name of the Holder (or as otherwise directed by the Holder and subject to compliance with the transfer procedures under Section 6)
as fully paid and non-assessable shares in the capital of the Company effective as of a date that is no later than five business days after the date of receipt by the Company of the deliveries made by the Holder under Section 3.1.
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3.3 |
Compliance with Laws: Any exercise of Warrants will be subject to
compliance, to the reasonable satisfaction of the Company, with all applicable laws and the requirements of any stock exchange on which the Common Shares are listed at the time of exercise of the Warrants.
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3.4 |
[Legends: If issued before May 17, 2023, any certificate
representing the Common Shares issued on exercise of the Warrants, and any certificate issued in exchange for or in substitution of this Warrant Certificate, will bear the following legend:
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4. |
Partial Exercise: The Holder may exercise a number of Warrants
that is less than the total number of Warrants evidenced by this Warrant Certificate. If there is a partial exercise under this Section 4, the Holder will be
entitled to receive, without charge, a new warrant certificate evidencing the balance of the Warrants which have not yet been exercised.
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5. |
No Fractional Shares: Despite any adjustment provided for in
Section 9, no fractional Common Shares will be issued on any exercise of Warrants and the number of Common Shares issuable on the exercise of Warrants will be
rounded down to the nearest whole number. The Holder will not be entitled to any cash or other consideration in lieu of any fraction of a Common Share.
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6. |
Transfer of Warrants:
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6.1 |
Transfer Procedure: The Warrants may not be transferred or
assigned by the Holder except in accordance with Sections 6.2 and 7.3 and with the prior written consent of the Company, which consent shall not be unreasonably withheld. If the Holder intends to transfer any of the Warrants, it shall deliver
to the Company during regular business hours at its Principal Office (or at any other address as the Company may notify the Holder in writing), this Warrant
Certificate with a properly completed and signed transfer form in the form attached as Schedule 6.1 (the “Transfer Form”)
and any other documents contemplated by the Transfer Form. Upon compliance with the foregoing conditions, the Company shall execute and deliver to the applicable transferee a new certificate representing the transferred Warrants, registered
in the name of the transferee (or as the transferee may otherwise direct in writing). If fewer than the total number of Warrants evidenced by this Warrant Certificate are transferred, the Holder shall be entitled to receive, in the same
manner, a new Warrant Certificate registered in its name evidencing the number of Warrants not so transferred. Prior to registration of any transfer of the Warrants, the Holder and the applicable transferee shall be required to provide the
Company with any necessary information and documents, including certificates and statutory declarations, as may be requested by the Company to ensure compliance with any applicable securities laws.
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6.2 |
Compliance with Laws: Any transfer of Warrants will be subject to
compliance, to the reasonable satisfaction of the Company, with all applicable laws and the requirements of any stock exchange on which the Common Shares are listed at the time of exercise of the Warrants. The Company will not be responsible
for the payment of any transfer or similar taxes (“Taxes”), and any transfer of Warrants will be subject to the Holder establishing, to the reasonable satisfaction of the Company, that all Taxes have been paid or that
no Taxes are due.
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7. |
U.S. Laws:
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7.1 |
No Registration: The Warrants and the Common Shares issuable on
the exercise of the Warrants have not been registered under the United States Securities Act of 1933, as amended (the “1933 Act”) or the securities laws of any state of the United States, and the Company has no obligation or present intention of filing a registration statement under the 1933 Act in respect of any of the Warrants or
the Common Shares issuable on the exercise of the Warrants. These Warrants may not be exercised by or on behalf of a U.S. Person or a person in the United States unless the Warrants and the Common Shares have been registered under the 1933
Act and applicable securities laws of any state of the United States or an exemption from such registration requirements is available. Certificates representing Common Shares issued in the United States or to U.S. Persons upon exercise of
Warrants by persons in the United States will bear a legend restricting the transfer and exercise of such securities under applicable United States federal and state securities laws. “United States” and “U.S. Person” are as defined in Regulation S under the 1933 Act.
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7.2 |
Restrictions on Exercise – U.S. Persons: The Warrants may only be exercised by a Holder
who, at the time of exercise:
|
7.2.1 |
provides written certification that (i) the Holder is outside the United States and
(ii) the Holder is not a U.S. Person (as defined in Regulation S under the 1933 Act, a “U.S. Person”), and (iii) the Holder
is not exercising any of the Warrants on behalf of, or for the account or benefit of, a U.S. Person; or
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7.2.2 |
provides a written opinion of U.S. counsel, in a form acceptable to the Company acting reasonably, that the Common Shares issuable on exercise of the Warrants are
exempt from registration requirements under the 1933 Act and the securities laws of all applicable states of the United States.
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7.3 |
Restrictions on Transfer: This Warrant and the Common Shares
issuable upon exercise of this Warrant have not been and will not be registered under the 1933 Act or under state securities laws of any state in the United States. Accordingly, this Warrant may not be transferred or exercised in the United
States or by or on behalf of a U.S. Person or a person in the United States unless an exemption is available from the registration requirements of the U.S. Securities Act and applicable state securities laws and, if required by the Company,
the Holder of this Warrant has furnished an opinion of counsel of recognized standing in form and substance reasonably satisfactory to the Company to such effect, as applicable. In addition, this Warrant and the Common Shares issuable upon
exercise of this Warrant are subject to a 40 day “distribution compliance period”
(as defined in Regulation S under the 1933 Act, the “Distribution
Compliance Period”), and the Warrants or Common Shares may not be offered or sold, prior to the expiration of the Distribution Compliance Period,
unless (A) in accordance with Rule 903 or 904 of Regulation S under the 1933 Act; (B) pursuant to an effective registration statement under the 1933 Act; or (C) pursuant to an available exemption from the registration requirements of the 1933
Act and upon delivery of an opinion of counsel of recognized standing reasonably satisfactory to the Company to such effect, if requested. Further, the Warrants may only be transferred to a transferee who, at the time of transfer, either:
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7.3.1 |
provides written certification that (i) the transferee is outside the United States
and (ii) the transferee is not a U.S. Person, and (iii) the transferee is not acquiring any of the Warrants on behalf of, or for the account or benefit of, a
U.S. Person;
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7.3.2 |
provides a written opinion of U.S. counsel, in a form acceptable to the Company acting reasonably, that the Warrants are exempt from registration requirements under the
1933 Act and the securities laws of all applicable states of the United States;
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7.3.3 |
provides a written certification, as may be applicable by checking the appropriate box in the form of transfer attached hereto as Schedule 6.1, that it is offering,
selling, pledging or otherwise transferring pursuant only to: (A) the Company; (B) a sale that is made outside the United States in accordance with Rule 904 of Regulation S under the 1933 Act and in compliance with applicable local laws and
regulations; (C) a sale that is made in accordance with the exemption from registration provided by Rule 144A under the 1933 Act, if available, to a person who the Holder reasonably believes is a “qualified institutional buyer” within the meaning of said Rule 144A that is purchasing for its own account or for
the account of a qualified institutional buyer and to whom notice is given that the offer, sale or transfer is being made in reliance on Rule 144A, and in accordance with applicable state securities laws; (D) the sale is made pursuant to Rule
144 under the 1933 Act, if available, and in accordance with applicable state securities or “blue sky” laws; (E) the sale is made in a transaction (other than a transaction described in subparagraphs (A), (B), (C) or (D) above) that does not require registration under the 1933 Act or any applicable state
securities or “blue sky” laws governing the offer and sale of such
securities; or (F) the applicable securities are registered under the 1933 Act and any applicable state securities or “blue sky” laws governing the offer and sale of such securities; and, with respect to an offer, sale, pledge, transfer or other disposition made under subparagraph (C), (D), (E) or (F) above
(and, if required by any transfer agent for the applicable securities, subparagraph (B) above) the Holder has, prior to such sale, furnished to the Company an opinion of counsel of recognized standing, which opinion shall be reasonably
satisfactory in form and substance to the Company and shall confirm the compliance of such transaction with the registration requirements of the 1933 Act, applicable “blue sky” or state securities laws or exemption therefrom. No transfer of the Warrants represented by this Certificate shall be made if in
the opinion of counsel to the Company such transfer would result in the violation of any applicable securities laws.
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7.4 |
U.S. Legend:
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7.4.1 |
If the Warrants are exercised under Section 7.2.2 or transferred under Section 7.3.2,
any certificates evidencing the Common Shares or Warrants, as applicable, and any certificate issued in exchange for or in substitution of those certificates, will bear the following legend(s):
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7.4.2 |
A legended certificate may be surrendered to the Company in exchange for a certificate which does not bear the legend specified in Section 7.4.1 if:
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7.4.2.1 |
the Holder provides the Company with evidence satisfactory in form and substance to the Company (which may include an opinion of counsel satisfactory to the Company) to
the effect that the legend specified in Section 7.4.1 is not required; or
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7.4.2.2 |
the Company is a “foreign issuer” (as defined in Regulation S under the 1933 Act) at the time of surrender, and the Holder delivers to the Company’s
transfer agent (in the case of Common Shares) or to the Company (in the case of Warrants) a signed declaration, in substantially the form attached as Schedule 7.4.2.2
(or any other form that the Company may prescribe), to the effect that the sale of the securities is being made in compliance with Rule 904 of Regulation S under the 1933 Act.
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8. |
Not a Shareholder: The holding of a Warrant will not constitute
the Holder a shareholder of the Company or entitle the Holder to any right or interest as a shareholder of the Company, except as expressly provided in this Warrant Certificate.
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9. |
Adjustments: The adjustments in Sections 9.2 to 9.5 are subject to the rules set out in Section 9.6.
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9.1 |
Definitions: In this Section 9, the following terms have the following meanings:
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9.1.1 |
“Adjustment Period” means the period starting on the date of this Warrant Certificate and ending at the Expiry Time.
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9.1.2 |
“Board” means the board of directors of the Company (or, if empowered, a committee of the board of directors of the Company).
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9.1.3 |
“Convertible Security” means a security convertible into or exchangeable for a Common Share.
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9.1.4 |
“Current Market Price” means at any date the volume weighted average price at which the Common Shares have been traded on the
Canadian stock exchange on which the Common Shares are publicly listed for trading during the five (5) consecutive trading days ending on such date, and in the event the Common Shares are not so traded on any stock exchange, the “Current Market Price” thereof will be determined by the board of directors of
the Company, acting reasonably and in good faith who will rely upon the advice of independent financial advisors.
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9.1.5 |
“Exchange Rate” means the number of Common Shares which the Holder is entitled to purchase for each Warrant.
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9.1.6 |
“Ordinary Course Dividends” means ordinary course dividends (payable in any form) declared payable
on the Common Shares in any fiscal year of the Company.
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9.2 |
Share Adjustment: If, during the Adjustment Period, the Company:
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9.2.1 |
subdivides the Common Shares into a greater number of shares of the Company;
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9.2.2 |
consolidates the Common Shares into a lesser number of shares of the Company; or
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9.2.3 |
fixes a record date to issue (or issues) Common Shares or Convertible Securities to the holders of all or substantially all of the Common Shares by way of a stock
dividend or other distribution on the Common Shares,
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9.2.4 |
with a numerator equal to the number of Common Shares outstanding before giving effect to the Share Adjustment; and
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9.2.5 |
with a denominator equal to the number of Common Shares outstanding after giving effect to the Share Adjustment (and after giving effect to the conversion or exchange of any Convertible Securities distributed by way of stock dividend or other distribution, as if all of those Convertible Securities had been converted or
exchanged on the Share Adjustment Trigger Date).
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9.2.6 |
with a numerator equal to the Exercise Price in effect immediately before the adjustment; and
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9.2.7 |
with a denominator equal to the Exercise Price resulting from the adjustment.
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9.3 |
Special Distribution: If, during the Adjustment Period, the
Company fixes a record date for the distribution to the holders of all or substantially all of the Common Shares of:
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9.3.1 |
shares of any class, whether of the Company or any other corporation;
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9.3.2 |
rights, options or warrants;
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9.3.3 |
evidences of indebtedness; or
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9.3.4 |
other assets or property,
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9.3.5 |
with a numerator equal to:
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9.3.5.1 |
the number of Common Shares outstanding on the Special Distribution Trigger Date multiplied by the Current Market Price on the Special Distribution Trigger Date; less
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9.3.5.2 |
the excess, if any, of the fair market value of the securities or other assets or property being distributed over the fair market value of any consideration received by
the Company from the holders of Common Shares for the securities or other assets or property being distributed; and
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9.3.6 |
with a denominator equal to the number of Common Shares outstanding on the Special Distribution Trigger Date multiplied by the Current Market Price on the Special
Distribution Trigger Date.
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9.4 |
Reorganization: If, during the Adjustment Period:
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9.4.1 |
the Common Shares are reclassified or changed into other shares or there is any other reorganization involving the Common Shares (other than a Share Adjustment);
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9.4.2 |
the Company is a party to any consolidation, amalgamation, merger or arrangement with any other person; or
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9.4.3 |
all or substantially all of the undertakings or assets of the Company are transferred to another person,
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9.5 |
Other Adjustments: If, during the Adjustment Period, the Company
takes any action affecting the Common Shares, other than an action or event requiring an adjustment under Sections 9.2 to 9.4, which the Board determines would have a material effect on the rights of the Holder under this Warrant Certificate,
then the terms of the Warrants will be adjusted in any manner and at any time as the Board (in its sole discretion) determines is equitable in the circumstances. If the Board fails to provide for an adjustment under this Section 9.5 before the effective date of the action affecting the Common Shares, that failure will be deemed to be conclusive evidence that the Board has determined that
it is equitable to make no adjustment in the circumstances.
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9.6 |
Rules:
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9.6.1 |
Successive Calculations: The adjustments under this Section 9 will be made successively (without duplication) whenever a relevant event occurs.
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9.6.2 |
Minimum Adjustments: No adjustment of the Exercise Price will be
made unless it would result in a change in the Exercise Price of at least 1% of the Exercise Price originally established on the date of this Warrant Certificate (however any adjustments which by reason of this Section 9.6.2 are not required to be made will be carried forward and taken into account in any subsequent adjustment).
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9.6.3 |
Participation by Holder: No adjustments under this Section 9 will be made to the extent that the Holder is entitled to participate in the relevant event on the same terms mutatis mutandis as if the Holder had exercised the Warrants before the relevant date.
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9.6.4 |
Actions Not Taken: If the Company fixes a record date which (if
it were not for this Section 9.6.4) would trigger an adjustment under Section 9,
and the event in respect of which that record date is set is abandoned (or that record date is changed), then no adjustment under Section 9 will be required
by reason of the setting of that (original) record date. If a calculation is made under Section 9 based on the assumed conversion or exchange of Convertible
Securities or on the assumed exercise of rights, options or warrants, and any portion of the Convertible Securities are not actually converted or exchanged or any portion of the rights, options or warrants are not actually exercised within
the time permitted, the calculation will be adjusted once the number of Common Shares actually issued on the conversion or exchange of the Convertible Securities and on the exercise of the rights, options and warrants is known. If a fair market value determination is made based on the assumed distribution of securities or other assets or property, and the distribution does not occur
(or only occurs in part), the fair market value determination will be adjusted to reflect the distribution actually made.
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9.6.5 |
Deferral of Issuance: If Section 9.6.4 may require a readjustment or a recalculation which could result in a lesser number of Common Shares being issued on exercise of the Warrants, the Company may defer issuing any
Common Shares in excess of that lesser amount to the Holder upon the exercise of the Warrants, until the final Exercise Price and Exchange Rate are known. If the Company defers the issuance of Common Shares under this Section 9.6.5, the Company will deliver to the Holder an appropriate instrument evidencing the Holder’s right (subject to the occurrence of the event requiring the readjustment or recalculation) to receive the additional Common Shares and any distributions made on and after the date of deferral on the additional Common
Shares.
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9.6.6 |
Disputes: If any dispute arises with respect to the calculation
of an adjustment under Section 9, the dispute will be conclusively determined by the auditors of the Company or, if they are unable or unwilling to act, by
another firm of independent chartered accountants selected by the Board. The Company will provide to the auditors or accountants access to all necessary records of the Company to make a determination under this Section 9.6.6 and that determination will be binding on the Company and the Holder.
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9.6.7 |
Record Date: If the Company does not fix a record date for a
Special Distribution by way of a resolution of the Board, the Company will be deemed to have fixed a record date on the record date determined under corporate law.
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9.6.8 |
Exchange Approval: Any adjustments under this Section 9 may be subject to the prior approval of any stock exchange on which the Common Shares are listed at the time of such adjustment.
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9.7 |
Condition Precedent: As a condition precedent to the taking of
any action which would require an adjustment under this Section 9, the Company will take any corporate action which may, in the opinion of counsel to the
Company, be necessary to ensure that the Company may validly and legally issue the securities, or may validly and legally distribute the property, of the Company which the Holder is entitled to receive on the full exercise of the Warrants.
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9.8 |
Notice: Whenever the Exchange Rate and/or the Exercise Price will be adjusted pursuant to this Section 9, the Company will prepare a certificate signed by its chief financial officer setting forth, in reasonable detail, the event requiring the adjustment, the amount of the adjustment, the method by which such adjustment was
calculated, and the revised Exchange Rate and/or Exercise Price after giving effect to such adjustment and will cause a copy of such certificate to be sent to the Holder of this Warrant Certificate.
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9.9 |
Interpretation: As of the date of this Warrant Certificate, “Common Share” means a common share in the capital of the Company as constituted on the date of this Warrant Certificate. If the common shares are subsequently reorganized, reclassified, substituted or otherwise
changed, the term “Common Share” will then be interpreted to reflect that
change.
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10. |
Covenants: So long as any Warrants remain outstanding, the
Company will reserve and there will remain unissued out of its authorized capital a sufficient number of Common Shares to satisfy the purchase rights of the Holder under this Warrant Certificate.
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11. |
Representations and Warranties: The Company represents and
warrants to the Holder that the Company has all requisite legal and corporate power and authority to issue the Warrants and the Common Shares issuable on the exercise of the Warrants, and this Warrant Certificate represents a legal, valid and
binding obligation of the Company enforceable in accordance with its terms.
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12. |
Lost Certificate: If this Warrant Certificate is stolen, lost,
mutilated or destroyed, the Company may issue a new certificate evidencing the unexercised Warrants, on any terms the Company may, in its discretion, acting reasonably, impose (which may include the delivery by the Holder of an indemnity or
security).
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13. |
Exchange of Warrant Certificate: This Warrant Certificate may be
exchanged for certificates in the name of the Holder evidencing, in the aggregate, the same number of unexercised Warrants evidenced by this Warrant Certificate.
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14. |
Registered Holder: The Company may treat the registered holder of
the Warrants as the absolute owner of the Warrants for all purposes, despite any notice or knowledge to the contrary.
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15. |
Headings: The insertion of headings in this Warrant Certificate
is for convenience of reference only and does not affect the construction or interpretation of this Warrant Certificate.
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16. |
Sections and Schedules: Unless otherwise specified, references
in this Warrant Certificate to a Section or Schedule are to be construed as references to a Section or Schedule of or to this Warrant Certificate.
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17. |
Number and Gender: In this Warrant Certificate, words signifying
the singular number include the plural and vice versa, and words signifying gender include all genders.
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18. |
Including: Every use of the words “including” or “includes” in this Warrant Certificate is to be construed as meaning “including, without limitation” or “includes, without limitation”, respectively.
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19. |
Business Day: In this Warrant Certificate, “business day” means any day excluding a Saturday, Sunday or statutory holiday in the Province of Ontario.
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20. |
Time of Essence: Time is of the essence in all respects of this
Warrant Certificate.
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21. |
Notices to Holder: Unless otherwise specified, any notice or
communication required or permitted to be delivered by the Company to the Holder under this Warrant Certificate (a “Communication”) may be delivered personally at, or sent by facsimile, email,
courier or mail to, the latest address of the Holder recorded on the books of the Company. A Communication delivered personally will be deemed to have been given or made and received on the date of delivery. A Communication delivered by
facsimile or email will be deemed to have been given or made and received on the date of transmission (but if transmitted on a day which is not a business day or after 5:00 p.m. (local time of the recipient), the Communication will be deemed to have been given or made and received on the next business day). A Communication delivered by courier will be deemed to have been given or made and
received on the next business day. A Communication delivered by mail will be deemed to have been given or made and received on the fifth business day after the Communication is posted.
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22. |
Severability: Each Section of this Warrant Certificate is
distinct and severable, and if any Section of this Warrant Certificate, in whole or in part, is or becomes illegal, invalid, void, voidable or unenforceable in any jurisdiction, the illegality, invalidity or unenforceability of that Section,
in whole or in part, will not affect the legality, validity or enforceability of the remaining Sections of this Warrant Certificate, in whole or in part, or the legality, validity or enforceability of that Section, in whole or in part, in any
other jurisdiction, in each case as long as the economic and legal substance of the transactions contemplated by this Warrant Certificate is not affected in any manner materially adverse to either the Company or the Holder.
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23. |
Governing Law and Venue: This Warrant Certificate is governed
by, and is to be construed and interpreted in accordance with, the laws of the province of Ontario and the laws of Canada applicable in that province. The Holder and the Company irrevocably and unconditionally submit to the exclusive
jurisdiction of the courts of the province of Ontario to determine all issues, whether at law or in equity, arising from this Warrant Certificate.
|
24. |
Amendments: Except as expressly provided in this Warrant
Certificate, the provisions of this Warrant Certificate may only be amended with the written consent of the Holder and the Company.
|
25. |
Enurement: This Warrant Certificate enures to the benefit of and
is binding upon the Holder and the Company and their respective heirs, executors, administrators, estate trustees, trustees, personal or legal representatives, successors and permitted assigns.
|
26. |
Currency: Unless otherwise specified, all currency amounts in
this Warrant Certificate are expressed in United States dollars.
|
27. |
Language: IM Cannabis Corp. and the registered holder of the Warrants have expressly required that this Warrant Certificate, any Communication, and all other contracts and documents relating to this Warrant Certificate
be drafted in the English language only. IM Cannabis Corp. et le porteur inscrit des bons de souscription ont expressément demandé que le présent certificat de bons de souscription, toute communication, au sens donné à l’article 21, et tous
les autres contrats et documents relatifs à ce certificat de bons de souscription soient rédigés en anglais seulement.
|
28. |
Signatures: This Warrant Certificate may be signed electronically
or digitally (including DocuSign) and when delivered by facsimile, email or other means of electronic transmission shall be deemed to have the same legal
effect as delivery of an original signed copy of this Warrant Certificate.
|
|
IM CANNABIS CORP.
By:
Authorized signatory
|
TO: |
IM Cannabis Corp. (the “Company”)
|
□ | 1. | Hereby certifies that it (i) is not in the United States (as defined in Regulation S ("Regulation S") under the U.S. Securities Act of 1933, as amended (the "U.S. Securities Act"); (ii) is not a U.S. Person as defined in Regulation S; (iii) is not exercising the warrants represented by the attached Warrant Certificate (the “Warrants”) on behalf of, or for the account or benefit of, a U.S. Person or a person in the United States; (iv) did not acquire the Warrants in the United States or on behalf of or for the account or benefit of a U.S. Person or a person in the United States; (v) did not receive an offer to exercise the Warrants in the United States; and (vi) did not execute or deliver this Subscription Form in the United States, and has, in all other respects, complied with the terms of Regulation S in connection with the exercise of the Warrants; |
□ | 2. | Hereby certifies that it is the original purchaser from the Company of the Warrants being exercised and at the time of such acquisition was a U.S. Person or was in the United States (or was acting on behalf of, or for the account or benefit of, a U.S. Person or a person in the United States), and confirms, as of the date of hereof, each of the representations, warranties, certifications and agreements made by it in the Subscription Agreement pursuant to which it purchased the Warrants and any other document in connection with its acquisition of such Warrants, including, without limitation, its status as an "accredited investor" within the meaning of Rule 501(a) of Regulation D under the U.S. Securities Act, as though such representations, warranties, certifications and agreements were made on the date hereof and in respect of the acquisition of the Common Shares; OR |
□ | 3. | the Holder is delivering a written opinion of U.S. counsel, in a form acceptable to the Company acting reasonably, that the Common Shares issuable on exercise of the Warrants are exempt from registration requirements under the U.S. Securities Act and the securities laws of all applicable states of the United States; |
Name: | |
Address: |
□ | 1. | at the office where this Subscription Form is delivered; or |
Name of Holder
Signature of Holder (or authorized signatory on behalf of Holder)
Name of authorized signatory, if applicable
Official capacity or title of authorized signatory, if applicable
|
TO: |
IM Cannabis Corp. (the “Company”)
|
Name of Transferee: |
Address of Transferee: |
□ | 1. | at the office where this Transfer Form is delivered; or |
□ | 2. | to the latest address of the Holder recorded on the books of the Company; or |
Name of Holder
Signature of Holder (or authorized signatory on behalf of Holder)
Name of authorized signatory, if applicable
Official capacity or title of authorized signatory, if applicable
|
a) |
the undersigned transferee (i) is not a “U.S. person” (as defined in Regulation S under the United States Securities Act of 1933, as amended, the “U.S. Securities Act”), (ii) at the time of transfer is not within the “United States” (as defined in Regulation S under the U.S. Securities
Act), and (iii) is not acquiring any of the Warrants represented by this Warrant Certificate by or on behalf of any U.S. person or person within the United States, unless registered under the U.S. Securities Act and any applicable state
securities laws or unless an exemption from such registration is available; or
|
b) |
if the proposed transfer is to, or for the account or benefit of, a U.S. person or to a person in the United States, the undersigned hereby represents, warrants and
certifies that the transfer of the Warrants is being completed pursuant to an exemption from the registration requirements of the U.S. Securities Act and any applicable state securities laws, in which case the undersigned has furnished to the
Company an opinion of counsel of recognized standing in form and substance reasonably satisfactory to the Company to such effect.
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☐ | (A) |
the transfer is being made only to the Company; or
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☐ | (B) |
the transfer is being made outside the United States in accordance with Rule 904 of Regulation S under the U.S. Securities Act, and in compliance with any applicable
local securities laws and regulations and the holder has provided herewith the Declaration for Removal of Legend attached hereto, or
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☐ | (C) |
the transfer is being made pursuant to the exemption from the registration requirements of the U.S. Securities Act provided by (i) Rule 144 or (ii) Rule 144A
thereunder, and in either case in accordance with applicable state securities laws; or.
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☐ |
(D) |
the transfer is being made within the United States or to, or for the account or benefit of, U.S. Persons, in accordance with a transaction that does not require
registration under the U.S. Securities Act or any applicable state securities laws and the undersigned has furnished to the Company an opinion of counsel of recognized standing in form and substance reasonably satisfactory to the Company to
such effect.
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Name of Holder
Signature of Holder (or authorized signatory on behalf of Holder)
Name of authorized signatory, if applicable
Official capacity or title of authorized signatory, if applicable
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To: |
Computershare Investor Services Inc.,
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And To: |
IM Cannabis Corp. (the “Company”)
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