Form of waiver, dated January 15, 2009, under Pharmos Corporation 10% Convertible Debentures Due November 1, 2012
EX-4.1 2 d75911_ex4-1.htm FORM OF WIAVER
EXHIBIT 4.1
January 15, 2009
Pharmos Corporation
99 Wood Avenue South, Suite 311
Iselin, New Jersey 08830
| Re: | 10% Convertible Debenture Due November 1, 2012 |
Ladies and Gentlemen:
The undersigned, a Holder of a 10% Convertible Debenture Due November 1, 2012 of Pharmos Corporation (the “Debenture”), hereby waives the right under the Debenture to receive an interest payment in the form of cash on January 15, 2009, and, in lieu of such cash interest payment, agrees to receive the interest payment due on January 15, 2009 in the form of shares of Common Stock of Pharmos Corporation, with the number of such shares calculated according to the Interest Conversion Rate as set forth in the Debenture.
By:___________________________
Name:
Title:
