NUMBER

EX-4.1 4 a2194374zex-4_1.htm EXHIBIT 4.1

Exhibit 4.1

 


NUMBER


SHARES



 

 

CUSIP 03739T 10 8
SEE REVERSE FOR CERTAIN DEFINITIONS

 

ORGANIZED UNDER THE LAWS OF THE STATE OF DELAWARE

 

THIS CERTIFIES THAT

 

 

is the owner of

 

FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $.001 PAR VALUE, OF
A123 SYSTEMS, INC.

 

transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon the surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned and registered by the Transfer Agent and Registrar.

 

WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.

 

Dated:

 

 

 

CFO, VP Finance & Administration

 

President and CEO

 

COUNTERSIGNED AND REGISTERED:

 

AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC

(New York, NY)

 

 

TRANSFER AGENT AND REGISTRAR

 

BY:

 

 

 

 

 

 

AUTHORIZED SIGNATURE

 

 


 

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

 

under Uniform Gifts to Minors

 

tenants in common

 

 

 

 

 

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

 

 

                                                                                                                                                      &nbs p;                                                   Shares of the common stock represented by the within Certificate, and do hereby irrevocably constitute and appoint                                                                                                                                                                                                         &nb sp;                                       Attorney to transfer the said stock 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 (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.