Specimen Common Stock Certificate for Advanced Emissions Solutions, Inc.

Summary

This document is a specimen certificate representing shares of common stock in Advanced Emissions Solutions, Inc., a Delaware corporation. It certifies that the named holder owns a specified number of fully paid and non-assessable shares, which can be transferred on the company's books upon proper endorsement and surrender of the certificate. The shares are subject to the company's Certificate of Incorporation and Bylaws. The certificate is only valid when countersigned by the designated transfer agent and registrar.

EX-4.1 3 d316903dex41.htm SPECIMEN COMMON STOCK CERTIFICATE Specimen Common Stock Certificate

Exhibit 4.1

016570| 003590|127C|RESTRICTED||4|057-423

COMMON STOCK

NO PAR VALUE

COMMON STOCK

THIS CERTIFICATE IS TRANSFERABLE IN

CANTON, MA AND NEW YORK, NY

Certificate

Number

ZQ 000000

* * 600620* * * * * *

* * * 600620* * * * *

* * * * 600620* * * *

* * * * * 600620* * *

* * * * * * 600620* *

ADVANCED EMISSIONS SOLUTIONS, INC.

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE

THIS CERTIFIES THAT

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* * * SIX HUNDRED THOUSAND

SIX HUNDRED AND TWENTY* * *

is the owner of

FULLY-PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF

Advanced Emissions Solutions, Inc. (hereinafter called the “Company”), transferable on the books of the Company in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This Certificate and the shares represented hereby, are issued and shall be held subject to all of the provisions of the Certificate of Incorporation, as amended, and the Bylaws, as amended, of the Company (copies of which are on file with the Company and with the Transfer Agent), to all of which each holder, by acceptance hereof, assents. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.

Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers.

DATED <<Month Day, Year>>

COUNTERSIGNED AND REGISTERED:

COMPUTERSHARE TRUST COMPANY, N.A.

TRANSFER AGENT AND REGISTRAR,

President & CEO

AUTHORIZED SIGNATURE

ADVANCED EMISSIONS SOLUTIONS, INC.

PO BOX 43004, Providence, RI ###-###-####

MR A SAMPLE

DESIGNATION (IF ANY)

ADD 1

ADD 2

ADD 3

ADD 4

CUSIP XXXXXX XX X

Holder ID XXXXXXXXXX

Insurance Value 1,000,000.00

Number of Shares 123456

DTC 12345678 123456789012345

Certificate Numbers

1234567890 ###-###-####

Total Transaction

Num/No.

123456

Denom.

123456

Total

1234567