Advanced Life Sciences Holdings, Inc. Common Stock Certificate

Summary

This document certifies that the named individual or entity owns fully paid and non-assessable shares of common stock in Advanced Life Sciences Holdings, Inc., a Delaware corporation. The certificate allows the holder to transfer ownership of the shares by properly endorsing and surrendering the certificate, either in person or through an authorized attorney. The certificate must be signed by corporate officers and includes instructions for transferring shares to another party.

EX-4.1 4 a2155576zex-4_1.txt EXHIBIT 4.1 Exhibit 4.1 COMMON STOCK COMMON STOCK NUMBER SHARES ADVANCED LIFE SCIENCES HOLDINGS, INC INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE THIS IS TO CERTIFY THAT is the owner of FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF ADVANCED LIFE SCIENCES HOLDINGS, INC. $0.01 PAR VALUE transferable on the books of the Corporation by the holder hereof in person or by duly authorized Attorney upon surrender of this Certificate properly endorsed. IN WITNESS WHEREOF, the said Corporation has caused this Certificate to be signed by its duly authorized officers and sealed with the Seal of the Corporation, this day of , 200 . /s/ John L. Flavin /s/ Michael T. Flavin SECRETARY CHAIRMAN [ADVANCED LIFE SCIENCES HOLDINGS, INC. CORPORATE SEAL DELAWARE] 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 ZIP CODE, OF ASSIGNEE) - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - ----------------------------------------------------------------------- Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint - ----------------------------------------------------------------------- Attorney to transfer the said Shares on the books of the within named Corporation with full power of substitution in the premises. Dated _____________ In the presence of __________________ _______________________ ----------------------------------------------------------- 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