FULLY PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF $0.001 EACH, OF THE COMMON STOCK OF AEGERION PHARMACEUTICALS, INC.
Exhibit 4.1
NUMBER | SHARES | |||
AEGR | ||||
AEGERION PHARMACEUTICALS, INC. | ||||
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE | SEE REVERSE FOR CERTAIN DEFINITIONS CUSIP 00767E 10 2 |
THIS CERTIFIES THAT
IS THE OWNER OF
FULLY PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF $0.001 EACH, OF THE COMMON STOCK
OF AEGERION PHARMACEUTICALS, INC.
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.
This certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.
WITNESS the seal of the Corporation and the signatures of its duly authorized officers.
Dated:
|
| |||||
William H. Lewis | [AEGERION PHARMACEUTICALS, INC. SEAL] | Marc D. Beer | ||||
President, Principal Financial Officer and Treasurer | Chief Executive Officer |
Countersigned and Registered:
REGISTER AND TRANSFER COMPANY
Transfer Agent and Registrar
By:
Authorized Signature
The Company will furnish to any shareholder upon request and without charge a full statement of the designation, relative rights, preferences and limitations of the shares of each class authorized to be issued and the designation, relative rights, preferences and limitations of each series of preferred shares which the Company is authorized to issue so far as the same have been fixed, and the authority of the Board of Directors of the Company to designate and fix the relative rights, preferences and limitations of other series.
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 entireties | (Cust) (Minor) | ||||
JT TEN - | as joint tenants with right of under Uniform Gifts to Minors survivorship and not as tenants Act in common (State) | under Uniform Gifts to Minors 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 ZIP CODE, OF ASSIGNEE)
shares
of the capital stock represented by the within Certificate, and do
hereby irrevocably constitute and appoint
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) SHOULD 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.