AGENUS INC.

EX-4.1 4 dex41.htm FORM OF CERTIFICATE REPRESENTING COMMON STOCK Form of Certificate representing Common Stock

Exhibit 4.1

AGENUS INC.

The Corporation is authorized to issue two classes of stock, Common and Preferred Stock. The Board of Directors of the Corporation has authority to issue up to 1,000,000 shares of Preferred Stock and to determine or alter the rights, preferences, privileges and restrictions granted to or imposed upon any unissued series of Preferred Stock.

A statement of the rights, preferences, privileges and restrictions granted to or imposed upon the respective classes or series of shares and upon the holders thereof as established, from time to time, by the Certificate of Incorporation of the Corporation and by any certificate of designations, and the number of shares constituting each class and series and the designations thereof, may be obtained by the holder hereof upon written request and without charge from the Corporation at its office in Lexington, Massachusetts.

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 tenants in common         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 common 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) 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.