ALDAGEN, INC. Incorporated under the Laws of the State of Delaware
Exhibit 4.3
No. | ALDAGEN, INC. Incorporated under the Laws of the State of Delaware | UNITS |
UNITS EACH CONSISTING OF ONE SHARE OF COMMON STOCK
AND ONE WARRANT TO PURCHASE ONE-HALF OF A SHARE OF COMMON STOCK
SEE REVERSE FOR CERTAIN DEFINITIONS
THIS CERTIFIES THAT IS THE OWNER OF UNITS. Each Unit (Unit) consists of one (1) share of common stock, par value $0.001 per share (Common Stock), of ALDAGEN, INC., a Delaware corporation (the Corporation), and one warrant (each, a Warrant) to purchase one-half of a share of Common Stock. Each Warrant entitles the holder to purchase one-half of a share of Common Stock for $[ ] per whole share (subject to adjustment). Each Warrant will become exercisable on the date the units automatically separate as described below, and will expire on [ ], 2015. The terms of the Warrants are governed by a warrant agreement (the Warrant Agreement) between the Corporation and StockTrans, Inc., as Warrant Agent, dated as of [ ], 2010, as amended, restated or supplemented from time to time, and are subject to the terms and provisions contained therein, all of which terms and provisions the holder of this certificate consents to by acceptance hereof. Copies of the Warrant Agreement will be on file at the office of the Warrant Agent at 44 West Lancaster Avenue, Ardmore, PA 19003, and are available to any Warrant holder on written request and without cost.
The Units represented by this certificate will automatically separate and the Common Stock and Warrants comprising the Units will trade separately on [ ], 2010, unless Boenning & Scattergood, Inc. determines that an earlier date, which may not be earlier than [ ], 2010, is acceptable for separate trading to begin, in which case the Corporation will publicly announce the date for separate trading to begin.
WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.
Dated: , 2010
President
| ALDAGEN, INC.
CORPORATE SEAL
Delaware |
Secretary
| ||||||
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 | 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.
ALDAGEN, INC.
The Corporation will furnish without charge to each stockholder who so requests the powers, designations, preferences and relative, participating, option or other special rights of each class of stock or series thereof of the Corporation and the qualifications, limitations, or restrictions of such preferences and/or rights. This certificate and the Units represented hereby are issued and shall be held subject to the terms and conditions applicable to the securities underlying and comprising the Units.
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) |
Units represented by the within Certificate, and do hereby irrevocably constitute and appoint Attorney, to transfer the said Units on the books of the within named Corporation with full power of substitution in the premises.
Dated | By: ____________________________________________________ | |
By: ____________________________________________________ | ||
NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER. |
Signature(s) Guaranteed | ||||
By: ____________________________________________________ | ||||
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. |