Certificate Number
Exhibit 4.1
Certificate Number |
| Class |
| Number of Shares |
| CUSIP Number |
|
| Ordinary |
| [ · ] |
| GO1767 105 |
ALKERMES PUBLIC LIMITED COMPANY
Registered in Ireland, Number 498284
Registered Office: [ · ]
This is to Certify that
of
is the registered holder of [ · ] fully paid ordinary shares of US$0.01 each in the above-named Company, subject to the Irish Companies Acts and the Memorandum and Articles of Association of the said Company.
The Common Seal of the Company was hereto affixed in the presence of: *
This Certificate was Authorised by: *
Director / Secretary / Authorised Signatory: |
|
| Date: |
|
NOTE: No transfer of any of the above mentioned shares can be registered until this Certificate has been deposited at the Companys Registered Office
* Delete as appropriate