Specimen Common Stock Certificate for Allied Healthcare International Inc.
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Summary
This document is a specimen stock certificate for Allied Healthcare International Inc., incorporated in New York. It certifies ownership of fully paid and non-assessable shares of common stock, which are transferable by the holder or their authorized representative upon proper endorsement and surrender of the certificate. The certificate must be countersigned by the transfer agent to be valid. It also outlines the shareholder's right to request information about the rights and preferences of each class of shares issued by the company.
EX-4.1 5 file004.txt SPECIMEN STOCK CERTIFICATE Exhibit 4.1 [Number [Shares] AHC] ALLIED HEALTHCARE INTERNATIONAL INC. INCORPORATED UNDER THE LAWS OF THE STATE OF NEW YORK SEE REVERSE FOR CERTAIN COMMON STOCK RESTRICTIONS AND DEFINITIONS THIS CERTIFIES THAT CUSIP 01923A 10 9 is the owner of______________________________________________________________ FULLY PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF ONE CENT PER SHARE OF THE COMMON STOCK OF ALLIED HEALTHCARE INTERNATIONAL 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 until countersigned and registered by the Transfer Agent and Registrar. Witness the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. Dated: [CORPORATE SEAL OF ALLIED HEALTHCARE INTERNATIONAL INC.] /s/ Leslie J. Levinson /s/ Timothy Aitken - ------------------------------ ------------------------------ SECRETARY CHAIRMAN OF THE BOARD AND CHIEF EXECUTIVE OFFICER COUNTERSIGNED AND REGISTERED: AMERICAN STOCK TRANSFER & TRUST COMPANY (NEW YORK, N.Y.) TRANSFER AGENT AND REGISTRAR BY AUTHORIZED SIGNATURE The Corporation 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, if the Corporation is authorized to issue any class of preferred shares in series, the designation, relative rights, preferences and limitations of each such series so far as the same have been fixed and the authority of the board 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 the entireties (Cust) (Minor) under Uniform Gifts to Minors JT TEN - as joint tenants with right of Act..................... survivorship and not as tenants (State) in common 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.