Specimen Series A Convertible Preferred Stock Certificate of Allied Healthcare International Inc.
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This document is a specimen stock certificate for Series A Convertible Preferred Stock issued by Allied Healthcare International Inc., a New York corporation. It certifies ownership of fully paid and non-assessable shares with a par value of $0.01 per share. The certificate is transferable by the holder or an authorized attorney upon proper endorsement and registration by the transfer agent. The company will provide shareholders with information about the rights and preferences of each class or series of shares upon request. The certificate must be countersigned and registered to be valid.
EX-4.2 4 file003.txt SPECIMEN STOCK CERTIFICATE OF SERIES A CONVERTIBLE EXHIBIT 4.2 [Number [Shares] AHP] [ALLIED HEALTHCARE INTERNATIONAL INC.] INCORPORATED UNDER THE LAWS OF THE STATE OF NEW YORK SERIES A CONVERTIBLE SEE REVERSE FOR PREFERRED STOCK CERTAIN DEFINITIONS THIS CERTIFIES THAT CUSIP 01923A 20 8 is the owner of FULLY PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF $.01 PER SHARE OF THE SERIES A CONVERTIBLE PREFERRED 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. 1981] 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 TEN ENT - as tenants by the entireties JT TEN - as joint tenants with right of survivorship and not as tenants in common UNIF GIFT MIN ACT -.............Custodian............. (Cust) (Minor) 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.