Therapeutic Cooling or Induced Hypothermia

EX-4.1 2 a19030a1exv4w1.htm EXHIBIT 4.1 exv4w1
 

EXHIBIT 4.1

 

 

ALSIUS CORPORATION
     The Corporation will furnish to any shareholder, upon written request and without charge, a summary of the designations, relative rights, preferences and limitations applicable to each class of its capital stock and the variations in rights, preferences and limitations determined for each series within a class, and the authority of the board of directors to determine variations for future 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 —         as Custodian for         UNIF TRAN MIN ACT —         as Custodian for     
 
                         
TEN ENT
  —   as tenants by the       (Cust)       (Minor)       (Cust)       (Minor)
        entireties       under Uniform Gifts to Minors
       under Uniform Transfers to Minors
 
JT TEN
  —   as joint tenants with       Act               Act        
 
      right of survivorship and      
 
    (State) 		         
 
    (State)		    
 
      not as tenants in common                        
 
TOD
  —   transfer on death direction in event of owner’s death, to person named on face                                
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 Stock represented by the within certificate and do hereby irrevocably constitute and appoint
 
        
 
      attorney,
     
to transfer the same on the books of the within-named Corporation, with full power of substitution in the premises.
Dated_________________________________________
               
 
 
      X     
 
 
         
 
 
            
 
NAME: 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.
            
 
 
            
 
 
      X    
 
 
         
 
 
            
 
 
            
 
 
            
 
 
            
 
Signature Guaranteed By
  X    
 
 
         
         
 
       
 
   
ALL GUARANTEES MUST BE MADE BY A FINANCIAL INSTITUTION (SUCH AS A BANK OR BROKER) WHICH IS A PARTICIPANT IN THE SECURITIES TRANSFER AGENTS MEDALLION PROGRAM (“STAMP”), THE NEW YORK STOCK EXCHANGE, INC. MEDALLION SIGNATURE PROGRAM (“MSP”), OR THE STOCK EXCHANGES MEDALLION PROGRAM (“SEMP”) AND MUST NOT BE DATED. GUARANTEES BY A NOTARY PUBLIC ARE NOT ACCEPTABLE.