(Minor)

EX-4.1 4 d282071dex41.htm EX-4.1 EX-4.1

Exhibit 4.1

 

alteryx

NUMBER

AYX

SHARES

INCORPORATED UNDER THE

LAWS OF THE STATE

OF DELAWARE

CUSIP 02156B 10 3

SEE REVERSE FOR CERTAIN DEFINITIONS

This certifies that

is the record holder of

FULLY PAID AND NONASSESSABLE SHARES OF CLASS A COMMON STOCK, $0.0001 PAR VALUE, OF

ALTERYX, INC.

transferable on the books of the corporation in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.

Dated:

CHIEF EXECUTIVE OFFICER

ALTERYX, INC.

CORPORATE

SEAL

MAY 18,

2011

DELAWARE

CORPROATE SECRETARY

COUNTERSIGNED AND REGISTERED:

AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC

(NEW YORK, NY) TRANSFER AGENT

AND REGISTRAR

BY:

AUTHORIZED SIGNATURE


The Corporation shall furnish without charge to each stockholder who so requests a statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such requests shall be made to the Corporation’s Secretary at the principal office of the Corporation.

 

KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, OR DESTROYED THE CORPORATION WILL REQUIRE A BOND INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.

 

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)

JT TEN

  

  

as joint tenants with right of

             under Uniform Gifts to Minors
         

survivorship and not as tenants

             Act…………………………………………………
         

in common

                  (State)     

COM PROP

  

  

as community property

   UNIF TRF MIN ACT       …………………    Custodian (until age ………)
                        

(Cust)

    
                        

…………………

  

under Uniform Transfers

                        

(Minor)

         
                         to Minors Act………………………………………
                             

(State)

    

 

Additional abbreviations may also be used though not in the above list.

 

 

FOR VALUE RECEIVED,  

 


  hereby sell(s), assign(s) and transfer(s) 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 within Certificate, and do hereby irrevocably constitute and appoint

 


  

attorney-in-fact

to transfer the said stock on the books of the within named Corporation with full power of the substitution in the premises.

 

Dated

  

 


         

 

     X   

 


     X   

 


Signature(s) Guaranteed:

        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 WHATSOEVER.

 

By  

 


   

THE SIGNATURE(S) SHOULD 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. GUARANTEES BY A NOTARY PUBLIC ARE NOT ACCEPTABLE. SIGNATURE GUARANTEES MUST NOT BE DATED.