Altus Pharmaceuticals Inc. Form of Common Stock Certificate

Summary

This document is a template for a common stock certificate issued by Altus Pharmaceuticals Inc., a Delaware corporation. It certifies ownership of fully paid and non-assessable shares of the company's common stock, which can be transferred by the holder or their authorized representative. The certificate must be countersigned by the transfer agent and registrar to be valid. It also outlines procedures for transferring shares and provides information on shareholder rights upon request.

EX-4.1 6 b57089a4exv4w1.txt EX-4.1 FORM OF COMMON STOCK CERTIFICATE Exhibit 4.1 [ALTUS LOGO] ALTUS PHARMACEUTICALS INC. COMMON STOCK [SHARES] [SHARES] INCORPORATED UNDER THE LAWS CUSIP 02216N 105 OF THE STATE OF DELAWARE SEE REVERSE FOR CERTAIN DEFINITIONS THIS CERTIFIES THAT IS THE OWNER OF FULLY PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF $0.01 EACH OF THE COMMON STOCK OF ALTUS PHARMACEUTICALS INC. transferable on the books of the Corporation by the holder hereof in person on by duly authorized attorney upon surrender of this certificate properly endorsed. This certificate is not valid unless 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: /s/ Jonathan I. Lieber ALTUS PHARMACEUTICALS INC. /s/ Sheldon Berkle CORPORATE SEAL 2001 DELAWARE TREASURER PRESIDENT COUNTERSIGNED AND REGISTERED COMPUTERSHARE SHAREHOLDER SERVICES, INC. TRANSFER AGENT AND REGISTRAR AUTHORIZED SIGNATURE The Corporation will 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 or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. 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 UNIF GIFT MIN ACT - _________Custodian _____________ in common (Cust) (Minor) TEN ENT - as tenants under Uniform Gifts to Minors by the Act ____________________________ entireties (State) JT TEN - as joint tenants with right of survivorship and not as tenants in common Additional abbreviations may also be used though not in the above list. For value received, _____________________ hereby sell, assign and transfer into 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. SIGNATURE(S) GUARANTEED: ____________________________________________________ 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 17 Ad-15.