Anacomp, Inc. Class A Common Stock Certificate
This document certifies that the named holder owns fully paid and nonassessable shares of Class A Common Stock in Anacomp, Inc., a company incorporated in Indiana. The certificate allows the holder to transfer ownership of the shares by proper endorsement and surrender of the certificate, subject to registration by the transfer agent. It also outlines that a full statement of shareholder rights is available upon request. The certificate must be countersigned by the transfer agent and registrar to be valid.
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Exhibit 4.1
COMMON STOCK NUMBER A | COMMON STOCK SHARES | |||
![]() Anacomp, Inc. CLASS A COMMON STOCK | ||||
INCORPORATED UNDER THE LAWS OF THE STATE OF INDIANA | THIS CERTIFICATE IS TRANSFERABLE IN NEW YORK, NEW YORK AND RIDGEFIELD PARK, NEW JERSEY | SEE REVERSE FOR CERTAIN DEFINITIONS | ||
CUSIP 03237E 10 8 |
THIS CERTIFIES THAT
is the record holder of
FULLY PAID AND NONASSESSABLE SHARES OF CLASS A COMMON STOCK, PAR VALUE $.01 PER SHARE, OF
ANACOMP, 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 unless 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:
/s/ EDWARD P. SMOOT CHAIRMAN AND CHIEF EXECUTIVE OFFICER | /s/ PAUL NAJAR SECRETARY | |||
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COUNTERSIGNED AND REGISTERED: | ||||
MELLON INVESTOR SERVICES LLC | ||||
TRANSFER AGENT AND REGISTRAR | ||||
BY | ||||
AUTHORIZED SIGNATURE |
ANACOMP, INC.
A STATEMENT, IN FULL, OF THE RELATIVE RIGHTS, INTERESTS, PREFERENCES AND RESTRICTIONS OF THE CLASS OF SHARES REPRESENTED BY THIS CERTIFICATE WILL BE FURNISHED BY THE CORPORATION TO ANY SHAREHOLDER UPON WRITTEN REQUEST AND WITHOUT CHARGE. SUCH REQUEST MAY BE MADE TO THE SECRETARY OF THE CORPORATION.
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......................... | ||||||
(Cust) (Minor) | ||||||||||
TEN ENT | | as tenants by the entireties | under Uniform Gifts to Minors | |||||||
JT TEN | | as joint tenants with right of | ||||||||
survivorship and not as tenants | Act.................................................................... | |||||||||
in common | (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 | ||||
| | | | |||
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PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE OF ASSIGNEE | ||||||
Class A Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint | ||||||
Attorney to transfer the said shares on the books of the within-named Corporation with full power of substitution in the premises. | ||||||
Dated __________________________________ |
AFFIX MEDALLION SIGNATURE
GUARANTEE IMPRINT BELOW
ABOVE 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. | ||||
THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION SUCH AS A SECURITIES BROKER/DEALER, COMMERCIAL BANK, TRUST COMPANY, SAVINGS ASSOCIATION OR A CREDIT UNION PARTICIPATING IN A MEDALLION PROGRAM APPROVED BY THE SECURITIES TRANSFER ASSOCIATION, INC. |
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- Exhibit 4.1