Ancestry.com Inc. Common Stock Certificate and Transfer Form
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Summary
This document is a stock certificate issued by Ancestry.com Inc. to certify ownership of fully paid and non-assessable shares of its common stock. The certificate can be transferred to another person by properly endorsing and surrendering it, subject to registration by the corporation's transfer agent. The certificate includes instructions for transfer, requirements for signature guarantees, and a notice about the need for a bond if the certificate is lost or destroyed.
EX-4.1 2 d68252a2exv4w1.htm EX-4.1 exv4w1
Exhibit 4.1
Incorporated UNDERTHELAWSOFTHESTATEOFDELAWARE SEEREVERSEFORCER TAINDEFINITIONS CUSIPXXXXXXXXX ISTHEOWNEROF FULLYPAIDANDNONASSESSABLESHARESOFTHECOMMONSTOCK,$0.001PARVALUEPERSHARE,OF ANCESTRY.COMINC. TRANSFERABLEONTHEBOOKSOFTHECORPORATIONINPERSONORBYDULYAUTHORIZEDATTORNEYUPONSURRENDEROFTHISCERTIFICA TEPROPERLY ENDORSED.THISCERTIFICATEISNOTVALIDUNTILCOUNTERSIGNEDBYTHETRANSFERAGENTANDREGISTEREDBYTHEREG ISTRAR. WITNESSTHEFACSIMILESEALOFTHECORPORATIONANDTHEFACSIMILESIGNATURESOFITSDULYAUTHORIZEDOFFI CERS. |

Thefollowingabbreviations,whenusedintheinscriptiononthefaceofthiscertificate,shallbeconstruedasthoug htheywerewrittenoutinfullaccordingtoapplicablelawsorregulations: TENCOMastenantincommonUNIFGIFTMINACTCustodian (CUST)(MINOR) TENENTtenantsbytheentiretiesunderUniformGiftstoMinorsAct:JTTENasjointtenantswithrightofsurvivors hipandnotastenantsincommon(SLATE) Additionalabbreviationsmayalsobeusedthoughnotintheabovelist. ANCESTRY.COMINC. Forvaluereceived,herebysells,assignsandtransfersunto PLEASEINSERTSOCIALSECURITYOROTHER IDENTIFYINGNUMBEROFASSIGNEE PLEASEPRINTORTYPEWRITENAMEANDADDRESS,INCLUDINGZIPCODE,OFASSIGNEE sharesofthecapitalstockrepresentedby thewithincertificate,anddoherebyirrevocablyconstituteandappoint Attorneytotransfersaidstockonthebooksofthewithinnamedcorporationwithfullpowerofsubstitutionintheprem ises. Dated NOTICE:Thesignaturetothisassignmentmustcorre spondwiththenameaswrittenuponthefaceofthecer tificateineveryparticular,withoutalterationo renlargementoranychangewhatever. SIGNATURES(S)GUARANTEED: Thesignature(s)shouldbeguaranteedbyaneligibleguarantor institution(banks,stockbrokers,savingsandloanassociati onsandcreditunionswithmembershipinanapprovedsignatureg uaranteemedallionprogram,pursuanttos.e.c.rule17ad-15). Keepthiscertificateinasafeplace.Ifitislost,stolen,mutilatedordestroyed,thecorporationwillrequireabon dofindemnityasaconditiontotheissuanceofareplacementcertificate. |
