Applied Molecular Evolution, Inc. Common Stock Certificate

Summary

This document is a stock certificate issued by Applied Molecular Evolution, Inc., a Delaware corporation, certifying that the named holder owns fully paid and non-assessable shares of the company's common stock. The certificate is transferable on the corporation's books by the holder or an authorized attorney upon proper endorsement and surrender. It is only valid when countersigned by the transfer agent and registrar. The certificate also outlines the process for transferring shares and provides information on obtaining details about the rights and preferences of the company's capital stock.

EX-4.1 6 ex4-1.txt EXHIBIT 4.1 1 EXHIBIT 4.1 COMMON SHARES COMMON SHARES - ----NUMBER--- [LOGO] APPLIED ----SHARES--- MOLECULAR AME EVOLUTION - ------------- ------------- INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE THIS CERTIFICATE IS TRANSFERABLE CUSIP 03823E 10 8 IN BOSTON, MA AND NEW YORK, NY SEE REVERSE FOR CERTAIN DEFINITIONS - -------------------------------------------------------------------------------- This Certifies that is the record holder of - -------------------------------------------------------------------------------- FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE $0.001 PER SHARE, OF - ---------------------- ----------------------- - ---------------------- APPLIED MOLECULAR EVOLUTION, INC. ----------------------- - ---------------------- ----------------------- transferable only 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 and registered by the Transfer Agent and Registrar. In Witness Whereof, the Corporation has caused this Certificate to be executed and attested to by the manual or facsimile signatures of its duly authorized officers, under a facsimile of its corporate seal to be affixed hereto. Dated: [APPLIED MOLECULAR EVOLUTION, INC. CORPORATE SEAL] /s/ LAWRENCE E. BLOCH /s/ WILLIAM D. HUSE Secretary President COUNTERSIGNED AND REGISTERED: EQUISERVE TRUST COMPANY, N.A. TRANSFER AGENT AND REGISTRAR, BY /s/ CHARLES ROSSI AUTHORIZED SIGNATURE 2 APPLIED MOLECULAR EVOLUTION, INC. UPON REQUEST THE CORPORATION WILL FURNISH ANY HOLDER OF SHARES OF COMMON STOCK OF THE CORPORATION, WITHOUT CHARGE, WITH A FULL STATEMENT OF THE POWERS, DESIGNATIONS, PREFERENCES, AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF ANY CLASS OR SERIES OF CAPITAL STOCK OF THE CORPORATION, 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 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)

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 Common 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 ________________________________ In presence of X ____________________________________ X ____________________________________ THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN NOTICE UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.

Signature(s) Guaranteed By _______________________________________ THE SIGNATURE(S) MUST 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 SEC RULE 17Ad-15.