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

EX-4.1 3 d76087dex41.htm FORM OF SPECIMEN STOCK CERTIFICATE Form of Specimen Stock Certificate

Exhibit 4.1

CUSIP 03835C 108 IS THE OWNER OF Apptio, Inc. SEE REVERSE FOR CERTAIN DEFINITIONS CACLASS A COMMON STOCK INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE THIS CERTIFIES THAT FULLY PAID AND NON-ASSESSABLE SHARES OF CLASS A COMMON STOCK, $0.0001 PAR VALUE, OF Apptio, Inc. transferable only on the books of the Corporation by the holder hereof in person or by 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 facsimile signatures of the Corporation’s duly authorized officers. TRANSFER AGENT AND REGISTRAR AUTHORIZED SIGNATURE Dated: SECRETARY PRESIDENT BY COUNTERSIGNED AND REGISTERED: AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC (Brooklyn, NY)

Stockholders may obtain, upon request and without charge, a statement of the rights, preferences, privileges and restrictions granted to or imposed upon each class or series of shares authorized to be issued and upon the holders thereof from the principal office 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        
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      Act            
      tenants 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 the 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                                                  

 

 

 

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) 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 S.E.C. RULE 17Ad-15.