Avago Technologies Limited Specimen Share Certificate
This document is a specimen share certificate for Avago Technologies Limited, a company incorporated in Singapore. It certifies ownership of fully paid ordinary shares with no par value and outlines the process for transferring shares, which requires proper endorsement and registration by the transfer agent, Computershare Trust Company, N.A. The certificate is subject to the company's Memorandum and Articles of Association. Shareholders may request a copy of these documents for a fee. The certificate must be countersigned and registered to be valid.
Exhibit 4.1
016570| 003590|127C|RESTRICTED||4|057-423
ORDINARY SHARES
THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA, JERSEY CITY, NJ AND GOLDEN, CO
ORDINARY SHARES
NO PAR VALUE
Certificate Number
THIS CERTIFIES THAT
is the owner of
AVAGO TECHNOLOGIES LIMITED
INCORPORATED IN THE REPUBLIC OF SINGAPORE UNDER THE COMPANIES ACT, CHAPTER 50 COMPUTERSHARE TRUST COMPANY, N.A.
250 ROYALL STREET CANTON, MA 02021
CUSIP Y0486S 10 4 1234567
SEE REVERSE FOR CERTAIN DEFINITIONS
Shares
* * 6 0 0 6 2 0 * * * * * *
* * * 6 0 0 6 2 0 * * * * *
* * * * 6 0 0 6 2 0 * * * *
* * * * * 6 0 0 6 2 0 * * *
* * * * * * 6 0 0 6 2 0 * *
FULLY PAID ORDINARY SHARES NO PAR VALUE PER SHARE, OF
AVAGO TECHNOLOGIES LIMITED, and the amount paid on the shares is only, subject to the Memorandum and Articles of Association of the Corporation and transferable on the Register of Members of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this Certificate and the form of share transfer on the reverse side properly endorsed. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.
GIVEN UNDER the seal of the Corporation and the facsimile signatures of its duly authorized officers.
Director
[seal]
DATED <<Month Day, Year>>
COUNTERSIGNED AND REGISTERED:
COMPUTERSHARE TRUST COMPANY, N.A.
TRANSFER AGENT AND REGISTRAR,
Director/Secretary
By
AUTHORIZED SIGNATURE
CUSIP XXXXXX XX X
Holder ID XXXXXXXXXX
Insurance Value 1,000,000.00
Number of Shares 123456
DTC 12345678 123456789012345
Certificate Numbers Num/No. Denom. Total
1234567890 ###-###-#### 1 1 1
1234567890 ###-###-#### 2 2 2
1234567890 ###-###-#### 3 3 3
1234567890 ###-###-#### 4 4 4
1234567890 ###-###-#### 5 5 5
1234567890 ###-###-#### 6 6 6
Total Transaction 7
AVAGO TECHNOLOGIES LIMITED
PO BOX 43004, Providence, RI ###-###-####
MR A SAMPLE
DESIGNATION (IF ANY) ADD 1 ADD 2 ADD 3 ADD 4
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AVAGO TECHNOLOGIES LIMITED
THE CORPORATION WILL FURNISH TO ANY SHAREHOLDER UPON REQUEST AND SUBJECT TO A PAYMENT OF S$5 OR SUCH LESSER SUM AS MAY BE FIXED BY THE DIRECTORS OF THE CORPORATION, A COPY OF THE CORPORATION’S MEMORANDUM AND ARTICLES OF ASSOCIATION.
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 Act .
(State)
JT TEN - as joint tenants with right of survivorship UNIF TRF MIN ACT Custodian (until age )
and not as tenants in common (Cust) (Minor)
under Uniform Transfers to Minors Act.
(State)
Additional abbreviations may also be used though not in the above list.
PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE
For value received, hereby sell, assign and transfer unto
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE, OF ASSIGNEE)
fully-paid Ordinary Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint Attorney
to transfer and register the said shares on the Register of Members of the within named Corporation.
Dated: 20
Signature:
Signature: 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.
THE SIGNATURE(S) Signature(s) SHOULD BE Guaranteed: GUARANTEED BY Medallion AN ELIGIBLE Guarantee GUARANTOR Stamp INSTITUTION (Banks, Stockbrokers, SIGNATURE GUARANTEE Savings and Loan MEDALLION Associations PROGRAM, and Credit PURSUANT Unions) WITH TO S. E. MEMBERSHIP C. RULE 17Ad-15. IN AN APPROVED
SECURITY INSTRUCTIONS
THIS IS WATERMARKED PAPER. DONOT ACCEPT WITHOUT NOTING WATERMARK HOLD TO LIGHT TO VERIFY WATERMARK.
