Form of common stock certificate

Contract Categories: Business Finance - Stock Agreements
EX-4.1 5 d866147dex41.htm EX-4.1 EX-4.1

Exhibit 4.1

 

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)

IT TEN – as joint tenants with right of                                        under Uniform Gifts to Minors

 Survivorship and not as tenants                                    Act                                             

In common                                                                                                           (State)

TTEE – trustee under Agreement dated                        

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 POSTAL ZIP CODE OF ASSIGNEE

 

 

 

 

 

 

Shares of the common stock represented by this 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 whatsoever.

   

SIGNATURE GUARANTEED:

 

  THE SIGNATURE(S) SHOULD BE GUARANTEED BY A ELIGIBLE GUARANTOR INSTITUION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERHSIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.   

THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), OR UNDER THE APPLICABLE SECURITIES LAWS OF ANY OTHER STATE OR JURISDICTION (THE “STATE ACTS”). ACCORDINGLY, THE SECURITIES REPRESENTED BY THIS CERTIFICATE MAY NOT BE SOLD, ASSIGNED, PLEDGED, EXCHANGED, HYPOTHECATED, TRANSFERRED OR OTHERWISE DISPOSED OF UNLESS REGISTERED UNDER THE SECURITIES ACT AND THE STATE ACTS, EXCEPT UPON DELIVERY TO THE COMPANY OF (A) AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY TO THE EFFECT THAT REGISTRATION IS NOT REQUIRED FOR SUCH TRANSFER, OR (B) EVIDENCE SATISFACTORY TO THE COMPANY TO THE EFFECT THAT ANY SUCH TRANSFER WILL NOT BE IN VIOLATION OF THE SECURITIES ACT, THE STATE ACTS, OR ANY RULE OR REGULATION PROMULGATED TIIEREUNDER.