-as tenants in common

EX-4.1 8 v110790_ex4-1.htm
 
 


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
JT TEN
 
- as joint tenants with right of
survivorship and not as tenants in common
     
Act
(State)
             
Additional abbreviations may also be used though not in the above list.

For value received, _________________ hereby sells, assigns and transfers 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 _____________ Common Stock, represented by the within Certificate, and do hereby irrevocably constitute and appoint _________________________________ Attorney,
to transfer the said Shares on the books of the within named Corporation with full power of substitution in the premises.
 
Dated _________________ 20_________
 
In presence of
 
___________________________

THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 (THE “ACT”) AND MAY NOT BE OFFERED, SOLD OR OTHERWISE TRANSFERRED, ASSIGNED, PLEDGED OR HYPOTHECATED UNLESS AND UNTIL REGISTERED UNDER THE ACT OR UNLESS SUCH REGISTRATION IS NOT REQUIRED.
 
NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH
THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR
WITHOUT ALTERATION OF ENLARGEMENT OR ANY CHANGE WHATSOEVER