COMMON STOCK

Contract Categories: Business Finance - Stock Agreements
EX-4.1 6 a2180614zex-4_1.htm EXHIBIT 4.1

Exhibit 4.1

 

016570| 003590|127C|RESTRICTED||4|057-423

 

COMMON STOCK

 

COMMON STOCK

 

 

 

PAR VALUE $0.001



Certificate

Number
ZQ 000000

THIS CERTIFICATE IS TRANSFERABLE IN

CANTON, MA AND JERSEY CITY, NJ

Shares

* * 600620* * * * * *

* * * 600620* * * * *

* * * * 600620* * * *

 

BG MEDICINE, INC.

* * * * * 600620* * *

* * * * * * 600620* *

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE

 

 

 

THIS CERTIFIES THAT

MR. SAMPLE & MRS. SAMPLE &
MR. SAMPLE & MRS. SAMPLE

CUSIP 08861T 10 7
SEE REVERSE FOR CERTAIN DEFINITIONS

 

 

 

is the owner of

* * * SIX HUNDRED THOUSAND

SIX HUNDRED AND TWENTY* * *

 

 

 

 

FULLY-PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF

 

BG Medicine, Inc. (hereinafter called the “Company”), transferable on the books of the Company in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This Certificate and the shares represented hereby, are issued and shall be held subject to all of the provisions of the Certificate of Incorporation, as amended, and the By-Laws, as amended, of the Company (copies of which are on file with the Company and with the Transfer Agent), to all of which each holder, by acceptance hereof, assents. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.

 

Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers.

 

DATED   <<Month Day, Year>>

 

COUNTERSIGNED AND REGISTERED:

President and Chief Executive Officer

COMPUTERSHARE TRUST COMPANY, N.A.

 

TRANSFER AGENT AND REGISTRAR,

 

 

 

 

By

 

Secretary

 

AUTHORIZED SIGNATURE

 

 

PO BOX 43004, Providence, RI ###-###-####

 

MR A SAMPLE

DESIGNATION (IF ANY)

ADD 1

ADD 2

ADD 3

ADD 4

 

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

 

 



 

BG MEDICINE, INC.

THE COMPANY WILL FURNISH WITHOUT CHARGE TO EACH SHAREHOLDER WHO SO REQUESTS, A SUMMARY OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OF THE COMPANY AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND RIGHTS, AND THE VARIATIONS IN RIGHTS, PREFERENCES AND LIMITATIONS DETERMINED FOR EACH SERIES, WHICH ARE FIXED BY THE CERTIFICATE OF INCORPORATION OF THE COMPANY, AS AMENDED, AND THE RESOLUTIONS OF THE BOARD OF DIRECTORS OF THE COMPANY, AND THE AUTHORITY OF THE BOARD OF DIRECTORS TO DETERMINE VARIATIONS FOR FUTURE SERIES. SUCH REQUEST MAY BE MADE TO THE OFFICE OF THE SECRETARY OF THE COMPANY OR TO THE TRANSFER AGENT. THE BOARD OF DIRECTORS MAY REQUIRE THE OWNER OF A LOST OR DESTROYED STOCK CERTIFICATE, OR HIS LEGAL REPRESENTATIVES, TO GIVE THE COMPANY A BOND TO INDEMNIFY IT AND ITS TRANSFER AGENTS AND REGISTRARS AGAINST ANY CLAIM THAT MAY BE MADE AGAINST THEM ON ACCOUNT OF THE ALLEGED LOSS OR DESTRUCTION OF ANY SUCH CERTIFICATE.

 

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
and not as tenants in common

UNIF TRF MIN ACT

Custodian (until age   )

 

 

(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)

 

 

 

 

 

 

 

 

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:

 

 

20

 

 

Signature(s) Guaranteed: Medallion Guarantee Stamp

 

 

THE SIGNATURE(S) SHOULD 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.

 

 

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.