BIOLEX THERAPEUTICS, INC.

EX-4.1 2 dex41.htm FORM OF STOCK CERTIFICATE Form of Stock Certificate

EXHIBIT 4.1

 

NUMBER

    SHARES

BLEX

BIOLEX THERAPEUTICS, INC.

 

INCORPORATED UNDER THE LAWS

OF THE STATE OF DELAWARE

     

SEE REVERSE FOR

CERTAIN DEFINITIONS

THIS CERTIFICATE IS TRANSFERABLE

IN NEW YORK, NY

      CUSIP 09065K 108

BIOLEX THERAPEUTICS, INC.

THIS CERTIFIES that

is the owner of

FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK,

PAR VALUE $0.001 PER SHARE, OF

BIOLEX THERAPEUTICS, INC.

transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this certificate properly endorsed.

This certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.

WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.

CERTIFICATE OF STOCK

Dated

BIOLEX THERAPEUTICS, INC.

1998

Delaware

[SEAL]

 

/s/ Jan Turek

     

/s/ Howard Hollar

President and Chief Executive Officer      Secretary and Treasurer

COUNTERSIGNED AND REGISTERED:

AMERICAN STOCK TRANSFER & TRUST COMPANY

TRANSFER AGENT

AND REGISTRAR

BY

AUTHORIZED SIGNATURE

The Corporation will furnish without charge to each stockholder who so requests a statement of the powers, designations, preferences and relative, participating, optional, or other special rights of each class of stock or series thereof of the Corporation, and the qualifications, limitations or restrictions of such preferences and/or rights.

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
TEN ENT   —     as tenants by the entireties
JT TEN   —     as joint tenants with right of survivorship and not as tenants in common

 

UNIF GIFT MIN ACT -

       Custodian                
 

(Cust)

     (Minor)            
 

under Uniform Gifts to Minors Act

                
    (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 CAPITAL 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.