Form of Common Stock Certificate

EX-4.1 4 ex_124630.htm EXHIBIT 4.1 ex_124630.htm

 

Exhibit 4.1

NUMBER

SHARES

COMMON STOCK

 

 

BRAIN SCIENTIFIC INC.

 

INCORPORATED UNDER THE LAWS OF THE STATE OF NEVADA

 

CUSIP

 

SEE REVERSE FOR

CERTAIN DEFINITIONS

 

This certifies that

 

 

 

is the owner of

 

 

 

FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE $.001 PER SHARE, OF

 

BRAIN SCIENTIFIC INC.

 

(hereinafter called the "Corporation"), transferable upon 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 and the shares represented hereby are issued under and shall be subject to all the provisions of the Certificate of Incorporation and By-Laws of the Corporation (copies of which are on file at the office of the Transfer Agent of the Corporation), to all of which the holder by acceptance hereof assents.

 

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

 

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

 

Dated:

 

 

COUNTERSIGNED:

                         , as Transfer Agent

 

______________________

SECRETARY

______________________

PRESIDENT

 

 

 

BRAIN SCIENTIFIC INC.

CORPORATE SEAL

2015

NEVADA

 

 
 

 

BRAIN SCIENTIFIC INC.

 

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 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.

 

Under no circumstances shall the holder of this certificate have any right or interest of any kind in or to the funds held in that certain trust fund established on behalf of the holders of the Corporation's common stock.