Specimen Common Stock Certificate for CABG Medical, Inc.

Summary

This document is a specimen certificate representing shares of common stock in CABG Medical, Inc., a Minnesota corporation. It certifies ownership of fully paid and non-assessable shares, which can be transferred on the corporation's books by the holder or their attorney upon proper endorsement. The certificate must be countersigned by the transfer agent, Wells Fargo Bank, N.A., to be valid. It also outlines standard legal abbreviations for ownership and transfer, and provides that shareholders may request information about share classes and rights.

EX-4.1 2 c86262a4exv4w1.htm FORM OF SPECIMENT CERTIFICATE REPRESENTING COMMON STOCK exv4w1

EXHIBIT 4.1


COMMON SHARES NUMBER				COMMON SHARES SHARES

CABG MEDICAL , INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF MINNESOTA


		SEE REVERSE SIDE FOR CERTAIN DEFINITIONS CUSIP: 124676 10 7

THIS CERTIFIES THAT

IS THE OWNER OF

FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, NO PAR VALUE, OF

CABG MEDICAL, INC.

TRANSFERABLE ON THE BOOKS OF THE CORPORATION BY THE HOLDER HEREOF IN PERSON OR BY ATTORNEY UPON SURRENDER OF THIS CERTIFICATE PROPERLY ENDORSED. THIS CERTIFICATE IS NOT VALID UNLESS COUNTERSIGNED BY THE TRANSFER AGENT-REGISTRAR.

IN WITNESS WHEREOF, THE SAID CORPORATION HAS CAUSED THIS CERTIFICATE TO BE SIGNED BY ITS DULY AUTHORIZED OFFICERS.

DATED:


PRESIDENT				CHIEF EXECUTIVE OFFICER

				COUNTERSIGNED AND REGISTERED: WELLS FARGO BANK, N.A. TRANSFER AGENT AND REGISTRAR

BY
AUTHORIZED SIGNATURE

THE CORPORATION WILL FURNISH TO ANY SHAREHOLDER, UPON REQUEST AND WITHOUT CHARGE, A FULL STATEMENT OF THE DESIGNATIONS, PREFERENCES, LIMITATIONS AND RELATIVE RIGHTS OF THE SHARES OF EACH CLASS OR SERIES AUTHORIZED TO BE ISSUED, SO FAR AS THEY HAVE BEEN DETERMINED, AND THE AUTHORITY OF THE BOARD TO DETERMINE THE RELATIVE RIGHTS AND PREFERENCES OF SUBSEQUENT CLASSES OR SERIES.

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)
UNIF TRF MIN ACT —		Custodian (until age )

	(Cust)
		under Uniform Transfers

	(Minor)
	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 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(S) TO THE ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.

Signature(s) Guaranteed


By: