CARDIOMEMS, INC.

EX-4.2 3 dex42.htm SPECIMEN COMMON STOCK CERTIFICATE Specimen Common Stock Certificate

Exhibit 4.2

NUMBER

SHARES

SENS 001

INCORPORATED UNDER THE LAWS OF

CUSIP 14160J 10 5

THE STATE OF DELAWARE

SEE REVERSE FOR CERTAIN DEFINITIONS

THIS CERTIFIES THAT

is the record holder of

FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.0001 PAR VALUE PER SHARE, OF

CARDIOMEMS, INC.

transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

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

DATED:

FACSIMILE SIGNATURE TO APPEAR HERE

SECRETARY

FACSIMILE SIGNATURE TO APPEAR HERE

CHIEF EXECUTIVE OFFICER

COUNTERSIGNED AND REGISTERED:

MELLON INVESTOR SERVICES LLC

TRANSFER AGENT AND REGISTRAR

BY:

AUTHORIZED SIGNATURE

CARDIOMEMS, INC.

 

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  

 

     
TEN ENT   - as tenants by the entireties            (Cust)       (Minor)     
JT TEN  

- as joint tenants with right

  of survivorship and not as

  tenants in common

           

 

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, INCLUDING ZIP CODE, OF ASSIGNEE)

 

 

Shares of the Common Stock represented by the within Certificate, and do(es) 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

  

 

    X   

 

         X   

 

         NOTICE:    THE SIGNATURE(S) TO THIS 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.

 

SIGNATURES GUARANTEED:     
By   

 

     
     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.