Additionalabbreviations may also be used though not in the above list. For value received, hereby sell, assign and transfer unto

EX-4.1 5 dex41.htm FORM OF STOCK CERTIFICATE OF COMMON STOCK Form of Stock Certificate of Common Stock

The Corporation will furnish to any stockholder upon request and without charge a full or summary statement of the designations, terms, limitations and relative rights and preference of the shares of each class of stock authorized to be issued and, if the Corporation is authorized to issue any class of stock in series, the variations in the relative rights and preferences between the shares of each such series so far as the same have been fixed and determined and the authority of the Board of Directors to fix and determine the relative rights and preferences of subsequent series. Such request may be made to the Corporation or to its Transfer Agent.

 

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 requirements:

 

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)

                
                

 

Additional abbreviations may also be used though not in the above list.

 

For value received,                                                   hereby sell, assign and transfer unto

 

SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE

 

 
 

 

________________________________________________________________________________________________________________________________________________________________________

Please print or typewrite name and address including postal zip code of assignee

 

________________________________________________________________________________________________________________________________________________________________________

 

                                                  Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint

 

                                                                                                                                                                                                 Attorney to transfer the stock on the books of the within-named Corporation with full power of substitution in the premises.

 

Date                     

 

   

 

    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.