NUMBERSHARES -----------------------
EX-4.1 3 exhibit4_1.htm FORM OF PREFERRED STOCK CERTIFICATE exhibit4_1.htm
(Cust) (Minor)
EXHIBIT 4.1
NUMBER SHARES
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INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
[Graphic: Logo]
CELSION CORPORATION
5,350 Shares $.01 Par Value
8% Series A Redeemable Convertible Preferred Stock
This Certifies that _____________________________________________ is the owner of __________________________________________ fully paid and non-assessable Shares of the above Corporation transferable only on the books of the Corporation by the holder hereof in person or by duly authorized Attorney upon surrender of this Certificate properly endorsed.
In Witness Whereof, the said Corporation has caused this Certificate to be signed by its duly authorized officers and to be sealed with the Seal of the Corporation.
Dated: __________________
[CORPORATE SEAL]
| /s/ Jeffrey W. Church | /s/Timothy J. Tumminello | ||
| Jeffrey W. Church | Timothy J. Tumminello | ||
| Vice President and Chief Financial Officer | Assistant Secretary, Controller and Chief Accounting Officer | ||
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. Additional abbreviations may also be used though not in the list.
TEN COM - as tenants in common UNIF GIFT MIN ACT - __________________
TEN ENT - as tenants by the entireties
under Uniform Gifts
JT TEN - as joint tenants with right to Minors Act
of survivorship and not as
tenants in common &# 160; __________________
0; (State)
UNIF TRF MIN ACT - __________________
(Cust) (Minor)
under Uniform Transfer
to Minors Act
__________________
(State)
For value received, ____________________________ hereby sell, assign and transfer unto
PLEASE INSERT SOCIAL SECURITY NUMBER OR
OTHER IDENTIFYING NUMBER OF ASSIGNEE
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_____________________________________________________________________
(Please print or typewrite name and address of assignee)
_____________________________________________________________________
_____________________________________________________________________ Shares represented by the within Certificate, and do hereby irrevocably constitutes and appoints
_____________________________________________________________________ Attorney to transfer the said shares on the books of the within-named Corporation with full power of substitution in the premises.
Dated: _____________
_______________________________
In presence of
______________________
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.
