Certificate of Common Stock

EX-4.1 4 d574762dex41.htm EX-4.1 EX-4.1

Exhibit 4.1

 

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                                under Uniform Gifts to Minors
      of survivorship and not as                                Act                                         
      tenants in common                                                     (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 POSTAL ZIP CODE OF ASSIGNEE

 

 

 

 

                                                                                                               Shares of the common 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.

 

SIGNATURE(S) GUARANTEED:

 

 

THE SIGNATURE(S) MUSTZ 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.