Specimen Common Stock Certificate for Physicians Insurance Services, Ltd.

Contract Categories: Business Finance › Stock Agreements
Summary

This document is a specimen stock certificate for Physicians Insurance Services, Ltd., now known as PI Services, Inc., incorporated in Minnesota. It certifies ownership of fully paid, non-assessable common shares, which are transferable upon proper endorsement and compliance with corporate bylaws and state law. The certificate must be countersigned by the transfer agent to be valid. It also outlines procedures for transferring shares and requires signature guarantees for assignments. The certificate is subject to the corporation's articles of incorporation and bylaws, as amended.

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EX-4.1 4 pi10k123108ex41.txt SPECIMEN STOCK CERTIFICATE Exhibit 4.1 NAME CHANGED TO PI SERVICES, INC. Physicians Insurance Services, Ltd. INCORPORATED UNDER THE LAWS OF THE STATE OF MINNESOTA AUTHORIZED: 5,000,000 COMMON SHARES, NO PAR VALUE NUMBER SHARES This Certifies That SEE REVERSE FOR SPECIMEN CERTAIN DEFINITIONS ___________________ Is The Owner Of CUSIP ###-###-#### ___________________ NEW CUSIP 69339A104 FULLY PAID AND NON-ASSESSABLE COMMON SHARES, NO PAR VALUE OF Physicians Insurance Services, Ltd. transferable on the books of this Corporation in person or by attorney upon surrender of this Certificate duly endorsed or assigned. This Certificate and the shares represented hereby are subject to the laws of the Stated of Minnesota, and to the Articles of Incorporation and Bylaws of the Corporation, as now or hereafter amended. This Certificate is not valid until countersigned by the Transfer Agent. In Witness Whereof, the Corporation has caused this Certificate to be signed by the facsimile signatures of its duly authorized officers and to be sealed with the facsimile seal of the Corporation. Dated: Physicians Insurance Services, Ltd. [CORPORATE SEAL OMITTED] MINNESOTA ______________________ ______________________ PRESIDENT SECRETARY COUNTERSIGNED: CORPORATE STOCK TRANSFER, INC. 3200 Cherry Creek Drive South, Suite 430, Denver, CO 80209 By _______________________________________________________ Transfer Agent and Registrar Authorized Officer
Physicians Insurance Services, Ltd. Corporate Stock Transfer, Inc. Transfer Fee: As Required SPECIMEN ________________________________________________________________________________ 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 for .............. (Cust.) (Minor) TEN ENT -- as tenants by the entireties under Uniform Gifts to Minors JT TEN -- as joint tenants with right of Act of ........................................... survivorship and not as (State) tenants in common
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 type name and address 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 ................20........ SIGNATURE GUARANTEED: X_______________________________ X_______________________________ THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER. 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.