Specimen Common Stock Certificate for ChipPAC, Inc.
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Summary
This document is a specimen certificate representing shares of common stock in ChipPAC, Inc. It certifies that the named holder owns fully paid and non-assessable shares, which can be transferred on the corporation's books by the holder or an authorized agent. The certificate must be properly endorsed and registered by the transfer agent to be valid. It also outlines the process for transferring shares and provides information about the rights and preferences of the stock, which are available upon request from the company.
EX-4.1 5 0005.txt SPECIMEN CERTIFICATE FOR CHIPPAC Exhibit 4.1 COMMON STOCK COMMON STOCK ChipPAC, Inc. THIS CERTIFICATE IS INCORPORATED UNDER THE SEE REVERSE FOR CERTAIN TRANSFERABLE IN MILWAUKEE, LAWS OF THE STATE OF DEFINITIONS WI OR NEW YORK, NY DELAWARE This Certifies that CUSP 169657 10 3 is the record holder of FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $.01 PAR VALUE, OF --------------------- CHIPPAC, INC.--------------------- transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned and registered by the Transfer Agent and Registrar. WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. Dated: ___________________________ [SEAL APPEARS HERE] __________________________ SENIOR VICE PRESIDENT, PRESIDENT AND CHIEF CHIEF FINANCIAL OFFICER EXECUTIVE OFFICER AND SECRETARY COUNTERSIGNED AND REGISTERED: FirstarBank, N.A. TRANSFER AGENT AND REGISTRAR BY ________________________ AUTHORIZED SIGNATURE CHIPPAC, INC. A statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights as established, from time to time, by the Certificate of Incorporation of the Corporation and by any certificate of determination, the number of shares constituting each class and series, and the designations thereof, may be obtained by the holder hereof upon request and without charge at the principal office of the Corporation. The following abbreviations, when used in the inscription of 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 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 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 ________________________ 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. Signature(s) Guarantee 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.
