CHURCHILL VENTURES LTD.
EXHIBIT 4.1
NUMBER | UNITS |
U-__________
CHURCHILL VENTURES LTD.
SEE REVERSE FOR | CUSIP | |
CERTAIN DEFINITIONS |
UNITS CONSISTING OF ONE SHARE OF COMMON STOCK AND ONE WARRANT TO PURCHASE ONE
SHARE OF COMMON STOCK
THIS CERTIFIES THAT
------------------------------------------------------ | ||
is the owner of | ------------------------------------------------------ | Units. |
Each Unit (Unit) consists of one (1) share of common stock, par value $.001 per share (Common Stock), of Churchill Ventures Ltd., a Delaware corporation (the Company), and one warrant (the Warrant). The Warrant entitles the holder to purchase one (1) share of Common Stock for $6.00 per share (subject to adjustment). The Warrant will become exercisable on the later of (i) the Companys completion of a merger, capital stock exchange, stock purchase, asset acquisition or other similar business combination and (ii) ______, 2007, and will expire unless exercised before 5:00 p.m., New York City Time, on ____________, 2010, or earlier upon redemption (the Expiration Date). The Common Stock and the Warrants comprising the Units represented by this certificate will trade separately 5 business days following the earlier to occur of the expiration or termination of the underwriters over-allotment option or its exercise in full; provided, however, in no event will the underwriter allow separate trading until the Company files an audited balance sheet reflecting the Companys receipt of the gross proceeds of the offering. The terms of the Warrant are governed by a Warrant Agreement, dated as of _______, 2006, between the Company and Continental Stock Transfer & Trust Company, as Warrant Agent, and are subject to the terms and provisions contained therein, all of which terms and provisions the holder of this certificate consents to by acceptance hereof. Copies of the Warrant Agreement are on file at the office of the Warrant Agent at 17 Battery Place, New York, New York 10004, and are available to any Warrant holder on written request and without cost.
This certificate is not valid unless countersigned by the Transfer Agent and Registrar of the Company.
Witness the facsimile seal of the Company and the facsimile signature of its duly authorized officers.
Dated:
CHURCHILL VENTURES LTD. CORPORATE DELAWARE |
--------------------------- | SEAL | --------------------------------- | ||
Chief Executive Officer | 2006 | Secretary |
CHURCHILL VENTURES LTD.
The Company will furnish without charge to each stockholder who so requests, a statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof of the Company and the qualifications, limitations, or restrictions of such preferences and/or rights.
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 | under Uniform Gifts to | ||||||
right of survivorship and | Minors Act | ||||||||
not as tenants in common | (State) |
Additional abbreviations may also be used though not in the above list.
For value received __ hereby sells, assigns and transfers unto
PLEASE INSERT |
SOCIAL SECURITY OR |
OTHER IDENTIFYING |
NUMBER OF |
ASSIGNEE |
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) SHOULD 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).