Clayton Holdings, Inc. Common Stock Certificate Issued to Mr. and Mrs. Sample
Contract Categories:
Business Finance
›
Stock Agreements
Summary
This document certifies that Mr. and Mrs. Sample own 600,620 fully paid and non-assessable shares of common stock in Clayton Holdings, Inc., a Delaware corporation. The certificate outlines the rights of the shareholders, transferability of shares, and conditions for replacement if lost or destroyed. It is subject to the company's certificate of incorporation and by-laws. The certificate must be properly endorsed and registered to be valid, and requests for information about stock classes can be made to the company or transfer agent.
EX-4.1 4 a2168201zex-4_1.txt EXHIBIT 4.1 Exhibit 4.1 016570|003590|127C|RESTRICTED|4|057-423 COMMON STOCK COMMON STOCK PAR VALUE $0.01 THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA, JERSEY CITY, NJ AND NEW YORK, NY CLAYTON Certificate Shares Number **600620****** ZQ 000411 ***600620***** ****600620**** CLAYTON HOLDINGS, INC. *****600620*** INCORPORATED UNDER THE LAWS ******600620** OF THE STATE OF DELAWARE THIS CERTIFIES THAT MR. SAMPLE & MRS. SAMPLE & CUSIP 18418N 10 7 MR. SAMPLE & MRS. SAMPLE SEE REVERSE FOR CERTAIN DEFINITIONS is the owner of SIX HUNDRED THOUSAND SIX HUNDRED AND TWENTY FULLY-PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF CLAYTON HOLDINGS, INC. (HEREINAFTER CALLED THE "COMPANY"), transferable on the books of the Company in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This Certificate and the shares represented hereby, are issued and shall be held subject to all of the provisions of the certificate of incorporation, as amended, and the By-Laws, as amended, of the Company (copies of which are on file with the Company and with the Transfer Agent), to all of which each holder, by acceptance hereof, assents. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar. WITNESS the facsimile seal of the Company and the facsimile signatures of its duly authorized officers. DATED [[Month Day, Year]] COUNTERSIGNED AND REGISTERED COMPUTERSHARE TRUST COMPANY, N.A. /s/ Frank P. Filipps TRANSFER AGENT AND REGISTRAR -------------------- President /s/ Frederick C. Herbst ----------------------- Treasurer By_________________________ AUTHORIZED SIGNATURE CLAYTON CUSIP XXXXXXXXX Holder ID XXXXXXXXX Insurance Value 1,000,000.00 Number of Shares 123456 DTC 12345678 123456789012345 PO BOX 43004, Providence, RI ###-###-####
CLAYTON HOLDINGS, INC. THE COMPANY HAS MORE THAN ONE CLASS OF STOCK AUTHORIZED TO BE ISSUED. THE COMPANY WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO REQUESTS, IN WRITING, A SUMMARY OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OF THE COMPANY AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND RIGHTS, AND THE VARIATIONS IN RIGHTS, PREFERENCES AND LIMITATIONS DETERMINED FOR EACH SERIES, WHICH ARE FIXED BY THE CERTIFICATE OF INCORPORATION OF THE COMPANY, AS AMENDED, AND THE RESOLUTIONS OF THE BOARD OF DIRECTORS OF THE COMPANY, AND THE AUTHORITY OF THE BOARD OF DIRECTORS TO DETERMINE VARIATIONS FOR FUTURE SERIES. SUCH REQUEST MAY BE MADE, IN WRITING, TO THE OFFICE OF THE SECRETARY OF THE COMPANY OR TO THE TRANSFER AGENT. THE BOARD OF DIRECTORS MAY REQUIRE THE OWNER OF A LOST OR DESTROYED STOCK CERTIFICATE, OR HIS LEGAL REPRESENTATIVES, TO GIVE THE COMPANY A BOND TO INDEMNIFY IT AND ITS TRANSFER AGENTS AND REGISTRARS AGAINST ANY CLAIM THAT MAY BE MADE AGAINST THEM ON ACCOUNT OF THE ALLEGED LOSS OR DESTRUCTION OF ANY SUCH CERTIFICATE. 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 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 ASSIGNED) ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Shares of the capital 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:__________________________________________________________________ Signature:__________________________________________________________________ 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) Guarantee: Medallion Guarantee Stamp THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (Banker, Stockbroker, Savings, and Loan Association and Credit Union) WITH MEMBERSHIP IN AN APPROVED SIGNATORS GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C RULE 17Ad-15. - --------------------------------------------------------------------------- SECURITY INSTRUCTIONS [WATERMARK]
