Coley Pharmaceutical Group, Inc.

EX-4.1 5 dex41.htm FORM OF COMMON STOCK CERTIFICATE FORM OF COMMON STOCK CERTIFICATE

Exhibit 4.1

 

 

Coley Pharmaceutical Group, Inc.

 

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

                 (Cost )               (Minor)      

JT TEN

  

–  as joint tenants with right of survivorship and not as tenants in common

         under Uniform Gifts to Minors
         Act                                                      
(State)
               

 

Additional abbreviations may also be used though not in the above list.

 

PLEASE INSERT SOCIAL SECURITY OR OTHER

      IDENTIFYING NUMBER OF ASSIGNEE

 

    
 
     

 

                                                                                                                                                                                                                                                                       

(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING 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 WHATSOEVER.

 

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.