TEN COM as tenants in commonTEN ENT as tenants by the entiretiesJT TEN as joint tenants with right of survivorship and not as tenants in common
Exhibit 4.1
Consolidated Communications |
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE CCM |
THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA, JERSEY CITY, NJ OR NEW YORK, NY |
SEE REVERSE FOR CERTAIN DEFINITIONS |
CUSIP 209032 10 1 |
This Certifies that |
is the owner of |
FULLY PAID AND NON-ASSESSABLE SHARES OF THE CLASS A COMMON STOCK, PAR VALUE $0.01 PER SHARE OF |
CONSOLIDATED COMMUNICATIONS HOLDINGS, INC. |
transferable only 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 officer. |
Dated: |
FOR POSITION ONLY |
SECRETARY |
FOR POSITION ONLY |
CHAIRMAN OF THE BOARD |
COUNTERSIGNED AND REGISTERED: |
EQUISERVE TRUST COMPANY, N.A. |
TRANSFER AGENT |
AND REGISTRAR |
BY |
AUTHORIZED SIGNATURE |
The Corporation shall 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 of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such requests shall be made to the Corporations Secretary at the principal office of the Corporation.
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 | ||
TEN ENT | | as tenants by the entireties | ||
JT TEN | | as joint tenants with right of survivorship and not as tenants in common |
UNIF GIFT MIN ACT | | Custodian | ||
(Cust) (Minor) | ||||
under Uniform Gifts to Minors | ||||
Act | ||||
(State) | ||||
UNIF TRF MIN ACT | | Custodian (until age ) | ||
(Cust) | ||||
under Uniform Transfers | ||||
(Minor) | ||||
to Minors Act | ||||
(State) |
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
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
Signature(s) Guaranteed
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. |
By
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.
AMERICAN BANK NOTE COMPANY
711 ARMSTRONG LANE
COLUMBIA, TENNESSEE 38401
(931)  ###-###-####
PRODUCTION COORDINATOR: TODD DEROSSETT ###-###-####
PROOF OF MARCH 30, 2005
CONSOLIDATED COMMUNICATIONS HOLDINGS, INC.
TSB 19290 BK
PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF: OK AS IS OK WITH CHANGES MAKE CHANGES AND SEND ANOTHER PROOF