Stock Certificate Assignment and Transfer Form for Columbia Financial Printing Corp.

Summary

This document is a standard stock certificate assignment and transfer form used by Columbia Financial Printing Corp. It allows the holder of a stock certificate to transfer ownership of shares to another party by filling in the assignee's details and providing a signature that matches the name on the certificate. The form also includes instructions for signature guarantees and information on requesting details about share classes and rights. The transfer is irrevocable once executed and must comply with all specified requirements.

EX-4.1 3 a6662928ex4_1.htm EXHIBIT 4.1 a6662928ex4_1.htm

EXHIBIT 4.1

The following abbreviations, when used on the face of this certificate, shall be as though they were written out in full according to applicable laws or regulations:

TEN COM -

TEN ENT -

JT TEN -

as tenants in common

as tenants by the entireties

as 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)

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

For Value Received,_______________hereby self, assign and transfer unto

PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE

(PLEASE PRINT OR TYPE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)

	*Shares*
of the 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 THIS NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IS EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER.

THE CORPORATION WILL FURNISH TO ANY STOCKHOLDER UPON REQUEST AND WITHOUT CHARGE, A FULL STATEMENT OF THE DESIGNATIONS, RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF THE SHARES OF EACH CLASS AND SERIES AUTHORIZED TO BE ISSUED, SO FAR AS THE SAME HAVE BEEN DETERMINED, AND OF THE AUTHORITY, IF ANY, OF THE BOARD TO DIVIDE THE SHARES INTO CLASSES OR SERIES AND TO DETERMINE AND CHANGE THE RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF ANY CLASS OR SERIES. SUCH REQUEST MAY BE MADE TO THE SECRETARY OF THE CORPORATION OR TO THE TRANSFER AGENT NAMED ON THIS CERTIFICATE.

THE SIGNATURE TO THE ASSIGNMENT MUST CORRESPOND TO THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOVER, AND MUST BE GUARANTEED BY A COMMERCIAL BANK OR TRUST COMPANY OR A MEMBER FIRM OF A NATIONAL OR REGIONAL OR OTHER RECOGNIZED STOCK EXCHANGE IN CONFORMANCE WITH A SIGNATURE GUARANTEE MEDALLION PROGRAM.

COLUMBIA FINANCIAL PRINTING CORP. – www.stockinformation.com