EX-4.1: SPECIMEN COMMON STOCK CERTIFICATE

EX-4.1 4 z25337a7exv4w1.htm EX-4.1: SPECIMEN COMMON STOCK CERTIFICATE EX-4.1
 

Exhibit 4.1
(SPECIMEN COMMON STOCK CERTIFICATE — FRONT SIDE)
A Delaware Corporation
     
NUMBER   SHARES
CVR ENERGY, INC.
Common Stock, Par Value $0.01 Per Share
  
This Certifies that                                           is the owner of                                            fully paid and non-assessable Shares of the above Corporation 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.
In Witness Whereof, the said corporation has caused this Certificate to be signed by its duly authorized officers and to be sealed with the Seal of the Corporation.
Dated                     ,     
                 
By:
      (SEAL)   By:    
 
               
Name:       Name:
Title:       Title:

 

 

(SPECIMEN COMMON STOCK CERTIFICATE — BACK SIDE)
THE SHARES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR ANY REGULATORY AUTHORITY IN ANY STATE, AND MAY NOT BE SOLD, TRANSFERRED, ASSIGNED, EXCHANGED, PLEDGED, ENCUMBERED OR OTHERWISE DISPOSED OF EXCEPT IN COMPLIANCE WITH ALL APPLICABLE SECURITIES LAWS.
     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 list.
             
TEN COM
  —   as tenants in common   UNIF GIFT MIN ACT —      Custodian                     (Minor)
TEN ENT
  —   as tenants by the entireties   under Uniform Gifts to Minors Act                          (State)
JT TEN
  —   as joint tenants with right of survivorship   UNIF TRF MIN ACT —      Custodian                     (Minor)
 
      and not as tenants in common   under                     (State) Uniform Transfer to Minors Act
         
 
    PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE		  
         
For value received, the undersigned hereby sells, assigns and transfers unto
       
 
        
         
PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS OF ASSIGNEE
        
 
        
         
     
 
  Shares
     
     
represented by the within Certificate, and hereby irrevocably constitutes and appoints
   
     
     
 
  Attorney to transfer the said
     
 
    
shares on the books of the within-named Corporation with full power of substitution in the premises.
    
             
Dated,
           
             
 
  In presence of       X
 
           
X
            
         
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.