Specimen Common Stock Certificate of Darwin Professional Underwriters, Inc.
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Summary
This document is a specimen stock certificate for shares of common stock in Darwin Professional Underwriters, Inc., a Delaware corporation. It certifies ownership of fully paid and non-assessable shares, which are transferable on the corporation’s books by the holder or an authorized attorney upon proper endorsement and surrender of the certificate. The certificate must be countersigned by the transfer agent and registrar to be valid. It also outlines standard procedures for transfer and provides information on shareholder rights upon request.
EX-4.1 8 y17708a4exv4w1.txt EX-4.1: SPECIMEN STOCK CERTIFICATE EXHIBIT 4.1 NUMBER DR (DARWIN PROFESSIONAL UNDERWRITERS, INC. LOGO) COMMON STOCK PAR VALUE $0.01 SHARES CUSIP 237502 10 9 SEE REVERSE FOR CERTAIN DEFINITIONS THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA, JERSEY CITY, NJ OR NEW YORK, NY DARWIN PROFESSIONAL UNDERWRITERS, INC. INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE THIS CERTIFIES THAT IS THE OWNER OF FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF DARWIN PROFESSIONAL UNDERWRITERS, INC. transferable 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 officers. Dated: (SEAL) COUNTERSIGNED AND REGISTERED: COMPUTERSHARE TRUST COMPANY, N.A TRANSFER AGENT AND REGISTRAR BY ----------------------------------------- AUTHORIZED SIGNATURE ---------------------------- ---------------------------- President Secretary The Corporation will furnish to any stockholder, upon request and without charge, a statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series therof authorized to be issued and the qualifications, limitations or restrictions of such preferences and/or rights. 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) 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 ZIP CODE, 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 ________________________________ -------------------------------- 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) GUARANTEED: - -------------------------------------- THIS 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.