SEE REVERSE FOR CERTAIN DEFINITIONS
EX-4.1 7 v047238_ex4-1.htm
NUMBER | UNITS | ||||||
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SEE REVERSE FOR CERTAIN DEFINITIONS | DOUBLOON CORP. | ||||||
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CUSIP __________
UNITS CONSISTING OF ONE SHARE OF COMMON STOCK AND ONE WARRANT TO PURCHASE ONE SHARE OF COMMON STOCK
THIS CERTIFIES THAT is the owner of 60; Units.
Each Unit (“Unit”) consists of one (1) share of common stock, par value $0.00001 per share (“Common Stock”), of Doubloon Corp., a Delaware corporation (the “Company”), and one warrant (a “Warrant”). Each Warrant entitles the holder to purchase one (1) share of Common Stock for $8.00 per share (subject to adjustment). Each Warrant will become exercisable on the later of (i) [__________], or (ii) the earlier of the Company’s completion of a merger, capital stock exchange, asset acquisition, stock purchase or other similar business combination, and will expire unless exercised before [__________] p.m., [__________] Time, on [__________] or earlier upon redemption (the “Expiration Date”). The Common Stock and Warrants comprising the Units represented by this certificate are not separately transferable prior to [__________], subject to earlier separation in the discretion of Maxim Group LLC. The terms of the Warrants are governed by a Warrant Agreement, dated as of [__________], between the Company and [__________], as Warrant Agent, and are subject to the terms and provisions contained therein, all of which terms and provisions the holder of this certificate consents to by acceptance hereof. Copies of the Warrant Agreement are on file at the office of the Warrant Agent at [__________], and are available to any Warrant holder on written request and without cost.
This certificate is not valid unless countersigned by the Transfer Agent and Registrar of the Company.
Witness the facsimile seal of the Company and the facsimile signature of its duly authorized officers.
By | Doubloon Corp. | |||
CORPORATE | ||||
THE STATE OF DELAWARE | ||||
Chief Executive Officer | SEAL | Secretary | ||
2006 | ||||
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Doubloon Corp.
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 | (Cust) | (Minor) | |||||
JT TEN - | as joint tenants with right of survivorship | under Uniform Gifts to Minors Act | ||||||
and not as tenants in common | ||||||||
(State) | ||||||||
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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 |
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(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) |
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Units |
represented by the within Certificate, and do hereby irrevocably constitute and appoint
& #160; Attorney to transfer the said Units on the books of the within named Company will full power of substitution in the premises.
Dated |
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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:
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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). |