EX-4.5 Form of Commo0n Stock Certificate
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EX-4.5 3 b56490a2exv4w5.txt EX-4.5 FORM OF COMMO0N STOCK CERTIFICATE Exhibit 4.5 DOVER SADDLERY, INC. INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE COMMON STOCK COMMON STOCK NUMBER SHARES THIS CERTIFICATE IS TRANSFERABLE IN CUSIP 260412 10 1 NEW YORK, N.Y. SEE REVERSE FOR CERTAIN DEFINITIONS THIS CERTIFIES THAT IS THE RECORD HOLDER OF FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.0001 PAR VALUE PER SHARE, OF DOVER SADDLERY, INC. transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of the Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar. Witness the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. DATED /S/ STEPHEN L. DAY /S/ JONATHAN A.R. GRYLLS PRESIDENT DOVER SADDLERY, INC. SECRETARY 1998 DELAWARE COUNTERSIGNED: STOCK TRANS, INC 44 WEST LANCASTER AVE. ARDMORE, PA 19003 TRANSFER AGENT AND REGISTRAR By Authorized Signature. DOVER SADDLERY, INC. 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 ________________________________________________________________________________ PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE, OF ASSIGNEE ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________ Shares of the Common Stock represented by the within Certificate, and do(es) 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 _____________________ 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. SIGNATURE(s) GUARANTEED: BY __________________________________________________________ THE SIGNATURE(S) MUST 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.