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EX-4.1 3 d604510dex41.htm EX-4.1 EX-4.1

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 

TEN ENT

JT TEN

  

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-  

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   as tenants in common

as tenants by the entireties

as joint tenants with right of
survivorship and not as tenants
in common

         UNIT GIFT MIN ACT       -     

 

     Custodian     

 

                  (Cust)     (Minor)
                  under Uniform Gifts to Minors
                  Act  

 

 

                      (State)
            UNIT 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 ZIP CODE, OF ASSIGNEE)

 

 

 

 

 

 

 

 

   Shares
    of the Common 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 on 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:      
    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.