Additional abbreviations may also be used though not in the above list. For value received, hereby sell(s), assign(s) and transfer(s) unto

EX-4.1 3 d578642dex41.htm EX-4.1 EX-4.1

Exhibit 4.1

 

CC THIS CERTIFIES THAT IS THE RECORD HOLDER OF VICE PRESIDENT, FINANCE AND ADMINISTRATION AND SECRETARY FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, $0.0001 PAR VALUE PER SHARE, OF COUNTERSIGNED AND REGISTERED: AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC (Brooklyn, New York) TRANSFER AGENT AND REGISTRAR By: AUTHORIZED SIGNATURE CELLADON CORPORATION
Dated: SEE REVERSE FOR CERTAIN DEFINITIONS CUSIP 15117E 10 INCORPORATED UNDER THE LAWS 7 OF THE STATE OF DELAWARE 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. CELLADON CORPORATION COMMON STOCK DELAWARE SEAL 2012 CORPORATE Celladon Corporation
PRESIDENT AND CHIEF EXECUTIVE OFFICER Specimen

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 and not as tenants in common       under Uniform Gifts to Minors    
           Act                                  
              (State)               

Additional abbreviations may also be used though not in the above list.

For value received,                                                                                        hereby sell(s), assign(s) and transfer(s) 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(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                                     

 

   

 

  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 WHATSOEVER.

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.