Form of common stock certificate of the Registrant
Exhibit 4.1
The Corporation shall furnish without charge to each stockholder who so requests a statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such requests shall be made to the Corporation’s Secretary at the principal office of the Corporation.
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.
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
COM PROP – as community property
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(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 capital stock represented by the within Certificate, and do hereby irrevocably constitute and appoint
_____________________________________________________________________________________________ attorney-in-fact
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 WHATSOEVER.
Signature(s) Guaranteed:
By _______________________________________________