FOR VALUE RECEIVED, hereby sells, assigns and transfers unto
Exhibit 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 | as tenants in common | UNIF GIFT MIN ACT |
| Custodian |
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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 |
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(State) | ||||||||||||
UNIF TRANS MIN ACT |
| Custodian |
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(Cust) | (Minor) | |||||||||||
under Uniform Transfers to Minors Act | ||||||||||||
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(State) | ||||||||||||
Additional abbreviations may also be used though not in the above list. |
FOR VALUE RECEIVED, hereby sells, assigns and transfers unto
PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFICATION NUMBER OF ASSIGNEE
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Please print or typewrite name and address including postal zip code of assignee | ||||||
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| Shares | |||||
of the Common Stock evidenced by this 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 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) 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. |
THE CORPORATION HAS MORE THAN ONE CLASS OF STOCK AUTHORIZED TO BE ISSUED. THE CORPORATION WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO REQUESTS, IN WRITING, A SUMMARY OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OF THE CORPORATION AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND RIGHTS, AND THE VARIATIONS IN RIGHTS, PREFERENCES AND LIMITATIONS DETERMINED FOR EACH SERIES, WHICH ARE FIXED BY THE CERTIFICATE OF INCORPORATION OF THE CORPORATION, AS AMENDED, AND THE RESOLUTIONS OF THE BOARD OF DIRECTORS OF THE CORPORATION, AND THE AUTHORITY OF THE BOARD OF DIRECTORS TO DETERMINE VARIATIONS FOR FUTURE SERIES. SUCH REQUEST MAY BE MADE, IN WRITING, TO THE OFFICE OF THE SECRETARY OF THE CORPORATION OR TO THE TRANSFER AGENT.
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.
AMERICAN BANK NOTE COMPANY | PRODUCTION COORDINATOR: DENISE LITTLE  ###-###-#### | |||
711 ARMSTRONG LANE | PROOF OF: NOVEMBER 9, 2007 | |||
COLUMBIA, TENNESSEE 38401 | ELIXIR PHARMACEUTICALS, INC. | |||
(931) 388-3003 | TSB 28613 FC | |||
SALES: CHARLES SHARKEY ###-###-#### | OPERATOR: AP/R | |||
7 / LIVE JOBS / E / ELIXIR 28613 FC | Rev. 1 |
PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF: OK AS IS OK WITH CHANGES MAKE CHANGES AND SEND ANOTHER PROOF
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