EX-4.1 FORM OF EMAGEON, INC. COMMON STOCK CERTIFICATE
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EX-4.1 4 g89998a3exv4w1.txt EX-4.1 FORM OF EMAGEON, INC. COMMON STOCK CERTIFICATE EXHIBIT 4.1 [EMAGEON LOGO] EMAGEON INC. NUMBER SHARES COMMON STOCK CUSIP 29076V 10 9 PAR VALUE $.001 SEE REVERSE FOR CERTAIN DEFINITIONS INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE THIS CERTIFIES THAT IS THE OWNER OF FULLY PAID AND NONASSESSBLE SHARES OF THE COMMON STOCK, $.001 PAR VALUE PER SHARE, OF =================================EMAGEON INC.================================== transferable on the books of the Company by the holder hereof in person or by duly authorized attorney upon surrender of this certificate properly endorsed. This certificate and the shares represented hereby are issued and shall be subject to all of the provisions of the Certificate of Incorporation of the Company and all amendments thereto, and to the By-laws of the Company, to all of which the holder hereof by acceptance of this certificate hereby assents. This certificate is not valid until countersigned and registered by the Transfer Agent and Registrar. WITNESS the facsimile seal of the Company and the facsimile signatures of its duly authorized officers. Dated: /S/Craig A. Parker /S/Milton Silva-Craig SECRETARY PRESIDENT EMAGEON INC. CORPORATE SEAL 2000 DELAWARE Countersigned and Registered: WACHOVIA BANK, N.A. Transfer Agent and Registrar EMAGEON INC. The Corporation is authorized to issue more than one class of stock. The Corporation will 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 or series thereof of the Corporation, and the qualifications, limitations or restrictions of such preferences and/or rights. 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:
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 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_________________ ______________________________ Signature(s) Guaranteed: 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. _________________________________________________ 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. KEEP THIS CERTIFICATE IN A SAFE PLACE, IF IT IS LOST, STOLEN, MUTILATED OR DESTROYED, THE CORPORATION MAY REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.
