Imperial Holdings, Inc.

EX-4.1 2 w78831a2exv4w1.htm EX-4.1 exv4w1
COMMON STOCK             COMMON STOCK IH-001 CUSIP 452834 10 4 SEE REVERSE FOR CERTAIN DEFINITIONS NCORPORATED UNDER THE LAWS OF THE STATE OF FLORIDA THIS CERTIFIES THAT is the record holder of FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.01 PAR VALUE PER SHARE OF Imperial Holdings, Inc. transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar. WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. COUNTERSIGNED AND REGISTERED: AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC TRANSFER AGENT AND REGISTRAR BYAUTHORIZED DATED:CHIEF EXECUTIVE OFFICER            PRESIDENT

 

 

Imperial Holdings, Inc.

     Acquisition of 10% or more of the common stock of Imperial Holdings, Inc. is subject to approval by the Florida Office of Insurance Regulation under Section  ###-###-####, Florida statutes.
     The corporation will furnish to any shareholder upon request and without charge a full statement of the designations, preferences, limitations, and relative rights of the shares of each class of stock authorized to be issued.
     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
 
TEN ENT
  –   as tenants by the entireties
 
JT TEN
  –   as joint tenants with rights
of survivorship and not as
tenants in common
     
UNIF GIFT MIN ACT –
                               Custodian                               
 
              (Cust)                                (Minor)
 
 
  under Uniform Gifts to Minors
 
    
 
  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, assign and transfer unto
  PLEASE INSERT SOCIAL SECURITY NUMBER 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(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                                                             
         
 
  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 WHATEVER .
Signature(s) Guaranteed:
         
By
       
 
       
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 MEDALLION SIGNATURE GUARANTEE PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.