Empi, Inc. Form of Common Stock Certificate
This document is a sample stock certificate issued by Empi, Inc., a Minnesota corporation, representing ownership of a specified number of shares of its common stock. The certificate confirms that the named holder owns fully paid and non-assessable shares, which can be transferred only on the company's official records by the holder or an authorized representative upon proper endorsement and surrender of the certificate. The certificate is signed by the company's authorized officers and bears the corporate seal.
INCORPORATED UNDER THE LAWS OF THE STATE OF MINNESOTA
NUMBER
SHARES
EMPI, INC.
Common Stock
Restrictions on transfer on reverse side.
This certifies that Specimen is the owner and registered holder of Specimen——- Shares of fully-paid and non-assesable Common Stock of Empi, Inc., $.01 par value per share
transferable only on the books of the corporation by the holder hereof in person or by duly authorized attorney upon surrender of this certificate properly endorsed.
IN WITNESS WHEREOF, the said corporation has caused this certificate to be signed by its duly authorized officers and to be sealed with the seal of the corporation this
day of , 2004
Secretary
President
