Erba Diagnostics, Inc. Stock Certificate Assignment and Transfer Form

Contract Categories: Business Finance › Stock Agreements
Summary

This document is a stock certificate assignment and transfer form for Erba Diagnostics, Inc. It allows shareholders to transfer ownership of their shares to another party by completing the form and providing the necessary information. The form also explains the rights and designations of different classes of stock and outlines the requirements for signature guarantees. Shareholders can request additional information about stock classes from the company or its transfer agent. The transfer must be properly executed and signatures must be guaranteed by an eligible financial institution.

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EX-4.1 2 v319466_ex4-1.htm EXHIBIT 4.1

 

ERBA DIAGNOSTICS, INC.

 

The Corporation will furnish without charge to each stockholder who so requests a statement of the designations, powers, 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. Such request may be made to the Corporation or the Transfer Agent.

 

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____________
                                                                 (Cust)                                            (Minor)      
TEN ENT — as tenants by the entireties                                          under Uniform Gifts to Minors
     
JT TEN — as joint tenants with right of survivorship and not as tenants in common

                                         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 OR OTHER  
IDENTIFYING NUMBER OF ASSIGNEE  
   
   
   
   

 

______________________________________________________________________________________of the shares represented by the within certificate and do hereby irrevocably constitute and

 

appoint______________________________________________________________________________________attorney to transfer the said shares on the books of the within named corporation with full power of substitution in the premises.

 

dated_____________________________

 

   
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:

 

   
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.