Additional abbreviations may also be used though not in the above list.

EX-4.1 3 d523612dex41.htm EX-4.1 EX-4.1

Exhibit 4.1

 

EP

EVOKE

PHARMA

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE

EVOKE PHARMA, INC.

COMMON STOCK

PAR VALUE $0.0001 PER SHARE

SEE REVERSE FOR CERTAIN DEFINITIONS AND RESTRICTIONS

CUSIP 30049G 10 4

THIS CERTIFIES THAT

SPECIMEN

IS THE RECORD HOLDER OF

FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.0001 PAR VALUE, OF

EVOKE PHARMA, INC.

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. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.

IN WITNESS whereof, the facsimile signatures of the Corporation’s duly authorized officers.

Dated:

CHIEF BUSINESS OFFICER AND SECRETARY

CHIEF EXECUTIVE OFFICER

COUNTERSIGNED AND REGISTERED:

AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC

(Brooklyn, NY)

TRANSFER AGENT AND REGISTRAR

BY

AUTHORIZED SIGNATURE


The Corporation is authorized to issue more than one class of stock. The Corporation shall furnish without charge to each stockholder who so requests the powers, designations, preferences and relative, participating, optional, or other special rights of each class of stock of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such requests shall be made to the Corporation’s Secretary at the principal office of the Corporation.

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  

 

TEN ENT     as tenants by the entireties       (Cust)     (Minor)
JT TEN     as joint tenants with right of survivorship and not as tenants in common       under Uniform Gifts 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 OR OTHER IDENTIFYING NUMBER OF ASSIGNEE

 

  
    
    
      

 

 

 

PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING 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                     

 

   

 

  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 WHATSOEVER.

 

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.  

KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN OR DESTROYED THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.