Additional abbreviations may also be used though not in the abovelist.

EX-4.1 5 d31022dex41.htm EX-4.1 EX-4.1

Exhibit 4.1

 

 

Number Shares A FIRST DATA CORPORATION
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
SEE REVERSE SIDE FOR CERTAIN DEFINITION
CUSIP ###-###-####
THIS CERTIFIES THAT
is the owner of
FULLY PAID AND NON-ASSESSABLE CLASS A COMMON SHARES, $0.01 PAR VALUE, OF
FIRST DATA CORPORATION
transferable on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this certificate properly endorsed. This certificate is not valid until countersigned and registered by the Transfer Agent and Registrar.
IN WITNESS WHEREOF, the said Corporation has caused this certificate to be signed by facsimile signatures of its duly authorized officers.
Dated:
COUNTERSIGNED AND REGISTERED:
WELLS FARGO BANK, N.A.
BY
TRANSFER AGENT AND REGISTRAR
AUTHORIZED SIGNATURE
EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL AND SECRETARY
CHAIRMAN AND CHIEF EXECUTIVE OFFICER

THE CORPORATION WILL FURNISH TO ANY STOCKHOLDER, UPON REQUEST AND WITHOUT CHARGE, A FULL STATEMENT OF THE DESIGNATIONS, RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF THE SHARES OF EACH CLASS AND SERIES AUTHORIZED TO BE ISSUED, SO FAR AS THE SAME HAVE BEEN DETERMINED, AND OF THE AUTHORITY, IF ANY, OF THE BOARD TO DIVIDE THE SHARES INTO CLASSES OR SERIES AND TO DETERMINE AND CHANGE THE RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF ANY CLASS OR SERIES. SUCH REQUEST MAY BE MADE TO THE SECRETARY OF THE CORPORATION OR TO THE TRANSFER AGENT NAMED ON THIS CERTIFICATE.

 

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         UTMA   –         Custodian    
                   (Cust)     (Minor)
TEN ENT   –    as tenants by entireties               under Uniform Transfers to Minors
                
JT TEN   –    as joint tenants with right of survivorship               Act       
     and not as tenants in common               (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 POSTAL ZIP CODE OF ASSIGNEE)
                                       
                                       

                                                                                                   Shares of the capital 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 WHATEVER.

SIGNATURE GUARANTEED

 

    

 

ALL GUARANTEES MUST BE MADE BY A FINANCIAL INSTITUTION (SUCH AS A BANK OR BROKER) WHICH IS A PARTICIPANT IN THE SECURITIES TRANSFER AGENTS MEDALLION PROGRAM (“STAMP”), THE NEW YORK STOCK EXCHANGE, INC. MEDALLION SIGNATURE PROGRAM (“MSP”), OR THE STOCK EXCHANGES MEDALLION PROGRAM (“SEMP”) AND MUST NOT BE DATED. GUARANTEES BY A NOTARY PUBLIC ARE NOT ACCEPTABLE.