Specimen Common Stock Certificate for First State Financial Corporation

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Summary

This document is a specimen certificate representing ownership of common stock in First State Financial Corporation, a Florida corporation. It certifies that the named holder owns a specified number of fully paid and non-assessable common shares, which can be transferred on the corporation’s books by proper endorsement. The certificate is subject to the corporation’s charter and by-laws. It includes instructions for transferring shares and legal abbreviations for different forms of ownership. The certificate must be signed by authorized officers and is only valid with the corporate seal.

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EX-4.1 5 g91235exv4w1.txt EX-4.1 SPECIMEN COMMON STOCK CERTIFICATE EXHIBT 4.1 NUMBER [GRAPHIC] SHARES 1782 Incorporated under the laws of the State of Florida FIRST STATE FINANCIAL CORPORATION Common Shares of the Par Value $1.00 Per Share This certifies that is the owner of Shares of the Common Stock of FIRST STATE FINANCIAL CORPORATION fully paid and non-assessable, transferable only on the books of the Corporation in person or by attorney upon surrender of this Certificate properly endorsed. In Witness Whereof, the duly authorized officers of the Corporation have hereunder subscribed their names and caused the corporate Seal to be hereunto affixed, at Sarasota, Florida, Dated: - ------------------- --------------- SECRETARY PRESIDENT 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 joint tenant with right (Cust) (Minor) under Uniform Gifts to Minors JT TEN -as joint tenant with right of survivorship and not as Act ------------------------ tenants in common (State)
Additional abbreviations may also be used though not in the above list. This Certificate is issued by the Company and accepted by the holder subject to all terms and conditions appearing on the face of this Certificate or contained in the Certificate of Incorporation and all amendments thereof, and in the By-Laws of said Company, copies of which are on file at the principal office of the Company in Sarasota, Florida to which reference is hereby made. 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 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, ------------------- X ---------------------------- 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.