FSM-Delaware, Inc. Specimen Common Stock Certificate

Summary

This document is a specimen certificate representing shares of common stock in FSM-Delaware, Inc., a Delaware corporation. It certifies ownership of fully paid and non-assessable shares, which can be transferred by the holder or their authorized representative upon proper endorsement and registration. The certificate is only valid when signed by corporate officers and registered by the transfer agent. It also includes instructions for transferring shares and legal requirements for signature guarantees.

EX-4.1 4 d67546_ex4-1.txt SPECIMEN COMMON STOCK CERTIFICATE OF REGISTRANT EXHIBIT 4.1 COMMON STOCK COMMON STOCK NUMBER SHARES FSM-Delaware, Inc. INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE SEE REVERSE FOR CERTAIN RESTRICTIONS This Certifies that is the owner of FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, $0.001 PAR VALUE, OF FSM-Delaware, Inc. transferable 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 until countersigned and registered by the Transfer Agent and Registrar. WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. Dated _________________________ [FSM-Delaware, Inc. Corporate Seal] /s/ THOMAS A. SAKER /s/ RICHARD J. SAKER SECRETARY PRESIDENT FSM-Delaware, Inc. 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 Custodian ---------- --------- (CUST) (MINOR) Under Uniform Trans to Minors (State) TEN ENT - as tenants by the entireties JT TEN - as joint tenants with right of survivorship and not as tenants in common 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 represented by the within Certificate, and do hereby irrevocably constitute and appoint ________________________________________________________________________________ Attorney to transfer the said shares on the books to the within named Corporation with full power of substitution in the premises. Dated:__________________________ X ______________________________________ X ______________________________________ NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER. THE SIGNATURES(S) SHOULD 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. SIGNATURE(S) GUARANTEED BY: - -----------------------------------