INCORPORATED UNDER THE LAWS OF THE STATE OF NEVADA

EX-4.01 4 ex401k123106.htm SPECIMEN STOCK CERTIFICATE

INCORPORATED UNDER THE LAWS OF

THE STATE OF NEVADA

 

NUMBER

[FX Energy, Inc. Logo]

SHARES

 

 

 

 

 

CUSIP NO. 302695 10 1

 

FX ENERGY, INC.

100,000,000 AUTHORIZED SHARES $.001 PAR VALUE NON-ASSESSABLE

 

 

 

THIS CERTIFIES THAT

**[SPECIMEN]**

IS THE RECORD HOLDER OF

**[SPECIMEN]**

shares of

FX ENERGY, INC.

Common Stock

transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

 

Witness the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.

Dated:

 

 

Secretary

[FX ENERGY, INC. CORPORATE SEAL]

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 tenants by the entireties

 

(Cust)

 

(Minor)

JT TEN

-

as joint tenants with right of

 

under Uniform Gifts to Minors Act

 

 

survivorship and not as tenants

 

 

(State)

 

 

 

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

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

 

Signature

 

 

NOTICE:  SIGNATURE MUST CORRESPOND TO THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER AND MUST BE GUARANTEED BY A BANK, BROKER OR ANY OTHER ELIGIBLE GUARANTOR INSTITUTION THAT IS AUTHORIZED TO DO SO UNDER THE SECURITIES TRANSFER AGENTS MEDALLION PROGRAM (STAMP) UNDER RULES PROMULGATED BY THE U.S. SECURITIES AND EXCHANGE COMMISSION.