Stock Certificate Assignment and Transfer Form for Shareholders

Summary

This document allows a shareholder to transfer ownership of shares in a corporation to another party. The shareholder must provide the assignee's identifying information and appoint an attorney to handle the transfer on the corporation's records. The form requires the signature of the current shareholder, which must match the name on the certificate and be guaranteed by an eligible financial institution. The corporation will also provide information about stock rights and preferences to shareholders upon request.

EX-4.7 2 w05192exv4w7.htm EX-4.7 exv4w7  

Exhibit 4.7


 

     The Corporation will 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 or series thereof and the qualifications, limitations, or restrictions of such preferences and/or rights.

     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, the undersigned hereby sells, assigns and transfers 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                                                            

     
   

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(s) Guaranteed:

     

   
THE SIGNATURE(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.