EX-4.1: SPECIMEN CERTIFICATE

EX-4.1 2 y43228exv4w1.htm EX-4.1: SPECIMEN CERTIFICATE EX-4.1
 

Exhibit 4.1
Specimen Certificate for Common Stock, par value $0.0001 per share
[Face of Certificate]

 

 

[Reverse of 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

TEN ENT
  —

— 		  as tenants in common

as tenants by the entireties 		      UNIF GIFT MIN ACT—                        Custodian                      
     (Cust)                            (Minor)

JT TEN
 
— 		 
as joint tenants with right of survivorship and not as tenants in common 		          under Uniform Transfers to Minors
Act                                                      
                             (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 ZIP CODE OF ASSIGNEE)
 
 
                                                                                                                                                         ;                                                                                    Shares of the Common 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) MUST 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.    
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.