Form of Common Stock Certificate of the Company
Exhibit 4.1
Number C- [__]
SEE REVERSE FOR IMPORTANT NOTICE REGARDING OWNERSHIP AND
TRANSFER RESTRICTIONS AND CERTAIN OTHER INFORMATION
| CPTN | CUSIP 15673X 101 |
SEE REVERSE FOR CERTAIN DEFINITIONS
CEPTON, INC.
A Delaware Corporation
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE.
COMMON STOCK
SPECIMEN
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK. PAR VALUE OF $0.00001 PER SHARE OF
CEPTON, INC.
transferable on the books of the company in person or by duly authorized attorney upon surrender of this certificate properly endorsed.
This certificate is not valid unless countersigned by the Transfer Agent and registered by the Registrar.
Witness the seal of the Company and the facsimile signatures of its duly authorized officers.
| President and Chief Executive Officer | Chief Financial Officer |
CEPTON, INC.
The Company 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 of the Company and the qualifications, limitations, or restrictions of such preferences and/or rights. This certificate and the shares of common stock represented hereby are issued and shall be held subject to all the provisions of the Company’s certificate of incorporation and all amendments thereto and resolutions of the Board of Directors providing for the issue of securities (copies of which may be obtained from the secretary of the Company), to all of which the holder of this certificate by acceptance hereof assents.
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 IT TEN TTEE | — — — — | as tenants in common as tenants by the entireties as joint tenants with right of survivorship and not as tenants in common trustee under Agreement dated | UNIF GIFT MIN ACT — ______Custodian _____ (Cust) (Minor) Under Uniform Gifts 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 POSTAL ZIP CODE OF ASSIGNEE
Shares of the common stock represented by this 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 whatsoever. |
SIGNATURE GUARANTEED:
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 (OR ANY SUCCESSOR RULE).
