GSI Technology, Inc. Common Stock Certificate Issued to Shareholder
This document is a stock certificate issued by GSI Technology, Inc., a Delaware corporation, to a shareholder. It certifies the ownership of a specified number of fully paid and non-assessable shares of the company's common stock. The certificate is transferable according to the company's Articles of Incorporation and By-Laws, and must be properly endorsed and registered with the transfer agent to be valid. The certificate includes instructions for transfer and requires signature guarantees for assignments.
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Exhibit 4.1
[GSI TECHNOLOGY LOGO] | CUSIP | XXXXXX XX X | ||
PO BOX 43004, Providence, RI ###-###-#### | Holder ID | XXXXXXXXXX | ||
Insurance Value | 1,000,000.00 | |||
Number of Shares | 123456 | |||
DTC | 12345678 123456789012345 |
| Certificate Numbers | Num/No. | Denom. | Total | ||||
---|---|---|---|---|---|---|---|---|
MR A SAMPLE | 1234567890 ###-###-#### | 1 | 1 | 1 | ||||
DESIGNATION (IF ANY) | 1234567890 ###-###-#### | 2 | 2 | 2 | ||||
ADD 1 | 1234567890 ###-###-#### | 3 | 3 | 3 | ||||
ADD 2 | 1234567890 ###-###-#### | 4 | 4 | 4 | ||||
ADD 3 | 1234567890 ###-###-#### | 5 | 5 | 5 | ||||
ADD 4 | 1234567890 ###-###-#### | 6 | 6 | 6 | ||||
Total Transaction | 7 |
016570 003590 127C RESTRICTED 4 057-423
COMMON STOCK | [GSI TECHNOLOGY LOGO] | COMMON STOCK | ||
PAR VALUE $.001 | THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA AND JERSEY CITY, NJ | |||
Certificate Number ZQ 000000 | Shares * * 6 0 0 6 2 0* * * * * * * * * 6 0 0 6 2 0* * * * * * * * * 6 0 0 6 2 0* * * * * * * * *6 0 0 6 2 0 * * * * * * * * *6 0 0 6 2 0 * * |
GSI TECHNOLOGY, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
THIS CERTIFIES THAT | MR. SAMPLE & MRS. SAMPLE &* MR. SAMPLE & MRS. SAMPLE | CUSIP 36241U 10 6 SEE REVERSE FOR CERTAIN DEFINITIONS | ||
is the owner of | * * * SIX HUNDRED THOUSAND SIX HUNDRED AND TWENTY* * * |
FULLY-PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF
GSI Technology, Inc. (hereinafter called the "Company"), transferable on the books of the Company in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This Certificate and the shares represented hereby, are issued and shall be held subject to all of the provisions of the Articles of Incorporation, as amended, and the By-Laws, as amended, of the Company (copies of which are on file with the Company and with the Transfer Agent), to all of which each holder, by acceptance hereof, assents. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.
Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers.
DATED «Month Day, Year» COUNTERSIGNED AND REGISTERED: | ||||||
/s/ Lee-Lean Shu | [SEAL] | COMPUTERSHARE TRUST COMPANY, N.A. | ||||
President, CEO and Chairman | TRANSFER AGENT AND REGISTRAR, | |||||
/s/ Robert Yau | By | |||||
VPEngineering, Secretary and Director | AUTHORIZED SIGNATURE |
GSI TECHNOLOGY, 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 | |||
(Cust) (Minor) | ||||||
TEN ENT | -as tenants by the entireties | under Uniform Gifts to Minors Act | ||||
JT TEN | -as joint tenants with right of survivorship | UNIFTRF MIN ACT | Custodian (until age) | |||
and not as tenants in common | (Cust) (Minor) | |||||
under Uniform Transfers to Minors Act | ||||||
(State) | ||||||
Additional abbreviations may also be used though not in the above list. |
PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE | ||||||
For value received, | hereby sell, assign and transfer unto | |||||
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL 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: | 20 | Signature(s) Guaranteed: Medallion Guarantee Stamp | ||||||
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, PURSUANTTO S.E.C. RULE 17Ad-15. | ||||||||
Signature: | ||||||||
Signature: | ||||||||
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. |
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- Exhibit 4.1